As of the July, 2022, release via CMS

MEADOWS REGIONAL MEDICAL CENTER

CMS id: 110128
1 MEADOWS PARKWAY, VIDALIA GA 30474. County: TOOMBS
System: --
CBSA: Vidalia, GA

The 52-bed, acute-care hospital had $-35,289,830 in net service to patients*, with a total profit margin of -32.25217% in fiscal year 2021, the latest year available.
It spent 23.24% of its operating expenses on uncompensated care and reported $56,804 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	304
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	44 118	44 118	44 119.5	44 118	44 119
Total beds Median	52 162	52 162	52 162	52 162	52 163.5
FTEs Median	1,005.38 788.06	874.00 793.42	803.61 806.03	771.52 787.61	549.14 804.34

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	182,841,018 150,932,746	167,380,101 158,950,878	153,633,389 168,696,998	145,497,567 163,454,693	98,675,247 186,589,412
Operating expenses Median	191,492,759 149,311,209	177,174,052 156,110,414	156,036,873 164,890,568	158,253,042 166,516,854	133,965,077 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,651,741 -964,173	-9,793,951 -643,601.5	-2,403,484 -116,254	-12,755,475 -5,025,862	-35,289,830 -1,284,564
NS2P margin ? Median	-4.73% -0.62	-5.85% -0.29	-1.56% 0.18	-8.77% -5.07	-35.76% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEADOWS REGIONAL 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	-3,080,240 5,089,215	2,485,077 4,572,541	4,410,439 5,268,134	13,684,668 13,092,619	5,270,355 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	477,075 224,999	725,179 199,009	2,682,637 206,870.5	518,785 194,343	555,886 249,496
⊳ Line 7: Investments ? ⊳ Median	250,509 299,524	259,628 188,688.5	378,938 370,813	450,633 309,361.5	193,755 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	9,630	30,514	9,816	3,396	1,936
⊳ 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	515,151	504,263	474,640	401,300	235,432
⊳ 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	490	2,166	665	297	529
⊳ Line 18: Revenue from sale of medical records and abstracts	15	0	174	2,439	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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	41,920	110,721	6,884	58,805	369,049
⊳ Line 23: Gov appropriations ? ⊳ Median	14,928 1,017,693	15,813 983,261.5	14,928 1,173,286	11,196 1,987,202	0 1,597,664
⊳ Sum Line 24	-4,389,958	836,793	841,757	12,237,817	3,913,768
Total income ? Median	-11,731,981 6,586,430	-7,308,874 6,767,106	2,006,955 8,419,950	929,193 8,094,175	-30,019,475 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	3,505,238 31,473.5
Net income Median	-11,731,981 6,043,842	-7,308,874 5,845,112	2,006,955 7,606,259	929,193 7,283,041	-33,524,713 14,957,241
Net margin Median	-6.52644% 4.62%	-4.30275% 4.42%	1.26987% 5.16%	0.58373% 5.2%	-32.25217% 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 MEADOWS REGIONAL 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	10,094,052 23,241,334	10,586,420 23,709,545	10,622,782 24,248,380	9,940,217 22,858,541	8,450,664 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	10,094,052 21,577,146	10,586,420 22,041,594	10,622,782 22,722,063	9,940,217 21,570,441	8,450,664 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	16,228,135 11,160,864	14,390,648 11,987,345	13,349,999 12,926,866	12,065,680 11,884,480	11,201,800 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	16,228,135 10,918,923	14,390,648 11,706,976	13,349,999 12,615,917	12,065,680 11,458,116	11,201,800 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	252,733 594,888	255,613 595,761	236,413 577,894	195,939 542,168	174,524 549,667
Outlier Median	131,103 582,572	134,596 538,116	30,875 212,434	19,860 126,559	30,651 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	110,837 3,662,910	83,270 3,730,911	1,008,565 4,081,319	67,481 4,643,908	56,804 4,389,147
Charity care Median	3,150,202 2,654,636	3,112,260 2,940,659	3,702,867 3,380,215	11,697,011 3,488,738	25,559,871 3,233,405
Uncompensated care (UCC) Median	10,365,755 5,147,790	5,690,878 5,337,617	6,349,167 5,711,082	18,358,757 5,923,418	31,133,061 5,508,107
UCC as a % of operating expenses Median	5.41% 3.24	3.21% 3.12	4.07% 3.21	11.60% 3.3	23.24% 2.86
Total shortfall/UCC Median	10,476,592 9,489,989	5,774,148 9,424,297	7,357,732 10,120,158	18,426,238 11,171,337	31,189,865 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	68,401,045 52,142,039	61,425,252 54,485,252	56,658,562 57,395,589	57,057,155 58,830,919	48,531,533 61,722,907
Salaries as a % of operating expenses Median	43.51 36.68	43.15 36.56	42.78 36.37	42.24 35.93	36.23 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	1,619,718 1,449,244	2,437,065 1,475,986	2,814,638 1,563,078	0 1,721,954	3,265,717 2,991,828
Contract hours, direct-care Median	23,405.00 22,725	32,453.00 23,018.5	36,862.00 24,503.48	0.00 25,026.5	28,702.00 33,786
Contract wages, direct-care Median	69.20 64.67	75.10 64.53	76.36 65.06	0.00 68.97	113.78 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.