As of the July, 2022, release via CMS

REGIONAL ONE HEALTH

CMS id: 440152
877 JEFFERSON AVENUE, MEMPHIS TN 38103. County: SHELBY
System: --
CBSA: Memphis, TN-MS-AR

The 328-bed, acute-care hospital had $-178,645,126 in net service to patients*, with a total profit margin of -0.59424% in fiscal year 2021, the latest year available.
It spent 10.92% of its operating expenses on uncompensated care and reported $2,566,743 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	164 118	164 118	164 119.5	170 118	162 119
Total beds Median	326 162	326 162	326 162	337 162	328 163.5
FTEs Median	2,644.87 788.06	2,734.75 793.42	2,687.75 806.03	2,634.64 787.61	2,550.22 804.34

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	351,344,462 150,932,746	366,976,883 158,950,878	366,651,513 168,696,998	332,127,549 163,454,693	414,369,238 186,589,412
Operating expenses Median	503,284,731 149,311,209	533,967,540 156,110,414	509,960,129 164,890,568	533,295,037 166,516,854	593,014,364 180,120,888
Net income from service 2 patients (NS2P) ? Median	-151,940,269 -964,173	-166,990,657 -643,601.5	-143,308,616 -116,254	-201,167,488 -5,025,862	-178,645,126 -1,284,564
NS2P margin ? Median	-43.25% -0.62	-45.50% -0.29	-39.09% 0.18	-60.57% -5.07	-43.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for REGIONAL ONE HEALTH 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	140,853,461 5,089,215	157,070,102 4,572,541	131,950,945 5,268,134	202,736,822 13,092,619	175,142,016 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	1,913,453 299,524	1,527,004 188,688.5	4,026,498 370,813	619,710 309,361.5	14,106,565 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	4,063	3,915	6,312	2,203	68
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	444,918	332,699	310,713	357,074	276,503
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ 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	20,009,443	32,211,481	61,592,680	86,318,280	53,735,210
⊳ Line 18: Revenue from sale of medical records and abstracts	1,575	21,584	8,852	16,651	29,436
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ 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	298,000	298,000	397,000	496,000	496,000
⊳ Line 23: Gov appropriations ? ⊳ Median	100,852,152 1,017,693	104,436,899 983,261.5	36,288,881 1,173,286	65,034,460 1,987,202	69,040,392 1,597,664
⊳ Sum Line 24	17,329,857	18,238,520	29,320,009	49,892,444	37,457,842
Total income ? Median	-11,086,808 6,586,430	-9,920,555 6,767,106	-11,357,671 8,419,950	1,569,334 8,094,175	-3,503,110 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	-11,086,808 6,043,842	-9,920,555 5,845,112	-11,357,671 7,606,259	1,569,334 7,283,041	-3,503,110 14,957,241
Net margin Median	-2.25251% 4.62%	-1.89307% 4.42%	-2.27790% 5.16%	0.29341% 5.2%	-0.59424% 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 REGIONAL ONE HEALTH 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	37,541,313 23,241,334	43,683,311 23,709,545	42,890,011 24,248,380	41,942,569 22,858,541	44,392,137 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	35,117,383 21,577,146	40,676,209 22,041,594	40,380,445 22,722,063	38,772,680 21,570,441	41,404,823 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	2,205,556 3,535,627	2,673,393 3,746,588	2,144,718 3,782,288	2,492,979 3,865,578	2,366,126 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	218,374 1,203,033	333,709 1,215,295	364,848 1,313,657	676,910 1,365,298	621,188 1,179,746
All outpatient revenue Median Click here to show/hide details	6,068,939 11,160,864	6,440,357 11,987,345	6,969,128 12,926,866	6,105,983 11,884,480	7,965,975 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	6,068,939 10,918,923	6,440,357 11,706,976	6,969,128 12,615,917	6,105,983 11,458,116	7,965,975 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	5,487,839 3,284,314	6,098,500 3,250,551	6,023,671 3,386,837	5,422,446 3,360,806	5,610,358 3,508,953
Disproportionate-share hospital (DSH) Median	2,319,082 594,888	1,690,709 595,761	2,327,249 577,894	1,736,560 542,168	1,322,264 549,667
Outlier Median	2,248,421 582,572	2,065,562 538,116	1,767,559 212,434	768,945 126,559	1,050,604 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,068,152 3,662,910	518,030 3,730,911	2,664,642 4,081,319	503,720 4,643,908	2,566,743 4,389,147
Charity care Median	61,623,389 2,654,636	56,044,248 2,940,659	51,034,965 3,380,215	50,123,401 3,488,738	47,625,571 3,233,405
Uncompensated care (UCC) Median	78,242,589 5,147,790	69,333,012 5,337,617	67,585,200 5,711,082	63,446,935 5,923,418	64,730,800 5,508,107
UCC as a % of operating expenses Median	15.55% 3.24	12.98% 3.12	13.25% 3.21	11.90% 3.3	10.92% 2.86
Total shortfall/UCC Median	100,310,741 9,489,989	69,851,042 9,424,297	70,249,842 10,120,158	63,950,655 11,171,337	67,297,543 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	197,131,358 52,142,039	203,913,080 54,485,252	169,597,559 57,395,589	170,486,179 58,830,919	185,175,628 61,722,907
Salaries as a % of operating expenses Median	39.17 36.68	38.19 36.56	33.26 36.37	31.97 35.93	31.23 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	10,604,936 1,251,927	11,206,175 1,186,494	12,339,426 1,204,885	12,129,003 1,279,653	12,743,104 1,469,317
Contract adjusted salaries, direct-care Median	14,898,397 1,449,244	21,590,703 1,475,986	17,514,258 1,563,078	19,384,891 1,721,954	14,574,827 2,991,828
Contract hours, direct-care Median	365,051.61 22,725	444,192.00 23,018.5	479,775.00 24,503.48	425,803.21 25,026.5	363,178.53 33,786
Contract wages, direct-care Median	40.81 64.67	48.61 64.53	36.51 65.06	45.53 68.97	40.13 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.