As of the July, 2022, release via CMS

CABELL HUNTINGTON HOSPITAL

CMS id: 510055
1340 HAL GREER BLVD, HUNTINGTON WV 25701. County: CABELL
System: --
CBSA: Huntington-Ashland, WV-KY-OH

The 330-bed, acute-care hospital had $82,305,196 in net service to patients*, with a total profit margin of 13.86212% in fiscal year 2021, the latest year available.
It spent 1.01% of its operating expenses on uncompensated care and reported $63,537,376 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	207 118	225 118	225 119.5	225 118	225 119
Total beds Median	327 162	330 162	330 162	330 162	330 163.5
FTEs Median	2,545.14 788.06	2,613.48 793.42	2,660.28 806.03	2,492.18 787.61	2,557.82 804.34

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	531,622,433 150,932,746	570,867,225 158,950,878	599,034,545 168,696,998	572,785,694 163,454,693	728,848,830 186,589,412
Operating expenses Median	541,898,164 149,311,209	582,485,732 156,110,414	623,360,358 164,890,568	616,347,749 166,516,854	646,543,634 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,275,731 -964,173	-11,618,507 -643,601.5	-24,325,813 -116,254	-43,562,055 -5,025,862	82,305,196 -1,284,564
NS2P margin ? Median	-1.93% -0.62	-2.04% -0.29	-4.06% 0.18	-7.61% -5.07	11.29% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CABELL HUNTINGTON 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	50,680,811 5,089,215	46,481,524 4,572,541	49,628,522 5,268,134	89,659,292 13,092,619	106,838,001 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	17,956,661 299,524	26,983,152 188,688.5	4,076,322 370,813	13,701,768 309,361.5	34,597,055 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	788	564	60	285	7
⊳ 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	25,603	25,500	25,500	29,325	29,325
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,120,977	2,123,098	2,462,905	2,135,315	2,134,807
⊳ 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	298,648	261,506	248,570	222,226	190,287
⊳ 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	34,985	26,274	27,379	24,912	25,046
⊳ 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	30,243,149	17,061,430	42,787,786	73,545,461	69,861,474
Total income ? Median	40,405,080 6,586,430	34,863,017 6,767,106	25,302,709 8,419,950	46,097,237 8,094,175	189,143,197 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	51,271,246 89,880.5	31,808,993 106,761	73,299,252 31,473.5
Net income Median	40,405,080 6,043,842	34,863,017 5,845,112	-25,968,537 7,606,259	14,288,244 7,283,041	115,843,945 14,957,241
Net margin Median	6.93884% 4.62%	5.64722% 4.42%	-4.00339% 5.16%	2.15690% 5.2%	13.86212% 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 CABELL HUNTINGTON 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	54,148,181 23,241,334	56,417,387 23,709,545	56,708,841 24,248,380	43,281,560 22,858,541	45,823,861 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	53,631,216 21,577,146	56,417,387 22,041,594	56,708,841 22,722,063	43,281,560 21,570,441	45,823,861 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	516,965 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	43,003,955 11,160,864	44,383,193 11,987,345	47,679,629 12,926,866	43,451,027 11,884,480	40,756,746 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	40,485,037 10,918,923	41,964,303 11,706,976	45,472,401 12,615,917	41,411,190 11,458,116	38,767,733 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,518,918 1,282,808	2,418,890 1,407,728	2,207,228 1,341,512	2,039,837 1,407,046	1,989,013 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	5,885,311 3,284,314	6,169,361 3,250,551	6,186,910 3,386,837	5,426,945 3,360,806	6,243,320 3,508,953
Disproportionate-share hospital (DSH) Median	3,412,282 594,888	3,338,608 595,761	3,444,180 577,894	2,619,094 542,168	2,307,839 549,667
Outlier Median	4,143,080 582,572	3,254,885 538,116	599,375 212,434	641,486 126,559	744,401 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	37,660,261 3,662,910	46,152,555 3,730,911	46,243,798 4,081,319	54,212,072 4,643,908	63,537,376 4,389,147
Charity care Median	2,198,379 2,654,636	1,513,039 2,940,659	5,263,402 3,380,215	7,415,974 3,488,738	650,277 3,233,405
Uncompensated care (UCC) Median	9,746,275 5,147,790	8,654,319 5,337,617	13,726,936 5,711,082	21,366,689 5,923,418	6,544,034 5,508,107
UCC as a % of operating expenses Median	1.80% 3.24	1.49% 3.12	2.20% 3.21	3.47% 3.3	1.01% 2.86
Total shortfall/UCC Median	47,406,536 9,489,989	54,806,874 9,424,297	59,970,734 10,120,158	75,578,761 11,171,337	70,081,410 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	171,209,621 52,142,039	181,143,928 54,485,252	187,738,138 57,395,589	183,030,784 58,830,919	199,533,503 61,722,907
Salaries as a % of operating expenses Median	31.59 36.68	31.10 36.56	30.12 36.37	29.70 35.93	30.86 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	9,284,045 1,251,927	9,668,743 1,186,494	10,016,967 1,204,885	10,677,577 1,279,653	11,298,460 1,469,317
Contract adjusted salaries, direct-care Median	9,201,746 1,449,244	9,668,743 1,475,986	10,087,752 1,563,078	10,677,577 1,721,954	11,298,460 2,991,828
Contract hours, direct-care Median	247,446.00 22,725	261,227.00 23,018.5	278,408.00 24,503.48	266,781.00 25,026.5	268,445.00 33,786
Contract wages, direct-care Median	37.19 64.67	37.01 64.53	36.23 65.06	40.02 68.97	42.09 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.