As of the July, 2022, release via CMS

VIDANT EDGECOMBE HOSPITAL

CMS id: 340107
111 HOSPITAL DRIVE, TARBORO NC 27886. County: EDGECOMBE
System: VIDANT HEALTH
CBSA: Rocky Mount, NC

The 117-bed, acute-care hospital had $6,891,046 in net service to patients*, with a total profit margin of 12.35248% in fiscal year 2021, the latest year available.
It spent 9.08% of its operating expenses on uncompensated care and reported $24,068 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	86 118	86 118	86 119.5	93 118	102 119
Total beds Median	117 162	117 162	117 162	101 162	117 163.5
FTEs Median	443.08 788.06	450.86 793.42	454.64 806.03	437.23 787.61	417.28 804.34

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	88,934,883 150,932,746	88,748,104 158,950,878	88,106,052 168,696,998	86,946,053 163,454,693	97,215,372 186,589,412
Operating expenses Median	81,108,885 149,311,209	85,572,115 156,110,414	88,768,402 164,890,568	85,446,336 166,516,854	90,324,326 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,825,998 -964,173	3,175,989 -643,601.5	-662,350 -116,254	1,499,717 -5,025,862	6,891,046 -1,284,564
NS2P margin ? Median	8.80% -0.62	3.58% -0.29	-0.75% 0.18	1.72% -5.07	7.09% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for VIDANT EDGECOMBE 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	1,664,100 5,089,215	1,776,631 4,572,541	1,657,447 5,268,134	8,655,395 13,092,619	5,838,683 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	8,773 224,999	104,272 199,009	100,179 206,870.5	100,000 194,343	138,491 249,496
⊳ Line 7: Investments ? ⊳ Median	41,043 299,524	36,030 188,688.5	29,027 370,813	28,783 309,361.5	58,404 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	4,679	3,947	92	177	15
⊳ Line 11: Rebates and refunds of expenses	134,013	119,274	45,920	47,954	100,774
⊳ 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	481,003	504,196	521,165	414,582	325,013
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	15,824	19,501	20,963	6,960	1,471
⊳ Line 17: Revenue from sale of drugs to other than patients	67,246	110,751	51,195	199,087	788,528
⊳ Line 18: Revenue from sale of medical records and abstracts	65	12	0	248	220
⊳ 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	911,454	878,628	888,906	7,857,604	4,425,363
Total income ? Median	9,490,098 6,586,430	4,952,620 6,767,106	995,097 8,419,950	10,155,112 8,094,175	12,729,729 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	9,490,098 6,043,842	4,952,620 5,845,112	995,097 7,606,259	10,155,112 7,283,041	12,729,729 14,957,241
Net margin Median	10.47484% 4.62%	5.47101% 4.42%	1.10858% 5.16%	10.62234% 5.2%	12.35248% 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 VIDANT EDGECOMBE 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	18,277,394 23,241,334	17,303,535 23,709,545	16,035,189 24,248,380	13,601,497 22,858,541	12,736,109 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	16,641,054 21,577,146	15,604,311 22,041,594	15,418,278 22,722,063	13,600,716 21,570,441	12,736,109 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	1,636,340 3,535,627	1,699,224 3,746,588	616,911 3,782,288	781 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	7,732,054 11,160,864	7,985,924 11,987,345	7,691,698 12,926,866	6,508,613 11,884,480	6,062,024 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	7,465,728 10,918,923	7,697,915 11,706,976	7,381,486 12,615,917	6,231,300 11,458,116	5,835,466 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	266,326 618,038	288,009 697,279	310,212 690,232	277,313 684,010	226,558 670,558
⊳ 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	618,325 594,888	595,938 595,761	488,790 577,894	483,158 542,168	404,260 549,667
Outlier Median	355,909 582,572	653,406 538,116	110,384 212,434	1,584 126,559	2,530 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	27,361 3,662,910	277,707 3,730,911	2,060,600 4,081,319	58,427 4,643,908	24,068 4,389,147
Charity care Median	0 2,654,636	6,317,303 2,940,659	6,988,986 3,380,215	6,717,863 3,488,738	5,074,124 3,233,405
Uncompensated care (UCC) Median	4,935,055 5,147,790	10,258,610 5,337,617	9,644,546 5,711,082	9,704,386 5,923,418	8,201,081 5,508,107
UCC as a % of operating expenses Median	6.08% 3.24	11.99% 3.12	10.86% 3.21	11.36% 3.3	9.08% 2.86
Total shortfall/UCC Median	4,962,416 9,489,989	10,536,317 9,424,297	11,705,146 10,120,158	9,762,813 11,171,337	8,225,149 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	25,994,128 52,142,039	27,146,171 54,485,252	27,832,151 57,395,589	27,059,397 58,830,919	26,676,467 61,722,907
Salaries as a % of operating expenses Median	35.44 36.68	34.18 36.56	33.75 36.37	34.12 35.93	32.51 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	1,231,814 1,449,244	2,062,033 1,475,986	1,342,175 1,563,078	911,140 1,721,954	2,720,612 2,991,828
Contract hours, direct-care Median	18,308.00 22,725	32,851.00 23,018.5	22,444.00 24,503.48	13,252.00 25,026.5	39,087.48 33,786
Contract wages, direct-care Median	67.28 64.67	62.77 64.53	59.80 65.06	68.75 68.97	69.60 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.