As of the July, 2022, release via CMS

NORTH CAROLINA SPECIALTY HOSPITAL

CMS id: 340049
3916 BEN FRANKLIN BLVD, DURHAM NC 27701. County: DURHAM
System: SURGERY CENTER HOLDINGS INC
CBSA: Durham-Chapel Hill, NC

The 18-bed, acute-care hospital had $10,449,951 in net service to patients*, with a total profit margin of 19.34835% in fiscal year 2021, the latest year available.
It spent 0.99% of its operating expenses on uncompensated care and reported $391,039 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	18 118	18 118	18 119.5	18 118	18 119
Total beds Median	18 162	18 162	18 162	18 162	18 163.5
FTEs Median	183.76 788.06	185.26 793.42	189.92 806.03	188.97 787.61	204.87 804.34

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	58,283,862 150,932,746	56,403,764 158,950,878	58,607,738 168,696,998	62,776,287 163,454,693	67,897,783 186,589,412
Operating expenses Median	47,017,269 149,311,209	47,797,239 156,110,414	50,465,311 164,890,568	52,444,875 166,516,854	57,447,832 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,266,593 -964,173	8,606,525 -643,601.5	8,142,427 -116,254	10,331,412 -5,025,862	10,449,951 -1,284,564
NS2P margin ? Median	19.33% -0.62	15.26% -0.29	13.89% 0.18	16.46% -5.07	15.39% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH CAROLINA SPECIALTY 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	1,038,983 5,089,215	998,030 4,572,541	1,584,514 5,268,134	1,802,550 13,092,619	3,332,087 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	2,247 299,524	4,599 188,688.5	3,241 370,813	12,941 309,361.5	18,924 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	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	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ 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	1,036,736	993,431	1,581,273	1,789,609	3,313,163
Total income ? Median	12,305,576 6,586,430	9,604,555 6,767,106	9,726,941 8,419,950	12,133,962 8,094,175	13,782,038 15,162,888
Non-operating expenses Median	25,284 146,289.5	16,954 164,857	47,825 89,880.5	0 106,761	235 31,473.5
Net income Median	12,280,292 6,043,842	9,587,601 5,845,112	9,679,116 7,606,259	12,133,962 7,283,041	13,781,803 14,957,241
Net margin Median	20.70078% 4.62%	16.70262% 4.42%	16.08034% 5.16%	18.78938% 5.2%	19.34835% 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 NORTH CAROLINA SPECIALTY 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	7,990,357 23,241,334	7,813,776 23,709,545	7,515,185 24,248,380	5,085,148 22,858,541	3,644,563 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	7,990,357 21,577,146	7,813,776 22,041,594	7,515,185 22,722,063	5,085,148 21,570,441	3,644,563 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	6,087,789 11,160,864	6,326,838 11,987,345	6,221,555 12,926,866	7,206,268 11,884,480	10,191,461 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	6,087,789 10,918,923	6,326,838 11,706,976	6,221,555 12,615,917	7,206,268 11,458,116	10,191,461 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	152,696 582,572	26,483 538,116	38,801 212,434	35,472 126,559	88,271 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	736,714 3,662,910	653,361 3,730,911	655,886 4,081,319	683,635 4,643,908	391,039 4,389,147
Charity care Median	111,353 2,654,636	79,219 2,940,659	136,342 3,380,215	86,868 3,488,738	45,078 3,233,405
Uncompensated care (UCC) Median	449,660 5,147,790	247,596 5,337,617	594,479 5,711,082	479,814 5,923,418	569,631 5,508,107
UCC as a % of operating expenses Median	0.96% 3.24	0.52% 3.12	1.18% 3.21	0.91% 3.3	0.99% 2.86
Total shortfall/UCC Median	1,186,374 9,489,989	900,957 9,424,297	1,250,365 10,120,158	1,163,449 11,171,337	960,670 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	12,218,897 52,142,039	11,909,982 54,485,252	13,047,728 57,395,589	13,477,535 58,830,919	14,950,297 61,722,907
Salaries as a % of operating expenses Median	25.99 36.68	24.92 36.56	25.85 36.37	25.70 35.93	26.02 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	340,086 1,449,244	368,342 1,475,986	477,018 1,563,078	498,781 1,721,954	675,510 2,991,828
Contract hours, direct-care Median	5,876.70 22,725	6,276.96 23,018.5	8,144.11 24,503.48	8,108.60 25,026.5	10,303.19 33,786
Contract wages, direct-care Median	57.87 64.67	58.68 64.53	58.57 65.06	61.51 68.97	65.56 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.