As of the July, 2022, release via CMS

MONONGALIA GENERAL HOSPITAL

CMS id: 510024
1200 JD ANDERSON DRIVE, MORGANTOWN WV 26505. County: MONONGALIA
System: MONONGALIA HEALTH SYSTEM
CBSA: Morgantown, WV

The 160-bed, acute-care hospital had $-39,605,971 in net service to patients*, with a total profit margin of 6.30714% in fiscal year 2021, the latest year available.
It spent 1.41% of its operating expenses on uncompensated care and reported $1,252,427 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	163 118	163 118	163 119.5	151 118	134 119
Total beds Median	189 162	189 162	189 162	177 162	160 163.5
FTEs Median	1,471.60 788.06	1,534.04 793.42	1,411.70 806.03	1,337.06 787.61	1,450.68 804.34

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	283,379,008 150,932,746	265,963,364 158,950,878	274,104,358 168,696,998	250,267,240 163,454,693	270,351,436 186,589,412
Operating expenses Median	272,442,997 149,311,209	280,641,772 156,110,414	270,074,321 164,890,568	276,665,871 166,516,854	309,957,407 180,120,888
Net income from service 2 patients (NS2P) ? Median	10,936,011 -964,173	-14,678,408 -643,601.5	4,030,037 -116,254	-26,398,631 -5,025,862	-39,605,971 -1,284,564
NS2P margin ? Median	3.86% -0.62	-5.52% -0.29	1.47% 0.18	-10.55% -5.07	-14.65% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MONONGALIA GENERAL 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	17,929,906 5,089,215	9,796,336 4,572,541	9,079,820 5,268,134	14,869,792 13,092,619	23,113,237 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,479,277 224,999	2,354,136 199,009	2,282,334 206,870.5	1,340,336 194,343	851,114 249,496
⊳ Line 7: Investments ? ⊳ Median	7,984,362 299,524	3,908,720 188,688.5	5,780,969 370,813	1,372,063 309,361.5	1,423,852 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	79,087	69,760	99,589	98,232	154,105
⊳ Line 11: Rebates and refunds of expenses	0	0	105	76	530
⊳ 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	84,108	0	118,673	117,589	137,981
⊳ 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	8,997	0	36,049	29,678	34,749
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	207,851	0	15,986	236,531	379,614
⊳ 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	7,086,224	3,463,720	746,115	11,675,287	20,131,292
Total income ? Median	28,865,917 6,586,430	-4,882,072 6,767,106	13,109,857 8,419,950	-11,528,839 8,094,175	-16,492,734 15,162,888
Non-operating expenses Median	55,939 146,289.5	50,350 164,857	4,602,658 89,880.5	7,097,966 106,761	-35,001,972 31,473.5
Net income Median	28,809,978 6,043,842	-4,932,422 5,845,112	8,507,199 7,606,259	-18,626,805 7,283,041	18,509,238 14,957,241
Net margin Median	9.56161% 4.62%	-1.78867% 4.42%	3.00412% 5.16%	-7.02535% 5.2%	6.30714% 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 MONONGALIA GENERAL 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	33,615,923 23,241,334	31,406,985 23,709,545	32,934,181 24,248,380	32,701,786 22,858,541	35,001,041 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	33,615,923 21,577,146	31,406,985 22,041,594	32,934,181 22,722,063	32,701,786 21,570,441	35,001,041 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	28,993,837 11,160,864	27,974,211 11,987,345	27,699,422 12,926,866	25,833,847 11,884,480	25,639,441 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	28,993,837 10,918,923	27,974,211 11,706,976	27,699,422 12,615,917	25,833,847 11,458,116	25,639,441 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	430,389 594,888	344,079 595,761	384,823 577,894	469,379 542,168	397,114 549,667
Outlier Median	2,808,149 582,572	2,278,336 538,116	2,098,108 212,434	396,870 126,559	663,031 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,397,773 3,662,910	11,239,629 3,730,911	11,757,637 4,081,319	13,018,119 4,643,908	1,252,427 4,389,147
Charity care Median	1,743,075 2,654,636	2,763,945 2,940,659	1,135,493 3,380,215	1,410,769 3,488,738	880,636 3,233,405
Uncompensated care (UCC) Median	5,234,710 5,147,790	6,961,358 5,337,617	4,547,045 5,711,082	3,590,307 5,923,418	4,362,642 5,508,107
UCC as a % of operating expenses Median	1.92% 3.24	2.48% 3.12	1.68% 3.21	1.30% 3.3	1.41% 2.86
Total shortfall/UCC Median	17,632,483 9,489,989	18,200,987 9,424,297	16,304,682 10,120,158	16,608,426 11,171,337	5,615,069 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	99,121,917 52,142,039	106,359,574 54,485,252	98,261,555 57,395,589	98,615,700 58,830,919	99,762,720 61,722,907
Salaries as a % of operating expenses Median	36.38 36.68	37.90 36.56	36.38 36.37	35.64 35.93	32.19 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	2,420,653 1,449,244	1,915,278 1,475,986	836,416 1,563,078	2,158,072 1,721,954	3,894,577 2,991,828
Contract hours, direct-care Median	42,663.00 22,725	38,724.00 23,018.5	18,227.00 24,503.48	36,324.00 25,026.5	41,813.80 33,786
Contract wages, direct-care Median	56.74 64.67	49.46 64.53	45.89 65.06	59.41 68.97	93.14 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.