As of the July, 2022, release via CMS

NASH HOSPITALS INC

CMS id: 340147
2460 CURTIS ELLIS DR, ROCKY MOUNT NC 27804. County: NASH
System: UNC HEALTH CARE SYSTEM
CBSA: Rocky Mount, NC

The 345-bed, acute-care hospital had $13,629,662 in net service to patients*, with a total profit margin of 13.06059% in fiscal year 2021, the latest year available.
It spent 3.45% of its operating expenses on uncompensated care and reported $85,301 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	292 118	292 118	292 119.5	292 118	292 119
Total beds Median	345 162	345 162	345 162	345 162	345 163.5
FTEs Median	1,599.00 788.06	1,618.00 793.42	1,581.00 806.03	1,592.00 787.61	1,458.00 804.34

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	257,956,013 150,932,746	254,510,171 158,950,878	278,259,236 168,696,998	274,314,428 163,454,693	322,840,236 186,589,412
Operating expenses Median	270,723,644 149,311,209	277,201,010 156,110,414	279,953,739 164,890,568	278,448,224 166,516,854	309,210,574 180,120,888
Net income from service 2 patients (NS2P) ? Median	-12,767,631 -964,173	-22,690,839 -643,601.5	-1,694,503 -116,254	-4,133,796 -5,025,862	13,629,662 -1,284,564
NS2P margin ? Median	-4.95% -0.62	-8.92% -0.29	-0.61% 0.18	-1.51% -5.07	4.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NASH HOSPITALS INC 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	9,958,181 5,089,215	6,276,462 4,572,541	6,206,485 5,268,134	12,303,292 13,092,619	32,821,926 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	63,732 224,999	37,534 199,009	-206,318 206,870.5	-355,180 194,343	-486,317 249,496
⊳ Line 7: Investments ? ⊳ Median	6,912,208 299,524	3,144,482 188,688.5	3,804,022 370,813	-533,776 309,361.5	14,321,020 375,329
⊳ 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	1,408,529	1,295,597	1,356,922	1,297,229	1,174,779
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	18,096	24,326	44,420	56,701	32,226
⊳ Line 17: Revenue from sale of drugs to other than patients	118,897	118,114	71,050	78,583	73,351
⊳ Line 18: Revenue from sale of medical records and abstracts	2,479	3,474	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	222,581	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	208,237	198,709	36,049	181,438	36,047
⊳ Line 21: Rental of vending machines	0	0	0	42,617	372,194
⊳ Line 22: Rental of hospital space	0	0	261,330	266,407	327,637
⊳ 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	1,226,003	1,454,226	616,429	11,269,273	16,970,989
Total income ? Median	-2,809,450 6,586,430	-16,414,377 6,767,106	4,511,982 8,419,950	8,169,496 8,094,175	46,451,588 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	-2,809,450 6,043,842	-16,414,377 5,845,112	4,511,982 7,606,259	8,169,496 7,283,041	46,451,588 14,957,241
Net margin Median	-1.04864% 4.62%	-6.29418% 4.42%	1.58613% 5.16%	2.85031% 5.2%	13.06059% 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 NASH HOSPITALS INC 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	53,544,116 23,241,334	50,491,850 23,709,545	49,543,418 24,248,380	47,732,207 22,858,541	48,725,131 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	47,476,448 21,577,146	44,258,709 22,041,594	44,058,789 22,722,063	42,362,912 21,570,441	42,459,248 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	6,067,668 3,535,627	6,233,141 3,746,588	5,484,629 3,782,288	5,369,295 3,865,578	6,265,883 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	24,429,660 11,160,864	26,778,021 11,987,345	25,910,395 12,926,866	27,429,514 11,884,480	27,760,033 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	24,429,660 10,918,923	26,778,021 11,706,976	25,910,395 12,615,917	27,429,514 11,458,116	27,760,033 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	1,982,901 594,888	1,876,420 595,761	1,902,534 577,894	1,791,383 542,168	1,432,471 549,667
Outlier Median	901,922 582,572	861,170 538,116	612,064 212,434	157,731 126,559	50,609 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	392,765 3,662,910	0 3,730,911	0 4,081,319	97,613 4,643,908	85,301 4,389,147
Charity care Median	7,299,845 2,654,636	7,437,219 2,940,659	3,993,501 3,380,215	4,776,682 3,488,738	828,682 3,233,405
Uncompensated care (UCC) Median	20,815,744 5,147,790	19,382,581 5,337,617	13,986,191 5,711,082	20,457,477 5,923,418	10,654,589 5,508,107
UCC as a % of operating expenses Median	7.69% 3.24	6.99% 3.12	5.00% 3.21	7.35% 3.3	3.45% 2.86
Total shortfall/UCC Median	21,208,509 9,489,989	19,382,581 9,424,297	13,986,191 10,120,158	20,555,090 11,171,337	10,739,890 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	87,647,936 52,142,039	99,501,788 54,485,252	100,655,322 57,395,589	98,892,247 58,830,919	107,321,973 61,722,907
Salaries as a % of operating expenses Median	39.29 36.68	44.05 36.56	43.50 36.37	43.23 35.93	43.12 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	4,018,486 1,449,244	9,776,267 1,475,986	6,204,692 1,563,078	6,272,709 1,721,954	10,352,673 2,991,828
Contract hours, direct-care Median	57,049.00 22,725	137,384.00 23,018.5	92,444.00 24,503.48	93,278.00 25,026.5	113,210.00 33,786
Contract wages, direct-care Median	70.44 64.67	71.16 64.53	67.12 65.06	67.25 68.97	91.45 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.