As of the July, 2022, release via CMS

EAST ALABAMA MEDICAL CENTER

CMS id: 010029
2000 PEPPERELL PKWY, OPELIKA AL 36802. County: LEE
System: EAST ALABMA MEDICAL CENTER
CBSA: Auburn-Opelika, AL

The 341-bed, acute-care hospital had $499,083,068 in net service to patients*, with a total profit margin of 56.60156% in fiscal year 2021, the latest year available.
It spent 3.96% of its operating expenses on uncompensated care and reported $26,387 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	gov
Acute beds Median	347 118	344 118	271 119.5	266 118	266 119
Total beds Median	423 162	515 162	339 162	351 162	341 163.5
FTEs Median	2,386.75 788.06	2,505.51 793.42	2,548.32 806.03	2,541.71 787.61	2,322.08 804.34

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	298,644,556 150,932,746	319,353,140 158,950,878	343,319,247 168,696,998	341,759,548 163,454,693	881,747,843 186,589,412
Operating expenses Median	296,157,319 149,311,209	329,847,370 156,110,414	355,688,721 164,890,568	373,367,778 166,516,854	382,664,775 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,487,237 -964,173	-10,494,230 -643,601.5	-12,369,474 -116,254	-31,608,230 -5,025,862	499,083,068 -1,284,564
NS2P margin ? Median	0.83% -0.62	-3.29% -0.29	-3.60% 0.18	-9.25% -5.07	56.60% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EAST ALABAMA MEDICAL CENTER 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	7,180,727 5,089,215	28,145,210 4,572,541	27,493,739 5,268,134	60,569,324 13,092,619	0 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	7,180,727 299,524	5,881,906 188,688.5	-619,365 370,813	3,443,630 309,361.5	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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	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	--	22,263,304	28,113,104	57,125,694	--
Total income ? Median	9,667,964 6,586,430	17,650,980 6,767,106	15,124,265 8,419,950	28,961,094 8,094,175	499,083,068 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	9,667,964 6,043,842	17,650,980 5,845,112	15,124,265 7,606,259	28,961,094 7,283,041	499,083,068 14,957,241
Net margin Median	3.16127% 4.62%	5.07944% 4.42%	4.07868% 5.16%	7.19836% 5.2%	56.60156% 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 EAST ALABAMA MEDICAL CENTER 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	54,945,666 23,241,334	54,616,888 23,709,545	52,395,096 24,248,380	51,734,497 22,858,541	43,453,346 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	50,495,278 21,577,146	49,200,504 22,041,594	46,980,786 22,722,063	46,329,074 21,570,441	41,723,746 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	2,543,949 3,535,627	3,387,596 3,746,588	3,671,855 3,782,288	3,713,284 3,865,578	822,019 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	1,906,439 1,203,033	2,028,788 1,215,295	1,742,455 1,313,657	1,692,139 1,365,298	907,581 1,179,746
All outpatient revenue Median Click here to show/hide details	37,549,429 11,160,864	36,548,401 11,987,345	33,881,631 12,926,866	29,476,222 11,884,480	32,521,953 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	37,549,429 10,918,923	36,548,401 11,706,976	33,881,631 12,615,917	29,476,222 11,458,116	32,521,953 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	134,138 3,508,953
Disproportionate-share hospital (DSH) Median	1,492,204 594,888	1,584,214 595,761	1,322,165 577,894	1,164,552 542,168	982,517 549,667
Outlier Median	1,617,633 582,572	1,104,281 538,116	274,285 212,434	602,780 126,559	337,763 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	4,856 4,081,319	6,982 4,643,908	26,387 4,389,147
Charity care Median	7,264,831 2,654,636	8,272,675 2,940,659	8,474,582 3,380,215	9,276,526 3,488,738	8,683,768 3,233,405
Uncompensated care (UCC) Median	16,153,454 5,147,790	17,702,863 5,337,617	15,997,566 5,711,082	16,939,038 5,923,418	15,152,765 5,508,107
UCC as a % of operating expenses Median	5.45% 3.24	5.37% 3.12	4.50% 3.21	4.54% 3.3	3.96% 2.86
Total shortfall/UCC Median	16,153,454 9,489,989	17,702,863 9,424,297	16,002,422 10,120,158	16,946,020 11,171,337	15,179,152 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	124,091,191 52,142,039	128,844,898 54,485,252	133,793,245 57,395,589	145,748,864 58,830,919	138,972,290 61,722,907
Salaries as a % of operating expenses Median	41.90 36.68	39.06 36.56	37.62 36.37	39.04 35.93	36.32 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	727,332 1,449,244	162,680 1,475,986	618,291 1,563,078	3,234,792 1,721,954	12,933,124 2,991,828
Contract hours, direct-care Median	7,766.51 22,725	2,462.49 23,018.5	4,866.00 24,503.48	49,074.47 25,026.5	110,952.31 33,786
Contract wages, direct-care Median	93.65 64.67	66.06 64.53	127.06 65.06	65.92 68.97	116.56 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.