As of the July, 2022, release via CMS

SOUTHERN REGIONAL MEDICAL CENTER

CMS id: 110165
11 UPPER RIVERSIDE ROAD S.W., RIVERDALE GA 30274. County: CLAYTON
System: PRIME HEALTHCARE SERVICES INC
CBSA: Atlanta-Sandy Springs-Alpharetta, GA

The 280-bed, acute-care hospital had $-13,473,303 in net service to patients*, with a total profit margin of 0.71139% in fiscal year 2021, the latest year available.
It spent 12.86% of its operating expenses on uncompensated care and reported $0 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	210 118	210 118	210 119.5	210 118	210 119
Total beds Median	264 162	264 162	280 162	280 162	280 163.5
FTEs Median	919.47 788.06	920.21 793.42	898.26 806.03	769.50 787.61	684.24 804.34

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	142,842,325 150,932,746	153,996,657 158,950,878	142,991,756 168,696,998	122,690,599 163,454,693	118,459,256 186,589,412
Operating expenses Median	155,936,732 149,311,209	141,814,869 156,110,414	139,920,778 164,890,568	128,156,224 166,516,854	131,932,559 180,120,888
Net income from service 2 patients (NS2P) ? Median	-13,094,407 -964,173	12,181,788 -643,601.5	3,070,978 -116,254	-5,465,625 -5,025,862	-13,473,303 -1,284,564
NS2P margin ? Median	-9.17% -0.62	7.91% -0.29	2.15% 0.18	-4.45% -5.07	-11.37% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SOUTHERN 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	2,706,380 5,089,215	2,268,625 4,572,541	6,022,263 5,268,134	23,956,712 13,092,619	14,418,589 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	6 299,524	0 188,688.5	0 370,813	0 309,361.5	195,685 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	986	794	974	101	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	20,069	47,084
⊳ 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	557,351	584,689	485,730	222,506	196,681
⊳ 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	7,195	450	3,016	24,420	10,700
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	68,040	75,680	67,053	17,300
⊳ 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	78,439	464,444	437,162
⊳ 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	2,140,842	1,614,652	5,378,424	23,158,119	13,513,977
Total income ? Median	-10,388,027 6,586,430	14,450,413 6,767,106	9,093,241 8,419,950	18,491,087 8,094,175	945,286 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	-10,388,027 6,043,842	14,450,413 5,845,112	9,093,241 7,606,259	18,491,087 7,283,041	945,286 14,957,241
Net margin Median	-7.13715% 4.62%	9.24736% 4.42%	6.10227% 5.16%	12.60922% 5.2%	0.71139% 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 SOUTHERN 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	30,204,644 23,241,334	27,666,569 23,709,545	26,377,409 24,248,380	22,441,982 22,858,541	16,146,844 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	29,403,963 21,577,146	27,469,438 22,041,594	25,037,763 22,722,063	20,691,869 21,570,441	14,747,150 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	758,303 1,738,842	1,067,090 1,510,463	995,242 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	800,681 3,535,627	197,131 3,746,588	581,343 3,782,288	683,023 3,865,578	404,452 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	5,568,706 11,160,864	5,548,769 11,987,345	5,666,450 12,926,866	4,109,749 11,884,480	2,948,965 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	5,568,706 10,918,923	5,548,769 11,706,976	5,666,450 12,615,917	4,109,749 11,458,116	2,948,965 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	1,581,556 594,888	1,608,144 595,761	1,473,813 577,894	1,024,566 542,168	649,287 549,667
Outlier Median	1,684,779 582,572	567,668 538,116	299,449 212,434	138,183 126,559	240,435 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	324,485 3,662,910	0 3,730,911	0 4,081,319	337,254 4,643,908	0 4,389,147
Charity care Median	3,766,113 2,654,636	4,633,641 2,940,659	2,874,699 3,380,215	3,008,300 3,488,738	2,829,094 3,233,405
Uncompensated care (UCC) Median	23,261,122 5,147,790	17,733,748 5,337,617	24,593,337 5,711,082	26,322,204 5,923,418	16,965,578 5,508,107
UCC as a % of operating expenses Median	14.92% 3.24	12.50% 3.12	17.58% 3.21	20.54% 3.3	12.86% 2.86
Total shortfall/UCC Median	23,585,607 9,489,989	17,733,748 9,424,297	24,593,337 10,120,158	26,659,458 11,171,337	16,965,578 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	56,566,984 52,142,039	56,634,239 54,485,252	55,772,785 57,395,589	50,153,090 58,830,919	48,449,659 61,722,907
Salaries as a % of operating expenses Median	35.10 36.68	38.12 36.56	39.86 36.37	39.13 35.93	36.72 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	1,806,898 1,449,244	2,194,518 1,475,986	4,104,041 1,563,078	3,237,935 1,721,954	6,946,985 2,991,828
Contract hours, direct-care Median	30,151.00 22,725	27,793.00 23,018.5	70,268.00 24,503.48	45,199.00 25,026.5	69,787.00 33,786
Contract wages, direct-care Median	59.93 64.67	78.96 64.53	58.41 65.06	71.64 68.97	99.55 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.