As of the July, 2022, release via CMS

IRWIN COUNTY HOSPITAL

CMS id: 110130
710 NORTH IRWIN AVENUE, OCILLA GA 31774. County: IRWIN
System: --
CBSA: Rural Georgia

The 64-bed, acute-care hospital had $-6,014,844 in net service to patients*, with a total profit margin of -17.86927% in fiscal year 2021, the latest year available.
It spent 12.00% of its operating expenses on uncompensated care and reported $717,385 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	34 118	34 118	34 119.5	34 118	34 119
Total beds Median	64 162	64 162	64 162	64 162	64 163.5
FTEs Median	159.22 788.06	133.22 793.42	156.87 806.03	129.81 787.61	125.44 804.34

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	15,081,556 150,932,746	15,434,218 158,950,878	16,108,522 168,696,998	15,429,718 163,454,693	14,394,149 186,589,412
Operating expenses Median	15,757,871 149,311,209	16,305,749 156,110,414	17,611,513 164,890,568	19,208,758 166,516,854	20,408,993 180,120,888
Net income from service 2 patients (NS2P) ? Median	-676,315 -964,173	-871,531 -643,601.5	-1,502,991 -116,254	-3,779,040 -5,025,862	-6,014,844 -1,284,564
NS2P margin ? Median	-4.48% -0.62	-5.65% -0.29	-9.33% 0.18	-24.49% -5.07	-41.79% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for IRWIN 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	638,380 5,089,215	1,968,945 4,572,541	1,435,601 5,268,134	2,106,438 13,092,619	2,920,791 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	177,639 224,999	1,021,804 199,009	0 206,870.5	273,529 194,343	904,212 249,496
⊳ Line 7: Investments ? ⊳ Median	12,047 299,524	7,728 188,688.5	0 370,813	16,017 309,361.5	18,581 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	517
⊳ 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	335,060	368,005	0	273,191	267,100
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	403	0	127	30
⊳ 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	31,934	50,830	0	53,761	36,413
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	501,604 983,261.5	0 1,173,286	400,299 1,987,202	128,038 1,597,664
⊳ Sum Line 24	81,700	18,571	1,435,601	1,089,514	1,565,900
Total income ? Median	-37,935 6,586,430	1,097,414 6,767,106	-67,390 8,419,950	-1,672,602 8,094,175	-3,094,053 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	-37,935 6,043,842	1,097,414 5,845,112	-67,390 7,606,259	-1,672,602 7,283,041	-3,094,053 14,957,241
Net margin Median	-0.24132% 4.62%	6.30583% 4.42%	-0.38412% 5.16%	-9.53802% 5.2%	-17.86927% 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 IRWIN 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	780,621 23,241,334	916,097 23,709,545	1,133,218 24,248,380	953,865 22,858,541	615,111 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	674,189 21,577,146	695,528 22,041,594	975,802 22,722,063	901,346 21,570,441	578,914 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	106,432 1,203,033	220,569 1,215,295	157,416 1,313,657	52,519 1,365,298	36,197 1,179,746
All outpatient revenue Median Click here to show/hide details	514,472 11,160,864	563,822 11,987,345	515,815 12,926,866	362,647 11,884,480	274,193 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	514,472 10,918,923	563,822 11,706,976	515,815 12,615,917	362,647 11,458,116	274,193 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	6,743 594,888	5,419 595,761	7,962 577,894	3,983 542,168	4,713 549,667
Outlier Median	5,404 582,572	5,121 538,116	0 212,434	2,517 126,559	13,757 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	16,971 3,730,911	9,076 4,081,319	518,068 4,643,908	717,385 4,389,147
Charity care Median	440,328 2,654,636	1,025,820 2,940,659	696,805 3,380,215	462,096 3,488,738	497,455 3,233,405
Uncompensated care (UCC) Median	1,495,271 5,147,790	2,341,081 5,337,617	2,090,909 5,711,082	2,036,646 5,923,418	2,449,001 5,508,107
UCC as a % of operating expenses Median	9.49% 3.24	14.36% 3.12	11.87% 3.21	10.60% 3.3	12.00% 2.86
Total shortfall/UCC Median	1,495,271 9,489,989	2,358,052 9,424,297	2,099,985 10,120,158	2,554,714 11,171,337	3,166,386 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	6,094,880 52,142,039	6,330,804 54,485,252	6,731,051 57,395,589	7,339,548 58,830,919	6,771,055 61,722,907
Salaries as a % of operating expenses Median	38.68 36.68	38.83 36.56	38.22 36.37	38.21 35.93	33.18 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	0 1,449,244	257,838 1,475,986	0 1,563,078	189,944 1,721,954	280,202 2,991,828
Contract hours, direct-care Median	0.00 22,725	4,748.26 23,018.5	0.00 24,503.48	4,088.00 25,026.5	5,639.00 33,786
Contract wages, direct-care Median	0.00 64.67	54.30 64.53	0.00 65.06	46.46 68.97	49.69 88.94

* in an approved program

Return to top

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.