As of the July, 2022, release via CMS

JOHN D. ARCHBOLD MEMORIAL HOSPITAL

CMS id: 110038
GORDON AVENUE AT MIMOSA DRIVE, THOMASVILLE GA 31792. County: THOMAS
System: JOHN D. ARCHBOLD MEMORIAL HOSPITAL
CBSA: Thomasville, GA

The 328-bed, acute-care hospital had $12,079,058 in net service to patients*, with a total profit margin of 27.30307% in fiscal year 2021, the latest year available.
It spent 11.11% of its operating expenses on uncompensated care and reported $37,971 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	191 118	191 118	191 119.5	191 118	191 119
Total beds Median	328 162	328 162	328 162	328 162	328 163.5
FTEs Median	1,606.43 788.06	1,514.70 793.42	1,497.61 806.03	1,508.55 787.61	1,497.84 804.34

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	269,046,566 150,932,746	266,507,580 158,950,878	271,931,621 168,696,998	267,731,284 163,454,693	286,195,955 186,589,412
Operating expenses Median	245,643,175 149,311,209	243,064,801 156,110,414	250,371,173 164,890,568	256,796,321 166,516,854	274,116,897 180,120,888
Net income from service 2 patients (NS2P) ? Median	23,403,391 -964,173	23,442,779 -643,601.5	21,560,448 -116,254	10,934,963 -5,025,862	12,079,058 -1,284,564
NS2P margin ? Median	8.70% -0.62	8.80% -0.29	7.93% 0.18	4.08% -5.07	4.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JOHN D. ARCHBOLD 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	5,618,445 5,089,215	35,888,409 4,572,541	5,250,752 5,268,134	28,635,929 13,092,619	90,887,796 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	2,029,654 199,009	1,555,851 206,870.5	1,463,371 194,343	1,739,068 249,496
⊳ Line 7: Investments ? ⊳ Median	3,075,434 299,524	3,634,768 188,688.5	-326,736 370,813	24,700,447 309,361.5	59,078,685 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	551,252	244,612	1,970	15,533	-276
⊳ 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	-662	87
⊳ 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	186,563	148,362	186,741	202,181	275,569
⊳ 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	896,089	1,684,824	1,774,478	1,780,654	1,995,190
⊳ 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	909,107	28,146,189	2,058,448	474,405	27,799,473
Total income ? Median	29,021,836 6,586,430	59,331,188 6,767,106	26,811,200 8,419,950	39,570,892 8,094,175	102,966,854 15,162,888
Non-operating expenses Median	9,801,609 146,289.5	0 164,857	0 89,880.5	5,064 106,761	11,402 31,473.5
Net income Median	19,220,227 6,043,842	59,331,188 5,845,112	26,811,200 7,606,259	39,565,828 7,283,041	102,955,452 14,957,241
Net margin Median	6.99770% 4.62%	19.62036% 4.42%	9.67277% 5.16%	13.35027% 5.2%	27.30307% 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 JOHN D. ARCHBOLD 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	41,941,584 23,241,334	44,571,696 23,709,545	45,249,866 24,248,380	44,902,883 22,858,541	38,275,577 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	37,008,691 21,577,146	39,547,624 22,041,594	40,954,715 22,722,063	40,355,722 21,570,441	33,856,522 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	196,630 1,845,420	909,635 1,757,392	1,297,008 1,738,842	1,170,398 1,510,463	1,017,929 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,334,194 3,535,627	3,746,588 3,746,588	2,702,313 3,782,288	3,156,932 3,865,578	3,198,560 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	402,069 1,203,033	367,849 1,215,295	295,830 1,313,657	219,831 1,365,298	202,566 1,179,746
All outpatient revenue Median Click here to show/hide details	26,355,777 11,160,864	27,426,560 11,987,345	26,304,899 12,926,866	25,518,594 11,884,480	25,678,074 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	26,355,777 10,918,923	27,426,560 11,706,976	26,304,899 12,615,917	25,518,594 11,458,116	25,678,074 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	1,176,739 594,888	1,246,017 595,761	1,203,244 577,894	1,227,210 542,168	958,826 549,667
Outlier Median	1,250,371 582,572	955,635 538,116	623,213 212,434	166,304 126,559	190,774 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	21,395 3,730,911	16,349 4,081,319	17,603 4,643,908	37,971 4,389,147
Charity care Median	10,428,641 2,654,636	8,134,376 2,940,659	11,333,557 3,380,215	12,267,787 3,488,738	24,697,133 3,233,405
Uncompensated care (UCC) Median	25,929,343 5,147,790	27,278,141 5,337,617	25,433,796 5,711,082	25,421,842 5,923,418	30,449,477 5,508,107
UCC as a % of operating expenses Median	10.56% 3.24	11.22% 3.12	10.16% 3.21	9.90% 3.3	11.11% 2.86
Total shortfall/UCC Median	25,929,343 9,489,989	27,299,536 9,424,297	25,450,145 10,120,158	25,439,445 11,171,337	30,487,448 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,866,379 52,142,039	78,917,871 54,485,252	81,587,441 57,395,589	86,573,827 58,830,919	90,355,830 61,722,907
Salaries as a % of operating expenses Median	31.70 36.68	32.47 36.56	32.59 36.37	33.71 35.93	32.96 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	1,657,915 1,449,244	2,483,119 1,475,986	3,350,974 1,563,078	6,382,473 1,721,954	9,200,647 2,991,828
Contract hours, direct-care Median	37,694.00 22,725	55,517.00 23,018.5	58,874.00 24,503.48	118,489.00 25,026.5	145,555.00 33,786
Contract wages, direct-care Median	43.98 64.67	44.73 64.53	56.92 65.06	53.87 68.97	63.21 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.