As of the July, 2022, release via CMS

CAROLINAEAST MEDICAL CENTER

CMS id: 340131
2000 NEUSE BOULEVARD, NEW BERN NC 28561. County: CRAVEN
System: UNC HEALTH
CBSA: New Bern, NC

The 309-bed, acute-care hospital had $-7,746,989 in net service to patients*, with a total profit margin of 13.04917% in fiscal year 2021, the latest year available.
It spent 4.68% of its operating expenses on uncompensated care and reported $5,503,762 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	gov	gov	gov	gov	gov
Acute beds Median	209 118	214 118	215 119.5	209 118	217 119
Total beds Median	301 162	306 162	307 162	296 162	309 163.5
FTEs Median	2,098.59 788.06	2,170.90 793.42	2,243.50 806.03	2,282.78 787.61	2,301.13 804.34

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	363,074,196 150,932,746	405,828,280 158,950,878	420,241,994 168,696,998	417,836,767 163,454,693	467,405,340 186,589,412
Operating expenses Median	360,519,540 149,311,209	402,299,994 156,110,414	421,221,506 164,890,568	431,677,458 166,516,854	475,152,329 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,554,656 -964,173	3,528,286 -643,601.5	-979,512 -116,254	-13,840,691 -5,025,862	-7,746,989 -1,284,564
NS2P margin ? Median	0.70% -0.62	0.87% -0.29	-0.23% 0.18	-3.31% -5.07	-1.66% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CAROLINAEAST MEDICAL CENTER 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	37,919,600 5,089,215	35,855,110 4,572,541	16,326,266 5,268,134	60,831,509 13,092,619	80,689,584 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,051,789 224,999	3,253,367 199,009	1,450,875 206,870.5	3,174,461 194,343	552,237 249,496
⊳ Line 7: Investments ? ⊳ Median	33,680,644 299,524	27,528,428 188,688.5	8,603,166 370,813	34,545,666 309,361.5	69,015,342 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	56,845	37,861	13,449	10,089	3,049
⊳ Line 11: Rebates and refunds of expenses	1,333,313	1,464,374	1,854,311	2,422,579	2,619,574
⊳ 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	1,522,153	1,659,724	1,752,488	1,428,291	1,482,776
⊳ 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	328,883	351,573	357,645	380,927	358,946
⊳ Line 18: Revenue from sale of medical records and abstracts	21,344	19,227	16,114	21,931	14,051
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	55,909	178,606	188,078	238,415	67,898
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	9,000	4,500	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	-140,280	1,357,450	2,090,140	18,609,150	6,575,711
Total income ? Median	40,474,256 6,586,430	39,383,396 6,767,106	15,346,754 8,419,950	46,990,818 8,094,175	72,942,595 15,162,888
Non-operating expenses Median	0 146,289.5	2,208,916 164,857	1,722,550 89,880.5	1,503,054 106,761	1,420,750 31,473.5
Net income Median	40,474,256 6,043,842	37,174,480 5,845,112	13,624,204 7,606,259	45,487,764 7,283,041	71,521,845 14,957,241
Net margin Median	10.09349% 4.62%	8.41654% 4.42%	3.12075% 5.16%	9.50298% 5.2%	13.04917% 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 CAROLINAEAST MEDICAL CENTER 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	86,285,897 23,241,334	90,120,667 23,709,545	92,113,549 24,248,380	81,867,573 22,858,541	85,127,459 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	82,937,078 21,577,146	86,746,242 22,041,594	88,723,656 22,722,063	77,656,773 21,570,441	81,325,373 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	3,348,819 3,535,627	3,374,425 3,746,588	3,389,893 3,782,288	4,210,800 3,865,578	3,802,086 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	42,047,034 11,160,864	44,544,271 11,987,345	49,608,768 12,926,866	61,335,787 11,884,480	69,078,231 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	41,121,007 10,918,923	43,639,495 11,706,976	48,733,679 12,615,917	60,530,581 11,458,116	68,295,112 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	926,027 1,282,808	904,776 1,407,728	875,089 1,341,512	805,206 1,407,046	783,119 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	926,984 594,888	948,130 595,761	1,005,716 577,894	968,757 542,168	923,848 549,667
Outlier Median	2,159,559 582,572	1,336,045 538,116	113,127 212,434	139,282 126,559	131,243 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,648,772 3,662,910	3,370,317 3,730,911	1,641,218 4,081,319	0 4,643,908	5,503,762 4,389,147
Charity care Median	2,854,305 2,654,636	3,166,365 2,940,659	9,847,510 3,380,215	11,107,431 3,488,738	9,841,133 3,233,405
Uncompensated care (UCC) Median	8,163,747 5,147,790	15,387,289 5,337,617	20,098,602 5,711,082	17,658,329 5,923,418	22,226,437 5,508,107
UCC as a % of operating expenses Median	2.26% 3.24	3.82% 3.12	4.77% 3.21	4.09% 3.3	4.68% 2.86
Total shortfall/UCC Median	11,812,519 9,489,989	18,757,606 9,424,297	21,739,820 10,120,158	17,658,329 11,171,337	27,730,199 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	144,489,067 52,142,039	152,605,573 54,485,252	161,296,613 57,395,589	167,994,323 58,830,919	176,952,368 61,722,907
Salaries as a % of operating expenses Median	40.08 36.68	37.93 36.56	38.29 36.37	38.92 35.93	37.24 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	146,946 1,449,244	440,311 1,475,986	612,574 1,563,078	801,850 1,721,954	2,343,092 2,991,828
Contract hours, direct-care Median	2,296.43 22,725	6,005.05 23,018.5	6,510.74 24,503.48	10,068.60 25,026.5	27,393.57 33,786
Contract wages, direct-care Median	63.99 64.67	73.32 64.53	94.09 65.06	79.64 68.97	85.53 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.