As of the July, 2022, release via CMS

GREENWOOD LEFLORE HOSPITAL

CMS id: 250099
1401 RIVER ROAD, GREENWOOD MS 38935. County: LEFLORE
System: --
CBSA: Greenwood, MS

The 193-bed, acute-care hospital had $-25,913,007 in net service to patients*, with a total profit margin of -9.91627% in fiscal year 2021, the latest year available.
It spent 5.00% of its operating expenses on uncompensated care and reported $25,753 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	164 118	164 118	164 119.5	164 118	164 119
Total beds Median	208 162	193 162	193 162	193 162	193 163.5
FTEs Median	802.07 788.06	756.13 793.42	745.53 806.03	735.55 787.61	712.25 804.34

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	94,175,654 150,932,746	110,561,432 158,950,878	107,036,097 168,696,998	96,748,176 163,454,693	96,026,049 186,589,412
Operating expenses Median	119,701,429 149,311,209	122,140,547 156,110,414	116,076,697 164,890,568	115,307,724 166,516,854	121,939,056 180,120,888
Net income from service 2 patients (NS2P) ? Median	-25,525,775 -964,173	-11,579,115 -643,601.5	-9,040,600 -116,254	-18,559,548 -5,025,862	-25,913,007 -1,284,564
NS2P margin ? Median	-27.10% -0.62	-10.47% -0.29	-8.45% 0.18	-19.18% -5.07	-26.99% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GREENWOOD LEFLORE 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	3,220,750 5,089,215	2,713,533 4,572,541	2,690,993 5,268,134	15,620,901 13,092,619	14,912,946 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	472,955 224,999	632,572 199,009	320,686 206,870.5	206,761 194,343	177,343 249,496
⊳ Line 7: Investments ? ⊳ Median	90,785 299,524	361,585 188,688.5	835,061 370,813	698,882 309,361.5	268,811 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	152,707	93,414	79,481	98,037	15,415
⊳ Line 11: Rebates and refunds of expenses	2,198	1,555	2,782	6,116	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	0	0
⊳ 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	1,733,104
⊳ Line 18: Revenue from sale of medical records and abstracts	304,477	222,694	279,723	278,298	344,184
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	120,642	121,027	107,320	116,959	141,225
⊳ Line 21: Rental of vending machines	14,397	5,746	6,387	4,678	3,621
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	2,500 1,597,664
⊳ Sum Line 24	2,062,578	1,274,920	1,059,553	14,211,170	12,226,743
Total income ? Median	-22,305,025 6,586,430	-8,865,582 6,767,106	-6,349,607 8,419,950	-2,938,647 8,094,175	-11,000,061 15,162,888
Non-operating expenses Median	3,134 146,289.5	30 164,857	17,647 89,880.5	63,439 106,761	953 31,473.5
Net income Median	-22,308,159 6,043,842	-8,865,612 5,845,112	-6,367,254 7,606,259	-3,002,086 7,283,041	-11,001,014 14,957,241
Net margin Median	-22.90450% 4.62%	-7.82663% 4.42%	-5.80281% 5.16%	-2.67163% 5.2%	-9.91627% 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 GREENWOOD LEFLORE 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	27,054,364 23,241,334	24,759,443 23,709,545	25,237,412 24,248,380	22,523,322 22,858,541	18,007,044 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	21,136,744 21,577,146	20,999,924 22,041,594	21,085,399 22,722,063	19,332,710 21,570,441	15,823,041 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	976,429 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,941,191 3,535,627	3,759,519 3,746,588	4,152,013 3,782,288	3,190,612 3,865,578	2,184,003 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	14,418,214 11,160,864	15,312,405 11,987,345	15,666,803 12,926,866	12,958,753 11,884,480	11,306,017 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	13,903,033 10,918,923	14,788,060 11,706,976	15,212,670 12,615,917	12,669,191 11,458,116	11,127,513 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	515,181 618,038	524,345 697,279	454,133 690,232	289,562 684,010	178,504 670,558
⊳ 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	1,317,654 594,888	1,285,571 595,761	1,237,366 577,894	1,018,437 542,168	658,868 549,667
Outlier Median	133,560 582,572	307,882 538,116	43,227 212,434	45,025 126,559	62,738 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	30,553 4,081,319	18,441 4,643,908	25,753 4,389,147
Charity care Median	1,872,663 2,654,636	836,590 2,940,659	1,864,582 3,380,215	2,933,594 3,488,738	2,718,223 3,233,405
Uncompensated care (UCC) Median	8,740,625 5,147,790	4,838,722 5,337,617	6,838,462 5,711,082	7,048,605 5,923,418	6,100,415 5,508,107
UCC as a % of operating expenses Median	7.30% 3.24	3.96% 3.12	5.89% 3.21	6.11% 3.3	5.00% 2.86
Total shortfall/UCC Median	8,740,625 9,489,989	4,838,722 9,424,297	6,869,015 10,120,158	7,067,046 11,171,337	6,126,168 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	53,484,154 52,142,039	50,661,910 54,485,252	50,371,978 57,395,589	51,954,125 58,830,919	53,536,318 61,722,907
Salaries as a % of operating expenses Median	44.68 36.68	41.48 36.56	43.40 36.37	45.06 35.93	43.90 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	3,075,881 1,449,244	4,887,420 1,475,986	3,324,140 1,563,078	4,964,191 1,721,954	4,555,342 2,991,828
Contract hours, direct-care Median	55,924.39 22,725	85,001.11 23,018.5	58,808.25 24,503.48	75,550.80 25,026.5	62,380.15 33,786
Contract wages, direct-care Median	55.00 64.67	57.50 64.53	56.53 65.06	65.71 68.97	73.03 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.