As of the July, 2022, release via CMS

ARKANSAS METHODIST MEDICAL CENTER

CMS id: 040039
900 WEST KINGS HIGHWAY, PARAGOULD AR 72450. County: GREENE
System: --
CBSA: Paragould, AR

The 129-bed, acute-care hospital had $-9,965,558 in net service to patients*, with a total profit margin of 5.27792% in fiscal year 2021, the latest year available.
It spent 3.85% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	106 118	106 118	106 119.5	106 118	104 119
Total beds Median	129 162	129 162	129 162	129 162	129 163.5
FTEs Median	585.17 788.06	599.40 793.42	590.23 806.03	582.90 787.61	577.17 804.34

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	63,430,479 150,932,746	61,608,788 158,950,878	65,328,537 168,696,998	63,407,662 163,454,693	68,999,624 186,589,412
Operating expenses Median	62,125,358 149,311,209	66,675,807 156,110,414	68,461,824 164,890,568	69,339,917 166,516,854	78,965,182 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,305,121 -964,173	-5,067,019 -643,601.5	-3,133,287 -116,254	-5,932,255 -5,025,862	-9,965,558 -1,284,564
NS2P margin ? Median	2.06% -0.62	-8.22% -0.29	-4.80% 0.18	-9.36% -5.07	-14.44% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ARKANSAS METHODIST 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	2,429,349 5,089,215	2,482,939 4,572,541	2,665,981 5,268,134	6,262,653 13,092,619	14,365,506 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	140,140 224,999	374,571 199,009	422,620 206,870.5	200,850 194,343	147,103 249,496
⊳ Line 7: Investments ? ⊳ Median	614,440 299,524	490,060 188,688.5	720,884 370,813	-120,397 309,361.5	1,494,826 375,329
⊳ 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	0	0
⊳ Line 11: Rebates and refunds of expenses	37,697	86,875	122,552	125,635	192,606
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	17,422	9,315	5,087	8,390
⊳ Line 14: Revenue from meals sold to emplyees and guests	373,038	358,860	343,823	288,981	266,158
⊳ 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	235,617	299,468	285,172	255,706	322,275
⊳ Line 18: Revenue from sale of medical records and abstracts	5,153	4,535	42,440	3,212	328
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	-935	-935	-935	-624	0
⊳ Line 21: Rental of vending machines	20,959	33,720	27,759	42,296	19,027
⊳ Line 22: Rental of hospital space	223,518	236,526	175,812	121,152	140,952
⊳ 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	779,722	581,837	516,539	5,340,755	11,773,841
Total income ? Median	3,734,470 6,586,430	-2,584,080 6,767,106	-467,306 8,419,950	330,398 8,094,175	4,399,948 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	3,734,470 6,043,842	-2,584,080 5,845,112	-467,306 7,606,259	330,398 7,283,041	4,399,948 14,957,241
Net margin Median	5.67033% 4.62%	-4.03185% 4.42%	-0.68727% 5.16%	0.47423% 5.2%	5.27792% 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 ARKANSAS METHODIST 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	16,056,374 23,241,334	15,271,060 23,709,545	15,555,051 24,248,380	13,098,178 22,858,541	13,160,515 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	11,033,297 21,577,146	10,531,559 22,041,594	10,583,604 22,722,063	8,901,116 21,570,441	9,930,825 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	5,023,077 3,535,627	4,739,501 3,746,588	4,971,447 3,782,288	4,197,062 3,865,578	3,229,690 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	6,215,912 11,160,864	6,152,465 11,987,345	6,380,584 12,926,866	5,642,343 11,884,480	5,906,379 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	4,791,567 10,918,923	4,760,244 11,706,976	5,120,674 12,615,917	4,510,194 11,458,116	4,828,420 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,424,345 1,282,808	1,392,221 1,407,728	1,259,910 1,341,512	1,132,149 1,407,046	1,077,959 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	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	393,477 594,888	330,634 595,761	318,172 577,894	274,119 542,168	259,158 549,667
Outlier Median	150,333 582,572	59,800 538,116	19,517 212,434	22,814 126,559	18,328 139,139

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	319,072 2,654,636	745,330 2,940,659	829,287 3,380,215	710,080 3,488,738	619,725 3,233,405
Uncompensated care (UCC) Median	2,005,323 5,147,790	2,813,228 5,337,617	2,842,282 5,711,082	2,326,550 5,923,418	3,040,299 5,508,107
UCC as a % of operating expenses Median	3.23% 3.24	4.22% 3.12	4.15% 3.21	3.36% 3.3	3.85% 2.86
Total shortfall/UCC Median	2,005,323 9,489,989	2,813,228 9,424,297	2,842,282 10,120,158	2,326,550 11,171,337	3,040,299 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	28,295,524 52,142,039	30,450,052 54,485,252	30,780,513 57,395,589	31,877,665 58,830,919	36,470,568 61,722,907
Salaries as a % of operating expenses Median	45.55 36.68	45.67 36.56	44.96 36.37	45.97 35.93	46.19 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	813,803 1,449,244	849,586 1,475,986	969,039 1,563,078	885,928 1,721,954	785,431 2,991,828
Contract hours, direct-care Median	14,967.31 22,725	15,671.20 23,018.5	16,407.57 24,503.48	14,595.00 25,026.5	12,939.42 33,786
Contract wages, direct-care Median	54.37 64.67	54.21 64.53	59.06 65.06	60.70 68.97	60.70 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.