As of the July, 2022, release via CMS

TIDALHEALTH PENINSULA REGIONAL INC

CMS id: 210019
100 EAST CARROLL STREET, SALISBURY MD 21801. County: WICOMICO
System: --
CBSA: Salisbury, MD-DE

The 225-bed, acute-care hospital had $38,590,987 in net service to patients*, with a total profit margin of 25.66853% in fiscal year 2021, the latest year available.
It spent 2.92% 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	257 118	265 118	264 119.5	201 118	201 119
Total beds Median	281 162	289 162	288 162	225 162	225 163.5
FTEs Median	2,547.70 788.06	2,462.20 793.42	2,552.60 806.03	2,765.30 787.61	2,368.90 804.34

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	409,068,059 150,932,746	431,654,007 158,950,878	452,372,394 168,696,998	463,920,913 163,454,693	471,629,332 186,589,412
Operating expenses Median	432,141,734 149,311,209	427,360,742 156,110,414	451,254,845 164,890,568	493,289,357 166,516,854	433,038,345 180,120,888
Net income from service 2 patients (NS2P) ? Median	-23,073,675 -964,173	4,293,265 -643,601.5	1,117,549 -116,254	-29,368,444 -5,025,862	38,590,987 -1,284,564
NS2P margin ? Median	-5.64% -0.62	0.99% -0.29	0.25% 0.18	-6.33% -5.07	8.18% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TIDALHEALTH PENINSULA REGIONAL INC 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	17,385,972 5,089,215	40,811,150 4,572,541	40,839,895 5,268,134	55,768,822 13,092,619	110,948,062 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	20,893 224,999	784,897 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	14,797,343 299,524	37,421,683 188,688.5	37,214,671 370,813	35,776,929 309,361.5	90,350,989 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	5,623	--	--	--
⊳ Line 10: Purchase discounts	144,920	1,377,882	76,037	56,949	2,319
⊳ Line 11: Rebates and refunds of expenses	181,973	0	2,087,514	3,411,049	4,169,188
⊳ 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	913,478	890,806	915,011	888,805	867,612
⊳ Line 15: Revenue from rental of living quarters	334,685	194,188	179,537	300,383	223,509
⊳ 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	7,013	0	7,490	9,024	8,977
⊳ 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	985,667	-48,725	359,635	15,325,683	15,325,468
Total income ? Median	-5,687,703 6,586,430	45,104,415 6,767,106	41,957,444 8,419,950	26,400,378 8,094,175	149,539,049 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	-5,687,703 6,043,842	45,104,415 5,845,112	41,957,444 7,606,259	26,400,378 7,283,041	149,539,049 14,957,241
Net margin Median	-1.33372% 4.62%	9.54661% 4.42%	8.50697% 5.16%	5.08003% 5.2%	25.66853% 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 TIDALHEALTH PENINSULA REGIONAL INC 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	106,371,502 23,241,334	128,423,861 23,709,545	122,599,927 24,248,380	72,483,121 22,858,541	284,482,679 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	106,371,502 21,577,146	128,423,861 22,041,594	122,599,927 22,722,063	72,483,121 21,570,441	284,482,679 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	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	76,415,751 11,160,864	75,446,153 11,987,345	82,417,171 12,926,866	78,455,372 11,884,480	90,370,414 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	76,415,751 10,918,923	75,446,153 11,706,976	82,417,171 12,615,917	78,455,372 11,458,116	90,370,414 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	2,404,868 594,888	2,358,676 595,761	2,586,331 577,894	2,386,780 542,168	1,937,655 549,667
Outlier Median	32,401,570 582,572	51,094,012 538,116	48,760,168 212,434	0 126,559	0 139,139

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	6,675,327 2,654,636	5,145,366 2,940,659	5,230,093 3,380,215	9,377,346 3,488,738	8,805,139 3,233,405
Uncompensated care (UCC) Median	15,121,761 5,147,790	11,072,371 5,337,617	10,163,333 5,711,082	13,432,543 5,923,418	12,634,994 5,508,107
UCC as a % of operating expenses Median	3.50% 3.24	2.59% 3.12	2.25% 3.21	2.72% 3.3	2.92% 2.86
Total shortfall/UCC Median	15,121,761 9,489,989	11,072,371 9,424,297	10,163,333 10,120,158	13,432,543 11,171,337	12,634,994 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	175,123,957 52,142,039	179,062,160 54,485,252	188,959,222 57,395,589	204,341,338 58,830,919	168,268,010 61,722,907
Salaries as a % of operating expenses Median	40.52 36.68	41.90 36.56	41.87 36.37	41.42 35.93	38.86 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	1,469,040 1,449,244	1,590,850 1,475,986	2,980,149 1,563,078	4,269,928 1,721,954	5,620,032 2,991,828
Contract hours, direct-care Median	16,676.00 22,725	19,702.00 23,018.5	39,836.00 24,503.48	54,222.00 25,026.5	57,426.00 33,786
Contract wages, direct-care Median	88.09 64.67	80.75 64.53	74.81 65.06	78.75 68.97	97.87 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.