As of the July, 2022, release via CMS

ANMED HEALTH

CMS id: 420027
800 NORTH FANT STREET, ANDERSON SC 29621. County: ANDERSON
System: --
CBSA: Greenville-Anderson, SC

The 394-bed, acute-care hospital had $8,411,158 in net service to patients*, with a total profit margin of 4.25191% in fiscal year 2021, the latest year available.
It spent 5.58% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	319 118	327 118	330 119.5	320 118	320 119
Total beds Median	387 162	396 162	397 162	394 162	394 163.5
FTEs Median	3,253.49 788.06	3,160.56 793.42	3,139.15 806.03	2,926.13 787.61	2,962.92 804.34

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	564,674,485 150,932,746	595,563,766 158,950,878	585,180,612 168,696,998	728,359,264 163,454,693	593,801,893 186,589,412
Operating expenses Median	531,031,526 149,311,209	535,283,275 156,110,414	523,137,974 164,890,568	532,308,959 166,516,854	585,390,735 180,120,888
Net income from service 2 patients (NS2P) ? Median	33,642,959 -964,173	60,280,491 -643,601.5	62,042,638 -116,254	196,050,305 -5,025,862	8,411,158 -1,284,564
NS2P margin ? Median	5.96% -0.62	10.12% -0.29	10.60% 0.18	26.92% -5.07	1.42% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ANMED HEALTH 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	72,844,586 5,089,215	-18,344,597 4,572,541	102,215,770 5,268,134	91,746,808 13,092,619	17,584,426 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,726,947 224,999	2,241,249 199,009	2,645,668 206,870.5	24,407,994 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	59,688,699 299,524	-32,780,727 188,688.5	91,496,721 370,813	60,568,701 309,361.5	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	729,459	779,198	605,670	749,709	701,508
⊳ 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	2,723,604	2,630,963	2,599,140	1,803,948	1,858,666
⊳ 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	67,247
⊳ Line 17: Revenue from sale of drugs to other than patients	44,386	27,275	33,567	86,213	0
⊳ Line 18: Revenue from sale of medical records and abstracts	664	34,956	39,588	34,865	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	69,857	67,257	65,725	71,850	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	162,786
⊳ Line 21: Rental of vending machines	33,405	42,735	35,975	29,345	23,082
⊳ Line 22: Rental of hospital space	1,807,353	1,744,687	1,858,082	1,704,033	1,631,807
⊳ Line 23: Gov appropriations ? ⊳ Median	345,878 1,017,693	187,000 983,261.5	76,500 1,173,286	0 1,987,202	5,114,814 1,597,664
⊳ Sum Line 24	3,607,682	6,616,433	2,665,863	2,167,218	8,024,516
Total income ? Median	106,487,545 6,586,430	41,935,894 6,767,106	164,258,408 8,419,950	287,797,113 8,094,175	25,995,584 15,162,888
Non-operating expenses Median	64,548,415 146,289.5	66,360,638 164,857	61,984,512 89,880.5	213,991,123 106,761	0 31,473.5
Net income Median	41,939,130 6,043,842	-24,424,744 5,845,112	102,273,896 7,606,259	73,805,990 7,283,041	25,995,584 14,957,241
Net margin Median	6.57849% 4.62%	-4.23145% 4.42%	14.87845% 5.16%	8.99957% 5.2%	4.25191% 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 ANMED HEALTH 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	70,040,552 23,241,334	73,090,755 23,709,545	72,346,776 24,248,380	71,198,326 22,858,541	67,443,288 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	68,967,149 21,577,146	71,937,210 22,041,594	71,090,349 22,722,063	69,771,381 21,570,441	65,765,022 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	1,073,403 1,845,420	1,153,545 1,757,392	1,256,427 1,738,842	1,426,945 1,510,463	1,678,266 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	39,341,029 11,160,864	42,141,380 11,987,345	41,154,777 12,926,866	36,750,079 11,884,480	41,031,778 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	37,466,684 10,918,923	40,324,913 11,706,976	39,403,795 12,615,917	34,982,309 11,458,116	39,209,919 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,874,345 1,282,808	1,816,467 1,407,728	1,750,982 1,341,512	1,767,770 1,407,046	1,821,859 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	4,033,545 3,284,314	4,034,131 3,250,551	3,935,582 3,386,837	3,721,947 3,360,806	3,496,479 3,508,953
Disproportionate-share hospital (DSH) Median	1,133,913 594,888	1,283,140 595,761	1,150,713 577,894	1,207,484 542,168	861,441 549,667
Outlier Median	1,896,742 582,572	1,468,977 538,116	539,711 212,434	499,783 126,559	557,507 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	23,366,231 2,654,636	22,515,843 2,940,659	21,237,472 3,380,215	15,865,059 3,488,738	18,774,934 3,233,405
Uncompensated care (UCC) Median	32,275,701 5,147,790	33,916,248 5,337,617	32,847,829 5,711,082	29,813,479 5,923,418	32,669,004 5,508,107
UCC as a % of operating expenses Median	6.08% 3.24	6.34% 3.12	6.28% 3.21	5.60% 3.3	5.58% 2.86
Total shortfall/UCC Median	32,275,701 9,489,989	33,916,248 9,424,297	32,847,829 10,120,158	29,813,479 11,171,337	32,669,004 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	219,118,970 52,142,039	225,388,765 54,485,252	229,530,371 57,395,589	234,991,513 58,830,919	254,936,725 61,722,907
Salaries as a % of operating expenses Median	41.26 36.68	42.11 36.56	43.88 36.37	44.15 35.93	43.59 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	3,356,735 1,449,244	1,250,037 1,475,986	780,691 1,563,078	1,891,835 1,721,954	10,836,051 2,991,828
Contract hours, direct-care Median	49,417.06 22,725	16,730.77 23,018.5	12,152.42 24,503.48	20,732.55 25,026.5	91,325.00 33,786
Contract wages, direct-care Median	67.93 64.67	74.71 64.53	64.24 65.06	91.25 68.97	118.65 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.