As of the July, 2022, release via CMS

MERITER HOSPITAL INC.

CMS id: 520089
202 SOUTH PARK STREET, MADISON WI 53715. County: DANE
System: MERITER HEALTH SERVICES INC.
CBSA: Madison, WI

The 350-bed, acute-care hospital had $-41,876,786 in net service to patients*, with a total profit margin of 14.54184% in fiscal year 2021, the latest year available.
It spent 2.02% of its operating expenses on uncompensated care and reported $33,205,416 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	221 118	217 118	211 119.5	242 118	266 119
Total beds Median	287 162	290 162	280 162	326 162	350 163.5
FTEs Median	1,808.30 788.06	1,884.08 793.42	2,308.00 806.03	2,266.18 787.61	2,404.28 804.34

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	407,211,935 150,932,746	441,824,090 158,950,878	451,966,015 168,696,998	455,079,091 163,454,693	464,639,986 186,589,412
Operating expenses Median	431,897,970 149,311,209	456,742,280 156,110,414	469,411,005 164,890,568	474,379,713 166,516,854	506,516,772 180,120,888
Net income from service 2 patients (NS2P) ? Median	-24,686,035 -964,173	-14,918,190 -643,601.5	-17,444,990 -116,254	-19,300,622 -5,025,862	-41,876,786 -1,284,564
NS2P margin ? Median	-6.06% -0.62	-3.38% -0.29	-3.86% 0.18	-4.24% -5.07	-9.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERITER HOSPITAL INC. 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	83,921,984 5,089,215	38,477,760 4,572,541	93,107,269 5,268,134	86,642,915 13,092,619	128,067,347 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	580,864 224,999	580,132 199,009	128,254 206,870.5	32,051 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	38,830,693 299,524	14,815,416 188,688.5	57,799,199 370,813	42,249,330 309,361.5	55,910,066 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	27,131	16,081	19,837	4,432	1,496
⊳ Line 11: Rebates and refunds of expenses	0	185,445	0	87,058	91,156
⊳ Line 12: Parking lot receipts	808,391	823,404	888,177	811,305	799,537
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,241,055	1,274,052	1,465,979	1,237,638	1,162,953
⊳ 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	10,954,565
⊳ Line 18: Revenue from sale of medical records and abstracts	6,991	7,053	5,901	2,507	-135
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	11,500	17,610	14,975	8,200	10,317
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	718,490	810,250	905,237	471,961	579,043
⊳ Line 21: Rental of vending machines	0	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	41,696,869	19,948,317	31,879,710	41,738,433	58,558,349
Total income ? Median	59,235,949 6,586,430	23,559,570 6,767,106	75,662,279 8,419,950	67,342,293 8,094,175	86,190,561 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	59,235,949 6,043,842	23,559,570 5,845,112	75,662,279 7,606,259	67,342,293 7,283,041	86,190,561 14,957,241
Net margin Median	12.06106% 4.62%	4.90516% 4.42%	13.88112% 5.16%	12.43115% 5.2%	14.54184% 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 MERITER HOSPITAL INC. 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	54,589,330 23,241,334	51,049,110 23,709,545	48,114,509 24,248,380	45,161,775 22,858,541	42,885,104 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	53,217,215 21,577,146	49,934,011 22,041,594	47,211,484 22,722,063	44,425,342 21,570,441	42,326,569 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	1,372,115 1,845,420	1,115,099 1,757,392	903,025 1,738,842	736,433 1,510,463	558,535 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	24,552,915 11,160,864	34,697,162 11,987,345	37,398,162 12,926,866	35,488,870 11,884,480	37,530,278 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	24,552,915 10,918,923	34,697,162 11,706,976	37,398,162 12,615,917	35,488,870 11,458,116	37,530,278 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	3,681,822 3,284,314	3,452,628 3,250,551	3,320,725 3,386,837	2,912,009 3,360,806	2,683,672 3,508,953
Disproportionate-share hospital (DSH) Median	1,280,199 594,888	1,497,285 595,761	1,411,644 577,894	1,364,301 542,168	1,381,167 549,667
Outlier Median	1,502,097 582,572	1,480,004 538,116	284,148 212,434	431,638 126,559	497,477 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,927,456 3,662,910	23,314,494 3,730,911	25,749,260 4,081,319	27,187,802 4,643,908	33,205,416 4,389,147
Charity care Median	3,797,151 2,654,636	2,720,420 2,940,659	3,023,536 3,380,215	3,243,522 3,488,738	7,876,429 3,233,405
Uncompensated care (UCC) Median	6,229,579 5,147,790	5,325,079 5,337,617	6,121,950 5,711,082	6,242,284 5,923,418	10,256,497 5,508,107
UCC as a % of operating expenses Median	1.44% 3.24	1.17% 3.12	1.30% 3.21	1.32% 3.3	2.02% 2.86
Total shortfall/UCC Median	22,157,035 9,489,989	28,639,573 9,424,297	31,871,210 10,120,158	33,430,086 11,171,337	43,461,913 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	143,772,443 52,142,039	175,671,572 54,485,252	182,399,652 57,395,589	188,124,439 58,830,919	197,418,206 61,722,907
Salaries as a % of operating expenses Median	33.29 36.68	38.46 36.56	38.86 36.37	39.66 35.93	38.98 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	494,888 1,449,244	76,785 1,475,986	2,486,469 1,563,078	3,108,157 1,721,954	5,367,609 2,991,828
Contract hours, direct-care Median	6,183.00 22,725	1,314.67 23,018.5	31,764.75 24,503.48	34,537.22 25,026.5	40,315.00 33,786
Contract wages, direct-care Median	80.04 64.67	58.41 64.53	78.28 65.06	89.99 68.97	133.14 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.