As of the July, 2022, release via CMS

STEPHENS COUNTY HOSPITAL

CMS id: 110032
2003 FALLS RD, TOCCOA GA 30577. County: STEPHENS
System: --
CBSA: Toccoa, GA

The 40-bed, acute-care hospital had $2,100,114 in net service to patients*, with a total profit margin of 5.98505% in fiscal year 2021, the latest year available.
It spent 7.38% of its operating expenses on uncompensated care and reported $15,474 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	gov	gov	gov	gov
Acute beds Median	72 118	68 118	68 119.5	34 118	34 119
Total beds Median	86 162	74 162	74 162	40 162	40 163.5
FTEs Median	451.83 788.06	386.07 793.42	412.64 806.03	332.93 787.61	281.21 804.34

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	41,378,101 150,932,746	42,643,209 158,950,878	39,081,738 168,696,998	43,465,212 163,454,693	50,135,622 186,589,412
Operating expenses Median	48,522,758 149,311,209	45,590,435 156,110,414	46,490,784 164,890,568	46,983,316 166,516,854	48,035,508 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,144,657 -964,173	-2,947,226 -643,601.5	-7,409,046 -116,254	-3,518,104 -5,025,862	2,100,114 -1,284,564
NS2P margin ? Median	-17.27% -0.62	-6.91% -0.29	-18.96% 0.18	-8.09% -5.07	4.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STEPHENS COUNTY 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	1,853,120 5,089,215	2,089,115 4,572,541	4,504,427 5,268,134	6,590,039 13,092,619	13,208,567 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	20,724 224,999	18,952 199,009	0 206,870.5	76,181 194,343	267,481 249,496
⊳ Line 7: Investments ? ⊳ Median	19,008 299,524	47,759 188,688.5	0 370,813	32,449 309,361.5	6,618 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	98,846	52,262	0	53,833	4,989
⊳ 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	252,696	492,483	0	195,748	145,765
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	17	0	0	40	57
⊳ Line 17: Revenue from sale of drugs to other than patients	143,766	110,715	0	107,471	85,870
⊳ Line 18: Revenue from sale of medical records and abstracts	17,617	21,956	0	9,091	10,075
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	2,056	1,571
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	3,000	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	687,447 1,017,693	699,396 983,261.5	0 1,173,286	1,444,509 1,987,202	1,620,971 1,597,664
⊳ Sum Line 24	612,999	645,592	4,504,427	4,665,661	11,065,170
Total income ? Median	-5,291,537 6,586,430	-858,111 6,767,106	-2,904,619 8,419,950	3,071,935 8,094,175	15,308,681 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	8,588,051 106,761	11,517,499 31,473.5
Net income Median	-5,291,537 6,043,842	-858,111 5,845,112	-2,904,619 7,606,259	-5,516,116 7,283,041	3,791,182 14,957,241
Net margin Median	-12.24008% 4.62%	-1.91832% 4.42%	-6.66408% 5.16%	-11.02005% 5.2%	5.98505% 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 STEPHENS COUNTY 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	6,302,843 23,241,334	6,341,803 23,709,545	6,341,444 24,248,380	6,483,299 22,858,541	5,750,846 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	6,302,843 21,577,146	6,341,803 22,041,594	6,341,444 22,722,063	6,483,299 21,570,441	5,750,846 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	3,435,022 11,160,864	3,051,817 11,987,345	2,955,145 12,926,866	2,100,764 11,884,480	2,021,163 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	3,435,022 10,918,923	3,051,817 11,706,976	2,955,145 12,615,917	2,100,764 11,458,116	2,021,163 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	93,587 594,888	76,325 595,761	47,078 577,894	154,776 542,168	64,848 549,667
Outlier Median	238,775 582,572	164,548 538,116	25,563 212,434	23,029 126,559	19,448 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	19,711 3,730,911	894 4,081,319	20,057 4,643,908	15,474 4,389,147
Charity care Median	2,026,262 2,654,636	1,777,887 2,940,659	2,155,396 3,380,215	2,044,546 3,488,738	639,184 3,233,405
Uncompensated care (UCC) Median	5,332,495 5,147,790	4,700,830 5,337,617	5,050,086 5,711,082	5,680,029 5,923,418	3,546,819 5,508,107
UCC as a % of operating expenses Median	10.99% 3.24	10.31% 3.12	10.86% 3.21	12.09% 3.3	7.38% 2.86
Total shortfall/UCC Median	5,332,495 9,489,989	4,720,541 9,424,297	5,050,980 10,120,158	5,700,086 11,171,337	3,562,293 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	22,233,839 52,142,039	19,359,432 54,485,252	21,379,486 57,395,589	21,922,054 58,830,919	20,660,288 61,722,907
Salaries as a % of operating expenses Median	45.82 36.68	42.46 36.56	45.99 36.37	46.66 35.93	43.01 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	648,490 1,449,244	788,337 1,475,986	0 1,563,078	4,723,206 1,721,954	1,605,680 2,991,828
Contract hours, direct-care Median	14,720.91 22,725	16,671.02 23,018.5	0.00 24,503.48	43,451.00 25,026.5	23,951.94 33,786
Contract wages, direct-care Median	44.05 64.67	47.29 64.53	0.00 65.06	108.70 68.97	67.04 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.