As of the July, 2022, release via CMS

PHOEBE PUTNEY MEMORIAL HOSPITAL

CMS id: 110007
417 W THIRD AVENUE, ALBANY GA 31701. County: DOUGHERTY
System: PHOEBE PUTNEY HEALTH SYSTEM
CBSA: Albany, GA

The 496-bed, acute-care hospital had $-91,543,601 in net service to patients*, with a total profit margin of 5.93417% in fiscal year 2021, the latest year available.
It spent 5.06% of its operating expenses on uncompensated care and reported $41,784 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	343 118	332 118	340 119.5	367 118	367 119
Total beds Median	445 162	461 162	460 162	496 162	496 163.5
FTEs Median	2,269.46 788.06	2,302.41 793.42	2,352.14 806.03	2,269.87 787.61	2,329.93 804.34

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	499,964,751 150,932,746	509,988,975 158,950,878	558,129,476 168,696,998	574,996,597 163,454,693	610,650,138 186,589,412
Operating expenses Median	517,136,765 149,311,209	528,853,296 156,110,414	568,742,063 164,890,568	595,951,295 166,516,854	702,193,739 180,120,888
Net income from service 2 patients (NS2P) ? Median	-17,172,014 -964,173	-18,864,321 -643,601.5	-10,612,587 -116,254	-20,954,698 -5,025,862	-91,543,601 -1,284,564
NS2P margin ? Median	-3.43% -0.62	-3.70% -0.29	-1.90% 0.18	-3.64% -5.07	-14.99% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PHOEBE PUTNEY MEMORIAL HOSPITAL 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	23,107,362 5,089,215	21,863,589 4,572,541	22,078,994 5,268,134	29,486,464 13,092,619	135,841,671 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,606,600 224,999	3,807,573 199,009	3,988,803 206,870.5	5,021,608 194,343	6,291,398 249,496
⊳ Line 7: Investments ? ⊳ Median	4,412,530 299,524	2,658,389 188,688.5	-481,651 370,813	-1,898,720 309,361.5	4,772,332 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	38,504	3,048	5,849	417,152	925,973
⊳ Line 11: Rebates and refunds of expenses	1,825,101	2,360,491	2,610,385	3,221,226	3,061,759
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	23,570	84,841	51,389	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,116,622	2,109,806	2,390,805	2,151,842	1,867,854
⊳ Line 15: Revenue from rental of living quarters	12,316	30,556	43,074	18,624	1,270
⊳ 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	397,835	570,046	636,083	592,574	0
⊳ Line 18: Revenue from sale of medical records and abstracts	270	0	75	75	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	596,744	579,566	512,001	420,628	425,840
⊳ Line 21: Rental of vending machines	36,982	35,531	57,007	34,628	34,641
⊳ Line 22: Rental of hospital space	2,345,549	2,632,932	2,590,750	2,540,325	2,585,003
⊳ 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	7,694,739	6,990,810	9,674,424	16,966,502	115,875,601
Total income ? Median	5,935,348 6,586,430	2,999,268 6,767,106	11,466,407 8,419,950	8,531,766 8,094,175	44,298,070 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	5,935,348 6,043,842	2,999,268 5,845,112	11,466,407 7,606,259	8,531,766 7,283,041	44,298,070 14,957,241
Net margin Median	1.13471% 4.62%	0.56393% 4.42%	1.97626% 5.16%	1.41142% 5.2%	5.93417% 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 PHOEBE PUTNEY MEMORIAL HOSPITAL 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	69,531,564 23,241,334	68,375,358 23,709,545	77,439,299 24,248,380	68,210,704 22,858,541	71,710,526 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	65,219,614 21,577,146	64,089,002 22,041,594	74,054,514 22,722,063	64,940,596 21,570,441	68,795,849 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	413,728 1,845,420	410,458 1,757,392	372,175 1,738,842	199,780 1,510,463	303,779 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,898,222 3,535,627	3,875,898 3,746,588	3,012,610 3,782,288	3,070,328 3,865,578	2,610,898 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	47,006,077 11,160,864	46,330,927 11,987,345	47,707,387 12,926,866	44,686,494 11,884,480	43,015,239 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	42,850,542 10,918,923	43,293,216 11,706,976	47,707,387 12,615,917	43,766,998 11,458,116	41,980,062 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,155,535 1,282,808	3,037,711 1,407,728	0 1,341,512	919,496 1,407,046	1,035,177 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	1,837,620 3,284,314	2,098,683 3,250,551	1,882,910 3,386,837	2,012,640 3,360,806	2,189,839 3,508,953
Disproportionate-share hospital (DSH) Median	3,393,286 594,888	2,647,058 595,761	1,253,572 577,894	2,121,648 542,168	2,094,249 549,667
Outlier Median	3,689,003 582,572	3,312,229 538,116	3,825,985 212,434	846,097 126,559	766,314 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	35,231 3,730,911	94,903 4,081,319	7,132,813 4,643,908	41,784 4,389,147
Charity care Median	18,558,119 2,654,636	18,327,147 2,940,659	19,697,274 3,380,215	19,510,875 3,488,738	25,500,426 3,233,405
Uncompensated care (UCC) Median	44,424,513 5,147,790	39,884,695 5,337,617	23,322,101 5,711,082	27,139,430 5,923,418	35,511,172 5,508,107
UCC as a % of operating expenses Median	8.59% 3.24	7.54% 3.12	4.10% 3.21	4.55% 3.3	5.06% 2.86
Total shortfall/UCC Median	44,424,513 9,489,989	39,919,926 9,424,297	23,417,004 10,120,158	34,272,243 11,171,337	35,552,956 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	136,006,022 52,142,039	137,771,821 54,485,252	143,555,766 57,395,589	139,716,562 58,830,919	143,937,612 61,722,907
Salaries as a % of operating expenses Median	27.70 36.68	27.41 36.56	26.49 36.37	24.61 35.93	21.36 35.24
Intern, resident salaries* Median	929,611 2,598,592	1,032,394 2,686,824	1,152,096 2,753,773	1,247,090 2,937,156	1,302,384 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	7,137,364 1,449,244	12,107,749 1,475,986	16,476,073 1,563,078	31,406,439 1,721,954	90,168,031 2,991,828
Contract hours, direct-care Median	107,269.54 22,725	177,479.55 23,018.5	254,181.00 24,503.48	414,268.40 25,026.5	769,930.00 33,786
Contract wages, direct-care Median	66.54 64.67	68.22 64.53	64.82 65.06	75.81 68.97	117.11 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.