As of the July, 2022, release via CMS

TRACE REGIONAL HOSPITAL

CMS id: 250017
HIGHWAY 8 EAST, HOUSTON MS 38851. County: CHICKASAW
System: SUNLINK HEALTH SYSTEMS INC.
CBSA: Rural Mississippi

The 120-bed, acute-care hospital had $1,344,361 in net service to patients*, with a total profit margin of 34.96661% in fiscal year 2021, the latest year available.
It spent 2.14% of its operating expenses on uncompensated care and reported $215,535 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	39 118	39 118	39 119.5	39 118	39 119
Total beds Median	120 162	120 162	120 162	120 162	120 163.5
FTEs Median	170.11 788.06	170.11 793.42	171.96 806.03	165.12 787.61	138.13 804.34

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	14,868,632 150,932,746	15,211,282 158,950,878	15,320,722 168,696,998	16,234,943 163,454,693	13,310,545 186,589,412
Operating expenses Median	15,363,117 149,311,209	15,356,850 156,110,414	15,761,974 164,890,568	15,425,827 166,516,854	11,966,184 180,120,888
Net income from service 2 patients (NS2P) ? Median	-494,485 -964,173	-145,568 -643,601.5	-441,252 -116,254	809,116 -5,025,862	1,344,361 -1,284,564
NS2P margin ? Median	-3.33% -0.62	-0.96% -0.29	-2.88% 0.18	4.98% -5.07	10.10% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TRACE REGIONAL HOSPITAL 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	135,580 5,089,215	88,830 4,572,541	129,395 5,268,134	63,290 13,092,619	5,089,518 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	34,748	29,813	24,578	22,863	18,110
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	79	270	362	1,290
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	46	42	1,239
⊳ Line 18: Revenue from sale of medical records and abstracts	1,688	1,791	2,618	1,752	2,186
⊳ 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	852	959	745	706	489
⊳ Line 22: Rental of hospital space	25,010	25,010	25,010	25,020	22,497
⊳ 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	71,862	29,748	75,118	11,485	5,043,707
Total income ? Median	-358,905 6,586,430	-56,738 6,767,106	-311,857 8,419,950	872,406 8,094,175	6,433,879 15,162,888
Non-operating expenses Median	0 146,289.5	242,124 164,857	0 89,880.5	132,602 106,761	0 31,473.5
Net income Median	-358,905 6,043,842	-298,862 5,845,112	-311,857 7,606,259	739,804 7,283,041	6,433,879 14,957,241
Net margin Median	-2.39203% 4.62%	-1.95333% 4.42%	-2.01848% 5.16%	4.53917% 5.2%	34.96661% 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 TRACE REGIONAL HOSPITAL 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	4,583,474 23,241,334	5,019,109 23,709,545	4,441,807 24,248,380	5,253,159 22,858,541	4,328,811 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	510,058 21,577,146	695,110 22,041,594	512,995 22,722,063	172,896 21,570,441	30,402 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	2,838,112 1,845,420	3,038,874 1,757,392	2,903,043 1,738,842	3,504,433 1,510,463	3,136,037 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	1,235,304 1,203,033	1,285,125 1,215,295	1,025,769 1,313,657	1,575,830 1,365,298	1,162,372 1,179,746
All outpatient revenue Median Click here to show/hide details	1,682,201 11,160,864	1,625,496 11,987,345	1,590,213 12,926,866	2,012,254 11,884,480	1,377,456 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	329,666 10,918,923	203,260 11,706,976	227,998 12,615,917	514,667 11,458,116	394,158 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	1,352,535 618,038	1,422,236 697,279	1,362,215 690,232	1,497,587 684,010	983,298 670,558
⊳ 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	8,413 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	4,722 582,572	0 538,116	8,729 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	312,604 3,662,910	280,454 3,730,911	160,001 4,081,319	199,073 4,643,908	215,535 4,389,147
Charity care Median	0 2,654,636	71,264 2,940,659	0 3,380,215	0 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	321,638 5,147,790	333,857 5,337,617	120,990 5,711,082	263,471 5,923,418	255,733 5,508,107
UCC as a % of operating expenses Median	2.09% 3.24	2.17% 3.12	0.77% 3.21	1.71% 3.3	2.14% 2.86
Total shortfall/UCC Median	634,242 9,489,989	614,311 9,424,297	280,991 10,120,158	462,544 11,171,337	471,268 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	8,657,689 52,142,039	8,542,869 54,485,252	8,731,454 57,395,589	8,552,848 58,830,919	7,043,259 61,722,907
Salaries as a % of operating expenses Median	58.90 36.68	57.65 36.56	56.84 36.37	57.53 35.93	61.40 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	0 1,449,244	4,330 1,475,986	7,680 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	0.00 22,725	102.47 23,018.5	320.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	0.00 64.67	42.26 64.53	24.00 65.06	0.00 68.97	0.00 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.