As of the July, 2022, release via CMS

WADLEY MEDICAL CENTER AT HOPE

CMS id: 040153
2001 SOUTH MAIN, HOPE AR 71801. County: HEMPSTEAD
System: STEWARD HEALTH CARE SYSTEM CORPORATE
CBSA: Hope, AR

The 48-bed, acute-care hospital had $-2,870,838 in net service to patients*, with a total profit margin of -4.74644% in fiscal year 2021, the latest year available.
It spent 6.46% of its operating expenses on uncompensated care and reported $671,622 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	59 118	59 118	59 119.5	28 118	28 119
Total beds Median	79 162	79 162	79 162	48 162	48 163.5
FTEs Median	127.45 788.06	128.43 793.42	119.71 806.03	106.20 787.61	104.26 804.34

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	13,107,946 150,932,746	14,262,170 158,950,878	12,623,012 168,696,998	11,309,083 163,454,693	12,899,532 186,589,412
Operating expenses Median	14,232,175 149,311,209	14,539,403 156,110,414	15,682,120 164,890,568	14,984,084 166,516,854	15,770,370 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,124,229 -964,173	-277,233 -643,601.5	-3,059,108 -116,254	-3,675,001 -5,025,862	-2,870,838 -1,284,564
NS2P margin ? Median	-8.58% -0.62	-1.94% -0.29	-24.23% 0.18	-32.50% -5.07	-22.26% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WADLEY MEDICAL CENTER AT HOPE 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	148,447 5,089,215	371,189 4,572,541	184,461 5,268,134	2,019,887 13,092,619	2,156,225 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	306 299,524	124 188,688.5	395 370,813	0 309,361.5	-3,372 375,329
⊳ 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	69,373	75,749	61,781	42,253	30,987
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	19,824	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	2,035	1,179	497	29	45
⊳ 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	3,412	2,534	2,093	1,722	192
⊳ 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	53,497	291,603	119,695	1,975,883	2,128,373
Total income ? Median	-975,782 6,586,430	93,956 6,767,106	-2,874,647 8,419,950	-1,655,114 8,094,175	-714,613 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	-975,782 6,043,842	93,956 5,845,112	-2,874,647 7,606,259	-1,655,114 7,283,041	-714,613 14,957,241
Net margin Median	-7.36084% 4.62%	0.64207% 4.42%	-22.44508% 5.16%	-12.41742% 5.2%	-4.74644% 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 WADLEY MEDICAL CENTER AT HOPE 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	4,365,626 23,241,334	5,312,281 23,709,545	4,383,718 24,248,380	3,736,103 22,858,541	4,301,172 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	3,435,500 21,577,146	4,120,309 22,041,594	3,123,438 22,722,063	2,355,452 21,570,441	2,481,116 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	930,126 1,845,420	1,191,972 1,757,392	1,260,280 1,738,842	1,380,651 1,510,463	1,820,056 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	1,283,940 11,160,864	1,245,805 11,987,345	1,325,804 12,926,866	1,044,971 11,884,480	942,780 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	988,790 10,918,923	960,627 11,706,976	1,046,090 12,615,917	726,508 11,458,116	685,063 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	295,150 618,038	285,178 697,279	279,714 690,232	318,463 684,010	257,717 670,558
⊳ 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	39,514 594,888	62,347 595,761	57,133 577,894	48,581 542,168	47,471 549,667
Outlier Median	7,913 582,572	7,110 538,116	2,968 212,434	1,159 126,559	8,019 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	968,162 3,662,910	326,251 3,730,911	819,769 4,081,319	825,384 4,643,908	671,622 4,389,147
Charity care Median	171,727 2,654,636	198,621 2,940,659	614,462 3,380,215	585,776 3,488,738	548,123 3,233,405
Uncompensated care (UCC) Median	581,140 5,147,790	796,314 5,337,617	979,254 5,711,082	1,172,707 5,923,418	1,019,164 5,508,107
UCC as a % of operating expenses Median	4.08% 3.24	5.48% 3.12	6.24% 3.21	7.83% 3.3	6.46% 2.86
Total shortfall/UCC Median	1,549,302 9,489,989	1,122,565 9,424,297	1,799,023 10,120,158	1,998,091 11,171,337	1,690,786 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	6,208,047 52,142,039	6,617,061 54,485,252	6,617,924 57,395,589	5,901,194 58,830,919	6,140,998 61,722,907
Salaries as a % of operating expenses Median	43.62 36.68	45.51 36.56	42.20 36.37	39.38 35.93	38.94 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	294,425 1,449,244	89,101 1,475,986	93,361 1,563,078	22,420 1,721,954	68,628 2,991,828
Contract hours, direct-care Median	5,255.51 22,725	1,250.00 23,018.5	1,221.00 24,503.48	254.00 25,026.5	755.00 33,786
Contract wages, direct-care Median	56.02 64.67	71.28 64.53	76.46 65.06	88.27 68.97	90.90 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.