As of the July, 2022, release via CMS

FAYETTE MEDICAL CENTER

CMS id: 010045
1653 TEMPLE AVENUE NORTH, FAYETTE AL 35555. County: FAYETTE
System: DCH HEALTH SYSTEM
CBSA: Rural Alabama

The 167-bed, acute-care hospital had $-2,258,468 in net service to patients*, with a total profit margin of 4.57255% in fiscal year 2021, the latest year available.
It spent 4.19% of its operating expenses on uncompensated care and reported $13,014 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	gov	gov	gov	gov	gov
Acute beds Median	37 118	37 118	37 119.5	37 118	37 119
Total beds Median	164 162	167 162	167 162	167 162	167 163.5
FTEs Median	293.71 788.06	382.62 793.42	297.02 806.03	293.36 787.61	292.56 804.34

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	79,085,910 150,932,746	23,854,108 158,950,878	23,753,754 168,696,998	23,096,170 163,454,693	26,709,062 186,589,412
Operating expenses Median	25,278,798 149,311,209	25,978,850 156,110,414	25,943,624 164,890,568	26,561,206 166,516,854	28,967,530 180,120,888
Net income from service 2 patients (NS2P) ? Median	53,807,112 -964,173	-2,124,742 -643,601.5	-2,189,870 -116,254	-3,465,036 -5,025,862	-2,258,468 -1,284,564
NS2P margin ? Median	68.04% -0.62	-8.91% -0.29	-9.22% 0.18	-15.00% -5.07	-8.46% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FAYETTE MEDICAL CENTER 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	0 5,089,215	1,525,541 4,572,541	156,952 5,268,134	3,703,121 13,092,619	4,015,686 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	311,687 194,343	23,729 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	22,123 309,361.5	9,550 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	67,436	74,197
⊳ 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	0	0	0	1,152	1,374
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	194,667	142,406
⊳ 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	0	0	0	6,510	3,607
⊳ 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	135,594	186,722
⊳ Line 21: Rental of vending machines	0	0	0	4,686	5,932
⊳ Line 22: Rental of hospital space	0	0	0	95,734	94,628
⊳ 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	--	1,525,541	156,952	2,863,532	3,473,541
Total income ? Median	53,807,112 6,586,430	-599,201 6,767,106	-2,032,918 8,419,950	238,085 8,094,175	1,757,218 15,162,888
Non-operating expenses Median	0 146,289.5	364,475 164,857	0 89,880.5	364,476 106,761	352,315 31,473.5
Net income Median	53,807,112 6,043,842	-963,676 5,845,112	-2,032,918 7,606,259	-126,391 7,283,041	1,404,903 14,957,241
Net margin Median	68.03628% 4.62%	-3.79704% 4.42%	-8.50212% 5.16%	-0.47162% 5.2%	4.57255% 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 FAYETTE MEDICAL CENTER 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	4,068,135 23,241,334	4,351,448 23,709,545	3,806,773 24,248,380	3,510,519 22,858,541	4,269,146 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	2,761,207 21,577,146	2,997,189 22,041,594	2,663,051 22,722,063	2,583,779 21,570,441	3,253,019 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	1,306,928 1,203,033	1,354,259 1,215,295	1,143,722 1,313,657	926,740 1,365,298	1,016,127 1,179,746
All outpatient revenue Median Click here to show/hide details	2,719,166 11,160,864	2,694,599 11,987,345	3,010,699 12,926,866	2,653,684 11,884,480	2,327,627 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	2,624,109 10,918,923	2,512,922 11,706,976	2,742,252 12,615,917	2,224,380 11,458,116	1,972,927 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	95,057 618,038	181,677 697,279	268,447 690,232	429,304 684,010	354,700 670,558
⊳ 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	28,804 594,888	22,707 595,761	14,152 577,894	12,804 542,168	0 549,667
Outlier Median	38,513 582,572	29,302 538,116	361 212,434	489 126,559	911 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	514,819 3,662,910	1,349,502 3,730,911	23,582 4,081,319	28,097 4,643,908	13,014 4,389,147
Charity care Median	1,593,200 2,654,636	1,710,346 2,940,659	1,587,853 3,380,215	943,968 3,488,738	773,531 3,233,405
Uncompensated care (UCC) Median	1,954,761 5,147,790	2,187,607 5,337,617	1,838,797 5,711,082	1,664,203 5,923,418	1,214,283 5,508,107
UCC as a % of operating expenses Median	7.73% 3.24	8.42% 3.12	7.09% 3.21	6.27% 3.3	4.19% 2.86
Total shortfall/UCC Median	2,469,580 9,489,989	3,537,109 9,424,297	1,862,379 10,120,158	1,692,300 11,171,337	1,227,297 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	11,088,465 52,142,039	11,125,263 54,485,252	11,244,199 57,395,589	12,267,107 58,830,919	13,139,839 61,722,907
Salaries as a % of operating expenses Median	43.86 36.68	42.82 36.56	43.34 36.37	46.18 35.93	45.36 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	661,848 1,449,244	256,876 1,475,986	211,062 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	6,224.32 22,725	7,369.03 23,018.5	6,647.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	106.33 64.67	34.86 64.53	31.75 65.06	0.00 68.97	0.00 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.