As of the July, 2022, release via CMS

HAMILTON MEDICAL CENTER

CMS id: 110001
1200 MEMORIAL DRIVE, DALTON GA 30722. County: WHITFIELD
System: --
CBSA: Dalton, GA

The 222-bed, acute-care hospital had $-4,448,752 in net service to patients*, with a total profit margin of 24.67360% in fiscal year 2021, the latest year available.
It spent 8.93% of its operating expenses on uncompensated care and reported $2,670,364 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	220 118	212 118	191 119.5	126 118	173 119
Total beds Median	272 162	264 162	272 162	163 162	222 163.5
FTEs Median	1,295.20 788.06	1,251.01 793.42	1,267.99 806.03	1,288.13 787.61	1,399.97 804.34

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	237,384,676 150,932,746	255,474,675 158,950,878	277,591,017 168,696,998	278,246,668 163,454,693	295,549,621 186,589,412
Operating expenses Median	220,283,900 149,311,209	233,644,314 156,110,414	262,551,323 164,890,568	278,972,519 166,516,854	299,998,373 180,120,888
Net income from service 2 patients (NS2P) ? Median	17,100,776 -964,173	21,830,361 -643,601.5	15,039,694 -116,254	-725,851 -5,025,862	-4,448,752 -1,284,564
NS2P margin ? Median	7.20% -0.62	8.55% -0.29	5.42% 0.18	-0.26% -5.07	-1.51% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HAMILTON 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	39,826,327 5,089,215	52,155,895 4,572,541	44,368,294 5,268,134	66,399,886 13,092,619	102,714,977 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	21,351,036 299,524	12,758,408 188,688.5	10,984,957 370,813	20,790,610 309,361.5	61,911,238 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	18,503	12,037	0	0	0
⊳ Line 11: Rebates and refunds of expenses	987,606	1,019,204	1,398,095	1,450,833	1,065,780
⊳ 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	75
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	350,831	345,398	360,943	313,327	276,004
⊳ Line 21: Rental of vending machines	0	0	0	0	5,083
⊳ Line 22: Rental of hospital space	1,915,767	2,330,984	2,743,433	2,670,224	3,484,508
⊳ 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	15,152,754	35,644,324	28,859,131	41,135,677	35,942,831
Total income ? Median	56,927,103 6,586,430	73,986,256 6,767,106	59,407,988 8,419,950	65,674,035 8,094,175	98,266,225 15,162,888
Non-operating expenses Median	103 146,289.5	256 164,857	2 89,880.5	0 106,761	0 31,473.5
Net income Median	56,927,000 6,043,842	73,986,000 5,845,112	59,407,986 7,606,259	65,674,035 7,283,041	98,266,225 14,957,241
Net margin Median	20.53562% 4.62%	24.05028% 4.42%	18.45202% 5.16%	19.05547% 5.2%	24.67360% 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 HAMILTON 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	33,575,189 23,241,334	35,818,617 23,709,545	38,932,031 24,248,380	36,902,010 22,858,541	38,731,228 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	32,701,344 21,577,146	34,965,803 22,041,594	38,469,747 22,722,063	36,902,010 21,570,441	38,731,228 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	873,845 1,845,420	852,814 1,757,392	462,284 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	26,006,775 11,160,864	26,438,429 11,987,345	29,509,629 12,926,866	28,714,358 11,884,480	30,993,613 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	23,050,048 10,918,923	24,137,017 11,706,976	26,895,925 12,615,917	26,173,633 11,458,116	28,249,510 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,956,727 1,282,808	2,301,412 1,407,728	2,613,704 1,341,512	2,540,725 1,407,046	2,744,103 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	297,276 3,360,806	2,501,654 3,508,953
Disproportionate-share hospital (DSH) Median	1,270,455 594,888	1,292,891 595,761	1,265,245 577,894	997,494 542,168	802,966 549,667
Outlier Median	626,789 582,572	575,204 538,116	161,881 212,434	191,229 126,559	244,818 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	167,840 3,662,910	1,325,223 3,730,911	0 4,081,319	3,539,197 4,643,908	2,670,364 4,389,147
Charity care Median	4,800,505 2,654,636	4,094,147 2,940,659	6,319,996 3,380,215	7,143,445 3,488,738	6,377,332 3,233,405
Uncompensated care (UCC) Median	22,239,440 5,147,790	22,401,693 5,337,617	24,780,713 5,711,082	27,969,431 5,923,418	26,789,361 5,508,107
UCC as a % of operating expenses Median	10.10% 3.24	9.59% 3.12	9.44% 3.21	10.03% 3.3	8.93% 2.86
Total shortfall/UCC Median	22,407,280 9,489,989	23,726,916 9,424,297	24,780,713 10,120,158	31,508,628 11,171,337	29,459,725 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	82,078,287 52,142,039	84,234,002 54,485,252	90,244,726 57,395,589	93,266,737 58,830,919	102,482,320 61,722,907
Salaries as a % of operating expenses Median	37.26 36.68	36.05 36.56	34.37 36.37	33.43 35.93	34.16 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	2,332,677 1,449,244	0 1,475,986	6,863,509 1,563,078	4,865,325 1,721,954	1,274,177 2,991,828
Contract hours, direct-care Median	39,948.00 22,725	0.00 23,018.5	103,931.00 24,503.48	101,715.00 25,026.5	12,401.00 33,786
Contract wages, direct-care Median	58.39 64.67	0.00 64.53	66.04 65.06	47.83 68.97	102.75 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.