As of the July, 2022, release via CMS

PH GREER MEMORIAL HOSPITAL

CMS id: 420033
830 SOUTH BUNCOMBE ROAD, GREER SC 29650. County: GREENVILLE
System: PRISMA HEALTH UPSTATE
CBSA: Greenville-Anderson, SC

The 73-bed, acute-care hospital had $31,956,081 in net service to patients*, with a total profit margin of 20.88297% in fiscal year 2021, the latest year available.
It spent 6.75% of its operating expenses on uncompensated care and reported $713,071 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	62 118	49 118	50 119.5	62 118	56 119
Total beds Median	70 162	57 162	58 162	73 162	73 163.5
FTEs Median	373.90 788.06	378.20 793.42	385.60 806.03	393.90 787.61	434.20 804.34

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	99,106,881 150,932,746	99,862,065 158,950,878	108,530,560 168,696,998	114,933,464 163,454,693	153,810,085 186,589,412
Operating expenses Median	87,842,454 149,311,209	88,029,288 156,110,414	93,286,840 164,890,568	105,388,843 166,516,854	121,854,004 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,264,427 -964,173	11,832,777 -643,601.5	15,243,720 -116,254	9,544,621 -5,025,862	31,956,081 -1,284,564
NS2P margin ? Median	11.37% -0.62	11.85% -0.29	14.05% 0.18	8.30% -5.07	20.78% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PH GREER 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	355,589 5,089,215	425,851 4,572,541	406,845 5,268,134	4,114,847 13,092,619	239,254 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-48,707 224,999	-17,171 199,009	-19,315 206,870.5	829 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	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	-6,983	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	235,456	231,888	244,562	198,773	194,736
⊳ 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	19,610	17,021	16,462	9,806	0
⊳ 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	4,363	4,752	2,762	0	0
⊳ Line 22: Rental of hospital space	121,466	129,180	129,142	151,412	10,120
⊳ 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	23,401	60,181	33,232	3,761,010	34,398
Total income ? Median	11,620,016 6,586,430	12,258,628 6,767,106	15,650,565 8,419,950	13,659,468 8,094,175	32,195,335 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	25,259 31,473.5
Net income Median	11,620,016 6,043,842	12,258,628 5,845,112	15,650,565 7,606,259	13,659,468 7,283,041	32,170,076 14,957,241
Net margin Median	11.68281% 4.62%	12.22343% 4.42%	14.36657% 5.16%	11.47389% 5.2%	20.88297% 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 PH GREER 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	8,424,636 23,241,334	7,358,257 23,709,545	8,688,067 24,248,380	11,074,474 22,858,541	15,674,829 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	8,424,636 21,577,146	7,358,257 22,041,594	8,688,067 22,722,063	11,074,474 21,570,441	15,674,829 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	8,003,931 11,160,864	9,370,207 11,987,345	10,372,552 12,926,866	9,444,293 11,884,480	11,016,217 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	8,003,931 10,918,923	9,370,207 11,706,976	10,372,552 12,615,917	9,444,293 11,458,116	11,016,217 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	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	158,659 3,284,314	126,302 3,250,551	148,272 3,386,837	321,086 3,360,806	2,405,820 3,508,953
Disproportionate-share hospital (DSH) Median	164,519 594,888	249,635 595,761	193,846 577,894	197,887 542,168	183,859 549,667
Outlier Median	2,547 582,572	2,484 538,116	22,484 212,434	21,372 126,559	16,763 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	92,675 3,662,910	103,893 3,730,911	0 4,081,319	0 4,643,908	713,071 4,389,147
Charity care Median	4,759,977 2,654,636	4,932,822 2,940,659	5,176,984 3,380,215	6,279,043 3,488,738	5,047,146 3,233,405
Uncompensated care (UCC) Median	9,557,835 5,147,790	12,724,979 5,337,617	8,223,099 5,711,082	10,103,073 5,923,418	8,227,097 5,508,107
UCC as a % of operating expenses Median	10.88% 3.24	14.46% 3.12	8.81% 3.21	9.59% 3.3	6.75% 2.86
Total shortfall/UCC Median	9,650,510 9,489,989	12,828,872 9,424,297	8,223,099 10,120,158	10,103,073 11,171,337	8,940,168 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	23,790,472 52,142,039	25,209,345 54,485,252	25,812,441 57,395,589	29,249,505 58,830,919	34,196,462 61,722,907
Salaries as a % of operating expenses Median	29.30 36.68	31.71 36.56	30.72 36.37	30.47 35.93	31.80 35.24
Intern, resident salaries* Median	0 2,598,592	23,040 2,686,824	49,871 2,753,773	465,248 2,937,156	1,586,609 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	513,042 1,449,244	212,618 1,475,986	878,608 1,563,078	544,227 1,721,954	2,321,963 2,991,828
Contract hours, direct-care Median	7,591.40 22,725	2,996.50 23,018.5	16,995.00 24,503.48	8,182.30 25,026.5	18,469.50 33,786
Contract wages, direct-care Median	67.58 64.67	70.96 64.53	51.70 65.06	66.51 68.97	125.72 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.