As of the July, 2022, release via CMS

PH HILLCREST HOSPITAL

CMS id: 420037
729 SOUTHEAST MAIN STREET, SIMPSONVILLE SC 29681. County: GREENVILLE
System: PRISMA HEALTH UPSTATE
CBSA: Greenville-Anderson, SC

The 43-bed, acute-care hospital had $28,722,072 in net service to patients*, with a total profit margin of 26.47421% in fiscal year 2021, the latest year available.
It spent 6.98% of its operating expenses on uncompensated care and reported $1,554,391 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	37 118	37 118	33 119.5	37 118	37 119
Total beds Median	43 162	43 162	39 162	43 162	43 163.5
FTEs Median	254.50 788.06	255.30 793.42	259.40 806.03	254.58 787.61	390.49 804.34

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	78,449,762 150,932,746	78,034,825 158,950,878	88,980,938 168,696,998	85,989,158 163,454,693	111,809,099 186,589,412
Operating expenses Median	63,697,737 149,311,209	62,751,533 156,110,414	67,042,473 164,890,568	73,169,663 166,516,854	83,087,027 180,120,888
Net income from service 2 patients (NS2P) ? Median	14,752,025 -964,173	15,283,292 -643,601.5	21,938,465 -116,254	12,819,495 -5,025,862	28,722,072 -1,284,564
NS2P margin ? Median	18.80% -0.62	19.59% -0.29	24.66% 0.18	14.91% -5.07	25.69% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PH HILLCREST 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	434,548 5,089,215	451,902 4,572,541	440,187 5,268,134	564,361 13,092,619	1,216,880 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	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	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	212,263	221,813	223,883	190,890	202,307
⊳ 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	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	4,139	4,141	2,455	0	0
⊳ Line 22: Rental of hospital space	211,067	212,729	194,222	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	7,079	13,219	19,627	373,471	1,014,573
Total income ? Median	15,186,573 6,586,430	15,735,194 6,767,106	22,378,652 8,419,950	13,383,856 8,094,175	29,938,952 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	16,220 31,473.5
Net income Median	15,186,573 6,043,842	15,735,194 5,845,112	22,378,652 7,606,259	13,383,856 7,283,041	29,922,732 14,957,241
Net margin Median	19.25170% 4.62%	20.04822% 4.42%	25.02614% 5.16%	15.46310% 5.2%	26.47421% 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 HILLCREST 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	4,342,986 23,241,334	3,190,491 23,709,545	3,957,558 24,248,380	3,893,779 22,858,541	5,531,473 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	4,342,986 21,577,146	3,190,491 22,041,594	3,957,558 22,722,063	3,893,779 21,570,441	5,531,473 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	5,652,266 11,160,864	6,993,251 11,987,345	7,816,216 12,926,866	6,743,271 11,884,480	7,504,403 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	5,652,266 10,918,923	6,993,251 11,706,976	7,816,216 12,615,917	6,743,271 11,458,116	7,450,077 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	54,326 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	96,596 3,284,314	84,340 3,250,551	100,544 3,386,837	101,210 3,360,806	120,733 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	6,600 582,572	0 538,116	13,314 212,434	6,598 126,559	21,490 139,139

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	1,554,391 4,389,147
Charity care Median	27,943,614 2,654,636	3,422,526 2,940,659	3,494,753 3,380,215	4,128,449 3,488,738	3,067,368 3,233,405
Uncompensated care (UCC) Median	31,164,181 5,147,790	8,425,680 5,337,617	5,062,317 5,711,082	6,863,925 5,923,418	5,799,528 5,508,107
UCC as a % of operating expenses Median	48.93% 3.24	13.43% 3.12	7.55% 3.21	9.38% 3.3	6.98% 2.86
Total shortfall/UCC Median	31,164,181 9,489,989	8,425,680 9,424,297	5,062,317 10,120,158	6,863,925 11,171,337	7,353,919 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	16,564,869 52,142,039	17,222,493 54,485,252	17,889,095 57,395,589	19,160,396 58,830,919	22,620,060 61,722,907
Salaries as a % of operating expenses Median	28.29 36.68	30.51 36.56	29.56 36.37	28.25 35.93	30.83 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	187,354 1,449,244	200,789 1,475,986	285,350 1,563,078	329,266 1,721,954	1,390,081 2,991,828
Contract hours, direct-care Median	2,919.00 22,725	2,963.00 23,018.5	4,754.00 24,503.48	5,350.10 25,026.5	13,949.50 33,786
Contract wages, direct-care Median	64.18 64.67	67.77 64.53	60.02 65.06	61.54 68.97	99.65 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.