As of the July, 2022, release via CMS

GRANDVIEW MEDICAL CENTER

CMS id: 010104
800 MONTCLAIR ROAD, BIRMINGHAM AL 35213. County: JEFFERSON
System: CHS/COMMUNITY HEALTH SYSTEMS INC
CBSA: Birmingham-Hoover, AL

The 434-bed, acute-care hospital had $86,298,981 in net service to patients*, with a total profit margin of 16.57212% in fiscal year 2021, the latest year available.
It spent 2.59% of its operating expenses on uncompensated care and reported $0 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	266 118	267 118	289 119.5	289 118	315 119
Total beds Median	380 162	378 162	402 162	402 162	434 163.5
FTEs Median	1,481.33 788.06	1,651.42 793.42	1,803.07 806.03	1,819.85 787.61	1,885.55 804.34

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	328,959,745 150,932,746	373,552,977 158,950,878	432,247,183 168,696,998	454,475,493 163,454,693	532,740,224 186,589,412
Operating expenses Median	304,906,257 149,311,209	339,997,904 156,110,414	376,245,176 164,890,568	396,551,846 166,516,854	446,441,243 180,120,888
Net income from service 2 patients (NS2P) ? Median	24,053,488 -964,173	33,555,073 -643,601.5	56,002,007 -116,254	57,923,647 -5,025,862	86,298,981 -1,284,564
NS2P margin ? Median	7.31% -0.62	8.98% -0.29	12.96% 0.18	12.75% -5.07	16.20% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GRANDVIEW 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	4,356,576 5,089,215	5,303,107 4,572,541	5,165,390 5,268,134	14,953,128 13,092,619	2,382,153 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	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	4,356,576	5,303,107	5,165,390	14,953,128	2,382,153
Total income ? Median	28,410,064 6,586,430	38,858,180 6,767,106	61,167,397 8,419,950	72,876,775 8,094,175	88,681,134 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	28,410,064 6,043,842	38,858,180 5,845,112	61,167,397 7,606,259	72,876,775 7,283,041	88,681,134 14,957,241
Net margin Median	8.52345% 4.62%	10.25671% 4.42%	13.98391% 5.16%	15.52457% 5.2%	16.57212% 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 GRANDVIEW 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	67,899,736 23,241,334	71,120,578 23,709,545	74,175,897 24,248,380	75,088,287 22,858,541	78,238,305 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	61,257,775 21,577,146	64,537,709 22,041,594	68,407,824 22,722,063	69,503,209 21,570,441	72,998,611 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	2,560,281 1,845,420	1,923,376 1,757,392	1,629,601 1,738,842	1,303,645 1,510,463	1,360,188 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,081,680 3,535,627	4,659,493 3,746,588	4,138,472 3,782,288	4,281,433 3,865,578	3,879,506 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	21,885,424 11,160,864	25,481,746 11,987,345	31,240,749 12,926,866	30,214,437 11,884,480	32,401,548 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	21,885,424 10,918,923	25,481,746 11,706,976	31,240,749 12,615,917	30,214,437 11,458,116	32,401,548 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	5,135,823 3,284,314	5,350,882 3,250,551	5,730,961 3,386,837	5,487,924 3,360,806	5,661,455 3,508,953
Disproportionate-share hospital (DSH) Median	739,012 594,888	659,231 595,761	664,778 577,894	683,735 542,168	823,483 549,667
Outlier Median	5,702,572 582,572	3,596,757 538,116	2,512,172 212,434	566,139 126,559	551,458 139,139

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	0 4,389,147
Charity care Median	5,384,784 2,654,636	4,668,108 2,940,659	4,858,786 3,380,215	5,091,697 3,488,738	8,449,712 3,233,405
Uncompensated care (UCC) Median	8,681,202 5,147,790	8,897,503 5,337,617	8,658,166 5,711,082	9,679,783 5,923,418	11,557,554 5,508,107
UCC as a % of operating expenses Median	2.85% 3.24	2.62% 3.12	2.30% 3.21	2.44% 3.3	2.59% 2.86
Total shortfall/UCC Median	8,681,202 9,489,989	8,897,503 9,424,297	8,658,166 10,120,158	9,679,783 11,171,337	11,557,554 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	84,606,490 52,142,039	94,176,076 54,485,252	105,268,374 57,395,589	108,286,687 58,830,919	117,965,826 61,722,907
Salaries as a % of operating expenses Median	27.75 36.68	27.70 36.56	27.98 36.37	27.31 35.93	26.42 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	359,741 1,449,244	348,313 1,475,986	463,105 1,563,078	394,485 1,721,954	326,101 2,991,828
Contract hours, direct-care Median	10,057.77 22,725	9,794.00 23,018.5	11,027.00 24,503.48	9,464.00 25,026.5	8,949.00 33,786
Contract wages, direct-care Median	35.77 64.67	35.56 64.53	42.00 65.06	41.68 68.97	36.44 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.