As of the July, 2022, release via CMS

SELF REGIONAL HEALTHCARE

CMS id: 420071
1325 SPRING STREET, GREENWOOD SC 29646. County: GREENWOOD
System: --
CBSA: Greenwood, SC

The 322-bed, acute-care hospital had $35,074,304 in net service to patients*, with a total profit margin of 22.91297% in fiscal year 2021, the latest year available.
It spent 7.00% of its operating expenses on uncompensated care and reported $52,006 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	gov	gov	gov	gov	gov
Acute beds Median	242 118	242 118	242 119.5	242 118	242 119
Total beds Median	322 162	322 162	322 162	322 162	322 163.5
FTEs Median	1,894.95 788.06	1,827.51 793.42	1,841.02 806.03	1,857.58 787.61	1,852.15 804.34

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	343,146,826 150,932,746	351,429,525 158,950,878	369,653,009 168,696,998	363,547,638 163,454,693	398,882,645 186,589,412
Operating expenses Median	329,313,922 149,311,209	328,051,984 156,110,414	335,058,993 164,890,568	336,416,344 166,516,854	363,808,341 180,120,888
Net income from service 2 patients (NS2P) ? Median	13,832,904 -964,173	23,377,541 -643,601.5	34,594,016 -116,254	27,131,294 -5,025,862	35,074,304 -1,284,564
NS2P margin ? Median	4.03% -0.62	6.65% -0.29	9.36% 0.18	7.46% -5.07	8.79% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SELF REGIONAL HEALTHCARE 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	19,837,870 5,089,215	15,241,648 4,572,541	36,840,875 5,268,134	66,711,916 13,092,619	73,062,271 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	404,660 224,999	614,755 199,009	1,120,357 206,870.5	5,470,810 194,343	3,489 249,496
⊳ Line 7: Investments ? ⊳ Median	6,803,194 299,524	4,079,967 188,688.5	24,482,496 370,813	38,291,223 309,361.5	37,314,333 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	21,499	21,532	19,739	21,451	21,538
⊳ Line 10: Purchase discounts	1,037,640	1,193,544	1,030,111	1,573,913	1,007,180
⊳ Line 11: Rebates and refunds of expenses	41,976	82,317	50,990	45,749	32,789
⊳ 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	1,677,535	562,410	1,783,173	1,544,770	1,391,593
⊳ 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	828	0
⊳ Line 17: Revenue from sale of drugs to other than patients	-16	176	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,026	1,488	75	60	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	438,261	463,821	446,443	221,476	0
⊳ Line 21: Rental of vending machines	108,425	97,237	93,270	63,654	41,782
⊳ Line 22: Rental of hospital space	2,348,965	2,935,602	3,059,319	3,429,917	3,797,611
⊳ 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	6,954,705	5,188,799	4,754,902	16,048,065	29,451,956
Total income ? Median	33,670,774 6,586,430	38,619,189 6,767,106	71,434,891 8,419,950	93,843,210 8,094,175	108,136,575 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	33,670,774 6,043,842	38,619,189 5,845,112	71,434,891 7,606,259	93,843,210 7,283,041	108,136,575 14,957,241
Net margin Median	9.27609% 4.62%	10.53238% 4.42%	17.57342% 5.16%	21.81084% 5.2%	22.91297% 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 SELF REGIONAL HEALTHCARE 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	62,656,744 23,241,334	58,758,298 23,709,545	57,961,027 24,248,380	51,313,806 22,858,541	52,311,014 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	61,605,679 21,577,146	57,475,899 22,041,594	56,769,720 22,722,063	50,478,634 21,570,441	51,960,867 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	1,051,065 1,845,420	1,282,399 1,757,392	1,191,307 1,738,842	835,172 1,510,463	350,147 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	34,512,360 11,160,864	37,904,218 11,987,345	40,897,782 12,926,866	41,088,401 11,884,480	42,663,119 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	31,097,884 10,918,923	34,652,209 11,706,976	37,788,923 12,615,917	37,811,682 11,458,116	39,763,957 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,414,476 1,282,808	3,252,009 1,407,728	3,108,859 1,341,512	3,276,719 1,407,046	2,899,162 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	3,163,071 3,284,314	2,991,973 3,250,551	3,058,838 3,386,837	2,938,071 3,360,806	3,004,182 3,508,953
Disproportionate-share hospital (DSH) Median	1,175,571 594,888	1,142,892 595,761	1,090,987 577,894	859,419 542,168	719,647 549,667
Outlier Median	2,277,762 582,572	2,020,924 538,116	248,425 212,434	271,453 126,559	180,998 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	4,987,783 3,730,911	0 4,081,319	0 4,643,908	52,006 4,389,147
Charity care Median	4,570,110 2,654,636	4,284,764 2,940,659	8,051,244 3,380,215	8,567,110 3,488,738	14,235,199 3,233,405
Uncompensated care (UCC) Median	16,732,894 5,147,790	12,307,097 5,337,617	22,183,496 5,711,082	23,107,314 5,923,418	25,449,795 5,508,107
UCC as a % of operating expenses Median	5.08% 3.24	3.75% 3.12	6.62% 3.21	6.87% 3.3	7.00% 2.86
Total shortfall/UCC Median	16,732,894 9,489,989	17,294,880 9,424,297	22,183,496 10,120,158	23,107,314 11,171,337	25,501,801 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	109,360,462 52,142,039	111,119,844 54,485,252	115,539,094 57,395,589	119,385,304 58,830,919	125,872,080 61,722,907
Salaries as a % of operating expenses Median	33.21 36.68	33.87 36.56	34.48 36.37	35.49 35.93	34.60 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	2,550,099 1,449,244	2,329,302 1,475,986	2,725,196 1,563,078	2,732,564 1,721,954	6,239,814 2,991,828
Contract hours, direct-care Median	35,318.94 22,725	36,566.40 23,018.5	61,115.00 24,503.48	47,375.66 25,026.5	63,647.00 33,786
Contract wages, direct-care Median	72.20 64.67	63.70 64.53	44.59 65.06	57.68 68.97	98.04 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.