As of the July, 2022, release via CMS

SCOTLAND MEMORIAL HOSPITAL

CMS id: 340008
500 LAUCHWOOD DRIVE, LAURINBURG NC 28352. County: SCOTLAND
System: SCOTLAND HEALTH CARE SYSTEM
CBSA: Laurinburg, NC

The 104-bed, acute-care hospital had $-4,574,497 in net service to patients*, with a total profit margin of 19.00937% in fiscal year 2021, the latest year available.
It spent 9.25% of its operating expenses on uncompensated care and reported $1,542,769 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	89 118	89 118	89 119.5	89 118	89 119
Total beds Median	104 162	104 162	104 162	104 162	104 163.5
FTEs Median	776.10 788.06	814.58 793.42	960.68 806.03	897.28 787.61	941.69 804.34

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	145,061,287 150,932,746	149,102,727 158,950,878	153,513,324 168,696,998	167,857,436 163,454,693	188,695,292 186,589,412
Operating expenses Median	130,209,992 149,311,209	142,370,390 156,110,414	159,440,457 164,890,568	164,929,953 166,516,854	193,269,789 180,120,888
Net income from service 2 patients (NS2P) ? Median	14,851,295 -964,173	6,732,337 -643,601.5	-5,927,133 -116,254	2,927,483 -5,025,862	-4,574,497 -1,284,564
NS2P margin ? Median	10.24% -0.62	4.52% -0.29	-3.86% 0.18	1.74% -5.07	-2.42% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SCOTLAND MEMORIAL 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	10,128,901 5,089,215	10,117,213 4,572,541	4,030,775 5,268,134	23,204,110 13,092,619	39,185,629 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	5,639,042 299,524	2,924,501 188,688.5	-6,462,842 370,813	5,972,526 309,361.5	12,983,249 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	63,176	100,628	163,556	152,669	185,115
⊳ Line 11: Rebates and refunds of expenses	51,607	68,135	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	585,658	600,682	663,105	536,134	599,995
⊳ 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	2,314	2,335	3,200	6,556	6,454
⊳ 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	362,161	338,754	342,191	322,605	333,990
⊳ 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	3,424,943	6,082,178	9,321,565	16,213,620	25,076,826
Total income ? Median	24,980,196 6,586,430	16,849,550 6,767,106	-1,896,358 8,419,950	26,131,593 8,094,175	34,611,132 15,162,888
Non-operating expenses Median	107,460 146,289.5	266,132 164,857	60,398 89,880.5	3,230,855 106,761	-8,707,586 31,473.5
Net income Median	24,872,736 6,043,842	16,583,418 5,845,112	-1,956,756 7,606,259	22,900,738 7,283,041	43,318,718 14,957,241
Net margin Median	16.02726% 4.62%	10.41542% 4.42%	-1.24204% 5.16%	11.98605% 5.2%	19.00937% 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 SCOTLAND MEMORIAL 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	22,128,636 23,241,334	21,103,059 23,709,545	19,501,038 24,248,380	19,103,836 22,858,541	17,963,376 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	20,420,578 21,577,146	19,757,476 22,041,594	18,411,853 22,722,063	17,831,067 21,570,441	17,963,376 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	1,708,058 3,535,627	1,345,583 3,746,588	1,089,185 3,782,288	1,272,769 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	17,805,584 11,160,864	17,021,963 11,987,345	17,554,423 12,926,866	15,092,282 11,884,480	14,500,077 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	16,824,135 10,918,923	15,573,052 11,706,976	15,394,791 12,615,917	13,474,304 11,458,116	13,092,899 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	981,449 618,038	1,448,911 697,279	2,159,632 690,232	1,617,978 684,010	1,407,178 670,558
⊳ 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	500,688 594,888	481,463 595,761	440,124 577,894	424,986 542,168	396,513 549,667
Outlier Median	97,902 582,572	53,720 538,116	57,547 212,434	96,230 126,559	60,782 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	2,139,797 4,643,908	1,542,769 4,389,147
Charity care Median	2,704,388 2,654,636	8,145,345 2,940,659	9,768,734 3,380,215	9,214,802 3,488,738	11,458,330 3,233,405
Uncompensated care (UCC) Median	7,406,990 5,147,790	13,613,213 5,337,617	14,746,356 5,711,082	16,372,462 5,923,418	17,870,145 5,508,107
UCC as a % of operating expenses Median	5.69% 3.24	9.56% 3.12	9.25% 3.21	9.93% 3.3	9.25% 2.86
Total shortfall/UCC Median	7,406,990 9,489,989	13,613,213 9,424,297	14,746,356 10,120,158	18,512,259 11,171,337	19,412,914 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	46,524,083 52,142,039	50,859,353 54,485,252	59,060,006 57,395,589	59,942,611 58,830,919	67,343,370 61,722,907
Salaries as a % of operating expenses Median	35.73 36.68	35.72 36.56	37.04 36.37	36.34 35.93	34.84 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	4,037,178 1,449,244	4,156,012 1,475,986	4,991,112 1,563,078	1,130,303 1,721,954	11,068,785 2,991,828
Contract hours, direct-care Median	60,042.49 22,725	61,694.94 23,018.5	83,380.84 24,503.48	16,404.80 25,026.5	100,671.07 33,786
Contract wages, direct-care Median	67.24 64.67	67.36 64.53	59.86 65.06	68.90 68.97	109.95 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.