As of the July, 2022, release via CMS

DCH REGIONAL MEDICAL CENTER

CMS id: 010092
809 UNIVERSITY BLVD EAST, TUSCALOOSA AL 35401. County: TUSCALOOSA
System: DCH HEALTH SYSTEM
CBSA: Tuscaloosa, AL

The 606-bed, acute-care hospital had $-92,666,142 in net service to patients*, with a total profit margin of -1.89002% in fiscal year 2021, the latest year available.
It spent 10.04% of its operating expenses on uncompensated care and reported $0 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	388 118	362 118	417 119.5	403 118	403 119
Total beds Median	597 162	593 162	620 162	606 162	606 163.5
FTEs Median	3,782.27 788.06	3,586.37 793.42	3,517.67 806.03	3,217.65 787.61	3,051.27 804.34

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	468,998,100 150,932,746	473,479,814 158,950,878	506,504,025 168,696,998	489,598,379 163,454,693	509,834,037 186,589,412
Operating expenses Median	486,313,473 149,311,209	485,703,689 156,110,414	508,678,412 164,890,568	517,012,863 166,516,854	602,500,179 180,120,888
Net income from service 2 patients (NS2P) ? Median	-17,315,373 -964,173	-12,223,875 -643,601.5	-2,174,387 -116,254	-27,414,484 -5,025,862	-92,666,142 -1,284,564
NS2P margin ? Median	-3.69% -0.62	-2.58% -0.29	-0.43% 0.18	-5.60% -5.07	-18.18% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DCH REGIONAL 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	30,551,522 5,089,215	21,120,764 4,572,541	29,530,746 5,268,134	48,476,358 13,092,619	81,489,992 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	30,551,522 224,999	21,120,764 199,009	29,530,746 206,870.5	1,452,276 194,343	862,421 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	8,782,012 309,361.5	-1,219,735 375,329
⊳ 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	156,225	150,743
⊳ Line 11: Rebates and refunds of expenses	0	0	0	95,638	305,163
⊳ Line 12: Parking lot receipts	0	0	0	231,109	190,772
⊳ Line 13: Revenue from laundry and linen service	0	0	0	245,190	258,304
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	3,622,198	3,562,940
⊳ Line 15: Revenue from rental of living quarters	0	0	0	61,382	46,060
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	1,742	1,008
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	4,015,311	11,052,213
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	225,229	218,469
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	154,905	177,350
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	951,163	1,064,833
⊳ Line 21: Rental of vending machines	0	0	0	256,532	192,138
⊳ Line 22: Rental of hospital space	0	0	0	2,621,666	2,486,134
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	6,115,325 1,987,202	6,666,902 1,597,664
⊳ Sum Line 24	--	--	--	19,488,455	55,474,277
Total income ? Median	13,236,149 6,586,430	8,896,889 6,767,106	27,356,359 8,419,950	21,061,874 8,094,175	-11,176,150 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	5 31,473.5
Net income Median	13,236,149 6,043,842	8,896,889 5,845,112	27,356,359 7,606,259	21,061,874 7,283,041	-11,176,155 14,957,241
Net margin Median	2.64962% 4.62%	1.79880% 4.42%	5.10347% 5.16%	3.91430% 5.2%	-1.89002% 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 DCH REGIONAL 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	121,025,876 23,241,334	113,208,455 23,709,545	108,013,833 24,248,380	101,311,615 22,858,541	89,475,069 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	108,896,401 21,577,146	101,573,829 22,041,594	97,050,556 22,722,063	91,682,865 21,570,441	81,813,823 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	4,760,581 1,845,420	4,424,962 1,757,392	3,802,301 1,738,842	3,136,155 1,510,463	2,310,769 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	7,368,894 3,535,627	7,209,664 3,746,588	7,160,976 3,782,288	6,492,595 3,865,578	5,350,477 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	57,540,338 11,160,864	48,928,775 11,987,345	58,157,240 12,926,866	48,860,393 11,884,480	50,378,896 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	55,003,022 10,918,923	47,269,272 11,706,976	56,507,122 12,615,917	47,066,596 11,458,116	48,766,148 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,537,316 1,282,808	1,659,503 1,407,728	1,650,118 1,341,512	1,793,797 1,407,046	1,612,748 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	5,923,202 3,284,314	5,704,659 3,250,551	5,442,232 3,386,837	5,592,457 3,360,806	4,909,087 3,508,953
Disproportionate-share hospital (DSH) Median	3,665,369 594,888	3,522,722 595,761	3,426,784 577,894	3,140,478 542,168	2,405,495 549,667
Outlier Median	1,871,155 582,572	1,640,213 538,116	292,004 212,434	224,379 126,559	440,392 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	29,303,187 2,654,636	33,050,876 2,940,659	33,121,394 3,380,215	26,262,931 3,488,738	13,204,287 3,233,405
Uncompensated care (UCC) Median	33,160,699 5,147,790	37,176,608 5,337,617	45,520,822 5,711,082	72,625,173 5,923,418	60,502,693 5,508,107
UCC as a % of operating expenses Median	6.82% 3.24	7.65% 3.12	8.95% 3.21	14.05% 3.3	10.04% 2.86
Total shortfall/UCC Median	33,160,699 9,489,989	37,176,608 9,424,297	45,520,822 10,120,158	72,625,173 11,171,337	60,502,693 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	202,553,734 52,142,039	198,978,803 54,485,252	199,643,540 57,395,589	202,724,681 58,830,919	228,457,027 61,722,907
Salaries as a % of operating expenses Median	41.65 36.68	40.97 36.56	39.25 36.37	39.21 35.93	37.92 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	6,983,375 1,449,244	5,418,715 1,475,986	3,025,469 1,563,078	12,806,194 1,721,954	0 2,991,828
Contract hours, direct-care Median	111,260.34 22,725	91,168.50 23,018.5	51,360.00 24,503.48	166,941.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	62.77 64.67	59.44 64.53	58.91 65.06	76.71 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.