As of the July, 2022, release via CMS

BETHESDA HOSPITAL

CMS id: 360179
10500 MONTGOMERY ROAD, CINCINNATI OH 45242. County: HAMILTON
System: PALMETTO GBA
CBSA: Cincinnati, OH-KY-IN

The 414-bed, acute-care hospital had $23,209,924 in net service to patients*, with a total profit margin of 9.45748% in fiscal year 2021, the latest year available.
It spent 2.91% of its operating expenses on uncompensated care and reported $17,631,355 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	320 118	320 118	327 119.5	360 118	377 119
Total beds Median	356 162	357 162	365 162	398 162	414 163.5
FTEs Median	3,381.51 788.06	3,410.96 793.42	3,229.71 806.03	3,225.34 787.61	3,249.94 804.34

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	641,074,285 150,932,746	681,000,817 158,950,878	672,536,263 168,696,998	667,868,822 163,454,693	754,825,195 186,589,412
Operating expenses Median	611,586,999 149,311,209	632,089,462 156,110,414	629,048,598 164,890,568	704,575,875 166,516,854	731,615,271 180,120,888
Net income from service 2 patients (NS2P) ? Median	29,487,286 -964,173	48,911,355 -643,601.5	43,487,665 -116,254	-36,707,053 -5,025,862	23,209,924 -1,284,564
NS2P margin ? Median	4.60% -0.62	7.18% -0.29	6.47% 0.18	-5.50% -5.07	3.07% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BETHESDA 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	49,227,366 5,089,215	57,309,166 4,572,541	55,901,399 5,268,134	83,875,456 13,092,619	138,881,053 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	565,361 224,999	74,785 199,009	265,003 206,870.5	217,897 194,343	883,946 249,496
⊳ Line 7: Investments ? ⊳ Median	17,576,541 299,524	18,176,809 188,688.5	2,786,058 370,813	-1,427,380 309,361.5	60,180,394 375,329
⊳ 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	25	7	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,668,455	1,793,791	1,976,935	1,878,392	1,673,241
⊳ 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	5,990,388	17,614,437	31,720,870	41,579,511
⊳ Line 18: Revenue from sale of medical records and abstracts	12,315	669	8,771	10,637	11,542
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	471,229	498,726	531,968	388,206	295,614
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	704,080	0	0	0	1,059,615
⊳ 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	28,229,385	30,773,998	32,718,202	51,086,827	33,197,190
Total income ? Median	78,714,652 6,586,430	106,220,521 6,767,106	99,389,064 8,419,950	47,168,403 8,094,175	162,090,977 15,162,888
Non-operating expenses Median	44,488,079 146,289.5	55,807,865 164,857	73,084,279 89,880.5	85,943,828 106,761	77,568,907 31,473.5
Net income Median	34,226,573 6,043,842	50,412,656 5,845,112	26,304,785 7,606,259	-38,775,425 7,283,041	84,522,070 14,957,241
Net margin Median	4.95821% 4.62%	6.82812% 4.42%	3.61112% 5.16%	-5.15806% 5.2%	9.45748% 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 BETHESDA 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	74,022,787 23,241,334	81,937,248 23,709,545	79,689,056 24,248,380	80,687,513 22,858,541	91,354,237 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	74,022,787 21,577,146	81,937,248 22,041,594	79,689,056 22,722,063	80,687,513 21,570,441	91,354,237 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	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	36,256,160 11,160,864	40,554,824 11,987,345	43,937,578 12,926,866	37,881,505 11,884,480	35,248,473 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	36,256,160 10,918,923	40,554,824 11,706,976	43,937,578 12,615,917	37,881,505 11,458,116	35,248,473 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	5,280,089 3,284,314	5,836,006 3,250,551	5,937,880 3,386,837	6,005,018 3,360,806	6,608,147 3,508,953
Disproportionate-share hospital (DSH) Median	985,309 594,888	1,077,977 595,761	999,425 577,894	1,103,525 542,168	957,168 549,667
Outlier Median	1,130,518 582,572	1,531,421 538,116	1,674,026 212,434	277,183 126,559	347,754 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,599,981 3,662,910	27,511,778 3,730,911	30,614,609 4,081,319	32,829,481 4,643,908	17,631,355 4,389,147
Charity care Median	13,202,742 2,654,636	7,898,786 2,940,659	6,616,465 3,380,215	9,428,091 3,488,738	8,602,164 3,233,405
Uncompensated care (UCC) Median	19,316,413 5,147,790	15,630,184 5,337,617	21,153,728 5,711,082	24,343,914 5,923,418	21,279,401 5,508,107
UCC as a % of operating expenses Median	3.16% 3.24	2.47% 3.12	3.36% 3.21	3.46% 3.3	2.91% 2.86
Total shortfall/UCC Median	41,916,394 9,489,989	43,141,962 9,424,297	51,768,337 10,120,158	57,173,395 11,171,337	38,910,756 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	173,028,161 52,142,039	176,806,600 54,485,252	179,658,365 57,395,589	185,219,077 58,830,919	192,036,877 61,722,907
Salaries as a % of operating expenses Median	28.29 36.68	27.97 36.56	28.56 36.37	26.29 35.93	26.25 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	4,339,127 1,449,244	8,459,519 1,475,986	5,856,235 1,563,078	5,661,144 1,721,954	5,618,211 2,991,828
Contract hours, direct-care Median	81,659.00 22,725	161,968.00 23,018.5	100,916.90 24,503.48	85,032.00 25,026.5	64,817.00 33,786
Contract wages, direct-care Median	53.14 64.67	52.23 64.53	58.03 65.06	66.58 68.97	86.68 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.