As of the July, 2022, release via CMS

NEW HANOVER REGIONAL MEDICAL CENTER

CMS id: 340141
2131 S. 17TH ST, WILMINGTON NC 28402. County: NEW HANOVER
System: --
CBSA: Wilmington, NC

The 800-bed, acute-care hospital had $-35,863,488 in net service to patients*, with a total profit margin of -4.13290% in fiscal year 2021, the latest year available.
It spent 3.78% of its operating expenses on uncompensated care and reported $192,700 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	123
Ownership	gov	gov	gov	gov	gov
Acute beds Median	519 118	514 118	570 119.5	572 118	572 119
Total beds Median	747 162	738 162	798 162	800 162	800 163.5
FTEs Median	5,244.03 788.06	5,460.75 793.42	5,600.28 806.03	5,735.74 787.61	5,925.75 804.34

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	944,473,355 150,932,746	1,003,318,013 158,950,878	1,112,644,016 168,696,998	1,113,080,059 163,454,693	390,044,245 186,589,412
Operating expenses Median	898,160,108 149,311,209	971,271,175 156,110,414	1,069,291,812 164,890,568	1,122,014,188 166,516,854	425,907,733 180,120,888
Net income from service 2 patients (NS2P) ? Median	46,313,247 -964,173	32,046,838 -643,601.5	43,352,204 -116,254	-8,934,129 -5,025,862	-35,863,488 -1,284,564
NS2P margin ? Median	4.90% -0.62	3.19% -0.29	3.90% 0.18	-0.80% -5.07	-9.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NEW HANOVER REGIONAL 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	51,449,165 5,089,215	49,036,696 4,572,541	63,755,071 5,268,134	141,937,028 13,092,619	19,175,950 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	40,385,626 299,524	31,527,123 188,688.5	22,299,680 370,813	48,349,949 309,361.5	-7,270,403 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	52,838	10,800	12,097	35,595	17,843
⊳ 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	124,480	104,121	102,902	93,820	36,105
⊳ Line 14: Revenue from meals sold to emplyees and guests	5,159,537	5,165,091	5,464,706	4,463,978	1,246,268
⊳ 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	7,090,481	14,328,157	26,903,883	42,350,876	20,003,049
⊳ Line 18: Revenue from sale of medical records and abstracts	43,751	52,292	46,784	45,926	16,905
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	113,400	112,206	100,605	129,372	36,282
⊳ 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	1,312,709	1,541,138	1,631,768	1,469,810	493,898
⊳ 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	-2,833,657	-3,804,232	7,192,646	44,997,702	4,596,003
Total income ? Median	97,762,412 6,586,430	81,083,534 6,767,106	107,107,275 8,419,950	133,002,899 8,094,175	-16,687,538 15,162,888
Non-operating expenses Median	873,295 146,289.5	1,186,047 164,857	839,611 89,880.5	1,458,739 106,761	225,130 31,473.5
Net income Median	96,889,117 6,043,842	79,897,487 5,845,112	106,267,664 7,606,259	131,544,160 7,283,041	-16,912,668 14,957,241
Net margin Median	9.72858% 4.62%	7.59226% 4.42%	9.03330% 5.16%	10.48146% 5.2%	-4.13290% 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 NEW HANOVER REGIONAL 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	241,250,970 23,241,334	232,334,026 23,709,545	230,979,718 24,248,380	213,617,836 22,858,541	70,569,021 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	227,978,736 21,577,146	218,678,960 22,041,594	218,399,502 22,722,063	202,087,511 21,570,441	66,767,674 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	3,580,315 1,845,420	4,451,064 1,757,392	4,249,434 1,738,842	3,093,697 1,510,463	763,233 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	9,691,919 3,535,627	9,204,002 3,746,588	8,330,782 3,782,288	8,436,628 3,865,578	3,038,114 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	98,131,448 11,160,864	124,333,228 11,987,345	139,077,807 12,926,866	134,341,027 11,884,480	44,189,425 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	98,131,448 10,918,923	124,333,228 11,706,976	139,077,807 12,615,917	134,341,027 11,458,116	44,189,425 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	9,315,867 3,284,314	9,461,505 3,250,551	9,096,492 3,386,837	9,881,155 3,360,806	3,233,977 3,508,953
Disproportionate-share hospital (DSH) Median	4,368,807 594,888	4,388,070 595,761	4,418,350 577,894	4,588,562 542,168	1,398,453 549,667
Outlier Median	6,950,553 582,572	5,189,049 538,116	1,471,149 212,434	1,195,978 126,559	439,059 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	151,362 3,662,910	330,609 3,730,911	682,991 4,081,319	699,565 4,643,908	192,700 4,389,147
Charity care Median	18,886,811 2,654,636	22,167,513 2,940,659	19,963,738 3,380,215	22,810,218 3,488,738	6,769,412 3,233,405
Uncompensated care (UCC) Median	40,878,660 5,147,790	45,221,712 5,337,617	44,141,209 5,711,082	50,459,206 5,923,418	16,112,328 5,508,107
UCC as a % of operating expenses Median	4.55% 3.24	4.66% 3.12	4.13% 3.21	4.50% 3.3	3.78% 2.86
Total shortfall/UCC Median	41,030,022 9,489,989	45,552,321 9,424,297	44,824,200 10,120,158	51,158,771 11,171,337	16,305,028 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	331,655,516 52,142,039	350,366,905 54,485,252	380,004,690 57,395,589	401,719,645 58,830,919	140,551,231 61,722,907
Salaries as a % of operating expenses Median	36.88 36.68	35.45 36.56	35.54 36.37	35.80 35.93	33.00 35.24
Intern, resident salaries* Median	4,352,216 2,598,592	4,283,281 2,686,824	4,422,183 2,753,773	4,655,098 2,937,156	1,602,067 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	1,564,929 1,449,244	5,849,262 1,475,986	2,014,130 1,563,078	11,357,174 1,721,954	8,268,403 2,991,828
Contract hours, direct-care Median	27,224.00 22,725	87,407.00 23,018.5	30,801.82 24,503.48	150,694.00 25,026.5	93,860.00 33,786
Contract wages, direct-care Median	57.48 64.67	66.92 64.53	65.39 65.06	75.37 68.97	88.09 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.