As of the July, 2022, release via CMS

EAST LIVERPOOL CITY HOSPITAL

CMS id: 360096
425 WEST FIFTH STREET, EAST LIVERPOOL OH 43920. County: COLUMBIANA
System: PRIME HEALTHCARE MANAGEMENT SERVICES
CBSA: Salem, OH

The 130-bed, acute-care hospital had $11,360,967 in net service to patients*, with a total profit margin of 22.38991% in fiscal year 2021, the latest year available.
It spent 12.60% of its operating expenses on uncompensated care and reported $3,298,541 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	122 118	122 118	106 119.5	106 118	106 119
Total beds Median	152 162	152 162	130 162	130 162	130 163.5
FTEs Median	446.65 788.06	457.61 793.42	464.51 806.03	393.44 787.61	492.00 804.34

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	72,692,999 150,932,746	65,777,578 158,950,878	74,307,873 168,696,998	63,628,339 163,454,693	76,253,764 186,589,412
Operating expenses Median	59,945,520 149,311,209	59,721,941 156,110,414	67,374,225 164,890,568	65,293,032 166,516,854	64,892,797 180,120,888
Net income from service 2 patients (NS2P) ? Median	12,747,479 -964,173	6,055,637 -643,601.5	6,933,648 -116,254	-1,664,693 -5,025,862	11,360,967 -1,284,564
NS2P margin ? Median	17.54% -0.62	9.21% -0.29	9.33% 0.18	-2.62% -5.07	14.90% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EAST LIVERPOOL CITY HOSPITAL 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	121,820 5,089,215	1,251,670 4,572,541	1,358,332 5,268,134	20,189,573 13,092,619	7,360,099 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	341 309,361.5	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	16,494	71,646	95,771	295	133
⊳ Line 11: Rebates and refunds of expenses	0	0	0	17,800	48,058
⊳ 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	57,285	57,370	50,685	67,453	184,444
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	16,924	6,445	4,660	4,074	4,405
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	5,525	10,777
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	30,523	1,116,209	1,207,216	20,094,085	7,112,282
Total income ? Median	12,869,299 6,586,430	7,307,307 6,767,106	8,291,980 8,419,950	18,524,880 8,094,175	18,721,066 15,162,888
Non-operating expenses Median	230,509 146,289.5	1,190,116 164,857	0 89,880.5	15,378 106,761	0 31,473.5
Net income Median	12,638,790 6,043,842	6,117,191 5,845,112	8,291,980 7,606,259	18,509,502 7,283,041	18,721,066 14,957,241
Net margin Median	17.35744% 4.62%	9.12615% 4.42%	10.95863% 5.16%	22.08299% 5.2%	22.38991% 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 EAST LIVERPOOL CITY HOSPITAL 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	20,089,050 23,241,334	18,307,656 23,709,545	19,724,278 24,248,380	15,048,879 22,858,541	14,604,792 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	19,262,585 21,577,146	17,194,554 22,041,594	17,895,552 22,722,063	13,653,159 21,570,441	13,816,349 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	826,465 1,845,420	1,113,102 1,757,392	1,828,726 1,738,842	1,395,720 1,510,463	788,443 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	2,872,459 11,160,864	2,855,384 11,987,345	2,717,407 12,926,866	2,558,992 11,884,480	2,357,029 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	2,872,459 10,918,923	2,855,384 11,706,976	2,717,407 12,615,917	2,558,992 11,458,116	2,357,029 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	2,616,437 3,284,314	2,138,255 3,250,551	2,715,577 3,386,837	2,497,049 3,360,806	2,817,111 3,508,953
Disproportionate-share hospital (DSH) Median	421,353 594,888	522,798 595,761	463,850 577,894	318,443 542,168	247,650 549,667
Outlier Median	278,195 582,572	9,006 538,116	27,207 212,434	4,913 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	471 3,662,910	5,083,590 3,730,911	6,894,848 4,081,319	6,422,106 4,643,908	3,298,541 4,389,147
Charity care Median	389,213 2,654,636	113,088 2,940,659	607,662 3,380,215	772,033 3,488,738	7,519,718 3,233,405
Uncompensated care (UCC) Median	3,502,439 5,147,790	2,384,185 5,337,617	2,545,028 5,711,082	2,205,530 5,923,418	8,177,368 5,508,107
UCC as a % of operating expenses Median	5.84% 3.24	3.99% 3.12	3.78% 3.21	3.38% 3.3	12.60% 2.86
Total shortfall/UCC Median	3,502,910 9,489,989	7,467,775 9,424,297	9,439,876 10,120,158	8,627,636 11,171,337	11,475,909 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	22,996,146 52,142,039	24,401,118 54,485,252	25,086,263 57,395,589	24,092,667 58,830,919	26,561,600 61,722,907
Salaries as a % of operating expenses Median	38.36 36.68	40.86 36.56	37.23 36.37	36.90 35.93	40.93 35.24
Intern, resident salaries* Median	1,060,741 2,598,592	1,506,952 2,686,824	1,935,237 2,753,773	1,912,923 2,937,156	1,924,292 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	52,762 1,449,244	142,628 1,475,986	412,067 1,563,078	257,261 1,721,954	0 2,991,828
Contract hours, direct-care Median	741.00 22,725	2,700.00 23,018.5	6,276.00 24,503.48	3,839.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	71.20 64.67	52.83 64.53	65.66 65.06	67.01 68.97	0.00 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.