As of the July, 2022, release via CMS

SO TENN REG MED CTR OF PULASKI

CMS id: 440020
1265 EAST COLLEGE, PULASKI TN 38478. County: GILES
System: LIFEPOINT HEALTH INC.
CBSA: Rural Tennessee

The 95-bed, acute-care hospital had $1,635,358 in net service to patients*, with a total profit margin of 7.26866% in fiscal year 2021, the latest year available.
It spent 4.86% of its operating expenses on uncompensated care and reported $1,783,594 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	75 118	75 118	75 119.5	75 118	75 119
Total beds Median	95 162	95 162	95 162	95 162	95 163.5
FTEs Median	208.72 788.06	0.00 793.42	254.81 806.03	226.22 787.61	214.32 804.34

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	37,461,191 150,932,746	39,714,395 158,950,878	40,894,604 168,696,998	37,409,437 163,454,693	41,671,736 186,589,412
Operating expenses Median	36,448,409 149,311,209	38,813,053 156,110,414	40,011,589 164,890,568	38,793,165 166,516,854	40,036,378 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,012,782 -964,173	901,342 -643,601.5	883,015 -116,254	-1,383,728 -5,025,862	1,635,358 -1,284,564
NS2P margin ? Median	2.70% -0.62	2.27% -0.29	2.16% 0.18	-3.70% -5.07	3.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SO TENN REG MED CTR OF PULASKI 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	645,348 5,089,215	659,332 4,572,541	659,809 5,268,134	5,236,635 13,092,619	1,502,858 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	12,673 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	18,854 188,688.5	1,632 370,813	1,021 309,361.5	771 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	1,648	278	44	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	0	397,476	402,651	164,390	317,103
⊳ 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	431	2,365
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	1,055	494	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	345	25	25	25
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	1,638	1,108	1,096	85
⊳ Line 22: Rental of hospital space	0	179,529	165,945	164,899	180,679
⊳ 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	645,348	46,114	87,676	4,904,729	1,001,830
Total income ? Median	1,658,130 6,586,430	1,560,674 6,767,106	1,542,824 8,419,950	3,852,907 8,094,175	3,138,216 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	1,658,130 6,043,842	1,560,674 5,845,112	1,542,824 7,606,259	3,852,907 7,283,041	3,138,216 14,957,241
Net margin Median	4.35130% 4.62%	3.86557% 4.42%	3.71278% 5.16%	9.03461% 5.2%	7.26866% 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 SO TENN REG MED CTR OF PULASKI 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	9,006,060 23,241,334	8,704,323 23,709,545	8,051,119 24,248,380	6,504,941 22,858,541	5,173,325 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	6,359,524 21,577,146	6,627,442 22,041,594	6,464,111 22,722,063	5,555,936 21,570,441	5,053,747 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	2,646,536 1,845,420	2,076,881 1,757,392	1,587,008 1,738,842	949,005 1,510,463	119,578 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	2,758,131 11,160,864	2,659,858 11,987,345	2,477,512 12,926,866	1,756,960 11,884,480	1,840,682 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	2,758,131 10,918,923	2,659,858 11,706,976	2,477,512 12,615,917	1,756,960 11,458,116	1,840,682 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	163,263 594,888	183,735 595,761	154,802 577,894	126,515 542,168	112,103 549,667
Outlier Median	202,799 582,572	91,247 538,116	151,366 212,434	8,110 126,559	1,285 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	631,175 3,662,910	1,290,729 3,730,911	1,516,224 4,081,319	959,681 4,643,908	1,783,594 4,389,147
Charity care Median	888,488 2,654,636	920,176 2,940,659	1,132,194 3,380,215	1,102,650 3,488,738	1,010,434 3,233,405
Uncompensated care (UCC) Median	1,855,551 5,147,790	1,885,628 5,337,617	1,996,601 5,711,082	1,873,452 5,923,418	1,945,751 5,508,107
UCC as a % of operating expenses Median	5.09% 3.24	4.86% 3.12	4.99% 3.21	4.83% 3.3	4.86% 2.86
Total shortfall/UCC Median	2,486,726 9,489,989	3,176,357 9,424,297	3,512,825 10,120,158	2,833,133 11,171,337	3,729,345 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	14,662,362 52,142,039	15,826,560 54,485,252	16,547,118 57,395,589	15,911,393 58,830,919	15,445,276 61,722,907
Salaries as a % of operating expenses Median	41.08 36.68	41.54 36.56	42.10 36.37	42.13 35.93	39.40 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	20,175 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	1,292,611 2,991,828
Contract hours, direct-care Median	299.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	16,171.14 33,786
Contract wages, direct-care Median	67.47 64.67	0.00 64.53	0.00 65.06	0.00 68.97	79.93 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.