As of the July, 2022, release via CMS

THE MOSES H. CONE MEMORIAL HOSPITAL

CMS id: 340091
1200 NORTH ELM ST, GREENSBORO NC 27401. County: GUILFORD
System: THE MOSES H. CONE MEMORIAL HOSPITAL
CBSA: Greensboro-High Point, NC

The 921-bed, acute-care hospital had $56,935,818 in net service to patients*, with a total profit margin of 6.99318% in fiscal year 2021, the latest year available.
It spent 7.75% of its operating expenses on uncompensated care and reported $418,809 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	613 118	586 118	587 119.5	631 118	670 119
Total beds Median	862 162	831 162	823 162	874 162	921 163.5
FTEs Median	5,336.74 788.06	5,453.35 793.42	5,569.39 806.03	5,599.46 787.61	5,677.77 804.34

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	1,105,450,291 150,932,746	1,199,502,063 158,950,878	1,315,093,996 168,696,998	1,317,138,097 163,454,693	1,220,416,231 186,589,412
Operating expenses Median	888,143,156 149,311,209	936,416,967 156,110,414	1,012,477,550 164,890,568	1,046,680,175 166,516,854	1,163,480,413 180,120,888
Net income from service 2 patients (NS2P) ? Median	217,307,135 -964,173	263,085,096 -643,601.5	302,616,446 -116,254	270,457,922 -5,025,862	56,935,818 -1,284,564
NS2P margin ? Median	19.66% -0.62	21.93% -0.29	23.01% 0.18	20.53% -5.07	4.67% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE MOSES H. CONE 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	32,895,471 5,089,215	19,362,277 4,572,541	20,433,462 5,268,134	67,855,802 13,092,619	30,546,287 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	32,895,471	19,362,277	20,433,462	67,855,802	30,546,287
Total income ? Median	250,202,606 6,586,430	282,447,373 6,767,106	323,049,908 8,419,950	338,313,724 8,094,175	87,482,105 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	250,202,606 6,043,842	282,447,373 5,845,112	323,049,908 7,606,259	338,313,724 7,283,041	87,482,105 14,957,241
Net margin Median	21.97949% 4.62%	23.17300% 4.42%	24.18894% 5.16%	24.42709% 5.2%	6.99318% 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 THE MOSES H. CONE 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	130,760,701 23,241,334	145,786,826 23,709,545	149,485,797 24,248,380	144,489,395 22,858,541	143,101,400 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	125,167,083 21,577,146	139,742,075 22,041,594	143,246,229 22,722,063	137,238,043 21,570,441	134,976,103 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	1,203,838 1,845,420	856,133 1,757,392	885,327 1,738,842	841,625 1,510,463	583,363 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,389,780 3,535,627	5,188,618 3,746,588	5,354,241 3,782,288	6,409,727 3,865,578	7,541,934 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	64,449,522 11,160,864	69,383,211 11,987,345	76,491,624 12,926,866	70,045,925 11,884,480	70,602,494 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	64,449,522 10,918,923	69,383,211 11,706,976	76,491,624 12,615,917	70,045,925 11,458,116	70,602,494 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	5,694,409 3,284,314	6,655,987 3,250,551	7,058,815 3,386,837	6,542,499 3,360,806	6,554,752 3,508,953
Disproportionate-share hospital (DSH) Median	3,930,769 594,888	3,979,676 595,761	4,048,740 577,894	3,575,830 542,168	2,979,872 549,667
Outlier Median	2,407,205 582,572	2,444,461 538,116	451,300 212,434	500,856 126,559	1,031,122 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,174,394 3,662,910	1,827,815 3,730,911	4,080,681 4,081,319	1,870,027 4,643,908	418,809 4,389,147
Charity care Median	44,648,917 2,654,636	45,341,780 2,940,659	48,535,861 3,380,215	45,447,774 3,488,738	47,769,555 3,233,405
Uncompensated care (UCC) Median	75,231,234 5,147,790	80,566,540 5,337,617	90,076,965 5,711,082	90,827,520 5,923,418	90,220,954 5,508,107
UCC as a % of operating expenses Median	8.47% 3.24	8.60% 3.12	8.90% 3.21	8.68% 3.3	7.75% 2.86
Total shortfall/UCC Median	76,405,628 9,489,989	82,394,355 9,424,297	94,157,646 10,120,158	92,697,547 11,171,337	90,639,763 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	362,278,242 52,142,039	372,659,633 54,485,252	400,434,661 57,395,589	418,878,932 58,830,919	458,333,915 61,722,907
Salaries as a % of operating expenses Median	40.79 36.68	39.80 36.56	39.55 36.37	40.02 35.93	39.39 35.24
Intern, resident salaries* Median	7,791,949 2,598,592	8,563,872 2,686,824	9,319,293 2,753,773	9,748,324 2,937,156	10,274,464 2,909,848
Contract intern, resident salaries* Median	435,468 1,251,927	496,929 1,186,494	541,504 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	3,294,339 1,449,244	6,273,363 1,475,986	541,504 1,563,078	7,550,406 1,721,954	46,050,469 2,991,828
Contract hours, direct-care Median	65,221.95 22,725	103,845.97 23,018.5	14,250.11 24,503.48	94,525.56 25,026.5	362,669.00 33,786
Contract wages, direct-care Median	50.51 64.67	60.41 64.53	38.00 65.06	79.88 68.97	126.98 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.