Table 2.
Changes in mean financial outcomes from 2019 to 2021.
| Net patient revenues ($ millions) | Operating expenses ($ millions) | Other income ($ millions) | Other expenses ($ millions) | Operating margins | Total margins | |
|---|---|---|---|---|---|---|
| All US hospitals | ||||||
| 2019 Average | $238.85 | $240.00 | $21.70 | $1.58 | −0.0445 | 0.0413 |
| 2021 Average | $244.05 | $248.20 | $34.95 | $0.72 | −0.0516 | 0.0989 |
| Change (2019 to 2021) | $5.19 | $8.19 | $13.25 | −$0.87 | −0.0071 | 0.0576 |
| P value | .25 | .08 | <.01 | <.01 | .12 | <.01 |
| Percent change (2019 to 2021) | 2.17% | 3.41% | 61.06% | −54.63% | −15.85% | 139.34% |
| Financially vulnerable hospitals | ||||||
| 2019 Average | $109.95 | $119.52 | $16.13 | $0.98 | −0.1124 | 0.0224 |
| 2021 Average | $111.08 | $122.82 | $25.34 | $1.04 | −0.1170 | 0.1104 |
| Change (2019 to 2021) | $1.13 | $3.29 | $9.21 | $0.05 | −0.0046 | 0.0880 |
| P value | .66 | .21 | <.01 | .83 | .46 | <.01 |
| Percent change (2019 to 2021) | 1.03% | 2.76% | 57.14% | 5.37% | −4.13% | 393.21% |
| Rural hospitals | ||||||
| 2019 Average | $21.18 | $22.23 | $2.11 | $0.10 | −0.1353 | 0.0080 |
| 2021 Average | $22.02 | $23.44 | $6.20 | $0.06 | −0.1506 | 0.1374 |
| Change (2019 to 2021) | $0.85 | $1.21 | $4.09 | −$0.04 | −0.0153 | 0.1295 |
| P value | <.01 | <.01 | .01 | .16 | .09 | <.01 |
| Percent change (2019 to 2021) | 4.00% | 5.46% | 193.33% | −36.13% | −11.31% | 1624.21% |
| Public hospitals | ||||||
| 2019 Average | $172.38 | $189.55 | $27.47 | $1.50 | −0.1661 | 0.0200 |
| 2021 Average | $174.72 | $196.22 | $42.14 | $1.71 | −0.1805 | 0.0995 |
| Change (2019 to 2021) | $2.34 | $6.67 | $14.67 | $0.20 | −0.0144 | 0.0795 |
| P value | .61 | .16 | <.01 | .66 | .10 | <.01 |
| Percent change (2019 to 2021) | 1.36% | 3.52% | 53.39% | 13.58% | −8.70% | 398.24% |
| Critical access hospitals | ||||||
| 2019 Average | $31.09 | $32.32 | $3.10 | $0.45 | −0.0945 | 0.0223 |
| 2021 Average | $32.69 | $33.93 | $6.42 | $0.43 | −0.0966 | 0.1221 |
| Change (2019 to 2021) | $1.60 | $1.61 | $3.32 | −$0.02 | −0.0022 | 0.0998 |
| P value | .02 | <.01 | <.01 | .82 | .76 | <.01 |
| Percent change (2019 to 2021) | 5.16% | 4.98% | 107.08% | −3.56% | −2.30% | 448.14% |
Source: 2016–2021 Healthcare Cost Report Information System Cost Report Data; US Department of Agriculture. All financial outcomes appear in 2021 dollars.