As of the July, 2022, release via CMS

CRISP REGIONAL HOSPITAL INC.

CMS id: 110104
902 7TH STREET NORTH, CORDELE GA 31015. County: CRISP
System: --
CBSA: Cordele, GA

The 208-bed, acute-care hospital had $-4,249,354 in net service to patients*, with a total profit margin of 10.40404% in fiscal year 2021, the latest year available.
It spent 7.07% of its operating expenses on uncompensated care and reported $48,742 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	49 118	49 118	49 119.5	49 118	49 119
Total beds Median	208 162	208 162	208 162	208 162	208 163.5
FTEs Median	621.00 788.06	632.00 793.42	613.95 806.03	632.32 787.61	616.17 804.34

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	86,833,850 150,932,746	92,032,853 158,950,878	95,738,982 168,696,998	98,493,080 163,454,693	106,302,170 186,589,412
Operating expenses Median	86,978,535 149,311,209	92,291,478 156,110,414	98,604,165 164,890,568	105,816,534 166,516,854	110,551,524 180,120,888
Net income from service 2 patients (NS2P) ? Median	-144,685 -964,173	-258,625 -643,601.5	-2,865,183 -116,254	-7,323,454 -5,025,862	-4,249,354 -1,284,564
NS2P margin ? Median	-0.17% -0.62	-0.28% -0.29	-2.99% 0.18	-7.44% -5.07	-4.00% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CRISP REGIONAL 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	4,657,202 5,089,215	3,842,413 4,572,541	6,314,724 5,268,134	10,697,769 13,092,619	17,086,793 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	870,082 224,999	1,475,361 199,009	1,671,275 206,870.5	1,322,743 194,343	1,779,064 249,496
⊳ Line 7: Investments ? ⊳ Median	1,512,597 299,524	850,057 188,688.5	2,765,866 370,813	-397,699 309,361.5	8,231,328 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,815	4,155	2,197	1,024	63
⊳ Line 11: Rebates and refunds of expenses	45,000	45,000	45,000	265,347	315,045
⊳ 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	894,286	886,617	880,189	817,166	548,519
⊳ Line 15: Revenue from rental of living quarters	112,424	109,424	111,444	100,891	79,239
⊳ Line 16: Revenue from sale of medical and surgical supplies	183,891	160,414	182,909	243,693	200,734
⊳ Line 17: Revenue from sale of drugs to other than patients	0	3,006	7,315	35,799	33,717
⊳ Line 18: Revenue from sale of medical records and abstracts	2,190	2,840	3,038	-5,216	4,447
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	-3	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	39,776	25,578	13,953	18,088	-1,022
⊳ Line 21: Rental of vending machines	20,406	18,388	19,211	2,513	0
⊳ Line 22: Rental of hospital space	6,525	7,330	7,130	7,415	4,578
⊳ Line 23: Gov appropriations ? ⊳ Median	551,580 1,017,693	11,863 983,261.5	279,832 1,173,286	103,419 1,987,202	273,522 1,597,664
⊳ Sum Line 24	414,630	242,383	325,365	8,182,586	5,617,559
Total income ? Median	4,512,517 6,586,430	3,583,788 6,767,106	3,449,541 8,419,950	3,374,315 8,094,175	12,837,439 15,162,888
Non-operating expenses Median	-1,418 146,289.5	10,854 164,857	4,805 89,880.5	26,268 106,761	0 31,473.5
Net income Median	4,513,935 6,043,842	3,572,934 5,845,112	3,444,736 7,606,259	3,348,047 7,283,041	12,837,439 14,957,241
Net margin Median	4.93374% 4.62%	3.72665% 4.42%	3.37541% 5.16%	3.06623% 5.2%	10.40404% 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 CRISP REGIONAL 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	7,801,023 23,241,334	8,322,013 23,709,545	8,898,203 24,248,380	9,178,781 22,858,541	10,679,604 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	7,649,127 21,577,146	8,050,868 22,041,594	8,681,933 22,722,063	8,799,385 21,570,441	10,166,186 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	151,896 1,203,033	271,145 1,215,295	216,270 1,313,657	379,396 1,365,298	513,418 1,179,746
All outpatient revenue Median Click here to show/hide details	6,641,549 11,160,864	6,391,346 11,987,345	7,014,262 12,926,866	5,736,768 11,884,480	4,853,173 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	5,455,086 10,918,923	5,140,309 11,706,976	5,893,175 12,615,917	4,574,538 11,458,116	3,872,786 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,088,771 1,282,808	1,150,431 1,407,728	1,035,574 1,341,512	1,034,708 1,407,046	884,034 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	97,692 618,038	100,606 697,279	85,513 690,232	127,522 684,010	96,353 670,558
⊳ 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	184,880 594,888	186,972 595,761	186,139 577,894	167,959 542,168	188,959 549,667
Outlier Median	82,213 582,572	28,134 538,116	47,724 212,434	8,488 126,559	30,369 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	63,034 3,662,910	42,042 3,730,911	59,317 4,081,319	74,342 4,643,908	48,742 4,389,147
Charity care Median	609,451 2,654,636	498,835 2,940,659	1,325,541 3,380,215	788,117 3,488,738	757,797 3,233,405
Uncompensated care (UCC) Median	7,773,024 5,147,790	7,400,533 5,337,617	6,888,818 5,711,082	5,833,105 5,923,418	7,818,555 5,508,107
UCC as a % of operating expenses Median	8.94% 3.24	8.02% 3.12	6.99% 3.21	5.51% 3.3	7.07% 2.86
Total shortfall/UCC Median	7,836,058 9,489,989	7,442,575 9,424,297	6,948,135 10,120,158	5,907,447 11,171,337	7,867,297 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	34,671,306 52,142,039	35,976,652 54,485,252	38,078,680 57,395,589	40,353,129 58,830,919	41,963,818 61,722,907
Salaries as a % of operating expenses Median	39.86 36.68	38.98 36.56	38.62 36.37	38.13 35.93	37.96 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	1,879,378 1,449,244	3,823,673 1,475,986	65,449 1,563,078	3,064,249 1,721,954	3,074,314 2,991,828
Contract hours, direct-care Median	37,224.00 22,725	71,219.00 23,018.5	1,041.74 24,503.48	59,179.25 25,026.5	53,113.91 33,786
Contract wages, direct-care Median	50.49 64.67	53.69 64.53	62.83 65.06	51.78 68.97	57.88 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.