As of the July, 2022, release via CMS

SPRINGFIELD REGIONAL MEDICAL CENTER

CMS id: 360086
100 MEDICAL CENTER DRIVE, SPRINGFIELD OH 45504. County: CLARK
System: BON SECOURS MERCY HEALTH
CBSA: Springfield, OH

The 254-bed, acute-care hospital had $13,986,764 in net service to patients*, with a total profit margin of 7.36215% in fiscal year 2021, the latest year available.
It spent 2.61% of its operating expenses on uncompensated care and reported $13,270,568 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	192 118	192 118	192 119.5	192 118	192 119
Total beds Median	254 162	254 162	254 162	254 162	254 163.5
FTEs Median	1,104.14 788.06	1,111.99 793.42	1,095.04 806.03	1,053.79 787.61	1,052.36 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	233,237,252 150,932,746	227,970,308 158,950,878	236,532,431 168,696,998	266,372,597 163,454,693	298,216,582 186,589,412
Operating expenses Median	224,795,829 149,311,209	219,494,434 156,110,414	223,116,830 164,890,568	254,696,709 166,516,854	284,229,818 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,441,423 -964,173	8,475,874 -643,601.5	13,415,601 -116,254	11,675,888 -5,025,862	13,986,764 -1,284,564
NS2P margin ? Median	3.62% -0.62	3.72% -0.29	5.67% 0.18	4.38% -5.07	4.69% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SPRINGFIELD REGIONAL MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	3,151,459 5,089,215	4,291,649 4,572,541	3,208,818 5,268,134	12,769,925 13,092,619	8,601,657 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	159,634 199,009	101,610 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	444,310 299,524	625,739 188,688.5	609,002 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	886,692	825,083	852,602	692,473	691,800
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	53,633	46,412	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	410,029	1,257,403	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	-3,099	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	83,129	0	0	0	0
⊳ Line 21: Rental of vending machines	21,565	43,816	38,393	22,554	22,113
⊳ Line 22: Rental of hospital space	1,059,759	982,448	1,038,037	304,977	303,280
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	245,975	346,992	522,762	11,749,921	7,584,464
Total income ? Median	11,592,882 6,586,430	12,767,523 6,767,106	16,624,419 8,419,950	24,445,813 8,094,175	22,588,421 15,162,888
Non-operating expenses Median	294,295 146,289.5	35,627 164,857	55,205 89,880.5	0 106,761	0 31,473.5
Net income Median	11,298,587 6,043,842	12,731,896 5,845,112	16,569,214 7,606,259	24,445,813 7,283,041	22,588,421 14,957,241
Net margin Median	4.77966% 4.62%	5.48170% 4.42%	6.91129% 5.16%	8.75747% 5.2%	7.36215% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for SPRINGFIELD REGIONAL MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	38,687,280 23,241,334	40,087,918 23,709,545	40,006,502 24,248,380	37,704,307 22,858,541	38,138,437 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	33,691,562 21,577,146	33,960,780 22,041,594	35,293,968 22,722,063	32,733,476 21,570,441	32,773,795 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,995,718 3,535,627	6,127,138 3,746,588	4,712,534 3,782,288	4,970,831 3,865,578	5,364,642 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	13,049,176 11,160,864	13,629,402 11,987,345	12,965,049 12,926,866	17,252,524 11,884,480	17,897,020 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	13,049,176 10,918,923	13,629,402 11,706,976	12,965,049 12,615,917	17,252,524 11,458,116	17,897,020 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	895,670 594,888	1,100,580 595,761	988,080 577,894	1,079,303 542,168	1,029,396 549,667
Outlier Median	861,497 582,572	414,502 538,116	233,231 212,434	241,409 126,559	240,550 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,238,716 3,662,910	10,590,735 3,730,911	13,998,747 4,081,319	15,693,974 4,643,908	13,270,568 4,389,147
Charity care Median	2,399,779 2,654,636	3,774,830 2,940,659	3,082,718 3,380,215	3,146,934 3,488,738	3,167,474 3,233,405
Uncompensated care (UCC) Median	6,794,656 5,147,790	8,367,316 5,337,617	7,980,270 5,711,082	7,894,947 5,923,418	7,416,937 5,508,107
UCC as a % of operating expenses Median	3.02% 3.24	3.81% 3.12	3.58% 3.21	3.10% 3.3	2.61% 2.86
Total shortfall/UCC Median	14,033,372 9,489,989	18,958,051 9,424,297	21,979,017 10,120,158	23,588,921 11,171,337	20,687,505 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	70,399,326 52,142,039	69,155,399 54,485,252	67,878,423 57,395,589	68,684,166 58,830,919	76,768,741 61,722,907
Salaries as a % of operating expenses Median	31.30 36.68	31.49 36.56	30.42 36.37	26.97 35.93	27.01 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,527,073 1,449,244	960,718 1,475,986	2,021,392 1,563,078	4,022,457 1,721,954	7,455,585 2,991,828
Contract hours, direct-care Median	29,074.16 22,725	16,002.79 23,018.5	29,987.47 24,503.48	60,269.88 25,026.5	63,746.00 33,786
Contract wages, direct-care Median	52.52 64.67	60.03 64.53	67.41 65.06	66.74 68.97	116.96 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.