As of the July, 2022, release via CMS

S.E. REGL MEDICAL CENTER

CMS id: 340050
300 W. 27TH STREET, LUMBERTON NC 28358. County: ROBESON
System: --
CBSA: Lumberton, NC

The 373-bed, acute-care hospital had $-13,180,254 in net service to patients*, with a total profit margin of 13.98521% in fiscal year 2021, the latest year available.
It spent 8.35% of its operating expenses on uncompensated care and reported $7,045 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	273
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	242 118	242 118	216 119.5	233 118	233 119
Total beds Median	382 162	382 162	361 162	373 162	373 163.5
FTEs Median	1,914.20 788.06	1,869.98 793.42	1,756.90 806.03	1,580.77 787.61	1,460.94 804.34

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	249,540,642 150,932,746	254,078,082 158,950,878	253,526,057 168,696,998	249,331,434 163,454,693	198,089,205 186,589,412
Operating expenses Median	264,473,988 149,311,209	286,533,427 156,110,414	293,934,798 164,890,568	277,602,107 166,516,854	211,269,459 180,120,888
Net income from service 2 patients (NS2P) ? Median	-14,933,346 -964,173	-32,455,345 -643,601.5	-40,408,741 -116,254	-28,270,673 -5,025,862	-13,180,254 -1,284,564
NS2P margin ? Median	-5.98% -0.62	-12.77% -0.29	-15.94% 0.18	-11.34% -5.07	-6.65% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for S.E. REGL 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	32,076,607 5,089,215	26,082,767 4,572,541	25,187,498 5,268,134	54,772,438 13,092,619	47,530,719 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	13,153,823 299,524	6,480,741 188,688.5	0 370,813	3,594,657 309,361.5	12,184,034 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	-45,208	-48,792	0	1,030	273
⊳ 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	1,041,359	1,047,136	0	904,042	642,239
⊳ 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	11,198,800	11,187,733	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	493,026	500,589	0	365,602	160,506
⊳ Line 21: Rental of vending machines	30,362	25,690	0	0	0
⊳ Line 22: Rental of hospital space	705,849	427,218	0	472,703	338,801
⊳ 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	5,498,596	6,462,452	25,187,498	49,434,404	34,204,866
Total income ? Median	17,143,261 6,586,430	-6,372,578 6,767,106	-15,221,243 8,419,950	26,501,765 8,094,175	34,350,465 15,162,888
Non-operating expenses Median	3 146,289.5	-1 164,857	-799,330 89,880.5	0 106,761	0 31,473.5
Net income Median	17,143,258 6,043,842	-6,372,577 5,845,112	-14,421,913 7,606,259	26,501,765 7,283,041	34,350,465 14,957,241
Net margin Median	6.08743% 4.62%	-2.27461% 4.42%	-5.17446% 5.16%	8.71471% 5.2%	13.98521% 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 S.E. REGL 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	61,099,714 23,241,334	61,472,845 23,709,545	53,534,546 24,248,380	49,274,876 22,858,541	35,158,922 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	58,700,158 21,577,146	59,446,720 22,041,594	51,692,109 22,722,063	48,424,136 21,570,441	34,539,455 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	2,399,556 1,203,033	2,026,125 1,215,295	1,842,437 1,313,657	850,740 1,365,298	619,467 1,179,746
All outpatient revenue Median Click here to show/hide details	23,914,596 11,160,864	26,835,889 11,987,345	27,638,231 12,926,866	22,913,794 11,884,480	14,765,246 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	22,789,554 10,918,923	25,730,819 11,706,976	27,638,231 12,615,917	22,913,794 11,458,116	14,765,246 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,125,042 1,282,808	1,105,070 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	5,907,615 3,284,314	9,580,255 3,250,551	9,703,941 3,386,837	8,839,861 3,360,806	6,177,158 3,508,953
Disproportionate-share hospital (DSH) Median	1,997,549 594,888	1,877,266 595,761	2,069,206 577,894	1,756,269 542,168	1,200,952 549,667
Outlier Median	1,660,933 582,572	1,260,996 538,116	291,593 212,434	287,921 126,559	169,450 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	34,276 3,730,911	84,546 4,081,319	3,459 4,643,908	7,045 4,389,147
Charity care Median	2,193,557 2,654,636	3,485,503 2,940,659	11,652,549 3,380,215	18,651,646 3,488,738	11,617,220 3,233,405
Uncompensated care (UCC) Median	26,402,712 5,147,790	19,240,096 5,337,617	28,490,945 5,711,082	28,772,383 5,923,418	17,642,802 5,508,107
UCC as a % of operating expenses Median	9.98% 3.24	6.71% 3.12	9.69% 3.21	10.36% 3.3	8.35% 2.86
Total shortfall/UCC Median	26,402,712 9,489,989	19,274,372 9,424,297	28,575,491 10,120,158	28,775,842 11,171,337	17,649,847 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	102,076,848 52,142,039	108,067,871 54,485,252	114,199,383 57,395,589	102,646,102 58,830,919	84,153,442 61,722,907
Salaries as a % of operating expenses Median	38.60 36.68	37.72 36.56	38.85 36.37	36.98 35.93	39.83 35.24
Intern, resident salaries* Median	2,595,172 2,598,592	4,001,196 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	9,986,786 1,449,244	8,732,226 1,475,986	3,889,205 1,563,078	2,957,970 1,721,954	5,214,521 2,991,828
Contract hours, direct-care Median	138,099.34 22,725	140,981.15 23,018.5	63,098.00 24,503.48	46,362.25 25,026.5	68,330.80 33,786
Contract wages, direct-care Median	72.32 64.67	61.94 64.53	61.64 65.06	63.80 68.97	76.31 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.