As of the July, 2022, release via CMS

OCONEE MEMORIAL HOSPITAL

CMS id: 420009
298 MEMORIAL DRIVE, SENECA SC 29672. County: OCONEE
System: PRISMA HEALTH UPSTATE
CBSA: Seneca, SC

The 126-bed, acute-care hospital had $-14,584,120 in net service to patients*, with a total profit margin of -7.91114% in fiscal year 2021, the latest year available.
It spent 7.78% of its operating expenses on uncompensated care and reported $1,678,768 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	110 118	110 118	121 119.5	113 118	91 119
Total beds Median	257 162	257 162	268 162	245 162	126 163.5
FTEs Median	840.71 788.06	820.03 793.42	819.55 806.03	756.60 787.61	763.90 804.34

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	118,063,451 150,932,746	124,429,448 158,950,878	135,335,084 168,696,998	140,418,174 163,454,693	173,430,720 186,589,412
Operating expenses Median	138,017,061 149,311,209	146,075,780 156,110,414	149,888,117 164,890,568	167,189,620 166,516,854	188,014,840 180,120,888
Net income from service 2 patients (NS2P) ? Median	-19,953,610 -964,173	-21,646,332 -643,601.5	-14,553,033 -116,254	-26,771,446 -5,025,862	-14,584,120 -1,284,564
NS2P margin ? Median	-16.90% -0.62	-17.40% -0.29	-10.75% 0.18	-19.07% -5.07	-8.41% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OCONEE MEMORIAL 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	6,221,080 5,089,215	4,853,216 4,572,541	-4,813,632 5,268,134	6,479,584 13,092,619	833,539 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	229,702 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	5,618,509 299,524	4,169,855 188,688.5	-5,200,320 370,813	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	-2,203,554	131,250
⊳ 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	234,656	212,931	222,043	159,681	324,600
⊳ 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	0	0	0	0	534
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	54,266	90,003	95,009	106,065	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	80,896 1,597,664
⊳ Sum Line 24	313,649	380,427	69,636	8,187,690	296,259
Total income ? Median	-13,732,530 6,586,430	-16,793,116 6,767,106	-19,366,665 8,419,950	-20,291,862 8,094,175	-13,750,581 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	35,703 31,473.5
Net income Median	-13,732,530 6,043,842	-16,793,116 5,845,112	-19,366,665 7,606,259	-20,291,862 7,283,041	-13,786,284 14,957,241
Net margin Median	-11.04927% 4.62%	-12.98946% 4.42%	-14.83792% 5.16%	-13.81360% 5.2%	-7.91114% 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 OCONEE MEMORIAL 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	25,778,505 23,241,334	25,603,835 23,709,545	25,251,126 24,248,380	22,689,339 22,858,541	25,725,139 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	23,429,798 21,577,146	23,094,067 22,041,594	22,220,993 22,722,063	20,250,044 21,570,441	25,725,139 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	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	2,348,707 1,203,033	2,509,768 1,215,295	3,030,133 1,313,657	2,439,295 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	11,801,983 11,160,864	13,700,489 11,987,345	14,226,282 12,926,866	15,524,898 11,884,480	15,950,201 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	11,027,085 10,918,923	13,700,489 11,706,976	14,226,282 12,615,917	15,524,898 11,458,116	15,950,201 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	774,898 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	543,831 3,284,314	504,144 3,250,551	495,082 3,386,837	0 3,360,806	683,492 3,508,953
Disproportionate-share hospital (DSH) Median	114,023 594,888	112,483 595,761	153,076 577,894	300,870 542,168	223,807 549,667
Outlier Median	196,559 582,572	235,039 538,116	45,303 212,434	39,116 126,559	114,169 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	3,104,410 3,730,911	0 4,081,319	0 4,643,908	1,678,768 4,389,147
Charity care Median	7,357,882 2,654,636	6,949,051 2,940,659	9,411,320 3,380,215	9,343,198 3,488,738	9,215,739 3,233,405
Uncompensated care (UCC) Median	16,085,091 5,147,790	12,750,849 5,337,617	9,642,150 5,711,082	14,780,593 5,923,418	14,623,762 5,508,107
UCC as a % of operating expenses Median	11.65% 3.24	8.73% 3.12	6.43% 3.21	8.84% 3.3	7.78% 2.86
Total shortfall/UCC Median	16,085,091 9,489,989	15,855,259 9,424,297	9,642,150 10,120,158	14,780,593 11,171,337	16,302,530 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	43,184,479 52,142,039	45,476,361 54,485,252	46,623,791 57,395,589	48,704,664 58,830,919	54,254,177 61,722,907
Salaries as a % of operating expenses Median	34.42 36.68	35.29 36.56	35.35 36.37	32.31 35.93	32.86 35.24
Intern, resident salaries* Median	418,070 2,598,592	419,680 2,686,824	309,662 2,753,773	275,163 2,937,156	492,664 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	2,226,512 1,449,244	1,931,860 1,475,986	919,331 1,563,078	1,395,660 1,721,954	5,481,568 2,991,828
Contract hours, direct-care Median	28,528.00 22,725	29,738.84 23,018.5	15,992.00 24,503.48	22,842.60 25,026.5	89,625.30 33,786
Contract wages, direct-care Median	78.05 64.67	64.96 64.53	57.49 65.06	61.10 68.97	61.16 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.