As of the July, 2022, release via CMS

PAULDING MEDICAL CENTER

CMS id: 110042
2518 JIMMY LEE SMITH PKWY, HIRAM GA 30141. County: PAULDING
System: WELLSTAR HEALTH SYSTEM
CBSA: Atlanta-Sandy Springs-Alpharetta, GA

The 294-bed, acute-care hospital had $45,936,865 in net service to patients*, with a total profit margin of 23.22800% in fiscal year 2021, the latest year available.
It spent 11.20% of its operating expenses on uncompensated care and reported $4,474,637 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	gov	gov	gov	gov	gov
Acute beds Median	104 118	104 118	104 119.5	104 118	104 119
Total beds Median	294 162	294 162	294 162	294 162	294 163.5
FTEs Median	790.63 788.06	861.09 793.42	931.03 806.03	971.59 787.61	1,017.09 804.34

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	146,907,230 150,932,746	170,670,138 158,950,878	196,952,535 168,696,998	201,225,098 163,454,693	248,120,035 186,589,412
Operating expenses Median	135,793,881 149,311,209	152,477,953 156,110,414	169,713,894 164,890,568	178,174,414 166,516,854	202,183,170 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,113,349 -964,173	18,192,185 -643,601.5	27,238,641 -116,254	23,050,684 -5,025,862	45,936,865 -1,284,564
NS2P margin ? Median	7.56% -0.62	10.66% -0.29	13.83% 0.18	11.46% -5.07	18.51% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PAULDING 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	3,155,292 5,089,215	3,258,736 4,572,541	4,067,789 5,268,134	9,058,263 13,092,619	15,367,892 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	861,106	737,211	891,407	912,420	720,714
⊳ 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	1,933,655	2,326,902	2,753,074	3,277,519	3,923,191
⊳ Line 18: Revenue from sale of medical records and abstracts	318	0	585	0	143
⊳ 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	137,188
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	103,416	135,741	159,952	154,921	135,890
⊳ 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	256,797	58,882	262,771	4,713,403	10,450,766
Total income ? Median	14,268,641 6,586,430	21,450,921 6,767,106	31,306,430 8,419,950	32,108,947 8,094,175	61,304,757 15,162,888
Non-operating expenses Median	-5,486,308 146,289.5	-5,068,134 164,857	-5,738,133 89,880.5	-7,707,753 106,761	101,775 31,473.5
Net income Median	19,754,949 6,043,842	26,519,055 5,845,112	37,044,563 7,606,259	39,816,700 7,283,041	61,202,982 14,957,241
Net margin Median	13.16448% 4.62%	15.24707% 4.42%	18.42827% 5.16%	18.93478% 5.2%	23.22800% 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 PAULDING 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	15,911,216 23,241,334	18,994,530 23,709,545	21,674,854 24,248,380	26,324,662 22,858,541	24,838,648 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	14,829,470 21,577,146	17,549,302 22,041,594	20,409,145 22,722,063	25,166,120 21,570,441	23,771,290 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	1,081,746 1,203,033	1,445,228 1,215,295	1,265,709 1,313,657	1,158,542 1,365,298	1,067,358 1,179,746
All outpatient revenue Median Click here to show/hide details	10,420,840 11,160,864	11,577,810 11,987,345	14,200,931 12,926,866	12,480,682 11,884,480	12,584,127 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	10,420,840 10,918,923	11,577,810 11,706,976	14,200,931 12,615,917	12,480,682 11,458,116	12,584,127 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	0 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	128,397 542,168	0 549,667
Outlier Median	277,825 582,572	196,903 538,116	203,844 212,434	56,631 126,559	101,047 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,308,234 3,662,910	2,231,184 3,730,911	2,851,612 4,081,319	3,346,942 4,643,908	4,474,637 4,389,147
Charity care Median	15,404,657 2,654,636	16,684,546 2,940,659	18,923,100 3,380,215	18,803,937 3,488,738	18,807,909 3,233,405
Uncompensated care (UCC) Median	18,302,358 5,147,790	20,507,963 5,337,617	22,695,310 5,711,082	22,716,677 5,923,418	22,646,355 5,508,107
UCC as a % of operating expenses Median	13.48% 3.24	13.45% 3.12	13.37% 3.21	12.75% 3.3	11.20% 2.86
Total shortfall/UCC Median	19,610,592 9,489,989	22,739,147 9,424,297	25,546,922 10,120,158	26,063,619 11,171,337	27,120,992 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	47,505,640 52,142,039	52,147,432 54,485,252	60,614,644 57,395,589	65,148,108 58,830,919	73,499,833 61,722,907
Salaries as a % of operating expenses Median	34.98 36.68	34.20 36.56	35.72 36.37	36.56 35.93	36.35 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	359,822 1,449,244	675,329 1,475,986	227,673 1,563,078	0 1,721,954	4,680,771 2,991,828
Contract hours, direct-care Median	5,211.00 22,725	9,275.00 23,018.5	3,355.00 24,503.48	0.00 25,026.5	32,543.00 33,786
Contract wages, direct-care Median	69.05 64.67	72.81 64.53	67.86 65.06	0.00 68.97	143.83 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.