As of the July, 2022, release via CMS

HABERSHAM MEDICAL CENTER

CMS id: 110041
HIGHWAY 441 NORTH, DEMOREST GA 30535. County: HABERSHAM
System: --
CBSA: Cornelia, GA

The 137-bed, acute-care hospital had $-8,542,894 in net service to patients*, with a total profit margin of 9.39495% in fiscal year 2021, the latest year available.
It spent 11.45% of its operating expenses on uncompensated care and reported $155,387 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	49 118	49 118	49 119.5	49 118	49 119
Total beds Median	137 162	137 162	137 162	137 162	137 163.5
FTEs Median	493.50 788.06	508.55 793.42	359.31 806.03	356.51 787.61	379.87 804.34

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	47,238,027 150,932,746	40,195,144 158,950,878	40,978,569 168,696,998	47,010,886 163,454,693	47,258,230 186,589,412
Operating expenses Median	52,088,312 149,311,209	48,851,100 156,110,414	49,372,668 164,890,568	51,438,621 166,516,854	55,801,124 180,120,888
Net income from service 2 patients (NS2P) ? Median	-4,850,285 -964,173	-8,655,956 -643,601.5	-8,394,099 -116,254	-4,427,735 -5,025,862	-8,542,894 -1,284,564
NS2P margin ? Median	-10.27% -0.62	-21.53% -0.29	-20.48% 0.18	-9.42% -5.07	-18.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HABERSHAM MEDICAL CENTER 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	3,431,045 5,089,215	3,501,986 4,572,541	3,763,209 5,268,134	6,596,691 13,092,619	14,328,985 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	105,004 224,999	154,536 199,009	1,121,384 206,870.5	700,340 194,343	573,843 249,496
⊳ Line 7: Investments ? ⊳ Median	3,169 299,524	9,729 188,688.5	11,515 370,813	3,023 309,361.5	4,026 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	93,669	108,619	38,399	41,223	41,178
⊳ 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	126,230	108,940	52,202	0	0
⊳ Line 15: Revenue from rental of living quarters	18,663	18,439	12,511	2,750	7,750
⊳ 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	425,915
⊳ Line 18: Revenue from sale of medical records and abstracts	106	116	0	0	2,841
⊳ 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	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	2,365,456 1,017,693	2,365,056 983,261.5	2,373,694 1,173,286	5,474,374 1,987,202	12,195,748 1,597,664
⊳ Sum Line 24	718,748	736,551	153,504	374,981	1,077,684
Total income ? Median	-1,419,240 6,586,430	-5,153,970 6,767,106	-4,630,890 8,419,950	2,168,956 8,094,175	5,786,091 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	-1,419,240 6,043,842	-5,153,970 5,845,112	-4,630,890 7,606,259	2,168,956 7,283,041	5,786,091 14,957,241
Net margin Median	-2.80100% 4.62%	-11.79476% 4.42%	-10.35026% 5.16%	4.04599% 5.2%	9.39495% 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 HABERSHAM MEDICAL CENTER 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	6,205,389 23,241,334	4,871,214 23,709,545	4,841,274 24,248,380	5,443,536 22,858,541	5,727,591 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	5,670,481 21,577,146	4,515,525 22,041,594	4,459,266 22,722,063	5,181,821 21,570,441	5,406,424 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	534,908 1,203,033	355,689 1,215,295	382,008 1,313,657	261,715 1,365,298	321,167 1,179,746
All outpatient revenue Median Click here to show/hide details	5,393,037 11,160,864	4,776,600 11,987,345	4,863,341 12,926,866	4,190,864 11,884,480	4,090,982 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	3,837,380 10,918,923	3,411,885 11,706,976	3,705,315 12,615,917	3,169,791 11,458,116	3,033,340 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,555,657 1,282,808	1,364,715 1,407,728	1,158,026 1,341,512	1,009,208 1,407,046	878,158 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	11,865 684,010	179,484 670,558
⊳ 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	148,308 594,888	108,180 595,761	95,275 577,894	102,966 542,168	106,561 549,667
Outlier Median	52,857 582,572	36,318 538,116	45,861 212,434	34,534 126,559	38,911 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	523,822 3,662,910	663,797 3,730,911	733,707 4,081,319	1,443,484 4,643,908	155,387 4,389,147
Charity care Median	513,015 2,654,636	250,740 2,940,659	734,991 3,380,215	1,097,364 3,488,738	959,171 3,233,405
Uncompensated care (UCC) Median	5,558,909 5,147,790	5,210,192 5,337,617	5,527,389 5,711,082	6,808,176 5,923,418	6,387,637 5,508,107
UCC as a % of operating expenses Median	10.67% 3.24	10.67% 3.12	11.20% 3.21	13.24% 3.3	11.45% 2.86
Total shortfall/UCC Median	6,082,731 9,489,989	5,873,989 9,424,297	6,261,096 10,120,158	8,251,660 11,171,337	6,543,024 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	24,065,219 52,142,039	22,197,309 54,485,252	21,070,630 57,395,589	21,931,062 58,830,919	22,362,791 61,722,907
Salaries as a % of operating expenses Median	46.20 36.68	45.44 36.56	42.80 36.37	42.64 35.93	40.08 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	266,968 1,449,244	38,714 1,475,986	600 1,563,078	641,643 1,721,954	1,679,564 2,991,828
Contract hours, direct-care Median	4,272.49 22,725	585.50 23,018.5	12.00 24,503.48	8,221.79 25,026.5	19,272.00 33,786
Contract wages, direct-care Median	62.49 64.67	66.12 64.53	50.00 65.06	78.04 68.97	87.15 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.