As of the July, 2022, release via CMS

PITT COUNTY MEMORIAL HOSPITAL

CMS id: 340040
2100 STANTONSBURG ROAD, GREENVILLE NC 27834. County: PITT
System: VIDANT HEALTH
CBSA: Greenville, NC

The 974-bed, acute-care hospital had $13,757,658 in net service to patients*, with a total profit margin of 10.65542% in fiscal year 2021, the latest year available.
It spent 6.36% of its operating expenses on uncompensated care and reported $539,466 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	607 118	637 118	662 119.5	662 118	662 119
Total beds Median	909 162	943 162	974 162	974 162	974 163.5
FTEs Median	6,277.00 788.06	6,059.00 793.42	6,189.00 806.03	5,919.27 787.61	5,979.44 804.34

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	1,069,512,131 150,932,746	1,122,215,612 158,950,878	1,214,600,744 168,696,998	1,149,867,673 163,454,693	1,238,027,840 186,589,412
Operating expenses Median	1,016,670,638 149,311,209	1,086,489,650 156,110,414	1,194,585,916 164,890,568	1,196,139,275 166,516,854	1,224,270,182 180,120,888
Net income from service 2 patients (NS2P) ? Median	52,841,493 -964,173	35,725,962 -643,601.5	20,014,828 -116,254	-46,271,602 -5,025,862	13,757,658 -1,284,564
NS2P margin ? Median	4.94% -0.62	3.18% -0.29	1.65% 0.18	-4.02% -5.07	1.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PITT COUNTY 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	74,711,517 5,089,215	87,474,866 4,572,541	87,384,226 5,268,134	162,435,585 13,092,619	132,251,362 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	6,713,311 224,999	1,870,897 199,009	7,842,608 206,870.5	15,092,574 194,343	5,905,776 249,496
⊳ Line 7: Investments ? ⊳ Median	32,597,048 299,524	48,436,050 188,688.5	41,193,692 370,813	40,883,339 309,361.5	45,185,466 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,942,681	2,163,806	2,437,670	1,901,905	2,311,311
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	595,963	648,850	656,844	257,164	69,869
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,601,516	7,389,041	5,746,022	4,934,700	4,350,843
⊳ 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	480,671	885,702	627,408	255,253	287,285
⊳ Line 18: Revenue from sale of medical records and abstracts	2,446	3,447	2,767	4,403	2,582
⊳ 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	0	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	23,777,881	26,077,073	28,877,215	99,106,247	74,138,230
Total income ? Median	127,553,010 6,586,430	123,200,828 6,767,106	107,399,054 8,419,950	116,163,983 8,094,175	146,009,020 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	127,553,010 6,043,842	123,200,828 5,845,112	107,399,054 7,606,259	116,163,983 7,283,041	146,009,020 14,957,241
Net margin Median	11.14756% 4.62%	10.18449% 4.42%	8.24887% 5.16%	8.85192% 5.2%	10.65542% 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 PITT COUNTY 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	268,890,897 23,241,334	276,691,907 23,709,545	279,519,968 24,248,380	257,448,657 22,858,541	237,862,601 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	248,182,489 21,577,146	258,128,484 22,041,594	261,391,408 22,722,063	237,907,195 21,570,441	219,522,483 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	5,771,568 1,845,420	4,822,331 1,757,392	4,745,470 1,738,842	2,996,128 1,510,463	2,627,146 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	14,936,840 3,535,627	13,741,092 3,746,588	13,383,090 3,782,288	16,545,334 3,865,578	15,712,972 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	69,144,199 11,160,864	71,878,230 11,987,345	76,368,182 12,926,866	73,759,483 11,884,480	75,414,541 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	69,144,199 10,918,923	71,878,230 11,706,976	76,368,182 12,615,917	73,759,483 11,458,116	75,414,541 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	38,180,226 3,284,314	38,141,597 3,250,551	38,789,014 3,386,837	36,734,377 3,360,806	32,984,448 3,508,953
Disproportionate-share hospital (DSH) Median	9,892,657 594,888	9,454,416 595,761	9,010,057 577,894	8,640,983 542,168	7,458,529 549,667
Outlier Median	11,204,236 582,572	13,800,802 538,116	1,325,142 212,434	1,231,285 126,559	1,036,565 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	265,347 3,662,910	266,951 3,730,911	578,258 4,081,319	474,414 4,643,908	539,466 4,389,147
Charity care Median	42,426,842 2,654,636	47,109,826 2,940,659	57,927,062 3,380,215	61,016,590 3,488,738	51,088,334 3,233,405
Uncompensated care (UCC) Median	76,464,804 5,147,790	61,723,228 5,337,617	81,571,280 5,711,082	81,455,424 5,923,418	77,833,554 5,508,107
UCC as a % of operating expenses Median	7.52% 3.24	5.68% 3.12	6.83% 3.21	6.81% 3.3	6.36% 2.86
Total shortfall/UCC Median	76,730,151 9,489,989	61,990,179 9,424,297	82,149,538 10,120,158	81,929,838 11,171,337	78,373,020 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	349,219,954 52,142,039	358,134,663 54,485,252	367,963,303 57,395,589	368,344,775 58,830,919	381,994,234 61,722,907
Salaries as a % of operating expenses Median	34.35 36.68	32.96 36.56	30.80 36.37	30.79 35.93	31.20 35.24
Intern, resident salaries* Median	22,701,414 2,598,592	23,229,727 2,686,824	23,526,669 2,753,773	24,370,615 2,937,156	24,398,042 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	14,257,342 1,449,244	25,788,832 1,475,986	30,539,400 1,563,078	29,773,047 1,721,954	27,557,406 2,991,828
Contract hours, direct-care Median	200,812.00 22,725	376,551.50 23,018.5	416,897.00 24,503.48	395,834.54 25,026.5	340,720.00 33,786
Contract wages, direct-care Median	71.00 64.67	68.49 64.53	73.25 65.06	75.22 68.97	80.88 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.