As of the July, 2022, release via CMS

MARIA PARHAM MEDICAL CENTER

CMS id: 340132
566 RUIN CREEK ROAD, HENDERSON NC 27536. County: VANCE
System: LIFEPOINT HEALTH
CBSA: Henderson, NC

The 135-bed, acute-care hospital had $-5,374,389 in net service to patients*, with a total profit margin of 3.05486% in fiscal year 2021, the latest year available.
It spent 10.02% of its operating expenses on uncompensated care and reported $1,109 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	71 118	71 118	71 119.5	84 118	91 119
Total beds Median	102 162	102 162	115 162	128 162	135 163.5
FTEs Median	606.83 788.06	588.76 793.42	613.91 806.03	609.03 787.61	588.78 804.34

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	108,745,270 150,932,746	106,959,639 158,950,878	120,552,906 168,696,998	110,898,528 163,454,693	122,360,903 186,589,412
Operating expenses Median	108,503,520 149,311,209	109,440,788 156,110,414	120,152,016 164,890,568	127,091,497 166,516,854	127,735,292 180,120,888
Net income from service 2 patients (NS2P) ? Median	241,750 -964,173	-2,481,149 -643,601.5	400,890 -116,254	-16,192,969 -5,025,862	-5,374,389 -1,284,564
NS2P margin ? Median	0.22% -0.62	-2.32% -0.29	0.33% 0.18	-14.60% -5.07	-4.39% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MARIA PARHAM 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	1,466,225 5,089,215	1,817,205 4,572,541	4,847,435 5,268,134	18,462,042 13,092,619	9,399,484 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	311,438	259,153	259,215	269,584	254,522
⊳ 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	52,379	120,304	81,151	103,098	81,470
⊳ Line 18: Revenue from sale of medical records and abstracts	7,856	7,337	3,064	2,615	315
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	25	0	0	0	0
⊳ Line 21: Rental of vending machines	6,458	11,350	11,037	10,194	7,478
⊳ Line 22: Rental of hospital space	876,054	853,308	916,773	921,074	936,171
⊳ 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	212,015	565,753	3,576,195	17,155,477	8,119,528
Total income ? Median	1,707,975 6,586,430	-663,944 6,767,106	5,248,325 8,419,950	2,269,073 8,094,175	4,025,095 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	1,707,975 6,043,842	-663,944 5,845,112	5,248,325 7,606,259	2,269,073 7,283,041	4,025,095 14,957,241
Net margin Median	1.54972% 4.62%	-0.61037% 4.42%	4.18526% 5.16%	1.75407% 5.2%	3.05486% 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 MARIA PARHAM 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	18,436,187 23,241,334	16,861,941 23,709,545	17,927,955 24,248,380	18,415,623 22,858,541	16,029,974 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	16,734,806 21,577,146	15,634,481 22,041,594	16,275,291 22,722,063	16,147,104 21,570,441	13,233,090 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	185,373 1,738,842	761,610 1,510,463	994,531 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,701,381 3,535,627	1,227,460 3,746,588	1,467,291 3,782,288	1,506,909 3,865,578	1,802,353 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	13,720,655 11,160,864	14,330,356 11,987,345	15,134,684 12,926,866	13,208,255 11,884,480	11,743,334 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	13,528,992 10,918,923	14,330,356 11,706,976	15,134,684 12,615,917	13,208,255 11,458,116	11,743,334 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	191,663 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	647,026 594,888	560,691 595,761	555,358 577,894	514,997 542,168	382,109 549,667
Outlier Median	161,780 582,572	74,243 538,116	90,152 212,434	188,057 126,559	264,130 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	37,946 3,662,910	227,594 3,730,911	525,423 4,081,319	9,391 4,643,908	1,109 4,389,147
Charity care Median	667,782 2,654,636	1,116,701 2,940,659	930,024 3,380,215	4,892,066 3,488,738	4,219,652 3,233,405
Uncompensated care (UCC) Median	6,431,803 5,147,790	7,484,222 5,337,617	7,433,971 5,711,082	13,745,890 5,923,418	12,796,242 5,508,107
UCC as a % of operating expenses Median	5.93% 3.24	6.84% 3.12	6.19% 3.21	10.82% 3.3	10.02% 2.86
Total shortfall/UCC Median	6,469,749 9,489,989	7,711,816 9,424,297	7,959,394 10,120,158	13,755,281 11,171,337	12,797,351 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	36,446,520 52,142,039	36,514,411 54,485,252	40,074,604 57,395,589	40,600,153 58,830,919	40,419,944 61,722,907
Salaries as a % of operating expenses Median	33.91 36.68	33.27 36.56	34.03 36.37	32.10 35.93	31.91 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	3,077,129 1,449,244	2,851,125 1,475,986	3,022,230 1,563,078	2,536,791 1,721,954	6,273,522 2,991,828
Contract hours, direct-care Median	53,217.00 22,725	50,110.00 23,018.5	51,194.00 24,503.48	39,183.00 25,026.5	66,854.00 33,786
Contract wages, direct-care Median	57.82 64.67	56.90 64.53	59.03 65.06	64.74 68.97	93.84 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.