Record report · CMS certification number 170166
MORTON COUNTY HEALTH SYSTEM
ELKHART, Kansas · short-term acute care hospital
1. Finances, as filed
From this hospital’s Medicare cost report for the year ended 21 September 2023 — a reporting period of 263 days, not a full year.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,583,634 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $2,400,523 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,183,111 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,894,285 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$2,711,174 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $254 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $254 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $347,305 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $359,732 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $359,986 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 26 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 1.0501 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 170166 for 1 January 2023 to 21 September 2023, as submitted. The public file it was read from.
2. Five hospitals in Kansas of a similar size, for fiscal year 2023
Chosen for having bed counts close to this hospital’s, and listed by name. Not the state’s largest hospitals: a comparison only means something between hospitals of roughly the same size, and only across the same fiscal year. Each figure is that hospital’s own filing; the day each fiscal year ends differs and is shown.
| Hospital | Beds | Net patient revenue | Total operating expenses | Charity care, at cost | Uncompensated care, at cost | Period ended |
|---|---|---|---|---|---|---|
| CENTURA BOB WILSON MEMORIAL HOSPITAL | 26 | $10,559,893 | $11,989,327 | $521,695 | $799,924 | 30 June 2023 |
| GRISELL MEMORIAL HOSPITAL DIST #1 | 25 | $6,611,465 | $8,231,631 | $213,452 | $307,111 | 31 December 2023 |
| KANSAS SURGERY & RECOVERY CENTER | 30 | $62,783,306 | $50,221,958 | $237,759 | $467,478 | 30 June 2023 |
| MERCY SPECIALTY HOSPITAL - SOUTHEAST | 26 | $39,249,271 | $39,430,596 | $7,579,478 | $7,975,987 | 30 June 2023 |
| MORTON COUNTY HEALTH SYSTEM | 26 | $4,183,111 | $6,894,285 | $254 | $359,986 | 21 September 2023 |
| UKHS GREAT BEND CAMPUS | 29 | $53,804,798 | $66,060,611 | $2,990,277 | $3,700,354 | 30 June 2023 |
3. Where this hospital sits
A position, not a score: the hospitals are counted, not ranked. Each line names the hospitals the position was taken over.
- 38thpercentile of 72 hospitals in KS, same facility class, 25 to 49 bedsNet patient revenue
Net patient revenue across every hospital filing for 2023, with this one marked.
Middle half between $23,320,575 and $237,314,346, midpoint $62,119,169, across 5,791 hospitals.
- 44thpercentile of 73 hospitals in KS, same facility class, 25 to 49 bedsTotal operating expenses
Total operating expenses across every hospital filing for 2023, with this one marked.
Middle half between $24,862,073 and $234,035,190, midpoint $64,747,492, across 5,937 hospitals.
- 5thpercentile of 20 hospitals in KS, same facility class, 25 to 49 bedsCharity care, at cost
- 10thpercentile of 20 hospitals in KS, same facility class, 25 to 49 bedsUncompensated care, at cost
- 15thpercentile of 73 hospitals in KS, same facility class, 25 to 49 bedsTotal facility beds
Total facility beds across every hospital filing for 2023, with this one marked.
Middle half between 25 and 169, midpoint 63, across 5,916 hospitals.
- 100thpercentile of 21 hospitals in KS, same facility class, 25 to 49 bedsCost-to-charge ratio
Cost-to-charge ratio across every hospital filing for 2023, with this one marked.
Middle half between 0.1929 and 0.4722, midpoint 0.2823, across 4,558 hospitals.
4. Executive compensation and community benefit
Not in this report. Executive pay is filed on IRS Form 990 Part VII and community benefit on its Schedule H, under an employer identification number. Neither the 340B register nor the Medicare cost report carries that number, so nothing on either document identifies the same organization.
Every cost report on file
One row per filing, oldest first until you say otherwise. Every column orders both ways. Reporting periods differ between filings and the length of each is shown, because revenue over three months set beside revenue over twelve is a wrong number that looks right.
| Fiscal year ↑↓ | Period ended ↑↓ | Days ↑↓ | Form ↑↓ | Status ↑↓ | Beds ↑↓ | Net patient revenue ↑↓ | Total operating expenses ↑↓ | Income from service to patients ↑↓ | Charity care, at cost ↑↓ | Uncompensated care, at cost ↑↓ | Bad debt expense ↑↓ | Cost-to-charge ratio ↑↓ | Stamped by CMS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1996 | 1996-12-31 | 365 | CMS-2552-96 | reopened | 38 | $9,855,329 | $9,834,491 | $20,838 | 2000-04-13 | ||||
| 1997 | 1997-12-31 | 364 | CMS-2552-96 | reopened | 38 | $10,321,198 | $11,315,678 | −$994,480 | 2005-02-25 | ||||
