As of the July, 2022, release via CMS

SGHS - BRUNSWICK CAMPUS

CMS id: 110025
2415 PARKWOOD DRIVE, BRUNSWICK GA 31520. County: GLYNN
System: --
CBSA: Brunswick, GA

The 300-bed, acute-care hospital had $5,606,986 in net service to patients*, with a total profit margin of 12.05186% in fiscal year 2021, the latest year available.
It spent 9.30% of its operating expenses on uncompensated care and reported $63,822 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	nfp	nfp	nfp	nfp
Acute beds Median	276 118	276 118	276 119.5	276 118	269 119
Total beds Median	300 162	300 162	300 162	300 162	300 163.5
FTEs Median	1,173.34 788.06	1,270.61 793.42	1,310.72 806.03	1,321.21 787.61	1,239.33 804.34

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	256,720,609 150,932,746	263,177,351 158,950,878	279,115,822 168,696,998	278,704,355 163,454,693	302,867,133 186,589,412
Operating expenses Median	232,333,887 149,311,209	408,184,678 156,110,414	269,498,770 164,890,568	261,546,374 166,516,854	297,260,147 180,120,888
Net income from service 2 patients (NS2P) ? Median	24,386,722 -964,173	-145,007,327 -643,601.5	9,617,052 -116,254	17,157,981 -5,025,862	5,606,986 -1,284,564
NS2P margin ? Median	9.50% -0.62	-55.10% -0.29	3.45% 0.18	6.16% -5.07	1.85% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SGHS - BRUNSWICK CAMPUS 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	-1,077,788 5,089,215	-16,441,487 4,572,541	16,735,482 5,268,134	-32,583,975 13,092,619	35,127,685 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	545,173 224,999	580,451 199,009	6,362,227 206,870.5	1,497,813 194,343	6,957,583 249,496
⊳ Line 7: Investments ? ⊳ Median	2,029,429 299,524	4,600,451 188,688.5	4,694,090 370,813	-9,743,820 309,361.5	9,250,915 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	270,826	311,298	219,926	218,531	208,474
⊳ Line 11: Rebates and refunds of expenses	10,809	7,204	6,801	9,321	1,689
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	201,230	209,367	257,110	319,561	329,297
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ 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	21,461	20,724	17,464	17,896	12,444
⊳ Line 22: Rental of hospital space	4,545,465	4,681,332	603,092	4,171,605	4,303,456
⊳ 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	-8,702,181	-26,852,314	4,574,772	-29,074,882	14,063,827
Total income ? Median	23,308,934 6,586,430	-161,448,814 6,767,106	26,352,534 8,419,950	-15,425,994 8,094,175	40,734,671 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	23,308,934 6,043,842	-161,448,814 5,845,112	26,352,534 7,606,259	-15,425,994 7,283,041	40,734,671 14,957,241
Net margin Median	9.11777% 4.62%	-65.43387% 4.42%	8.90736% 5.16%	-6.26766% 5.2%	12.05186% 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 SGHS - BRUNSWICK CAMPUS 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	59,443,562 23,241,334	61,722,213 23,709,545	63,118,626 24,248,380	60,657,886 22,858,541	61,597,883 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	59,443,562 21,577,146	61,722,213 22,041,594	63,118,626 22,722,063	60,657,886 21,570,441	61,597,883 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	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	28,283,723 11,160,864	27,347,933 11,987,345	30,231,491 12,926,866	29,210,873 11,884,480	29,034,990 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	28,283,723 10,918,923	27,347,933 11,706,976	30,231,491 12,615,917	29,210,873 11,458,116	29,034,990 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	662,913 594,888	824,731 595,761	761,627 577,894	853,062 542,168	772,090 549,667
Outlier Median	2,443,542 582,572	1,918,232 538,116	1,918,511 212,434	462,064 126,559	435,939 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,669 3,662,910	23,743 3,730,911	70,867 4,081,319	58,803 4,643,908	63,822 4,389,147
Charity care Median	4,999,678 2,654,636	11,962,540 2,940,659	14,266,468 3,380,215	11,887,919 3,488,738	15,929,520 3,233,405
Uncompensated care (UCC) Median	15,329,664 5,147,790	21,322,950 5,337,617	23,801,654 5,711,082	24,344,837 5,923,418	27,635,700 5,508,107
UCC as a % of operating expenses Median	6.60% 3.24	5.22% 3.12	8.83% 3.21	9.31% 3.3	9.30% 2.86
Total shortfall/UCC Median	15,352,333 9,489,989	21,346,693 9,424,297	23,872,521 10,120,158	24,403,640 11,171,337	27,699,522 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	69,564,634 52,142,039	163,440,967 54,485,252	87,165,302 57,395,589	91,102,904 58,830,919	89,158,408 61,722,907
Salaries as a % of operating expenses Median	29.94 36.68	40.04 36.56	32.34 36.37	32.63 35.93	29.99 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	7,810,433 1,449,244	6,512,907 1,475,986	1,108,906 1,563,078	2,491,974 1,721,954	15,938,245 2,991,828
Contract hours, direct-care Median	128,987.08 22,725	107,511.30 23,018.5	26,346.38 24,503.48	57,759.00 25,026.5	185,486.12 33,786
Contract wages, direct-care Median	60.55 64.67	60.58 64.53	42.09 65.06	43.14 68.97	85.93 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.