As of the July, 2022, release via CMS

LICKING MEMORIAL HOSPITAL

CMS id: 360218
1320 WEST MAIN ST., NEWARK OH 43055. County: LICKING
System: --
CBSA: Columbus, OH

The 227-bed, acute-care hospital had $48,184,910 in net service to patients*, with a total profit margin of 19.35261% in fiscal year 2021, the latest year available.
It spent 3.80% of its operating expenses on uncompensated care and reported $19,742,841 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	181 118	181 118	181 119.5	181 118	181 119
Total beds Median	227 162	227 162	227 162	227 162	227 163.5
FTEs Median	1,432.09 788.06	1,454.47 793.42	1,493.50 806.03	1,563.97 787.61	1,549.00 804.34

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	223,308,907 150,932,746	237,714,948 158,950,878	252,269,459 168,696,998	254,637,345 163,454,693	284,908,819 186,589,412
Operating expenses Median	182,223,558 149,311,209	190,160,643 156,110,414	200,194,135 164,890,568	209,599,585 166,516,854	236,723,909 180,120,888
Net income from service 2 patients (NS2P) ? Median	41,085,349 -964,173	47,554,305 -643,601.5	52,075,324 -116,254	45,037,760 -5,025,862	48,184,910 -1,284,564
NS2P margin ? Median	18.40% -0.62	20.00% -0.29	20.64% 0.18	17.69% -5.07	16.91% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LICKING MEMORIAL 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	4,967,711 5,089,215	5,619,124 4,572,541	7,341,363 5,268,134	13,380,282 13,092,619	10,997,782 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	708,186 224,999	1,032,328 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	175,544 299,524	201,296 188,688.5	2,965,121 370,813	252,110 309,361.5	692,466 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	1,429,613	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	207,314	182,601	105,513
⊳ Line 11: Rebates and refunds of expenses	0	434,981	580,404	592,354	837,326
⊳ 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	0	1,491,363	1,480,754	1,116,477	972,292
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	14,548	16,214	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	33,741	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	18,260	40,104
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	186,663	199,810	245,773	223,312	267,105
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,883,370	1,815,898	1,680,345	1,624,219	1,193,834
⊳ 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	328,095	428,900	165,438	9,370,949	6,889,142
Total income ? Median	46,053,060 6,586,430	53,173,429 6,767,106	59,416,687 8,419,950	58,418,042 8,094,175	59,182,692 15,162,888
Non-operating expenses Median	665,498 146,289.5	725,336 164,857	813,990 89,880.5	825,544 106,761	1,917,053 31,473.5
Net income Median	45,387,562 6,043,842	52,448,093 5,845,112	58,602,697 7,606,259	57,592,498 7,283,041	57,265,639 14,957,241
Net margin Median	19.88270% 4.62%	21.55395% 4.42%	22.57329% 5.16%	21.48832% 5.2%	19.35261% 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 LICKING MEMORIAL 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	24,215,011 23,241,334	23,392,207 23,709,545	22,406,779 24,248,380	23,036,015 22,858,541	23,891,941 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	22,553,545 21,577,146	21,921,533 22,041,594	20,801,341 22,722,063	21,615,116 21,570,441	22,269,282 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	1,661,466 3,535,627	1,470,674 3,746,588	1,605,438 3,782,288	1,420,899 3,865,578	1,622,659 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	18,404,264 11,160,864	17,891,531 11,987,345	18,157,025 12,926,866	15,780,770 11,884,480	15,786,657 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	17,943,385 10,918,923	17,481,126 11,706,976	17,836,332 12,615,917	15,374,592 11,458,116	15,576,246 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	460,879 1,282,808	410,405 1,407,728	320,693 1,341,512	406,178 1,407,046	210,411 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	787,264 594,888	762,167 595,761	604,266 577,894	578,886 542,168	541,234 549,667
Outlier Median	253,287 582,572	111,324 538,116	54,608 212,434	72,639 126,559	74,493 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,709,491 3,662,910	8,255,570 3,730,911	34,507,225 4,081,319	11,736,740 4,643,908	19,742,841 4,389,147
Charity care Median	2,547,912 2,654,636	3,167,418 2,940,659	2,490,108 3,380,215	2,229,703 3,488,738	1,680,706 3,233,405
Uncompensated care (UCC) Median	9,592,884 5,147,790	10,256,779 5,337,617	9,551,529 5,711,082	10,189,335 5,923,418	8,991,316 5,508,107
UCC as a % of operating expenses Median	5.26% 3.24	5.39% 3.12	4.77% 3.21	4.86% 3.3	3.80% 2.86
Total shortfall/UCC Median	18,302,375 9,489,989	18,512,349 9,424,297	44,058,754 10,120,158	21,926,075 11,171,337	28,734,157 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	75,774,944 52,142,039	79,018,998 54,485,252	84,084,670 57,395,589	89,640,379 58,830,919	103,654,494 61,722,907
Salaries as a % of operating expenses Median	40.87 36.68	40.79 36.56	41.21 36.37	42.06 35.93	43.10 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	0 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	0.00 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.