As of the July, 2022, release via CMS

WHITE RIVER MEDICAL CENTER

CMS id: 040119
1710 HARRISON STREET, BATESVILLE AR 72501. County: INDEPENDENCE
System: WHITE RIVER HEALTH SYSTEM
CBSA: Batesville, AR

The 201-bed, acute-care hospital had $-11,538,179 in net service to patients*, with a total profit margin of 11.93934% in fiscal year 2021, the latest year available.
It spent 2.07% 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	172 118	172 118	158 119.5	160 118	160 119
Total beds Median	224 162	221 162	212 162	201 162	201 163.5
FTEs Median	1,459.21 788.06	1,489.19 793.42	1,451.26 806.03	2,654.09 787.61	1,323.53 804.34

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	205,015,963 150,932,746	208,728,447 158,950,878	222,893,110 168,696,998	207,607,233 163,454,693	235,440,725 186,589,412
Operating expenses Median	211,817,620 149,311,209	220,642,892 156,110,414	235,719,333 164,890,568	230,569,107 166,516,854	246,978,904 180,120,888
Net income from service 2 patients (NS2P) ? Median	-6,801,657 -964,173	-11,914,445 -643,601.5	-12,826,223 -116,254	-22,961,874 -5,025,862	-11,538,179 -1,284,564
NS2P margin ? Median	-3.32% -0.62	-5.71% -0.29	-5.75% 0.18	-11.06% -5.07	-4.90% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WHITE RIVER 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	7,663,323 5,089,215	11,809,562 4,572,541	12,644,497 5,268,134	24,904,423 13,092,619	45,023,788 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,215,172 224,999	529,076 199,009	0 206,870.5	0 194,343	1,485,066 249,496
⊳ Line 7: Investments ? ⊳ Median	1,146,878 299,524	1,401,821 188,688.5	1,249,178 370,813	1,378,265 309,361.5	3,064,890 375,329
⊳ 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	1,097,905	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	232,577	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	27,365	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	5,301,273	8,520,818	11,395,319	23,526,158	40,473,832
Total income ? Median	861,666 6,586,430	-104,883 6,767,106	-181,726 8,419,950	1,942,549 8,094,175	33,485,609 15,162,888
Non-operating expenses Median	-266,978 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	1,128,644 6,043,842	-104,883 5,845,112	-181,726 7,606,259	1,942,549 7,283,041	33,485,609 14,957,241
Net margin Median	0.53068% 4.62%	-0.04756% 4.42%	-0.07715% 5.16%	0.83546% 5.2%	11.93934% 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 WHITE RIVER 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	38,263,405 23,241,334	37,613,043 23,709,545	40,500,457 24,248,380	36,043,819 22,858,541	43,390,100 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	33,094,559 21,577,146	30,963,714 22,041,594	33,625,143 22,722,063	28,762,163 21,570,441	35,220,701 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	2,108,198 1,845,420	2,176,018 1,757,392	1,984,883 1,738,842	1,799,896 1,510,463	1,333,122 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,697,609 3,535,627	3,566,727 3,746,588	4,448,367 3,782,288	5,481,760 3,865,578	6,836,277 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	363,039 1,203,033	906,584 1,215,295	442,064 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	33,025,291 11,160,864	37,143,930 11,987,345	40,961,169 12,926,866	38,958,277 11,884,480	35,464,651 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	32,069,505 10,918,923	36,091,508 11,706,976	39,800,354 12,615,917	38,015,485 11,458,116	34,513,194 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	955,786 618,038	1,052,422 697,279	1,160,815 690,232	942,792 684,010	951,457 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	216,636 3,284,314	1,462,843 3,250,551	2,674,322 3,386,837	3,701,959 3,360,806	5,075,680 3,508,953
Disproportionate-share hospital (DSH) Median	1,515,279 594,888	1,521,915 595,761	1,413,882 577,894	1,228,491 542,168	1,273,871 549,667
Outlier Median	433,105 582,572	577,684 538,116	144,368 212,434	137,262 126,559	126,653 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,145,540 3,662,910	9,152,821 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	2,416,963 2,654,636	2,654,336 2,940,659	953,249 3,380,215	2,442,213 3,488,738	2,237,133 3,233,405
Uncompensated care (UCC) Median	4,625,303 5,147,790	4,574,815 5,337,617	4,251,305 5,711,082	6,174,324 5,923,418	5,101,813 5,508,107
UCC as a % of operating expenses Median	2.18% 3.24	2.07% 3.12	1.80% 3.21	2.68% 3.3	2.07% 2.86
Total shortfall/UCC Median	15,770,843 9,489,989	13,727,636 9,424,297	4,251,305 10,120,158	6,174,324 11,171,337	5,101,813 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	89,199,830 52,142,039	92,529,011 54,485,252	97,301,603 57,395,589	94,407,455 58,830,919	102,861,485 61,722,907
Salaries as a % of operating expenses Median	42.11 36.68	41.94 36.56	41.28 36.37	40.95 35.93	41.65 35.24
Intern, resident salaries* Median	194,644 2,598,592	703,577 2,686,824	1,221,819 2,753,773	1,819,371 2,937,156	1,986,813 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	1,287,419 1,449,244	741,133 1,475,986	696,053 1,563,078	4,325,795 1,721,954	3,159,669 2,991,828
Contract hours, direct-care Median	31,717.85 22,725	8,679.00 23,018.5	9,722.83 24,503.48	65,314.81 25,026.5	40,333.39 33,786
Contract wages, direct-care Median	40.59 64.67	85.39 64.53	71.59 65.06	66.23 68.97	78.34 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.