| 1998 | 1998-12-31 | 364 | CMS-2552-96 | reopened | 38 | $10,411,667 | $11,732,760 | −$1,321,093 | 2005-02-25 | ||||
| 1999 | 1999-12-31 | 364 | CMS-2552-96 | reopened | 38 | $10,594,411 | $12,320,059 | −$1,725,648 | 2005-02-25 | ||||
| 2000 | 2000-12-31 | 365 | CMS-2552-96 | settled | 30 | $11,306,561 | $11,933,679 | −$627,118 | 2005-02-25 | ||||
| 2001 | 2001-12-31 | 364 | CMS-2552-96 | reopened | 30 | $11,676,293 | $11,061,406 | $614,887 | 2005-02-16 | ||||
| 2002 | 2002-12-31 | 364 | CMS-2552-96 | settled | 30 | $10,659,002 | $11,677,317 | −$1,018,315 | 2006-01-30 | ||||
| 2003 | 2003-12-31 | 364 | CMS-2552-96 | settled | 30 | $11,099,842 | $12,286,954 | −$1,187,112 | 2006-02-01 | ||||
| 2004 | 2004-12-31 | 365 | CMS-2552-96 | settled | 30 | $11,800,009 | $12,938,963 | −$1,138,954 | 2006-02-07 | ||||
| 2005 | 2005-12-31 | 364 | CMS-2552-96 | settled | 30 | $13,190,339 | $14,298,099 | −$1,107,760 | 2007-02-06 | ||||
| 2006 | 2006-12-31 | 364 | CMS-2552-96 | settled | 30 | $13,930,749 | $15,132,289 | −$1,201,540 | 2009-05-19 | ||||
| 2007 | 2007-12-31 | 364 | CMS-2552-96 | reopened | 30 | $14,218,057 | $15,126,600 | −$908,543 | 2012-09-26 | ||||
| 2008 | 2008-12-31 | 365 | CMS-2552-96 | settled | 30 | $15,331,876 | $16,283,657 | −$951,781 | 2010-06-02 | ||||
| 2009 | 2009-12-31 | 364 | CMS-2552-96 | settled | 30 | $15,455,705 | $17,604,240 | −$2,148,535 | 2012-02-06 | ||||
| 2010 | 2010-12-31 | 364 | CMS-2552-96 | reopened | 30 | $14,742,671 | $16,869,191 | −$2,126,520 | 2024-05-09 | ||||
| 2011 | 2011-12-31 | 364 | CMS-2552-10 | reopened | 30 | $13,827,808 | $13,145,402 | $682,406 | $589,536 | $826,846 | 0.7545 | 2024-04-12 | |
| 2012 | 2012-12-31 | 365 | CMS-2552-10 | reopened | 30 | $12,891,525 | $12,287,436 | $604,089 | $662 | $537,559 | $636,443 | 0.8790 | 2016-07-29 |
| 2013 | 2013-12-31 | 364 | CMS-2552-10 | reopened | 30 | $11,997,340 | $12,768,424 | −$771,084 | $450,619 | $609,130 | 0.7694 | 2024-04-24 | |
| 2014 | 2014-12-31 | 364 | CMS-2552-10 | reopened | 30 | $10,027,555 | $9,773,022 | $254,533 | $153,106 | $201,198 | 0.7993 | 2018-01-30 | |
| 2015 | 2015-12-31 | 364 | CMS-2552-10 | settled | 30 | $7,585,655 | $9,063,943 | −$1,478,288 | $1,366 | $39,053 | $79,503 | 0.8170 | 2018-05-30 |
| 2016 | 2016-12-31 | 365 | CMS-2552-10 | settled | 26 | $5,127,788 | $8,601,433 | −$3,473,645 | $2,927 | $69,860 | $105,924 | 0.8569 | 2019-04-29 |
| 2017 | 2017-12-31 | 364 | CMS-2552-10 | settled | 26 | $4,300,873 | $7,424,277 | −$3,123,404 | $36,999 | $330,589 | $393,514 | 0.7739 | 2021-02-01 |
| 2018 | 2018-12-31 | 364 | CMS-2552-10 | settled with audit | 26 | $5,766,556 | $8,710,098 | −$2,943,542 | $837 | $319,712 | $383,825 | 0.8827 | 2021-02-04 |
| 2019 | 2019-12-31 | 364 | CMS-2552-10 | settled | 26 | $6,284,240 | $8,317,375 | −$2,033,135 | $26,004 | $213,764 | $251,491 | 0.8052 | 2023-06-29 |
| 2020 | 2020-12-31 | 365 | CMS-2552-10 | settled | 26 | $6,764,172 | $9,256,974 | −$2,492,802 | $2,622 | $400,613 | $488,316 | 0.8371 | 2024-03-26 |
| 2021 | 2021-12-31 | 364 | CMS-2552-10 | reopened | 26 | $5,964,890 | $8,162,331 | −$2,197,441 | $75,384 | $350,286 | $334,021 | 0.8606 | 2025-06-11 |
| 2022 | 2022-12-31 | 364 | CMS-2552-10 | settled | 26 | $4,347,705 | $8,558,796 | −$4,211,091 | $452 | $906,109 | $902,439 | 1.0315 | 2025-12-25 |
| 2023 | 2023-09-21 | 263 | CMS-2552-10 | as submitted | 26 | $4,183,111 | $6,894,285 | −$2,711,174 | $254 | $359,986 | $347,305 | 1.0501 | 2024-03-18 |
How to read this report
Every figure above is printed as its source document printed it, with the exact place it came from beside it: the worksheet, line and column of the Medicare cost report this hospital filed under CMS certification number 170166. A reader holding the same public file can go to that cell.
Where this hospital is on the 340B covered-entity register, the registration facts come from the HRSA 340B OPAIS Covered Entity Daily Report. The two documents name the same hospital because they carry the same certification number, not because their names resemble each other.
A figure the hospital’s filing does not carry is left out. A figure whose value the filing’s own arithmetic contradicts is also left out. A year filed as submitted whose figures differ from the prior filing by more than the factor stated on the methodology page is marked beside the figure and left out of the distributions and the peer table until a settled version posts. Nothing here is estimated and nothing is carried in from another year.
No percentage or ratio is calculated anywhere in this report. Charity care and revenue sit in adjacent rows and the reader draws the relation.
Financial figures: CMS Healthcare Cost Report Information System, publication year 2023, file HOSP10FY2023.ZIP. Corrections: hello@velarionrecords.com. Velarion Records takes no position on the 340B Drug Pricing Program or anyone taking part in it.
The full report for MORTON COUNTY HEALTH SYSTEM
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.