As of the July, 2022, release via CMS

SOUTHWEST GENERAL HEALTH CENTER

CMS id: 360155
18697 BAGLEY ROAD, MIDDLEBURG HEIGHTS OH 44130. County: CUYAHOGA
System: --
CBSA: Cleveland-Elyria, OH

The 251-bed, acute-care hospital had $306,503 in net service to patients*, with a total profit margin of 5.95897% in fiscal year 2021, the latest year available.
It spent 1.47% of its operating expenses on uncompensated care and reported $13,764,551 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	154 118	157 118	142 119.5	155 118	155 119
Total beds Median	255 162	258 162	243 162	251 162	251 163.5
FTEs Median	1,793.83 788.06	1,825.44 793.42	1,833.71 806.03	1,750.06 787.61	1,800.99 804.34

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	335,019,076 150,932,746	347,091,248 158,950,878	367,287,624 168,696,998	351,997,851 163,454,693	394,385,112 186,589,412
Operating expenses Median	324,586,839 149,311,209	334,406,771 156,110,414	363,644,952 164,890,568	355,905,333 166,516,854	394,078,609 180,120,888
Net income from service 2 patients (NS2P) ? Median	10,432,237 -964,173	12,684,477 -643,601.5	3,642,672 -116,254	-3,907,482 -5,025,862	306,503 -1,284,564
NS2P margin ? Median	3.11% -0.62	3.65% -0.29	0.99% 0.18	-1.11% -5.07	0.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SOUTHWEST GENERAL HEALTH 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	12,054,555 5,089,215	12,657,561 4,572,541	38,682,065 5,268,134	33,210,655 13,092,619	38,338,896 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	847,235 224,999	786,167 199,009	870,418 206,870.5	842,312 194,343	877,612 249,496
⊳ Line 7: Investments ? ⊳ Median	8,912,584 299,524	9,639,746 188,688.5	35,491,644 370,813	23,686,867 309,361.5	27,681,207 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	1,--80	1,--80	1,92--	--	--
⊳ Line 10: Purchase discounts	19,100	39,215	20,356	245,187	277,525
⊳ Line 11: Rebates and refunds of expenses	1,050,515	1,059,017	1,140,969	1,360,816	1,541,431
⊳ Line 12: Parking lot receipts	32,448	36,433	48,654	21,608	40,932
⊳ Line 13: Revenue from laundry and linen service	3,204	3,103	2,927	1,775	2,404
⊳ Line 14: Revenue from meals sold to emplyees and guests	887,500	920,388	949,567	0	0
⊳ 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	118,520	2,911	-6,205	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	20	20	2,431	-20	-8,064
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	17,725	22,674	25,979	2,178	2,756
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	16,959	20,164	21,938	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	7,466 1,017,693	2,417 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	--	--	--	6,941,952	7,816,980
Total income ? Median	22,486,792 6,586,430	25,342,038 6,767,106	42,324,737 8,419,950	29,303,173 8,094,175	38,645,399 15,162,888
Non-operating expenses Median	2,605,407 146,289.5	6,217,900 164,857	7,859,869 89,880.5	10,336,912 106,761	12,859,504 31,473.5
Net income Median	19,881,385 6,043,842	19,124,138 5,845,112	34,464,868 7,606,259	18,966,261 7,283,041	25,785,895 14,957,241
Net margin Median	5.72829% 4.62%	5.31597% 4.42%	8.48952% 5.16%	4.92364% 5.2%	5.95897% 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 SOUTHWEST GENERAL HEALTH 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	47,109,910 23,241,334	45,700,999 23,709,545	44,838,039 24,248,380	43,328,624 22,858,541	45,029,268 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	41,894,833 21,577,146	40,602,957 22,041,594	39,882,604 22,722,063	38,656,299 21,570,441	40,528,975 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	3,082,060 1,845,420	3,139,008 1,757,392	3,257,295 1,738,842	2,771,560 1,510,463	2,643,260 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,133,017 3,535,627	1,959,034 3,746,588	1,698,140 3,782,288	1,900,765 3,865,578	1,857,033 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	32,687,847 11,160,864	34,401,440 11,987,345	34,380,383 12,926,866	29,800,080 11,884,480	31,977,375 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	29,309,775 10,918,923	31,080,998 11,706,976	31,758,825 12,615,917	27,410,532 11,458,116	29,762,912 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,378,072 1,282,808	3,320,442 1,407,728	2,621,558 1,341,512	2,389,548 1,407,046	2,214,463 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	11,791 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	433,955 582,572	318,201 538,116	99,642 212,434	144,564 126,559	158,342 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,579,172 3,662,910	14,934,174 3,730,911	15,856,406 4,081,319	15,662,079 4,643,908	13,764,551 4,389,147
Charity care Median	4,181,591 2,654,636	2,448,658 2,940,659	1,925,831 3,380,215	1,723,107 3,488,738	1,542,940 3,233,405
Uncompensated care (UCC) Median	7,853,485 5,147,790	6,929,971 5,337,617	7,382,585 5,711,082	6,714,196 5,923,418	5,794,617 5,508,107
UCC as a % of operating expenses Median	2.42% 3.24	2.07% 3.12	2.03% 3.21	1.89% 3.3	1.47% 2.86
Total shortfall/UCC Median	22,432,657 9,489,989	21,864,145 9,424,297	23,238,991 10,120,158	22,376,275 11,171,337	19,559,168 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	110,878,111 52,142,039	115,018,634 54,485,252	119,519,324 57,395,589	117,307,847 58,830,919	129,029,432 61,722,907
Salaries as a % of operating expenses Median	34.16 36.68	34.39 36.56	32.87 36.37	32.96 35.93	32.74 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	935,858 1,449,244	696,150 1,475,986	311,986 1,563,078	685,307 1,721,954	521,261 2,991,828
Contract hours, direct-care Median	17,605.26 22,725	14,316.34 23,018.5	8,017.44 24,503.48	14,359.24 25,026.5	10,754.55 33,786
Contract wages, direct-care Median	53.16 64.67	48.63 64.53	38.91 65.06	47.73 68.97	48.47 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.