As of the July, 2022, release via CMS

WASHINGTON REGIONAL MEDICAL CENTER

CMS id: 040004
3215 N. NORTH HILLS BLVD, FAYETTEVILLE AR 72703. County: WASHINGTON
System: --
CBSA: Fayetteville-Springdale-Rogers, AR

The 389-bed, acute-care hospital had $7,312,352 in net service to patients*, with a total profit margin of 14.02830% in fiscal year 2021, the latest year available.
It spent 2.94% of its operating expenses on uncompensated care and reported $3,222,434 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	266 118	226 118	261 119.5	303 118	283 119
Total beds Median	352 162	332 162	367 162	409 162	389 163.5
FTEs Median	1,667.80 788.06	1,769.19 793.42	1,838.76 806.03	1,773.89 787.61	1,861.78 804.34

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	294,405,275 150,932,746	310,978,272 158,950,878	336,538,847 168,696,998	315,821,471 163,454,693	356,916,263 186,589,412
Operating expenses Median	266,876,355 149,311,209	283,646,271 156,110,414	303,189,101 164,890,568	320,525,606 166,516,854	349,603,911 180,120,888
Net income from service 2 patients (NS2P) ? Median	27,528,920 -964,173	27,332,001 -643,601.5	33,349,746 -116,254	-4,704,135 -5,025,862	7,312,352 -1,284,564
NS2P margin ? Median	9.35% -0.62	8.79% -0.29	9.91% 0.18	-1.49% -5.07	2.05% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WASHINGTON 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	32,266,728 5,089,215	6,297,565 4,572,541	41,725,359 5,268,134	57,297,180 13,092,619	49,733,742 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	17,747,013 299,524	-7,694,590 188,688.5	26,630,049 370,813	22,824,684 309,361.5	16,767,583 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	27,343	60,643	0	0	0
⊳ 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	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,410,884	2,017,602	2,088,332	1,439,600	1,644,556
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	335	292	914	278	21,208
⊳ 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	9,824	7,726	9,060	25,945	15,231
⊳ 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	0	0
⊳ 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	659,948 1,173,286	518,142 1,987,202	514,000 1,597,664
⊳ Sum Line 24	13,071,329	11,905,892	12,320,863	32,472,268	30,754,901
Total income ? Median	59,795,648 6,586,430	33,629,566 6,767,106	75,075,105 8,419,950	52,593,045 8,094,175	57,046,094 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	59,795,648 6,043,842	33,629,566 5,845,112	75,075,105 7,606,259	52,593,045 7,283,041	57,046,094 14,957,241
Net margin Median	18.30449% 4.62%	10.59947% 4.42%	19.84727% 5.16%	14.09553% 5.2%	14.02830% 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 WASHINGTON 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	66,236,370 23,241,334	64,569,938 23,709,545	63,502,693 24,248,380	58,576,754 22,858,541	58,968,982 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	66,236,370 21,577,146	64,569,938 22,041,594	63,502,693 22,722,063	58,576,754 21,570,441	58,968,982 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	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	27,822,817 11,160,864	30,269,024 11,987,345	30,153,173 12,926,866	28,400,409 11,884,480	32,220,293 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	26,265,650 10,918,923	28,689,353 11,706,976	28,834,869 12,615,917	27,022,997 11,458,116	31,056,935 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,557,167 1,282,808	1,579,671 1,407,728	1,318,304 1,341,512	1,377,412 1,407,046	1,163,358 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	2,122,205 3,284,314	2,117,738 3,250,551	1,986,886 3,386,837	1,875,754 3,360,806	1,913,294 3,508,953
Disproportionate-share hospital (DSH) Median	1,831,779 594,888	1,604,842 595,761	1,711,169 577,894	1,347,434 542,168	1,184,015 549,667
Outlier Median	612,067 582,572	764,511 538,116	160,118 212,434	134,560 126,559	91,148 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,434,803 3,662,910	4,019,843 3,730,911	5,677,029 4,081,319	1,741,988 4,643,908	3,222,434 4,389,147
Charity care Median	2,690,730 2,654,636	7,136,618 2,940,659	7,162,423 3,380,215	8,741,496 3,488,738	7,917,344 3,233,405
Uncompensated care (UCC) Median	6,735,587 5,147,790	10,461,077 5,337,617	12,120,126 5,711,082	11,191,294 5,923,418	10,280,068 5,508,107
UCC as a % of operating expenses Median	2.52% 3.24	3.69% 3.12	4.00% 3.21	3.49% 3.3	2.94% 2.86
Total shortfall/UCC Median	13,170,390 9,489,989	14,480,920 9,424,297	17,797,155 10,120,158	12,933,282 11,171,337	13,502,502 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	102,040,500 52,142,039	108,502,149 54,485,252	115,332,963 57,395,589	120,507,149 58,830,919	135,299,626 61,722,907
Salaries as a % of operating expenses Median	38.22 36.68	38.25 36.56	38.05 36.37	37.64 35.93	38.70 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	1,596,696 1,251,927	1,596,696 1,186,494	1,596,696 1,204,885	1,463,638 1,279,653	1,463,638 1,469,317
Contract adjusted salaries, direct-care Median	12,277,849 1,449,244	7,956,491 1,475,986	4,656,872 1,563,078	2,242,859 1,721,954	5,212,848 2,991,828
Contract hours, direct-care Median	217,896.96 22,725	146,243.46 23,018.5	103,121.47 24,503.48	64,412.36 25,026.5	85,615.25 33,786
Contract wages, direct-care Median	56.35 64.67	54.41 64.53	45.16 65.06	34.82 68.97	60.89 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.