As of the July, 2022, release via CMS

CANDLER HOSPITAL INC

CMS id: 110024
5353 REYNOLDS STREET, SAVANNAH GA 31405. County: CHATHAM
System: ST. JOSEPHS/CANDLER HEALTH SYSTEMS
CBSA: Savannah, GA

The 273-bed, acute-care hospital had $-14,098,370 in net service to patients*, with a total profit margin of 12.87570% in fiscal year 2021, the latest year available.
It spent 5.86% of its operating expenses on uncompensated care and reported $101,378 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	192 118	192 118	192 119.5	192 118	208 119
Total beds Median	246 162	246 162	246 162	246 162	273 163.5
FTEs Median	1,352.45 788.06	1,257.84 793.42	1,283.17 806.03	1,363.83 787.61	1,446.37 804.34

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	265,195,058 150,932,746	272,144,912 158,950,878	315,043,119 168,696,998	322,909,176 163,454,693	378,083,666 186,589,412
Operating expenses Median	282,854,479 149,311,209	290,745,734 156,110,414	320,054,676 164,890,568	350,968,517 166,516,854	392,182,036 180,120,888
Net income from service 2 patients (NS2P) ? Median	-17,659,421 -964,173	-18,600,822 -643,601.5	-5,011,557 -116,254	-28,059,341 -5,025,862	-14,098,370 -1,284,564
NS2P margin ? Median	-6.66% -0.62	-6.83% -0.29	-1.59% 0.18	-8.69% -5.07	-3.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CANDLER HOSPITAL 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	35,767,333 5,089,215	35,548,320 4,572,541	52,736,856 5,268,134	53,669,090 13,092,619	72,057,148 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	290,766 224,999	223,848 199,009	458,618 206,870.5	530,862 194,343	353,948 249,496
⊳ Line 7: Investments ? ⊳ Median	3,113,920 299,524	3,572,920 188,688.5	13,774,636 370,813	-715,845 309,361.5	28,091,260 375,329
⊳ 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	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	5,509,622	5,082,294	6,238,668	5,354,806	6,184,348
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	4,985	9,619	8,840	5,258	4,041
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	39,857	37,572	30,729	21,580	9,527
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	26,808,183	26,622,067	32,225,365	48,472,429	37,414,024
Total income ? Median	18,107,912 6,586,430	16,947,498 6,767,106	47,725,299 8,419,950	25,609,749 8,094,175	57,958,778 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	21,021 106,761	0 31,473.5
Net income Median	18,107,912 6,043,842	16,947,498 5,845,112	47,725,299 7,606,259	25,588,728 7,283,041	57,958,778 14,957,241
Net margin Median	6.01667% 4.62%	5.50792% 4.42%	12.97659% 5.16%	6.79506% 5.2%	12.87570% 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 CANDLER HOSPITAL 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	31,213,095 23,241,334	29,292,779 23,709,545	32,733,509 24,248,380	32,297,660 22,858,541	34,329,682 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	27,291,714 21,577,146	25,109,915 22,041,594	28,156,687 22,722,063	27,022,130 21,570,441	28,013,931 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	3,418,740 3,535,627	3,797,394 3,746,588	4,183,960 3,782,288	4,717,232 3,865,578	5,513,483 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	502,641 1,203,033	385,470 1,215,295	392,862 1,313,657	558,298 1,365,298	802,268 1,179,746
All outpatient revenue Median Click here to show/hide details	41,787,029 11,160,864	45,960,195 11,987,345	50,079,097 12,926,866	52,969,776 11,884,480	49,386,893 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	39,617,068 10,918,923	43,418,055 11,706,976	48,180,717 12,615,917	51,410,278 11,458,116	47,831,597 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,169,961 1,282,808	2,542,140 1,407,728	1,898,380 1,341,512	1,559,498 1,407,046	1,555,296 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	854,850 594,888	685,069 595,761	813,854 577,894	685,675 542,168	638,906 549,667
Outlier Median	1,185,769 582,572	1,041,699 538,116	1,075,573 212,434	266,123 126,559	226,350 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	586,990 3,662,910	51,650 3,730,911	48,229 4,081,319	806,091 4,643,908	101,378 4,389,147
Charity care Median	32,198,250 2,654,636	30,234,999 2,940,659	20,304,845 3,380,215	20,970,241 3,488,738	19,116,137 3,233,405
Uncompensated care (UCC) Median	33,002,869 5,147,790	33,263,793 5,337,617	24,852,646 5,711,082	25,078,662 5,923,418	22,990,165 5,508,107
UCC as a % of operating expenses Median	11.67% 3.24	11.44% 3.12	7.77% 3.21	7.15% 3.3	5.86% 2.86
Total shortfall/UCC Median	33,589,859 9,489,989	33,315,443 9,424,297	24,900,875 10,120,158	25,884,753 11,171,337	23,091,543 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	99,547,647 52,142,039	98,714,926 54,485,252	107,817,558 57,395,589	115,242,739 58,830,919	123,568,739 61,722,907
Salaries as a % of operating expenses Median	35.19 36.68	33.95 36.56	33.69 36.37	32.84 35.93	31.51 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	5,074,752 1,449,244	4,614,200 1,475,986	4,858,212 1,563,078	7,074,301 1,721,954	9,934,981 2,991,828
Contract hours, direct-care Median	149,334.00 22,725	130,264.72 23,018.5	127,757.38 24,503.48	123,348.30 25,026.5	155,138.47 33,786
Contract wages, direct-care Median	33.98 64.67	35.42 64.53	38.03 65.06	57.35 68.97	64.04 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.