As of the July, 2022, release via CMS

GHS GREENVILLE MEMORIAL HOSPITAL

CMS id: 420078
701 GROVE RD, GREENVILLE SC 29605. County: GREENVILLE
System: PRISMA HEALTH UPSTATE
CBSA: Greenville-Anderson, SC

The 819-bed, acute-care hospital had $112,405,932 in net service to patients*, with a total profit margin of 10.54646% in fiscal year 2021, the latest year available.
It spent 6.27% of its operating expenses on uncompensated care and reported $24,330,836 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	541 118	526 118	497 119.5	542 118	533 119
Total beds Median	814 162	799 162	830 162	851 162	819 163.5
FTEs Median	5,036.43 788.06	5,169.41 793.42	5,146.61 806.03	5,104.10 787.61	5,017.55 804.34

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	1,217,661,102 150,932,746	1,252,811,697 158,950,878	1,329,104,270 168,696,998	1,393,954,849 163,454,693	1,596,052,596 186,589,412
Operating expenses Median	1,212,062,899 149,311,209	1,270,443,765 156,110,414	1,309,352,442 164,890,568	1,405,366,255 166,516,854	1,483,646,664 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,598,203 -964,173	-17,632,068 -643,601.5	19,751,828 -116,254	-11,411,406 -5,025,862	112,405,932 -1,284,564
NS2P margin ? Median	0.46% -0.62	-1.41% -0.29	1.49% 0.18	-0.82% -5.07	7.04% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GHS GREENVILLE 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	17,537,381 5,089,215	18,173,307 4,572,541	15,928,183 5,268,134	82,493,316 13,092,619	63,634,174 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,142,846 224,999	3,812,814 199,009	3,228,881 206,870.5	3,293,079 194,343	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	5,164,386	5,686,358	3,210,688	720,687	179,357
⊳ 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	7,028,069	7,362,653	7,393,833	5,276,805	4,061,422
⊳ 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	58,055,765
⊳ Line 18: Revenue from sale of medical records and abstracts	64,533	54,425	1,530	5,535	300
⊳ 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	7,232
⊳ Line 21: Rental of vending machines	51,123	53,637	29,792	0	0
⊳ Line 22: Rental of hospital space	635,162	573,530	572,083	743,998	146,349
⊳ 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	451,262	629,890	1,491,376	72,453,212	1,183,749
Total income ? Median	23,135,584 6,586,430	541,239 6,767,106	35,680,011 8,419,950	71,081,910 8,094,175	176,040,106 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	1,001,870 31,473.5
Net income Median	23,135,584 6,043,842	541,239 5,845,112	35,680,011 7,606,259	71,081,910 7,283,041	175,038,236 14,957,241
Net margin Median	1.87303% 4.62%	0.04258% 4.42%	2.65272% 5.16%	4.81439% 5.2%	10.54646% 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 GHS GREENVILLE 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	145,815,526 23,241,334	146,219,662 23,709,545	151,418,890 24,248,380	151,258,141 22,858,541	169,307,154 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	140,701,489 21,577,146	141,256,962 22,041,594	145,761,636 22,722,063	144,436,220 21,570,441	162,291,209 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	1,312,376 1,845,420	981,300 1,757,392	950,499 1,738,842	991,635 1,510,463	1,256,169 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,064,673 3,535,627	2,842,000 3,746,588	3,316,256 3,782,288	5,319,153 3,865,578	5,759,776 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	736,988 1,203,033	1,139,400 1,215,295	1,390,499 1,313,657	511,133 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	103,339,583 11,160,864	105,911,215 11,987,345	109,283,489 12,926,866	107,743,628 11,884,480	107,167,336 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	100,245,547 10,918,923	102,339,361 11,706,976	105,549,370 12,615,917	103,988,898 11,458,116	103,531,609 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,094,036 1,282,808	3,571,854 1,407,728	3,734,119 1,341,512	3,754,730 1,407,046	3,635,727 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	13,051,277 3,284,314	12,778,535 3,250,551	12,882,285 3,386,837	12,909,140 3,360,806	13,243,097 3,508,953
Disproportionate-share hospital (DSH) Median	5,603,403 594,888	5,734,272 595,761	5,187,559 577,894	4,811,690 542,168	5,047,399 549,667
Outlier Median	6,064,714 582,572	5,615,424 538,116	2,459,503 212,434	2,574,258 126,559	1,811,908 139,139

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	24,330,836 4,389,147
Charity care Median	429,281,957 2,654,636	61,123,541 2,940,659	62,400,183 3,380,215	71,805,705 3,488,738	68,510,001 3,233,405
Uncompensated care (UCC) Median	464,780,850 5,147,790	111,359,519 5,337,617	81,386,201 5,711,082	96,946,011 5,923,418	93,038,760 5,508,107
UCC as a % of operating expenses Median	38.35% 3.24	8.77% 3.12	6.22% 3.21	6.90% 3.3	6.27% 2.86
Total shortfall/UCC Median	464,780,850 9,489,989	111,359,519 9,424,297	81,386,201 10,120,158	96,946,011 11,171,337	117,369,596 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	318,787,001 52,142,039	337,959,387 54,485,252	338,659,598 57,395,589	364,672,814 58,830,919	374,461,830 61,722,907
Salaries as a % of operating expenses Median	28.62 36.68	29.54 36.56	28.82 36.37	29.01 35.93	28.97 35.24
Intern, resident salaries* Median	13,284,452 2,598,592	14,231,212 2,686,824	14,928,638 2,753,773	15,701,299 2,937,156	15,735,551 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	13,684,087 1,449,244	15,336,379 1,475,986	10,498,267 1,563,078	7,184,668 1,721,954	16,353,953 2,991,828
Contract hours, direct-care Median	207,009.00 22,725	221,553.00 23,018.5	194,777.88 24,503.48	118,300.00 25,026.5	149,265.00 33,786
Contract wages, direct-care Median	66.10 64.67	69.22 64.53	53.90 65.06	60.73 68.97	109.56 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.