As of the July, 2022, release via CMS

PALMETTO GENERAL HOSPITAL

CMS id: 100187
2001 W. 68TH STREET, HIALEAH FL 33016. County: MIAMI-DADE
System: TENET HEALTHCARE CORPORATION
CBSA: Miami-Fort Lauderdale-Pompano Beach, FL

The 360-bed, acute-care hospital had $27,816,026 in net service to patients*, with a total profit margin of 14.13016% in fiscal year 2021, the latest year available.
It spent 6.02% of its operating expenses on uncompensated care and reported $13,697,274 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	212
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	296 118	295 118	296 119.5	291 118	288 119
Total beds Median	368 162	367 162	368 162	363 162	360 163.5
FTEs Median	1,313.00 788.06	1,268.00 793.42	1,265.00 806.03	1,112.00 787.61	1,101.00 804.34

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	302,873,675 150,932,746	318,588,867 158,950,878	325,476,803 168,696,998	306,144,575 163,454,693	206,177,093 186,589,412
Operating expenses Median	277,464,955 149,311,209	292,151,960 156,110,414	300,705,452 164,890,568	295,628,291 166,516,854	178,361,067 180,120,888
Net income from service 2 patients (NS2P) ? Median	25,408,720 -964,173	26,436,907 -643,601.5	24,771,351 -116,254	10,516,284 -5,025,862	27,816,026 -1,284,564
NS2P margin ? Median	8.39% -0.62	8.30% -0.29	7.61% 0.18	3.44% -5.07	13.49% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PALMETTO GENERAL 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	1,675,844 5,089,215	2,560,713 4,572,541	2,233,205 5,268,134	26,401,375 13,092,619	1,533,870 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	637 224,999	11,264 199,009	12,210 206,870.5	138,801 194,343	-20,292 249,496
⊳ Line 7: Investments ? ⊳ Median	492 299,524	6,076 188,688.5	-152 370,813	59 309,361.5	64 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	5,036	3,448	5,979	11,265	-864
⊳ Line 11: Rebates and refunds of expenses	142,092	86,234	103,695	311,433	60,759
⊳ Line 12: Parking lot receipts	59,113	552,261	772,057	420,967	255,518
⊳ 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	700,803	491,280
⊳ 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	3,427	619	124	41,747	42,433
⊳ 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	1,419,278	1,618,794	1,072,548	1,077,549	638,088
⊳ 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	45,769	282,017	266,744	23,698,751	66,884
Total income ? Median	27,084,564 6,586,430	28,997,620 6,767,106	27,004,556 8,419,950	36,917,659 8,094,175	29,349,896 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	27,084,564 6,043,842	28,997,620 5,845,112	27,004,556 7,606,259	36,917,659 7,283,041	29,349,896 14,957,241
Net margin Median	8.89332% 4.62%	9.02932% 4.42%	8.24038% 5.16%	11.10152% 5.2%	14.13016% 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 PALMETTO GENERAL 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	45,444,868 23,241,334	45,159,094 23,709,545	45,921,045 24,248,380	43,805,259 22,858,541	24,260,957 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	45,444,868 21,577,146	45,159,094 22,041,594	45,921,045 22,722,063	43,805,259 21,570,441	24,260,957 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	8,571,913 11,160,864	7,132,594 11,987,345	6,408,122 12,926,866	3,844,450 11,884,480	2,481,658 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	8,571,913 10,918,923	7,132,594 11,706,976	6,408,122 12,615,917	3,844,450 11,458,116	2,481,658 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	5,425,071 3,284,314	5,276,953 3,250,551	5,449,446 3,386,837	5,390,954 3,360,806	3,026,660 3,508,953
Disproportionate-share hospital (DSH) Median	2,503,818 594,888	2,362,728 595,761	2,326,640 577,894	2,348,106 542,168	1,122,237 549,667
Outlier Median	576,832 582,572	518,205 538,116	100,423 212,434	59,695 126,559	18,620 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,042,271 3,662,910	20,305,139 3,730,911	22,175,989 4,081,319	22,283,154 4,643,908	13,697,274 4,389,147
Charity care Median	19,536,550 2,654,636	17,732,757 2,940,659	17,256,873 3,380,215	14,767,162 3,488,738	8,891,201 3,233,405
Uncompensated care (UCC) Median	23,251,193 5,147,790	21,373,061 5,337,617	20,897,485 5,711,082	18,028,047 5,923,418	10,742,899 5,508,107
UCC as a % of operating expenses Median	8.38% 3.24	7.32% 3.12	6.95% 3.21	6.10% 3.3	6.02% 2.86
Total shortfall/UCC Median	45,293,464 9,489,989	41,678,200 9,424,297	43,073,474 10,120,158	40,311,201 11,171,337	24,440,173 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	99,344,891 52,142,039	98,705,366 54,485,252	100,589,359 57,395,589	93,750,375 58,830,919	57,824,200 61,722,907
Salaries as a % of operating expenses Median	35.81 36.68	33.80 36.56	33.46 36.37	31.71 35.93	32.43 35.24
Intern, resident salaries* Median	4,380,603 2,598,592	4,944,297 2,686,824	5,250,663 2,753,773	5,636,757 2,937,156	3,429,976 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	1,449,150 1,449,244	921,741 1,475,986	1,522,668 1,563,078	5,129,827 1,721,954	4,866,602 2,991,828
Contract hours, direct-care Median	24,541.00 22,725	14,447.25 23,018.5	31,076.00 24,503.48	55,512.00 25,026.5	47,480.00 33,786
Contract wages, direct-care Median	59.05 64.67	63.80 64.53	49.00 65.06	92.41 68.97	102.50 88.94

* in an approved program

Return to top

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.