As of the July, 2022, release via CMS

FIRSTHEALTH MOORE REGIONAL HOSPITAL

CMS id: 340115
35 MEMORIAL DRIVE, PINEHURST NC 28374. County: MOORE
System: FIRSTHEALTH OF THE CAROLINAS
CBSA: Pinehurst-Southern Pines, NC

The 449-bed, acute-care hospital had $82,326,102 in net service to patients*, with a total profit margin of 20.26586% in fiscal year 2021, the latest year available.
It spent 4.50% of its operating expenses on uncompensated care and reported $130,169 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	303 118	304 118	304 119.5	304 118	304 119
Total beds Median	466 162	449 162	449 162	449 162	449 163.5
FTEs Median	3,018.14 788.06	3,038.59 793.42	3,055.89 806.03	3,017.00 787.61	3,115.09 804.34

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	635,053,438 150,932,746	627,661,607 158,950,878	707,624,063 168,696,998	696,264,026 163,454,693	777,631,182 186,589,412
Operating expenses Median	560,028,598 149,311,209	565,933,573 156,110,414	623,201,939 164,890,568	633,930,026 166,516,854	695,305,080 180,120,888
Net income from service 2 patients (NS2P) ? Median	75,024,840 -964,173	61,728,034 -643,601.5	84,422,124 -116,254	62,334,000 -5,025,862	82,326,102 -1,284,564
NS2P margin ? Median	11.81% -0.62	9.83% -0.29	11.93% 0.18	8.95% -5.07	10.59% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FIRSTHEALTH MOORE REGIONAL 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	84,559,955 5,089,215	59,185,808 4,572,541	32,950,801 5,268,134	129,649,193 13,092,619	168,087,180 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	84,559,955	59,185,808	32,950,801	129,649,193	168,087,180
Total income ? Median	159,584,795 6,586,430	120,913,842 6,767,106	117,372,925 8,419,950	191,983,193 8,094,175	250,413,282 15,162,888
Non-operating expenses Median	48,521,698 146,289.5	46,257,918 164,857	51,455,714 89,880.5	55,043,951 106,761	58,755,321 31,473.5
Net income Median	111,063,097 6,043,842	74,655,924 5,845,112	65,917,211 7,606,259	136,939,242 7,283,041	191,657,961 14,957,241
Net margin Median	15.43372% 4.62%	10.86936% 4.42%	8.90082% 5.16%	16.58034% 5.2%	20.26586% 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 FIRSTHEALTH MOORE REGIONAL 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	121,518,915 23,241,334	119,393,833 23,709,545	122,359,999 24,248,380	112,104,624 22,858,541	102,902,833 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	117,142,782 21,577,146	115,138,217 22,041,594	118,550,275 22,722,063	107,955,586 21,570,441	98,904,476 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	1,330,849 1,845,420	1,473,020 1,757,392	967,712 1,738,842	893,375 1,510,463	712,798 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,045,284 3,535,627	2,782,596 3,746,588	2,842,012 3,782,288	3,255,663 3,865,578	3,285,559 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	63,882,214 11,160,864	64,624,539 11,987,345	68,581,653 12,926,866	63,902,544 11,884,480	67,862,987 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	63,882,214 10,918,923	64,624,539 11,706,976	68,581,653 12,615,917	63,902,544 11,458,116	67,862,987 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	2,102,144 594,888	2,283,772 595,761	2,083,772 577,894	1,881,000 542,168	1,581,607 549,667
Outlier Median	3,400,852 582,572	2,543,812 538,116	289,798 212,434	272,139 126,559	252,384 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,931,697 3,662,910	7,141,027 3,730,911	5,402,780 4,081,319	4,300,397 4,643,908	130,169 4,389,147
Charity care Median	18,046,219 2,654,636	20,443,283 2,940,659	12,783,290 3,380,215	14,352,211 3,488,738	15,874,270 3,233,405
Uncompensated care (UCC) Median	40,796,072 5,147,790	36,757,075 5,337,617	36,541,173 5,711,082	36,547,895 5,923,418	31,265,136 5,508,107
UCC as a % of operating expenses Median	7.28% 3.24	6.49% 3.12	5.86% 3.21	5.77% 3.3	4.50% 2.86
Total shortfall/UCC Median	46,727,769 9,489,989	43,898,102 9,424,297	41,943,953 10,120,158	40,848,292 11,171,337	31,395,305 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	204,094,687 52,142,039	204,306,627 54,485,252	214,206,662 57,395,589	220,076,975 58,830,919	246,833,427 61,722,907
Salaries as a % of operating expenses Median	36.44 36.68	36.10 36.56	34.37 36.37	34.72 35.93	35.50 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	8,543,746 1,449,244	7,222,536 1,475,986	8,827,436 1,563,078	7,270,721 1,721,954	12,985,973 2,991,828
Contract hours, direct-care Median	148,934.00 22,725	137,401.00 23,018.5	139,405.97 24,503.48	108,244.53 25,026.5	147,884.14 33,786
Contract wages, direct-care Median	57.37 64.67	52.57 64.53	63.32 65.06	67.17 68.97	87.81 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.