As of the July, 2022, release via CMS

JEFFERSON REGIONAL MEDICAL CENTER

CMS id: 040071
1600 WEST 40TH AVENUE, PINE BLUFF AR 71603. County: JEFFERSON
System: --
CBSA: Pine Bluff, AR

The 316-bed, acute-care hospital had $-20,586,127 in net service to patients*, with a total profit margin of 4.86825% in fiscal year 2021, the latest year available.
It spent 2.83% 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	214 118	237 118	237 119.5	237 118	237 119
Total beds Median	316 162	316 162	316 162	316 162	316 163.5
FTEs Median	1,269.58 788.06	1,276.55 793.42	1,259.00 806.03	1,343.62 787.61	1,255.09 804.34

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	173,095,131 150,932,746	184,735,005 158,950,878	191,218,151 168,696,998	170,893,317 163,454,693	195,010,836 186,589,412
Operating expenses Median	186,039,617 149,311,209	196,671,236 156,110,414	201,042,780 164,890,568	218,976,644 166,516,854	215,596,963 180,120,888
Net income from service 2 patients (NS2P) ? Median	-12,944,486 -964,173	-11,936,231 -643,601.5	-9,824,629 -116,254	-48,083,327 -5,025,862	-20,586,127 -1,284,564
NS2P margin ? Median	-7.48% -0.62	-6.46% -0.29	-5.14% 0.18	-28.14% -5.07	-10.56% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JEFFERSON 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	13,273,208 5,089,215	14,793,048 4,572,541	13,341,600 5,268,134	37,503,793 13,092,619	31,620,686 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	126,185 224,999	-24,986 199,009	0 206,870.5	1,750 194,343	37,089 249,496
⊳ Line 7: Investments ? ⊳ Median	4,538,932 299,524	8,334,094 188,688.5	6,453,194 370,813	7,643,732 309,361.5	11,515,276 375,329
⊳ 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	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	17,468	19,064	2,568	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	-179,829	-181,131	-158,558	938,475	831,205
⊳ Line 15: Revenue from rental of living quarters	447,163	426,227	604,134	845,624	870,377
⊳ 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	4,234,335	2,526,579	266,811	14,360,976	12,568,432
⊳ Line 18: Revenue from sale of medical records and abstracts	133	534	471	277	396
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	521,484	554,145	618,053	405,915	483,678
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	30,401	28,103	24,813	22,401	13,374
⊳ Line 22: Rental of hospital space	2,400	2,200	2,400	2,400	2,400
⊳ 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	3,534,536	3,108,219	5,527,714	13,282,243	5,298,459
Total income ? Median	328,722 6,586,430	2,856,817 6,767,106	3,516,971 8,419,950	-10,579,534 8,094,175	11,034,559 15,162,888
Non-operating expenses Median	38,469 146,289.5	-273,205 164,857	564,162 89,880.5	-136,908 106,761	1,561 31,473.5
Net income Median	290,253 6,043,842	3,130,022 5,845,112	2,952,809 7,606,259	-10,442,626 7,283,041	11,032,998 14,957,241
Net margin Median	0.15574% 4.62%	1.56871% 4.42%	1.44349% 5.16%	-5.01093% 5.2%	4.86825% 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 JEFFERSON 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	44,032,026 23,241,334	47,233,116 23,709,545	43,223,675 24,248,380	41,563,867 22,858,541	42,668,896 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	36,714,482 21,577,146	40,783,496 22,041,594	36,767,279 22,722,063	34,535,334 21,570,441	35,392,982 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	494,301 1,845,420	732,805 1,757,392	382,514 1,738,842	753,385 1,510,463	869,956 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	6,054,266 3,535,627	5,081,130 3,746,588	6,073,882 3,782,288	6,275,148 3,865,578	6,405,958 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	768,977 1,203,033	635,685 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	18,828,182 11,160,864	19,305,343 11,987,345	18,065,552 12,926,866	19,350,962 11,884,480	17,959,544 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	18,828,182 10,918,923	19,305,343 11,706,976	18,065,552 12,615,917	19,350,962 11,458,116	17,959,544 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	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	2,378,712 3,284,314	2,614,581 3,250,551	2,192,113 3,386,837	2,384,552 3,360,806	2,604,436 3,508,953
Disproportionate-share hospital (DSH) Median	1,296,515 594,888	1,310,628 595,761	1,633,209 577,894	708,828 542,168	713,153 549,667
Outlier Median	770,726 582,572	747,518 538,116	670,541 212,434	94,558 126,559	228,143 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,752,360 3,662,910	5,375,393 3,730,911	3,620,155 4,081,319	1,568,132 4,643,908	0 4,389,147
Charity care Median	4,646,719 2,654,636	4,500,507 2,940,659	3,082,052 3,380,215	4,726,528 3,488,738	4,488,851 3,233,405
Uncompensated care (UCC) Median	6,116,531 5,147,790	5,919,846 5,337,617	4,374,900 5,711,082	6,911,428 5,923,418	6,101,211 5,508,107
UCC as a % of operating expenses Median	3.29% 3.24	3.01% 3.12	2.18% 3.21	3.16% 3.3	2.83% 2.86
Total shortfall/UCC Median	12,868,891 9,489,989	11,295,239 9,424,297	7,995,055 10,120,158	8,479,560 11,171,337	6,101,211 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	76,983,759 52,142,039	81,674,676 54,485,252	82,025,500 57,395,589	84,240,948 58,830,919	85,895,313 61,722,907
Salaries as a % of operating expenses Median	41.38 36.68	41.53 36.56	40.80 36.37	38.47 35.93	39.88 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	1,732,374 1,251,927	1,830,036 1,186,494	1,780,439 1,204,885	1,804,256 1,279,653	1,843,439 1,469,317
Contract adjusted salaries, direct-care Median	10,122,379 1,449,244	8,784,239 1,475,986	8,035,440 1,563,078	6,531,787 1,721,954	8,931,685 2,991,828
Contract hours, direct-care Median	204,275.28 22,725	210,676.00 23,018.5	181,943.00 24,503.48	147,274.42 25,026.5	210,599.00 33,786
Contract wages, direct-care Median	49.55 64.67	41.70 64.53	44.16 65.06	44.35 68.97	42.41 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.