As of the July, 2022, release via CMS

GREENVILLE REGIONAL HOSPITAL

CMS id: 140137
200 HEALTHCARE DRIVE, GREENVILLE IL 62246. County: BOND
System: HOSPITAL SISTERS HEALTH SYSTEM
CBSA: St. Louis, MO-IL

The 28-bed, acute-care hospital had $-5,695,375 in net service to patients*, with a total profit margin of 17.71405% in fiscal year 2021, the latest year available.
It spent 2.45% of its operating expenses on uncompensated care and reported $1,410,103 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	181	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	32 118	32 118	32 119.5	28 118	28 119
Total beds Median	42 162	42 162	42 162	38 162	28 163.5
FTEs Median	205.11 788.06	204.63 793.42	183.58 806.03	157.27 787.61	160.68 804.34

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	16,513,659 150,932,746	25,596,761 158,950,878	23,784,694 168,696,998	19,184,193 163,454,693	19,624,837 186,589,412
Operating expenses Median	15,349,945 149,311,209	31,584,888 156,110,414	34,299,209 164,890,568	33,520,118 166,516,854	25,320,212 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,163,714 -964,173	-5,988,127 -643,601.5	-10,514,515 -116,254	-14,335,925 -5,025,862	-5,695,375 -1,284,564
NS2P margin ? Median	7.05% -0.62	-23.39% -0.29	-44.21% 0.18	-74.73% -5.07	-29.02% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GREENVILLE REGIONAL 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	707,168 5,089,215	1,326,185 4,572,541	1,290,177 5,268,134	3,580,222 13,092,619	11,146,164 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	15,001 224,999	5,181 199,009	-6,964 206,870.5	1,562 194,343	7,960 249,496
⊳ Line 7: Investments ? ⊳ Median	-12,474 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	0
⊳ 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	66,172	123,085	96,643	50,371	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	1,342	1,401	2,533	91	0
⊳ Line 17: Revenue from sale of drugs to other than patients	1,648	23,140	3,382	179	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	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	490	984	590	893	0
⊳ Line 22: Rental of hospital space	195,663	407,098	467,962	212,109	320,157
⊳ Line 23: Gov appropriations ? ⊳ Median	29,101 1,017,693	43,910 983,261.5	1,049 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	410,225	721,386	724,982	3,315,017	10,818,047
Total income ? Median	1,870,882 6,586,430	-4,661,942 6,767,106	-9,224,338 8,419,950	-10,755,703 8,094,175	5,450,789 15,162,888
Non-operating expenses Median	0 146,289.5	4,105 164,857	9,071 89,880.5	274,834 106,761	0 31,473.5
Net income Median	1,870,882 6,043,842	-4,666,047 5,845,112	-9,233,409 7,606,259	-11,030,537 7,283,041	5,450,789 14,957,241
Net margin Median	10.86407% 4.62%	-17.33112% 4.42%	-36.82336% 5.16%	-48.45517% 5.2%	17.71405% 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 GREENVILLE REGIONAL 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	1,850,665 23,241,334	3,781,703 23,709,545	4,305,054 24,248,380	3,286,160 22,858,541	2,624,235 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	1,266,968 21,577,146	2,735,568 22,041,594	3,125,699 22,722,063	2,308,315 21,570,441	2,624,235 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	583,697 1,845,420	1,046,135 1,757,392	1,179,355 1,738,842	977,845 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	1,836,985 11,160,864	3,350,205 11,987,345	2,711,996 12,926,866	2,702,038 11,884,480	2,419,678 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	1,227,802 10,918,923	2,352,990 11,706,976	1,873,920 12,615,917	1,828,993 11,458,116	1,819,816 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	609,183 618,038	997,215 697,279	838,076 690,232	873,045 684,010	599,862 670,558
⊳ 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	25,792 594,888	54,348 595,761	61,761 577,894	45,015 542,168	14,113 549,667
Outlier Median	0 582,572	9,316 538,116	6,489 212,434	14,668 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	726,972 3,730,911	0 4,081,319	1,785,863 4,643,908	1,410,103 4,389,147
Charity care Median	271,272 2,654,636	608,016 2,940,659	272,331 3,380,215	361,241 3,488,738	263,793 3,233,405
Uncompensated care (UCC) Median	434,499 5,147,790	1,357,041 5,337,617	1,166,774 5,711,082	1,187,104 5,923,418	621,409 5,508,107
UCC as a % of operating expenses Median	2.83% 3.24	4.30% 3.12	3.40% 3.21	3.54% 3.3	2.45% 2.86
Total shortfall/UCC Median	434,499 9,489,989	2,084,013 9,424,297	1,166,774 10,120,158	2,972,967 11,171,337	2,031,512 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	5,507,408 52,142,039	10,475,983 54,485,252	10,962,619 57,395,589	8,989,761 58,830,919	6,582,561 61,722,907
Salaries as a % of operating expenses Median	35.88 36.68	33.17 36.56	31.96 36.37	26.82 35.93	26.00 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	879,151 1,449,244	1,274,706 1,475,986	1,509,632 1,563,078	1,192,816 1,721,954	1,358,943 2,991,828
Contract hours, direct-care Median	14,819.69 22,725	18,192.55 23,018.5	21,344.00 24,503.48	17,121.08 25,026.5	17,772.00 33,786
Contract wages, direct-care Median	59.32 64.67	70.07 64.53	70.73 65.06	69.67 68.97	76.47 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.