As of the July, 2022, release via CMS

SINGING RIVER HEALTH SYSTEM

CMS id: 250040
2809 DENNY AVENUE, PASCAGOULA MS 39581. County: JACKSON
System: --
CBSA: Gulfport-Biloxi, MS

The 398-bed, acute-care hospital had $-23,086,739 in net service to patients*, with a total profit margin of 2.94207% in fiscal year 2021, the latest year available.
It spent 4.34% 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	gov	gov	gov	gov	gov
Acute beds Median	302 118	272 118	280 119.5	280 118	280 119
Total beds Median	420 162	390 162	398 162	398 162	398 163.5
FTEs Median	1,956.74 788.06	655.63 793.42	2,175.43 806.03	2,175.16 787.61	2,361.73 804.34

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	346,964,818 150,932,746	345,466,331 158,950,878	382,619,306 168,696,998	367,236,938 163,454,693	420,057,813 186,589,412
Operating expenses Median	347,850,329 149,311,209	342,255,843 156,110,414	374,451,354 164,890,568	388,004,976 166,516,854	443,144,552 180,120,888
Net income from service 2 patients (NS2P) ? Median	-885,511 -964,173	3,210,488 -643,601.5	8,167,952 -116,254	-20,768,038 -5,025,862	-23,086,739 -1,284,564
NS2P margin ? Median	-0.26% -0.62	0.93% -0.29	2.13% 0.18	-5.66% -5.07	-5.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SINGING RIVER HEALTH SYSTEM 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	8,986,560 5,089,215	259,880,859 4,572,541	38,480,450 5,268,134	33,251,420 13,092,619	36,519,546 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-176,150 224,999	-128,515 199,009	-44,701 206,870.5	63,495 194,343	1,167,146 249,496
⊳ Line 7: Investments ? ⊳ Median	1,703,237 299,524	1,142,297 188,688.5	4,042,297 370,813	2,404,830 309,361.5	332,618 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	423,072	289,614	335,664	346,151	734,682
⊳ 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	0	0	0	16,262	44,898
⊳ 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	3,735,673	8,756,416	17,860,784	21,618,463
⊳ Line 18: Revenue from sale of medical records and abstracts	230,758	247,637	252,575	188,552	265,754
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	2,474	6,424	7,289	5,315
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	841,217	845,419	763,183	489,865	79,076
⊳ Line 21: Rental of vending machines	39,098	27,901	41,242	24,309	14,008
⊳ Line 22: Rental of hospital space	1,962,661	900,262	720,223	1,199,083	1,077,905
⊳ Line 23: Gov appropriations ? ⊳ Median	3,322,976 1,017,693	1,662,063 983,261.5	12,803,601 1,173,286	289,737 1,987,202	339,904 1,597,664
⊳ Sum Line 24	639,691	251,156,034	10,803,526	10,361,063	10,839,777
Total income ? Median	8,101,049 6,586,430	263,091,347 6,767,106	46,648,402 8,419,950	12,483,382 8,094,175	13,432,807 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	8,101,049 6,043,842	263,091,347 5,845,112	46,648,402 7,606,259	12,483,382 7,283,041	13,432,807 14,957,241
Net margin Median	2.27589% 4.62%	43.46123% 4.42%	11.07776% 5.16%	3.11704% 5.2%	2.94207% 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 SINGING RIVER HEALTH SYSTEM 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	62,182,527 23,241,334	68,701,130 23,709,545	73,376,674 24,248,380	71,155,102 22,858,541	70,733,206 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	54,680,997 21,577,146	57,718,990 22,041,594	62,231,629 22,722,063	60,443,357 21,570,441	60,592,252 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	1,592,433 1,845,420	1,215,423 1,757,392	975,261 1,738,842	1,022,181 1,510,463	1,128,684 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,909,097 3,535,627	5,450,320 3,746,588	6,257,359 3,782,288	6,393,842 3,865,578	5,852,868 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	4,316,397 1,215,295	3,912,425 1,313,657	3,295,722 1,365,298	3,159,402 1,179,746
All outpatient revenue Median Click here to show/hide details	35,329,086 11,160,864	37,243,082 11,987,345	38,016,219 12,926,866	38,067,236 11,884,480	43,016,629 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	34,835,120 10,918,923	36,619,202 11,706,976	37,386,594 12,615,917	37,437,821 11,458,116	42,340,536 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	493,966 618,038	623,880 697,279	629,625 690,232	629,415 684,010	676,093 670,558
⊳ 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	1,385,131 594,888	1,335,078 595,761	1,456,865 577,894	1,138,602 542,168	1,250,290 549,667
Outlier Median	2,218,434 582,572	2,160,647 538,116	302,041 212,434	223,745 126,559	279,592 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	81,502 3,662,910	43,070 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	10,577,540 2,654,636	13,444,355 2,940,659	7,867,844 3,380,215	11,522,353 3,488,738	9,829,143 3,233,405
Uncompensated care (UCC) Median	27,604,254 5,147,790	29,660,733 5,337,617	23,677,116 5,711,082	24,000,176 5,923,418	19,236,145 5,508,107
UCC as a % of operating expenses Median	7.94% 3.24	8.67% 3.12	6.32% 3.21	6.19% 3.3	4.34% 2.86
Total shortfall/UCC Median	27,685,756 9,489,989	29,703,803 9,424,297	23,677,116 10,120,158	24,000,176 11,171,337	19,236,145 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	130,779,559 52,142,039	133,472,009 54,485,252	140,427,541 57,395,589	144,043,553 58,830,919	160,499,170 61,722,907
Salaries as a % of operating expenses Median	37.60 36.68	39.00 36.56	37.50 36.37	37.12 35.93	36.22 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	11,599,471 1,449,244	14,618,455 1,475,986	17,470,687 1,563,078	17,325,683 1,721,954	20,101,724 2,991,828
Contract hours, direct-care Median	254,501.00 22,725	263,830.00 23,018.5	261,597.75 24,503.48	432,560.00 25,026.5	313,845.03 33,786
Contract wages, direct-care Median	45.58 64.67	55.41 64.53	66.78 65.06	40.05 68.97	64.05 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.