As of the July, 2022, release via CMS

SOUTHSIDE COMMUNITY HOSPITAL

CMS id: 490090
800 OAK STREET, FARMVILLE VA 23901. County: PRINCE EDWARD
System: CENTRA HEALTH
CBSA: Rural Virginia

The 78-bed, acute-care hospital had $21,322,028 in net service to patients*, with a total profit margin of 24.61382% in fiscal year 2021, the latest year available.
It spent 3.76% of its operating expenses on uncompensated care and reported $3,420,615 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	78 118	78 118	78 119.5	70 118	70 119
Total beds Median	86 162	86 162	86 162	78 162	78 163.5
FTEs Median	388.60 788.06	413.00 793.42	411.00 806.03	400.96 787.61	390.52 804.34

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	87,129,680 150,932,746	100,125,953 158,950,878	103,379,158 168,696,998	87,109,053 163,454,693	105,228,234 186,589,412
Operating expenses Median	77,576,302 149,311,209	88,418,163 156,110,414	89,964,234 164,890,568	79,410,153 166,516,854	83,906,206 180,120,888
Net income from service 2 patients (NS2P) ? Median	9,553,378 -964,173	11,707,790 -643,601.5	13,414,924 -116,254	7,698,900 -5,025,862	21,322,028 -1,284,564
NS2P margin ? Median	10.96% -0.62	11.69% -0.29	12.98% 0.18	8.84% -5.07	20.26% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SOUTHSIDE COMMUNITY 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	2,031,691 5,089,215	1,816,861 4,572,541	1,630,179 5,268,134	8,764,235 13,092,619	6,073,613 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	1,666 194,343	13,392 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	344,786 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	188,020	185,952	182,011	0	21,433
⊳ Line 11: Rebates and refunds of expenses	0	0	0	277,719	7,985
⊳ 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	377,052	410,513	452,931	312,447	356,237
⊳ 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	817,149	538,524	513,723	858,385	789,743
⊳ Line 18: Revenue from sale of medical records and abstracts	774	458	539	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,360	58	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	52,136	52,731	28,715	0	0
⊳ Line 21: Rental of vending machines	5,100	4,400	3,177	2,067	1,446
⊳ Line 22: Rental of hospital space	0	0	0	290,071	292,341
⊳ 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	590,100	624,225	449,083	7,021,880	4,246,250
Total income ? Median	11,585,069 6,586,430	13,524,651 6,767,106	15,045,103 8,419,950	16,463,135 8,094,175	27,395,641 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	-1 106,761	0 31,473.5
Net income Median	11,585,069 6,043,842	13,524,651 5,845,112	15,045,103 7,606,259	16,463,136 7,283,041	27,395,641 14,957,241
Net margin Median	12.99337% 4.62%	13.26690% 4.42%	14.32740% 5.16%	17.17177% 5.2%	24.61382% 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 SOUTHSIDE COMMUNITY 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	15,685,613 23,241,334	16,902,753 23,709,545	17,031,793 24,248,380	13,696,111 22,858,541	13,484,540 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	15,685,613 21,577,146	16,902,753 22,041,594	17,031,793 22,722,063	13,696,111 21,570,441	13,484,540 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	12,182,222 11,160,864	13,579,932 11,987,345	14,077,448 12,926,866	13,099,171 11,884,480	12,214,020 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	10,037,145 10,918,923	11,037,791 11,706,976	11,549,049 12,615,917	10,356,245 11,458,116	9,802,107 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,145,077 1,282,808	2,542,141 1,407,728	2,528,399 1,341,512	2,742,926 1,407,046	2,411,913 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	364,893 594,888	404,295 595,761	412,762 577,894	323,618 542,168	290,146 549,667
Outlier Median	442,513 582,572	500,521 538,116	194,733 212,434	293,676 126,559	219,503 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	2,994,545 4,643,908	3,420,615 4,389,147
Charity care Median	5,743,097 2,654,636	2,568,346 2,940,659	2,100,605 3,380,215	5,175,057 3,488,738	1,930,086 3,233,405
Uncompensated care (UCC) Median	7,340,233 5,147,790	4,343,057 5,337,617	2,496,141 5,711,082	5,836,198 5,923,418	3,151,548 5,508,107
UCC as a % of operating expenses Median	9.46% 3.24	4.91% 3.12	2.77% 3.21	7.35% 3.3	3.76% 2.86
Total shortfall/UCC Median	7,340,233 9,489,989	4,343,057 9,424,297	2,496,141 10,120,158	8,830,743 11,171,337	6,572,163 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	25,095,331 52,142,039	27,426,917 54,485,252	27,398,783 57,395,589	27,936,170 58,830,919	28,397,401 61,722,907
Salaries as a % of operating expenses Median	35.40 36.68	34.79 36.56	33.71 36.37	35.18 35.93	33.84 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	1,224,004 1,449,244	1,921,888 1,475,986	2,535,071 1,563,078	1,559,924 1,721,954	2,642,037 2,991,828
Contract hours, direct-care Median	17,117.00 22,725	27,861.00 23,018.5	36,786.00 24,503.48	24,067.00 25,026.5	26,903.00 33,786
Contract wages, direct-care Median	71.51 64.67	68.98 64.53	68.91 65.06	64.82 68.97	98.21 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.