As of the July, 2022, release via CMS

CAPE FEAR VALLEY MEDICAL CENTER

CMS id: 340028
1638 OWEN DRIVE, FAYETTEVILLE NC 28302. County: CUMBERLAND
System: CAPE FEAR VALLEY HEALTH SYSTEM
CBSA: Fayetteville, NC

The 653-bed, acute-care hospital had $-45,783,025 in net service to patients*, with a total profit margin of 8.71076% in fiscal year 2021, the latest year available.
It spent 5.16% of its operating expenses on uncompensated care and reported $182,668 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	gov
Acute beds Median	462 118	492 118	483 119.5	503 118	503 119
Total beds Median	626 162	656 162	647 162	647 162	653 163.5
FTEs Median	4,138.15 788.06	4,333.15 793.42	4,257.65 806.03	4,011.84 787.61	3,936.29 804.34

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	711,519,528 150,932,746	765,099,691 158,950,878	756,358,843 168,696,998	779,619,822 163,454,693	828,787,409 186,589,412
Operating expenses Median	730,510,822 149,311,209	801,005,679 156,110,414	797,536,871 164,890,568	809,150,757 166,516,854	874,570,434 180,120,888
Net income from service 2 patients (NS2P) ? Median	-18,991,294 -964,173	-35,905,988 -643,601.5	-41,178,028 -116,254	-29,530,935 -5,025,862	-45,783,025 -1,284,564
NS2P margin ? Median	-2.67% -0.62	-4.69% -0.29	-5.44% 0.18	-3.79% -5.07	-5.52% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CAPE FEAR VALLEY 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	70,017,240 5,089,215	67,022,963 4,572,541	74,213,622 5,268,134	79,759,635 13,092,619	144,427,109 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	4,412,215 206,870.5	479,322 194,343	235,733 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	13,090,894 188,688.5	21,603,857 370,813	19,478,182 309,361.5	63,901,316 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	123,376	41,791	10,533	34,284
⊳ Line 11: Rebates and refunds of expenses	0	1,769,607	329,026	1,406,219	1,207,131
⊳ 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	0	3,274,779	3,176,614	2,797,657	2,587,975
⊳ 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	13,764,307	32,994,137	24,148,832
⊳ Line 18: Revenue from sale of medical records and abstracts	0	16,711	41,567	69,408	151,727
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	473,850	379,842	725,000
⊳ 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	0	0	1,003,934	1,416,089	2,087,696
⊳ 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	70,017,240	48,747,596	29,366,461	20,728,246	49,347,415
Total income ? Median	51,025,946 6,586,430	31,116,975 6,767,106	33,035,594 8,419,950	50,228,700 8,094,175	98,644,084 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	13,869,725 31,473.5
Net income Median	51,025,946 6,043,842	31,116,975 5,845,112	33,035,594 7,606,259	50,228,700 7,283,041	84,774,359 14,957,241
Net margin Median	6.52892% 4.62%	3.73947% 4.42%	3.97745% 5.16%	5.84476% 5.2%	8.71076% 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 CAPE FEAR VALLEY 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	128,461,300 23,241,334	131,434,107 23,709,545	134,734,822 24,248,380	131,652,555 22,858,541	133,906,509 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	115,547,128 21,577,146	119,788,979 22,041,594	125,222,715 22,722,063	121,481,629 21,570,441	124,138,219 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	12,914,172 3,535,627	11,645,128 3,746,588	9,512,107 3,782,288	10,170,926 3,865,578	9,768,290 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	42,636,845 11,160,864	43,832,429 11,987,345	43,743,727 12,926,866	43,695,707 11,884,480	44,252,114 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	42,342,810 10,918,923	43,597,626 11,706,976	43,525,084 12,615,917	43,495,604 11,458,116	44,059,501 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	294,035 618,038	234,803 697,279	218,643 690,232	200,103 684,010	192,613 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	3,473,035 3,284,314	6,265,342 3,250,551	8,091,460 3,386,837	10,566,432 3,360,806	11,961,784 3,508,953
Disproportionate-share hospital (DSH) Median	4,903,021 594,888	5,251,148 595,761	4,780,452 577,894	4,416,925 542,168	4,319,934 549,667
Outlier Median	3,064,590 582,572	2,047,779 538,116	425,971 212,434	440,122 126,559	409,850 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	189,193 3,662,910	172,844 3,730,911	10,378,763 4,081,319	62,926 4,643,908	182,668 4,389,147
Charity care Median	22,733,262 2,654,636	37,104,660 2,940,659	15,886,877 3,380,215	15,422,345 3,488,738	14,682,126 3,233,405
Uncompensated care (UCC) Median	58,755,812 5,147,790	68,115,118 5,337,617	50,980,182 5,711,082	48,916,299 5,923,418	45,140,920 5,508,107
UCC as a % of operating expenses Median	8.04% 3.24	8.50% 3.12	6.39% 3.21	6.05% 3.3	5.16% 2.86
Total shortfall/UCC Median	58,945,005 9,489,989	68,287,962 9,424,297	61,358,945 10,120,158	48,979,225 11,171,337	45,323,588 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	264,923,695 52,142,039	296,755,493 54,485,252	302,287,217 57,395,589	300,239,791 58,830,919	316,300,529 61,722,907
Salaries as a % of operating expenses Median	51.43 36.68	51.76 36.56	53.02 36.37	51.76 35.93	49.70 35.24
Intern, resident salaries* Median	536,340 2,598,592	2,071,126 2,686,824	3,888,848 2,753,773	6,175,905 2,937,156	8,037,469 2,909,848
Contract intern, resident salaries* Median	1,806,451 1,251,927	1,768,699 1,186,494	1,798,068 1,204,885	1,706,863 1,279,653	1,811,805 1,469,317
Contract adjusted salaries, direct-care Median	19,225,715 1,449,244	24,495,815 1,475,986	17,904,183 1,563,078	17,222,649 1,721,954	37,757,893 2,991,828
Contract hours, direct-care Median	301,892.00 22,725	406,848.00 23,018.5	300,701.36 24,503.48	287,646.83 25,026.5	448,055.01 33,786
Contract wages, direct-care Median	63.68 64.67	60.21 64.53	59.54 65.06	59.87 68.97	84.27 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.