As of the July, 2022, release via CMS

CANNON MEMORIAL HOSPITAL

CMS id: 420011
123 W.G. ACKER DRIVE, PICKENS SC 29671. County: PICKENS
System: --
CBSA: Greenville-Anderson, SC

The 42-bed, acute-care hospital had $-4,693,937 in net service to patients*, with a total profit margin of -11.34046% in fiscal year 2021, the latest year available.
It spent 12.13% of its operating expenses on uncompensated care and reported $510,525 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	38 118	38 118	38 119.5	38 118	38 119
Total beds Median	42 162	42 162	42 162	42 162	42 163.5
FTEs Median	193.39 788.06	189.05 793.42	201.10 806.03	176.90 787.61	183.24 804.34

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	20,791,008 150,932,746	19,940,299 158,950,878	23,465,772 168,696,998	24,923,335 163,454,693	29,940,926 186,589,412
Operating expenses Median	22,480,676 149,311,209	22,019,248 156,110,414	24,867,185 164,890,568	26,536,098 166,516,854	34,634,863 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,689,668 -964,173	-2,078,949 -643,601.5	-1,401,413 -116,254	-1,612,763 -5,025,862	-4,693,937 -1,284,564
NS2P margin ? Median	-8.13% -0.62	-10.43% -0.29	-5.97% 0.18	-6.47% -5.07	-15.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CANNON 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	491,117 5,089,215	356,350 4,572,541	679,946 5,268,134	787,631 13,092,619	1,166,241 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	4,854 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	774 299,524	5,245 188,688.5	3,179 370,813	5,595 309,361.5	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	16,983	0	0	0	245
⊳ Line 11: Rebates and refunds of expenses	0	7,564	9,358	14,638	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	84,578	85,386	77,047	56,034	48,207
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	439	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	25,372	17,784	5,870	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	24,539	27,897	23,658	20,419	20,281
⊳ 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	490	0
⊳ Line 22: Rental of hospital space	6,750	9,000	3,000	0	0
⊳ 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	331,682	198,620	557,834	690,455	1,097,508
Total income ? Median	-1,198,551 6,586,430	-1,722,599 6,767,106	-721,467 8,419,950	-825,132 8,094,175	-3,527,696 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	-1,198,551 6,043,842	-1,722,599 5,845,112	-721,467 7,606,259	-825,132 7,283,041	-3,527,696 14,957,241
Net margin Median	-5.63173% 4.62%	-8.48711% 4.42%	-2.98797% 5.16%	-3.20926% 5.2%	-11.34046% 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 CANNON 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	1,725,714 23,241,334	1,970,102 23,709,545	2,414,493 24,248,380	1,657,485 22,858,541	1,972,632 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	1,725,714 21,577,146	1,970,102 22,041,594	2,414,493 22,722,063	1,657,485 21,570,441	1,972,632 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	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	1,346,331 11,160,864	1,542,108 11,987,345	2,215,475 12,926,866	2,624,489 11,884,480	1,992,904 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	1,158,494 10,918,923	1,143,706 11,706,976	1,729,168 12,615,917	2,095,702 11,458,116	1,541,569 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	187,837 618,038	398,402 697,279	486,307 690,232	528,787 684,010	451,335 670,558
⊳ 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	0 594,888	9,189 595,761	15,517 577,894	0 542,168	11,982 549,667
Outlier Median	0 582,572	0 538,116	0 212,434	0 126,559	3,172 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	25,129 3,730,911	6,146 4,081,319	0 4,643,908	510,525 4,389,147
Charity care Median	1,118,504 2,654,636	1,465,446 2,940,659	1,715,483 3,380,215	2,425,181 3,488,738	2,174,797 3,233,405
Uncompensated care (UCC) Median	3,051,609 5,147,790	3,128,121 5,337,617	2,911,996 5,711,082	4,427,267 5,923,418	4,199,990 5,508,107
UCC as a % of operating expenses Median	13.57% 3.24	14.21% 3.12	11.71% 3.21	16.68% 3.3	12.13% 2.86
Total shortfall/UCC Median	3,051,609 9,489,989	3,153,250 9,424,297	2,918,142 10,120,158	4,427,267 11,171,337	4,710,515 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	10,000,432 52,142,039	10,262,463 54,485,252	10,274,718 57,395,589	10,318,860 58,830,919	10,633,661 61,722,907
Salaries as a % of operating expenses Median	44.48 36.68	46.61 36.56	41.32 36.37	38.89 35.93	40.10 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	285,380 1,449,244	291,679 1,475,986	0 1,563,078	10,549 1,721,954	7,128 2,991,828
Contract hours, direct-care Median	5,936.00 22,725	5,936.00 23,018.5	0.00 24,503.48	305.15 25,026.5	139.00 33,786
Contract wages, direct-care Median	48.08 64.67	49.14 64.53	0.00 65.06	34.57 68.97	51.28 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.