As of the July, 2022, release via CMS

SAMPSON REGIONAL MEDICAL CENTER

CMS id: 340024
607 BEAMAN STREET, CLINTON NC 28328. County: SAMPSON
System: --
CBSA: Rural North Carolina

The 59-bed, acute-care hospital had $-1,097,522 in net service to patients*, with a total profit margin of 12.96394% in fiscal year 2021, the latest year available.
It spent 8.20% of its operating expenses on uncompensated care and reported $5,259 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	71 118	63 118	51 119.5	51 118	51 119
Total beds Median	91 162	71 162	59 162	59 162	59 163.5
FTEs Median	452.69 788.06	451.61 793.42	445.24 806.03	451.61 787.61	412.97 804.34

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	56,895,523 150,932,746	60,610,583 158,950,878	63,029,613 168,696,998	62,359,722 163,454,693	65,193,793 186,589,412
Operating expenses Median	59,420,733 149,311,209	63,270,286 156,110,414	64,422,445 164,890,568	64,311,063 166,516,854	66,291,315 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,525,210 -964,173	-2,659,703 -643,601.5	-1,392,832 -116,254	-1,951,341 -5,025,862	-1,097,522 -1,284,564
NS2P margin ? Median	-4.44% -0.62	-4.39% -0.29	-2.21% 0.18	-3.13% -5.07	-1.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAMPSON REGIONAL MEDICAL CENTER 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	1,583,816 5,089,215	1,985,391 4,572,541	1,940,342 5,268,134	3,148,226 13,092,619	10,995,724 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	32,436 224,999	38,764 199,009	286,400 206,870.5	180,215 194,343	79,602 249,496
⊳ Line 7: Investments ? ⊳ Median	-138,078 299,524	-196,105 188,688.5	15,132 370,813	-45,923 309,361.5	-127,436 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	8,435	16,728	28,212	71,410	61,316
⊳ Line 11: Rebates and refunds of expenses	44,498	36,752	0	31,166	34,423
⊳ 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	168,855	264,393	278,874	224,772	188,535
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	7	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	6,030	6,250	724	1,057	226
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	14,657	14,981	0	0	0
⊳ Line 21: Rental of vending machines	10,004	8,250	9,504	7,471	5,873
⊳ Line 22: Rental of hospital space	277,871	286,718	278,424	249,564	232,175
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	57,232 983,261.5	0 1,173,286	80,000 1,987,202	0 1,597,664
⊳ Sum Line 24	1,159,101	1,448,356	1,003,437	2,348,325	10,521,010
Total income ? Median	-941,394 6,586,430	-674,312 6,767,106	547,510 8,419,950	1,196,885 8,094,175	9,898,202 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	500 106,761	21,036 31,473.5
Net income Median	-941,394 6,043,842	-674,312 5,845,112	547,510 7,606,259	1,196,385 7,283,041	9,877,166 14,957,241
Net margin Median	-1.60979% 4.62%	-1.07724% 4.42%	0.84271% 5.16%	1.82632% 5.2%	12.96394% 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 SAMPSON REGIONAL MEDICAL CENTER 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	12,262,445 23,241,334	12,009,103 23,709,545	11,546,564 24,248,380	11,727,192 22,858,541	10,395,097 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	12,262,445 21,577,146	12,009,103 22,041,594	11,546,564 22,722,063	11,727,192 21,570,441	10,395,097 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	7,309,821 11,160,864	6,639,003 11,987,345	6,389,398 12,926,866	5,354,234 11,884,480	4,739,565 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	6,304,331 10,918,923	5,940,540 11,706,976	5,768,347 12,615,917	4,672,533 11,458,116	4,284,824 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,005,490 1,282,808	698,463 1,407,728	621,051 1,341,512	681,701 1,407,046	454,741 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	1,528,308 3,284,314	2,077,038 3,250,551	2,206,490 3,386,837	2,446,087 3,360,806	2,069,491 3,508,953
Disproportionate-share hospital (DSH) Median	439,497 594,888	366,129 595,761	277,805 577,894	268,376 542,168	226,700 549,667
Outlier Median	10,740 582,572	11,771 538,116	1,930 212,434	5,930 126,559	6,440 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	3,772 4,643,908	5,259 4,389,147
Charity care Median	1,259,473 2,654,636	1,391,718 2,940,659	2,635,622 3,380,215	2,637,439 3,488,738	2,427,064 3,233,405
Uncompensated care (UCC) Median	2,317,595 5,147,790	4,601,143 5,337,617	5,666,489 5,711,082	5,565,612 5,923,418	5,436,746 5,508,107
UCC as a % of operating expenses Median	3.90% 3.24	7.27% 3.12	8.80% 3.21	8.65% 3.3	8.20% 2.86
Total shortfall/UCC Median	2,317,595 9,489,989	4,601,143 9,424,297	5,666,489 10,120,158	5,569,384 11,171,337	5,442,005 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	25,708,202 52,142,039	27,445,709 54,485,252	28,130,293 57,395,589	28,179,683 58,830,919	28,703,137 61,722,907
Salaries as a % of operating expenses Median	43.26 36.68	43.38 36.56	43.67 36.37	43.82 35.93	43.30 35.24
Intern, resident salaries* Median	1,005,432 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	2,691,654 1,449,244	3,003,094 1,475,986	2,476,128 1,563,078	2,350,988 1,721,954	3,153,810 2,991,828
Contract hours, direct-care Median	46,284.21 22,725	52,990.56 23,018.5	44,046.00 24,503.48	37,584.90 25,026.5	31,579.47 33,786
Contract wages, direct-care Median	58.15 64.67	56.67 64.53	56.22 65.06	62.55 68.97	99.87 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.