As of the July, 2022, release via CMS

DUPLIN GENERAL HOSPITAL

CMS id: 340120
HIGHWAY 11 NORTH MAIN STREET, KENANSVILLE NC 28349. County: DUPLIN
System: VIDANT HEALTH
CBSA: Rural North Carolina

The 49-bed, acute-care hospital had $3,319,062 in net service to patients*, with a total profit margin of 16.66776% in fiscal year 2021, the latest year available.
It spent 11.55% of its operating expenses on uncompensated care and reported $42,194 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	40 118	40 118	40 119.5	40 118	40 119
Total beds Median	74 162	74 162	74 162	74 162	49 163.5
FTEs Median	367.00 788.06	383.46 793.42	376.92 806.03	395.52 787.61	316.76 804.34

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	54,135,188 150,932,746	53,370,757 158,950,878	60,683,096 168,696,998	59,734,212 163,454,693	62,394,966 186,589,412
Operating expenses Median	54,264,504 149,311,209	55,206,360 156,110,414	59,347,935 164,890,568	58,295,983 166,516,854	59,075,904 180,120,888
Net income from service 2 patients (NS2P) ? Median	-129,316 -964,173	-1,835,603 -643,601.5	1,335,161 -116,254	1,438,229 -5,025,862	3,319,062 -1,284,564
NS2P margin ? Median	-0.24% -0.62	-3.44% -0.29	2.20% 0.18	2.41% -5.07	5.32% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DUPLIN GENERAL 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	1,286,427 5,089,215	1,032,614 4,572,541	1,345,341 5,268,134	4,557,114 13,092,619	8,497,052 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	8,849 224,999	99,500 199,009	108,488 206,870.5	100,000 194,343	98,377 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	19,894 188,688.5	47,698 370,813	51,408 309,361.5	35,940 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	-75,601	-77,933	-77,474	-36,207	-31,986
⊳ Line 11: Rebates and refunds of expenses	104,448	87,532	20,224	25,375	39,812
⊳ Line 12: Parking lot receipts	420	0	185	210	210
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	366,423	400,974	406,698	322,105	273,190
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	30,426	46,284	54,177	16,367	524
⊳ Line 17: Revenue from sale of drugs to other than patients	42,843	0	-632	39,358	26,181
⊳ Line 18: Revenue from sale of medical records and abstracts	435	348	409	136	215
⊳ 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	5,840	4,969	0	0	0
⊳ Line 22: Rental of hospital space	0	80,961	85,423	115,825	102,980
⊳ 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	802,259	370,085	700,145	3,922,537	7,951,609
Total income ? Median	1,157,111 6,586,430	-802,989 6,767,106	2,680,502 8,419,950	5,995,343 8,094,175	11,816,114 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	1,157,111 6,043,842	-802,989 5,845,112	2,680,502 7,606,259	5,995,343 7,283,041	11,816,114 14,957,241
Net margin Median	2.08783% 4.62%	-1.47599% 4.42%	4.32141% 5.16%	9.32528% 5.2%	16.66776% 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 DUPLIN GENERAL 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	10,714,029 23,241,334	10,798,758 23,709,545	11,101,460 24,248,380	11,653,938 22,858,541	9,891,216 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	9,263,431 21,577,146	9,607,057 22,041,594	10,190,384 22,722,063	10,735,752 21,570,441	9,891,216 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	1,450,598 1,845,420	1,191,701 1,757,392	911,076 1,738,842	918,186 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	4,613,365 11,160,864	4,836,858 11,987,345	5,238,645 12,926,866	4,314,341 11,884,480	4,259,771 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	4,613,365 10,918,923	4,836,858 11,706,976	5,238,645 12,615,917	4,314,341 11,458,116	4,259,771 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	206,510 594,888	209,824 595,761	196,801 577,894	177,213 542,168	185,728 549,667
Outlier Median	114,613 582,572	27,800 538,116	165 212,434	4,242 126,559	1,252 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,786,719 3,662,910	1,276,996 3,730,911	1,466,671 4,081,319	215,782 4,643,908	42,194 4,389,147
Charity care Median	3,563,198 2,654,636	5,154,468 2,940,659	5,816,144 3,380,215	5,677,412 3,488,738	4,614,799 3,233,405
Uncompensated care (UCC) Median	7,103,002 5,147,790	7,610,179 5,337,617	8,326,002 5,711,082	7,920,100 5,923,418	6,820,789 5,508,107
UCC as a % of operating expenses Median	13.09% 3.24	13.78% 3.12	14.03% 3.21	13.59% 3.3	11.55% 2.86
Total shortfall/UCC Median	8,889,721 9,489,989	8,887,175 9,424,297	9,792,673 10,120,158	8,135,882 11,171,337	6,862,983 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	19,891,674 52,142,039	21,050,414 54,485,252	21,756,774 57,395,589	21,298,419 58,830,919	20,794,739 61,722,907
Salaries as a % of operating expenses Median	44.40 36.68	45.44 36.56	40.44 36.37	39.60 35.93	38.92 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	349,411 1,449,244	104,069 1,475,986	56,697 1,563,078	245,484 1,721,954	1,057,903 2,991,828
Contract hours, direct-care Median	5,519.00 22,725	1,993.00 23,018.5	967.00 24,503.48	4,462.00 25,026.5	13,245.33 33,786
Contract wages, direct-care Median	63.31 64.67	52.22 64.53	58.63 65.06	55.02 68.97	79.87 88.94

* in an approved program

Return to top

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.