As of the July, 2022, release via CMS

MAURY REGIONAL HOSPITAL

CMS id: 440073
1224 TROTWOOD AVENUE, COLUMBIA TN 38401. County: MAURY
System: MRH CORP SERVICES
CBSA: Nashville-Davidson--Murfreesboro--Franklin, TN

The 255-bed, acute-care hospital had $-20,883,164 in net service to patients*, with a total profit margin of 7.80171% in fiscal year 2021, the latest year available.
It spent 6.32% of its operating expenses on uncompensated care and reported $7,625,646 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	190 118	190 118	175 119.5	190 118	190 119
Total beds Median	255 162	255 162	255 162	255 162	255 163.5
FTEs Median	1,798.72 788.06	1,857.00 793.42	1,982.87 806.03	1,905.00 787.61	1,830.00 804.34

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	254,103,569 150,932,746	286,210,395 158,950,878	296,167,790 168,696,998	289,746,078 163,454,693	308,062,172 186,589,412
Operating expenses Median	264,948,123 149,311,209	291,073,850 156,110,414	314,344,499 164,890,568	329,239,289 166,516,854	328,945,336 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,844,554 -964,173	-4,863,455 -643,601.5	-18,176,709 -116,254	-39,493,211 -5,025,862	-20,883,164 -1,284,564
NS2P margin ? Median	-4.27% -0.62	-1.70% -0.29	-6.14% 0.18	-13.63% -5.07	-6.78% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MAURY REGIONAL 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	12,164,961 5,089,215	18,275,475 4,572,541	11,342,808 5,268,134	35,922,960 13,092,619	48,718,127 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	183,230 224,999	297,314 199,009	220,498 206,870.5	0 194,343	112,556 249,496
⊳ Line 7: Investments ? ⊳ Median	5,007,335 299,524	2,221,263 188,688.5	3,077,334 370,813	0 309,361.5	10,914,507 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	27,091	2,273	2,530	6,220	8,874
⊳ 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	930,006	1,005,529	995,230	838,196	906,283
⊳ 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	2,007,608	2,088,958	2,201,774	2,242,263	3,288,329
⊳ Line 18: Revenue from sale of medical records and abstracts	112,315	113,515	1,407	359	45
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	476,415	450,796	442,514	341,493	247,754
⊳ Line 21: Rental of vending machines	25,361	35,606	27,574	35,498	26,449
⊳ Line 22: Rental of hospital space	4,903,746	5,233,907	5,396,259	5,726,322	5,672,493
⊳ Line 23: Gov appropriations ? ⊳ Median	1,784,642 1,017,693	916,932 983,261.5	2,832,871 1,173,286	21,252,334 1,987,202	2,265,557 1,597,664
⊳ Sum Line 24	-3,292,788	5,909,382	-3,855,183	5,480,275	25,275,280
Total income ? Median	1,320,407 6,586,430	13,412,020 6,767,106	-6,833,901 8,419,950	-3,570,251 8,094,175	27,834,963 15,162,888
Non-operating expenses Median	0 146,289.5	8,480,246 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	1,320,407 6,043,842	4,931,774 5,845,112	-6,833,901 7,606,259	-3,570,251 7,283,041	27,834,963 14,957,241
Net margin Median	0.49589% 4.62%	1.61971% 4.42%	-2.22233% 5.16%	-1.09628% 5.2%	7.80171% 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 MAURY REGIONAL 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	47,479,795 23,241,334	46,470,290 23,709,545	44,810,141 24,248,380	41,636,983 22,858,541	45,132,324 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	47,479,795 21,577,146	46,470,290 22,041,594	44,810,141 22,722,063	41,636,983 21,570,441	45,132,324 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	33,770,033 11,160,864	35,778,058 11,987,345	37,517,603 12,926,866	37,321,033 11,884,480	36,765,856 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	31,349,388 10,918,923	33,979,226 11,706,976	36,073,732 12,615,917	36,058,926 11,458,116	35,647,513 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,420,645 1,282,808	1,798,832 1,407,728	1,443,871 1,341,512	1,262,107 1,407,046	1,118,343 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	1,041,134 594,888	1,306,631 595,761	837,514 577,894	797,066 542,168	1,191,397 549,667
Outlier Median	195,838 582,572	337,618 538,116	713,095 212,434	184,378 126,559	128,912 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,591,018 3,662,910	8,236,306 3,730,911	8,116,815 4,081,319	10,190,989 4,643,908	7,625,646 4,389,147
Charity care Median	4,199,763 2,654,636	4,351,527 2,940,659	8,163,660 3,380,215	8,472,575 3,488,738	14,383,771 3,233,405
Uncompensated care (UCC) Median	9,757,687 5,147,790	10,456,663 5,337,617	14,025,032 5,711,082	15,943,325 5,923,418	20,786,554 5,508,107
UCC as a % of operating expenses Median	3.68% 3.24	3.59% 3.12	4.46% 3.21	4.84% 3.3	6.32% 2.86
Total shortfall/UCC Median	14,348,705 9,489,989	18,692,969 9,424,297	22,141,847 10,120,158	26,134,314 11,171,337	28,412,200 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	100,170,356 52,142,039	108,109,958 54,485,252	114,457,478 57,395,589	116,406,694 58,830,919	118,134,700 61,722,907
Salaries as a % of operating expenses Median	37.81 36.68	37.14 36.56	36.41 36.37	35.36 35.93	35.91 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	173,306 1,449,244	2,158,653 1,475,986	1,112,717 1,563,078	785,001 1,721,954	0 2,991,828
Contract hours, direct-care Median	2,559.13 22,725	41,450.00 23,018.5	27,844.68 24,503.48	17,809.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	67.72 64.67	52.08 64.53	39.96 65.06	44.08 68.97	0.00 88.94

* in an approved program

Return to top

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.