As of the July, 2022, release via CMS

MEDICAL CENTER OF ARKANSAS

CMS id: 040088
700 WEST GROVE, EL DORADO AR 71731. County: UNION
System: COMMUNITY HEALTH SYSTEMS
CBSA: El Dorado, AR

The 132-bed, acute-care hospital had $8,153,498 in net service to patients*, with a total profit margin of 8.92812% in fiscal year 2021, the latest year available.
It spent 2.53% 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	82 118	82 118	95 119.5	95 118	96 119
Total beds Median	118 162	118 162	131 162	131 162	132 163.5
FTEs Median	388.36 788.06	357.69 793.42	334.69 806.03	327.94 787.61	334.56 804.34

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	69,931,518 150,932,746	66,542,802 158,950,878	62,395,157 168,696,998	64,560,343 163,454,693	76,200,799 186,589,412
Operating expenses Median	60,923,778 149,311,209	59,847,037 156,110,414	59,699,549 164,890,568	59,918,767 166,516,854	68,047,301 180,120,888
Net income from service 2 patients (NS2P) ? Median	9,007,740 -964,173	6,695,765 -643,601.5	2,695,608 -116,254	4,641,576 -5,025,862	8,153,498 -1,284,564
NS2P margin ? Median	12.88% -0.62	10.06% -0.29	4.32% 0.18	7.19% -5.07	10.70% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDICAL CENTER OF ARKANSAS 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	839,148 5,089,215	480,654 4,572,541	409,381 5,268,134	5,233,345 13,092,619	-1,482,561 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ 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	0	0
⊳ 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	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	839,148	480,654	409,381	5,233,345	-1,482,561
Total income ? Median	9,846,888 6,586,430	7,176,419 6,767,106	3,104,989 8,419,950	9,874,921 8,094,175	6,670,937 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	9,846,888 6,043,842	7,176,419 5,845,112	3,104,989 7,606,259	9,874,921 7,283,041	6,670,937 14,957,241
Net margin Median	13.91380% 4.62%	10.70732% 4.42%	4.94389% 5.16%	14.14873% 5.2%	8.92812% 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 MEDICAL CENTER OF ARKANSAS 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	17,302,121 23,241,334	16,550,476 23,709,545	16,980,604 24,248,380	17,589,379 22,858,541	18,846,110 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	15,488,002 21,577,146	14,526,615 22,041,594	14,264,661 22,722,063	14,214,632 21,570,441	15,218,402 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	1,814,119 3,535,627	2,023,861 3,746,588	2,715,943 3,782,288	3,374,747 3,865,578	3,627,708 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	8,116,546 11,160,864	7,989,075 11,987,345	6,325,803 12,926,866	6,382,901 11,884,480	6,449,708 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	8,116,546 10,918,923	7,989,075 11,706,976	6,325,803 12,615,917	6,382,901 11,458,116	6,449,708 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	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	285,788 594,888	317,642 595,761	213,050 577,894	325,657 542,168	314,603 549,667
Outlier Median	381,708 582,572	453,440 538,116	349,823 212,434	238,225 126,559	128,371 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	214,044 3,662,910	0 3,730,911	476,066 4,081,319	1,223,270 4,643,908	0 4,389,147
Charity care Median	60,494 2,654,636	63,435 2,940,659	569,872 3,380,215	485,280 3,488,738	851,075 3,233,405
Uncompensated care (UCC) Median	999,937 5,147,790	421,254 5,337,617	1,466,723 5,711,082	1,514,711 5,923,418	1,721,245 5,508,107
UCC as a % of operating expenses Median	1.64% 3.24	0.70% 3.12	2.46% 3.21	2.53% 3.3	2.53% 2.86
Total shortfall/UCC Median	1,213,981 9,489,989	421,254 9,424,297	1,942,789 10,120,158	2,737,981 11,171,337	1,721,245 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	21,753,719 52,142,039	20,625,390 54,485,252	19,644,622 57,395,589	19,693,683 58,830,919	21,633,726 61,722,907
Salaries as a % of operating expenses Median	35.71 36.68	34.46 36.56	32.91 36.37	32.87 35.93	31.79 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	374,565 1,449,244	650,475 1,475,986	1,211,230 1,563,078	1,617,478 1,721,954	4,171,551 2,991,828
Contract hours, direct-care Median	5,009.00 22,725	10,915.00 23,018.5	25,211.00 24,503.48	31,606.00 25,026.5	40,673.00 33,786
Contract wages, direct-care Median	74.78 64.67	59.59 64.53	48.04 65.06	51.18 68.97	102.56 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.