As of the July, 2022, release via CMS

RANDOLPH HOSPITAL

CMS id: 340123
373 NORTH FAYETTEVILLE STREET, ASHEBORO NC 27204. County: RANDOLPH
System: --
CBSA: Greensboro-High Point, NC

The 145-bed, acute-care hospital had $-32,692,884 in net service to patients*, with a total profit margin of -38.71310% in fiscal year 2021, the latest year available.
It spent 8.09% of its operating expenses on uncompensated care and reported $0 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	133 118	133 118	133 119.5	133 118	133 119
Total beds Median	145 162	145 162	145 162	145 162	145 163.5
FTEs Median	818.30 788.06	742.93 793.42	691.63 806.03	644.85 787.61	638.54 804.34

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	90,917,362 150,932,746	99,912,511 158,950,878	102,016,857 168,696,998	86,277,958 163,454,693	81,335,575 186,589,412
Operating expenses Median	113,488,793 149,311,209	109,556,676 156,110,414	104,396,984 164,890,568	106,053,873 166,516,854	114,028,459 180,120,888
Net income from service 2 patients (NS2P) ? Median	-22,571,431 -964,173	-9,644,165 -643,601.5	-2,380,127 -116,254	-19,775,915 -5,025,862	-32,692,884 -1,284,564
NS2P margin ? Median	-24.83% -0.62	-9.65% -0.29	-2.33% 0.18	-22.92% -5.07	-40.20% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RANDOLPH 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	14,196,329 5,089,215	6,496,903 4,572,541	2,903,937 5,268,134	21,983,537 13,092,619	868,962 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	322,401 224,999	212,403 199,009	17,851 206,870.5	41,666 194,343	20,169 249,496
⊳ Line 7: Investments ? ⊳ Median	1,397,072 299,524	1,508,037 188,688.5	916,935 370,813	677,249 309,361.5	444,457 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	321	105	198	112	4
⊳ Line 11: Rebates and refunds of expenses	3,762	0	400	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	177,112	407,010	449,478	305,515	255,368
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	21,265	6,859	31	33	6,320
⊳ Line 17: Revenue from sale of drugs to other than patients	384	0	2,362	3	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,847	4,229	6,962	21,096	18,775
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	153,512	244,181	89,435	35,849	21,461
⊳ Line 21: Rental of vending machines	659	305	0	0	0
⊳ Line 22: Rental of hospital space	416,940	407,994	361,887	356,887	415,682
⊳ 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	11,701,054	3,705,780	1,058,398	20,545,127	-313,274
Total income ? Median	-8,375,102 6,586,430	-3,147,262 6,767,106	523,810 8,419,950	2,207,622 8,094,175	-31,823,922 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	-8,375,102 6,043,842	-3,147,262 5,845,112	523,810 7,606,259	2,207,622 7,283,041	-31,823,922 14,957,241
Net margin Median	-7.96766% 4.62%	-2.95769% 4.42%	0.49924% 5.16%	2.03916% 5.2%	-38.71310% 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 RANDOLPH 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	11,153,702 23,241,334	10,720,483 23,709,545	11,222,769 24,248,380	9,817,123 22,858,541	8,646,931 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	11,153,702 21,577,146	10,720,483 22,041,594	11,222,769 22,722,063	9,817,123 21,570,441	8,646,931 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	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	12,494,392 11,160,864	12,327,430 11,987,345	11,910,713 12,926,866	10,810,851 11,884,480	9,826,104 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	10,339,837 10,918,923	10,477,639 11,706,976	10,405,118 12,615,917	8,905,134 11,458,116	7,762,408 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,154,555 1,282,808	1,849,791 1,407,728	1,505,595 1,341,512	1,905,717 1,407,046	2,063,696 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	272,254 594,888	361,473 595,761	238,367 577,894	178,521 542,168	161,105 549,667
Outlier Median	57,365 582,572	7,197 538,116	87,799 212,434	18,458 126,559	64,908 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	31,657 3,662,910	42,514 3,730,911	51,450 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	5,209,312 2,654,636	5,381,723 2,940,659	4,761,601 3,380,215	5,412,544 3,488,738	5,139,733 3,233,405
Uncompensated care (UCC) Median	8,790,211 5,147,790	9,802,431 5,337,617	9,842,903 5,711,082	10,589,330 5,923,418	9,229,500 5,508,107
UCC as a % of operating expenses Median	7.75% 3.24	8.95% 3.12	9.43% 3.21	9.98% 3.3	8.09% 2.86
Total shortfall/UCC Median	8,821,868 9,489,989	9,844,945 9,424,297	9,894,353 10,120,158	10,589,330 11,171,337	9,229,500 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	40,539,317 52,142,039	39,270,100 54,485,252	38,818,442 57,395,589	37,546,483 58,830,919	39,548,310 61,722,907
Salaries as a % of operating expenses Median	35.72 36.68	35.84 36.56	37.18 36.37	35.40 35.93	34.68 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	1,963,349 1,449,244	914,606 1,475,986	0 1,563,078	635,917 1,721,954	2,108,130 2,991,828
Contract hours, direct-care Median	27,171.05 22,725	13,101.00 23,018.5	0.00 24,503.48	9,164.71 25,026.5	18,047.18 33,786
Contract wages, direct-care Median	72.26 64.67	69.81 64.53	0.00 65.06	69.39 68.97	116.81 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.