As of the July, 2022, release via CMS

LINDSAY MUNICIPAL HOSPITAL AUTHORITY

CMS id: 370214
HIGHWAY #19 WEST, LINDSAY OK 73052. County: GARVIN
System: --
CBSA: Rural Oklahoma

The 26-bed, acute-care hospital had $-1,125,457 in net service to patients*, with a total profit margin of 3.32636% in fiscal year 2021, the latest year available.
It spent 2.97% of its operating expenses on uncompensated care and reported $3,124,940 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	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	110.18 788.06	115.65 793.42	116.99 806.03	125.87 787.61	137.74 804.34

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	12,239,486 150,932,746	13,363,452 158,950,878	14,064,941 168,696,998	14,608,285 163,454,693	15,790,358 186,589,412
Operating expenses Median	11,767,358 149,311,209	13,050,562 156,110,414	13,906,602 164,890,568	14,780,934 166,516,854	16,915,815 180,120,888
Net income from service 2 patients (NS2P) ? Median	472,128 -964,173	312,890 -643,601.5	158,339 -116,254	-172,649 -5,025,862	-1,125,457 -1,284,564
NS2P margin ? Median	3.86% -0.62	2.34% -0.29	1.13% 0.18	-1.18% -5.07	-7.13% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LINDSAY MUNICIPAL HOSPITAL AUTHORITY 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	44,634 5,089,215	492,761 4,572,541	188,346 5,268,134	725,593 13,092,619	1,707,498 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	14,401 224,999	7,650 199,009	8,644 206,870.5	10,086 194,343	22,541 249,496
⊳ Line 7: Investments ? ⊳ Median	5,958 299,524	13,449 188,688.5	18,398 370,813	26,284 309,361.5	26,636 375,329
⊳ 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	21,841	21,902	19,479	23,039	19,965
⊳ 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	1,331	802	1,312	988	885
⊳ 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	1,103	1,073	957	875	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	--	447,885	139,556	664,321	1,637,471
Total income ? Median	516,762 6,586,430	805,651 6,767,106	346,685 8,419,950	552,944 8,094,175	582,041 15,162,888
Non-operating expenses Median	-643,978 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	1,160,740 6,043,842	805,651 5,845,112	346,685 7,606,259	552,944 7,283,041	582,041 14,957,241
Net margin Median	9.44911% 4.62%	5.81437% 4.42%	2.43232% 5.16%	3.60603% 5.2%	3.32636% 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 LINDSAY MUNICIPAL HOSPITAL AUTHORITY 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	666,616 23,241,334	620,882 23,709,545	422,242 24,248,380	158,580 22,858,541	158,539 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	666,616 21,577,146	620,882 22,041,594	422,242 22,722,063	158,580 21,570,441	158,539 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	187,994 11,160,864	216,733 11,987,345	206,513 12,926,866	155,039 11,884,480	123,273 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	187,994 10,918,923	216,733 11,706,976	206,513 12,615,917	155,039 11,458,116	123,273 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	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	2,760 594,888	3,398 595,761	2,180 577,894	663 542,168	1,214 549,667
Outlier Median	0 582,572	0 538,116	0 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,593,005 3,662,910	992,736 3,730,911	1,374,658 4,081,319	1,908,210 4,643,908	3,124,940 4,389,147
Charity care Median	965 2,654,636	816 2,940,659	4,798 3,380,215	0 3,488,738	14,628 3,233,405
Uncompensated care (UCC) Median	280,955 5,147,790	364,636 5,337,617	417,703 5,711,082	597,644 5,923,418	501,754 5,508,107
UCC as a % of operating expenses Median	2.39% 3.24	2.79% 3.12	3.00% 3.21	4.04% 3.3	2.97% 2.86
Total shortfall/UCC Median	1,873,960 9,489,989	1,357,372 9,424,297	1,792,361 10,120,158	2,505,854 11,171,337	3,626,694 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	5,751,280 52,142,039	6,305,880 54,485,252	6,742,887 57,395,589	7,388,666 58,830,919	8,141,225 61,722,907
Salaries as a % of operating expenses Median	48.87 36.68	48.32 36.56	48.49 36.37	49.99 35.93	48.13 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	89,767 1,449,244	179,808 1,475,986	289,399 1,563,078	275,725 1,721,954	393,483 2,991,828
Contract hours, direct-care Median	1,572.00 22,725	3,478.00 23,018.5	6,042.00 24,503.48	5,791.25 25,026.5	7,621.00 33,786
Contract wages, direct-care Median	57.10 64.67	51.70 64.53	47.90 65.06	47.61 68.97	51.63 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.