As of the July, 2022, release via CMS

PERRY MEMORIAL HOSPITAL

CMS id: 370139
501 N 14TH STREET, PERRY OK 73077. County: NOBLE
System: STILLWATER MED CENTER HOME OFFICE
CBSA: Rural Oklahoma

The 26-bed, acute-care hospital had $-994,665 in net service to patients*, with a total profit margin of -4.39950% in fiscal year 2021, the latest year available.
It spent 8.98% of its operating expenses on uncompensated care and reported $153,749 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	275	365	366	365
Ownership	gov	gov	gov	gov	gov
Acute beds Median	26 118	26 118	26 119.5	26 118	26 119
Total beds Median	26 162	26 162	26 162	26 162	26 163.5
FTEs Median	69.42 788.06	48.58 793.42	68.18 806.03	64.30 787.61	64.38 804.34

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	10,555,068 150,932,746	5,477,769 158,950,878	3,593,393 168,696,998	6,124,070 163,454,693	8,676,357 186,589,412
Operating expenses Median	11,787,315 149,311,209	7,653,124 156,110,414	9,354,365 164,890,568	8,766,563 166,516,854	9,671,022 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,232,247 -964,173	-2,175,355 -643,601.5	-5,760,972 -116,254	-2,642,493 -5,025,862	-994,665 -1,284,564
NS2P margin ? Median	-11.67% -0.62	-39.71% -0.29	-160.32% 0.18	-43.15% -5.07	-11.46% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PERRY 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	170,251 5,089,215	39,695 4,572,541	226,520 5,268,134	582,144 13,092,619	587,118 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	5,012 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	22,481 299,524	0 188,688.5	0 370,813	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	0	0	0	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	1,063	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	1,487	0	0	0	0
⊳ 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	399	0	0	0	0
⊳ 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	139,809	39,695	226,520	582,144	587,118
Total income ? Median	-1,061,996 6,586,430	-2,135,660 6,767,106	-5,534,452 8,419,950	-2,060,349 8,094,175	-407,547 15,162,888
Non-operating expenses Median	17,438 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-1,079,434 6,043,842	-2,135,660 5,845,112	-5,534,452 7,606,259	-2,060,349 7,283,041	-407,547 14,957,241
Net margin Median	-10.06435% 4.62%	-38.70728% 4.42%	-144.88424% 5.16%	-30.72298% 5.2%	-4.39950% 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 PERRY 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	1,782,922 23,241,334	956,643 23,709,545	1,450,901 24,248,380	1,251,877 22,858,541	1,392,201 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	1,782,922 21,577,146	956,643 22,041,594	1,450,901 22,722,063	1,251,877 21,570,441	1,392,201 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	905,688 11,160,864	1,067,165 11,987,345	1,642,625 12,926,866	2,338,277 11,884,480	2,330,368 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	627,839 10,918,923	590,476 11,706,976	1,051,978 12,615,917	672,565 11,458,116	716,660 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	277,849 1,282,808	230,023 1,407,728	237,343 1,341,512	297,961 1,407,046	268,889 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	246,666 697,279	353,304 690,232	1,367,751 684,010	1,344,819 670,558
⊳ 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	20,070 582,572	0 538,116	6,913 212,434	19,680 126,559	69,198 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	174,853 3,662,910	414,885 3,730,911	796,174 4,081,319	0 4,643,908	153,749 4,389,147
Charity care Median	92,715 2,654,636	18,158 2,940,659	81,521 3,380,215	519,171 3,488,738	90,214 3,233,405
Uncompensated care (UCC) Median	532,094 5,147,790	120,158 5,337,617	565,642 5,711,082	1,504,645 5,923,418	868,030 5,508,107
UCC as a % of operating expenses Median	4.51% 3.24	1.57% 3.12	6.05% 3.21	17.16% 3.3	8.98% 2.86
Total shortfall/UCC Median	706,947 9,489,989	535,043 9,424,297	1,361,816 10,120,158	1,504,645 11,171,337	1,021,779 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	3,799,416 52,142,039	3,372,413 54,485,252	4,450,693 57,395,589	4,175,336 58,830,919	4,350,806 61,722,907
Salaries as a % of operating expenses Median	32.23 36.68	44.07 36.56	47.58 36.37	47.63 35.93	44.99 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	158,720 1,449,244	249,088 1,475,986	95,434 1,563,078	38,499 1,721,954	268,719 2,991,828
Contract hours, direct-care Median	2,465.71 22,725	3,443.25 23,018.5	2,008.99 24,503.48	637.00 25,026.5	2,876.86 33,786
Contract wages, direct-care Median	64.37 64.67	72.34 64.53	47.50 65.06	60.44 68.97	93.41 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.