As of the July, 2022, release via CMS

SOUTHCOAST HOSPITALS GROUP INC

CMS id: 220074
363 HIGHLAND AVE, FALL RIVER MA 2720. County: BRISTOL
System: --
CBSA: Providence-Warwick, RI-MA

The 652-bed, acute-care hospital had $-58,647,021 in net service to patients*, with a total profit margin of 10.69796% in fiscal year 2021, the latest year available.
It spent 1.67% of its operating expenses on uncompensated care and reported $12,010,033 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	forprofit
Acute beds Median	761 118	761 118	761 119.5	746 118	562 119
Total beds Median	867 162	867 162	867 162	852 162	652 163.5
FTEs Median	4,525.67 788.06	4,458.67 793.42	4,578.07 806.03	4,305.10 787.61	4,273.54 804.34

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	743,597,340 150,932,746	771,882,286 158,950,878	819,176,539 168,696,998	777,872,627 163,454,693	830,323,320 186,589,412
Operating expenses Median	763,925,653 149,311,209	777,456,709 156,110,414	821,825,242 164,890,568	838,560,810 166,516,854	888,970,341 180,120,888
Net income from service 2 patients (NS2P) ? Median	-20,328,313 -964,173	-5,574,423 -643,601.5	-2,648,703 -116,254	-60,688,183 -5,025,862	-58,647,021 -1,284,564
NS2P margin ? Median	-2.73% -0.62	-0.72% -0.29	-0.32% 0.18	-7.80% -5.07	-7.06% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SOUTHCOAST HOSPITALS GROUP 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	71,697,409 5,089,215	77,329,696 4,572,541	79,205,993 5,268,134	168,273,779 13,092,619	165,141,419 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,955,995 224,999	3,124,508 199,009	4,150,980 206,870.5	4,666,506 194,343	4,372,356 249,496
⊳ Line 7: Investments ? ⊳ Median	13,267,433 299,524	20,560,108 188,688.5	18,224,449 370,813	29,355,110 309,361.5	75,128,384 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	31,163	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	116,869	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	3,228,674	3,015,667	3,058,377	2,539,140	2,168,510
⊳ 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	31,232,340	29,744,871	32,588,761	42,944,268	57,016,181
⊳ Line 18: Revenue from sale of medical records and abstracts	49,517	62,482	118,437	93,115	147,363
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,500,486	1,603,275	1,742,633	901,606	507,492
⊳ Line 21: Rental of vending machines	41,617	37,500	38,189	35,839	32,131
⊳ Line 22: Rental of hospital space	1,879,347	1,813,695	2,218,134	2,630,334	2,860,217
⊳ 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	17,393,968	17,367,590	16,766,140	84,863,997	22,655,642
Total income ? Median	51,369,096 6,586,430	71,755,273 6,767,106	76,557,290 8,419,950	107,585,596 8,094,175	106,494,398 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	51,369,096 6,043,842	71,755,273 5,845,112	76,557,290 7,606,259	107,585,596 7,283,041	106,494,398 14,957,241
Net margin Median	6.30068% 4.62%	8.44963% 4.42%	8.52168% 5.16%	11.37092% 5.2%	10.69796% 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 SOUTHCOAST HOSPITALS GROUP 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	174,153,138 23,241,334	167,309,239 23,709,545	181,808,227 24,248,380	166,279,555 22,858,541	165,429,813 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	168,334,540 21,577,146	161,607,929 22,041,594	176,039,154 22,722,063	160,599,709 21,570,441	159,794,645 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	5,818,598 3,535,627	5,701,310 3,746,588	5,769,073 3,782,288	5,679,846 3,865,578	5,635,168 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	94,211,247 11,160,864	102,746,137 11,987,345	114,909,930 12,926,866	109,022,147 11,884,480	119,980,797 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	94,211,247 10,918,923	102,746,137 11,706,976	114,909,930 12,615,917	109,022,147 11,458,116	119,980,797 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	5,303,067 594,888	5,520,326 595,761	5,539,557 577,894	5,301,235 542,168	5,142,501 549,667
Outlier Median	3,805,788 582,572	1,952,238 538,116	484,668 212,434	602,837 126,559	711,935 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	6,482,313 4,643,908	12,010,033 4,389,147
Charity care Median	9,591,374 2,654,636	9,301,831 2,940,659	6,988,464 3,380,215	7,389,979 3,488,738	8,277,801 3,233,405
Uncompensated care (UCC) Median	18,218,351 5,147,790	18,145,200 5,337,617	15,948,883 5,711,082	17,322,573 5,923,418	14,839,991 5,508,107
UCC as a % of operating expenses Median	2.38% 3.24	2.33% 3.12	1.94% 3.21	2.07% 3.3	1.67% 2.86
Total shortfall/UCC Median	18,218,351 9,489,989	18,145,200 9,424,297	15,948,883 10,120,158	23,804,886 11,171,337	26,850,024 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	325,953,394 52,142,039	326,675,929 54,485,252	343,843,754 57,395,589	341,746,774 58,830,919	345,191,750 61,722,907
Salaries as a % of operating expenses Median	42.67 36.68	42.02 36.56	41.84 36.37	40.75 35.93	38.83 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	4,878,888 1,449,244	4,454,477 1,475,986	6,903,610 1,563,078	6,260,147 1,721,954	9,316,390 2,991,828
Contract hours, direct-care Median	61,282.00 22,725	57,617.00 23,018.5	88,357.00 24,503.48	79,344.00 25,026.5	94,252.00 33,786
Contract wages, direct-care Median	79.61 64.67	77.31 64.53	78.13 65.06	78.90 68.97	98.85 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.