As of the July, 2022, release via CMS

WAYNE MEMORIAL HOSPITAL

CMS id: 340010
2700 WAYNE MEMORIAL DRIVE, GOLDSBORO NC 27533. County: WAYNE
System: UNC HEALTH CARE SYSTEM
CBSA: Goldsboro, NC

The 239-bed, acute-care hospital had $22,721,687 in net service to patients*, with a total profit margin of 27.04320% in fiscal year 2021, the latest year available.
It spent 6.25% of its operating expenses on uncompensated care and reported $148,283 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	gov	gov	gov	gov	nfp
Acute beds Median	245 118	247 118	245 119.5	223 118	223 119
Total beds Median	261 162	263 162	261 162	239 162	239 163.5
FTEs Median	1,509.55 788.06	1,462.12 793.42	1,404.96 806.03	1,328.00 787.61	1,252.80 804.34

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	216,850,181 150,932,746	245,831,076 158,950,878	241,247,544 168,696,998	225,977,622 163,454,693	266,469,990 186,589,412
Operating expenses Median	237,398,597 149,311,209	247,574,775 156,110,414	241,507,141 164,890,568	237,057,891 166,516,854	243,748,303 180,120,888
Net income from service 2 patients (NS2P) ? Median	-20,548,416 -964,173	-1,743,699 -643,601.5	-259,597 -116,254	-11,080,269 -5,025,862	22,721,687 -1,284,564
NS2P margin ? Median	-9.48% -0.62	-0.71% -0.29	-0.11% 0.18	-4.90% -5.07	8.53% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WAYNE 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	75,038,716 5,089,215	25,316,287 4,572,541	-7,077,442 5,268,134	8,156,608 13,092,619	86,726,570 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	4,906,786 299,524	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	365,482	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	1,284,689	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,382,391	0	0	0	0
⊳ 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	4,217,664	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,830	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,653	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	416,018	0	0	0	0
⊳ Line 21: Rental of vending machines	26,552	0	0	0	0
⊳ Line 22: Rental of hospital space	599,715	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	61,835,936	25,316,287	-7,077,442	8,156,608	86,726,570
Total income ? Median	54,490,300 6,586,430	23,572,588 6,767,106	-7,337,039 8,419,950	-2,923,661 8,094,175	109,448,257 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	11,553,646 89,880.5	14,034,970 106,761	13,932,607 31,473.5
Net income Median	54,490,300 6,043,842	23,572,588 5,845,112	-18,890,685 7,606,259	-16,958,631 7,283,041	95,515,650 14,957,241
Net margin Median	18.66816% 4.62%	8.69364% 4.42%	-8.06708% 5.16%	-7.24312% 5.2%	27.04320% 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 WAYNE 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	55,855,628 23,241,334	52,769,853 23,709,545	46,792,257 24,248,380	41,833,429 22,858,541	43,548,677 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	55,855,628 21,577,146	52,769,853 22,041,594	46,792,257 22,722,063	41,833,429 21,570,441	43,548,677 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	27,161,571 11,160,864	25,613,677 11,987,345	24,783,525 12,926,866	23,753,070 11,884,480	22,523,728 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	27,161,571 10,918,923	25,613,677 11,706,976	24,783,525 12,615,917	23,753,070 11,458,116	22,523,728 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	1,334,136 594,888	1,158,434 595,761	1,214,404 577,894	1,051,958 542,168	1,000,187 549,667
Outlier Median	1,809,246 582,572	1,068,253 538,116	1,066,445 212,434	109,680 126,559	291,945 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,423,446 3,662,910	14,479,224 3,730,911	103,770 4,081,319	150,214 4,643,908	148,283 4,389,147
Charity care Median	13,481,244 2,654,636	15,124,432 2,940,659	7,131,674 3,380,215	4,772,552 3,488,738	4,277,002 3,233,405
Uncompensated care (UCC) Median	22,274,397 5,147,790	25,804,132 5,337,617	17,488,418 5,711,082	18,919,086 5,923,418	15,227,021 5,508,107
UCC as a % of operating expenses Median	9.38% 3.24	10.42% 3.12	7.24% 3.21	7.98% 3.3	6.25% 2.86
Total shortfall/UCC Median	36,697,843 9,489,989	40,283,356 9,424,297	17,592,188 10,120,158	19,069,300 11,171,337	15,375,304 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	87,366,393 52,142,039	85,931,712 54,485,252	91,092,334 57,395,589	89,233,824 58,830,919	92,527,150 61,722,907
Salaries as a % of operating expenses Median	36.80 36.68	35.74 36.56	37.72 36.37	37.64 35.93	37.96 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	4,785,309 1,449,244	7,609,077 1,475,986	9,821,466 1,563,078	4,747,575 1,721,954	7,653,104 2,991,828
Contract hours, direct-care Median	72,111.08 22,725	109,064.00 23,018.5	143,240.00 24,503.48	66,796.00 25,026.5	79,147.00 33,786
Contract wages, direct-care Median	66.36 64.67	69.77 64.53	68.57 65.06	71.08 68.97	96.69 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.