As of the July, 2022, release via CMS

FLOYD MEDICAL CENTER

CMS id: 110054
TURNER MCCALL BLVD, ROME GA 30162. County: FLOYD
System: FLOYD HEALTHCARE MANAGEMENT INC.
CBSA: Rome, GA

The 296-bed, acute-care hospital had $6,538,810 in net service to patients*, with a total profit margin of 12.23376% in fiscal year 2021, the latest year available.
It spent 9.79% of its operating expenses on uncompensated care and reported $2,654,069 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	199 118	202 118	201 119.5	201 118	198 119
Total beds Median	297 162	300 162	299 162	299 162	296 163.5
FTEs Median	2,145.19 788.06	2,262.41 793.42	2,278.07 806.03	2,240.75 787.61	2,294.70 804.34

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	345,592,405 150,932,746	360,223,655 158,950,878	390,179,170 168,696,998	372,816,242 163,454,693	414,619,051 186,589,412
Operating expenses Median	338,377,014 149,311,209	362,958,549 156,110,414	378,858,311 164,890,568	386,466,825 166,516,854	408,080,241 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,215,391 -964,173	-2,734,894 -643,601.5	11,320,859 -116,254	-13,650,583 -5,025,862	6,538,810 -1,284,564
NS2P margin ? Median	2.09% -0.62	-0.76% -0.29	2.90% 0.18	-3.66% -5.07	1.58% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FLOYD 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	8,654,494 5,089,215	9,309,313 4,572,541	9,653,723 5,268,134	18,198,887 13,092,619	32,647,574 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-6,941 224,999	-262,548 199,009	32,885 206,870.5	29,500 194,343	32,388 249,496
⊳ Line 7: Investments ? ⊳ Median	6,551,467 299,524	6,409,458 188,688.5	7,015,033 370,813	7,326,816 309,361.5	6,805,097 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	27,646	20,514	5,422	1,640	816
⊳ 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	5,060	3,520	0	0	463,017
⊳ Line 15: Revenue from rental of living quarters	-53,755	181,573	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	51,740	94,461	53,442	60,271	63,532
⊳ Line 22: Rental of hospital space	388,785	406,442	466,494	450,233	428,879
⊳ Line 23: Gov appropriations ? ⊳ Median	15,680 1,017,693	65,698 983,261.5	67,157 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	1,674,812	2,390,195	2,013,290	10,330,427	24,853,845
Total income ? Median	15,869,885 6,586,430	6,574,419 6,767,106	20,974,582 8,419,950	4,548,304 8,094,175	39,186,384 15,162,888
Non-operating expenses Median	-1,248,343 146,289.5	3,541,824 164,857	-4,983,300 89,880.5	-2,942,758 106,761	-15,531,137 31,473.5
Net income Median	17,118,228 6,043,842	3,032,595 5,845,112	25,957,882 7,606,259	7,491,062 7,283,041	54,717,521 14,957,241
Net margin Median	4.83229% 4.62%	0.82066% 4.42%	6.49218% 5.16%	1.91580% 5.2%	12.23376% 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 FLOYD 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	58,795,463 23,241,334	61,950,669 23,709,545	63,570,453 24,248,380	53,798,574 22,858,541	61,026,174 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	50,123,662 21,577,146	54,406,957 22,041,594	55,948,625 22,722,063	46,978,443 21,570,441	53,216,206 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	1,894,776 1,845,420	1,838,950 1,757,392	1,942,985 1,738,842	1,282,716 1,510,463	871,852 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	6,777,025 3,535,627	5,704,762 3,746,588	5,678,843 3,782,288	5,537,415 3,865,578	6,938,116 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	17,868,639 11,160,864	20,111,311 11,987,345	21,647,726 12,926,866	21,695,640 11,884,480	21,024,535 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	17,868,639 10,918,923	20,111,311 11,706,976	21,647,726 12,615,917	21,695,640 11,458,116	21,024,535 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	3,940,307 3,284,314	4,036,870 3,250,551	4,078,391 3,386,837	3,820,403 3,360,806	3,880,971 3,508,953
Disproportionate-share hospital (DSH) Median	2,048,255 594,888	2,135,313 595,761	2,022,185 577,894	1,808,077 542,168	1,542,523 549,667
Outlier Median	1,638,913 582,572	1,230,134 538,116	1,362,611 212,434	647,527 126,559	1,161,322 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,265,361 3,662,910	5,403,242 3,730,911	3,943,962 4,081,319	4,882,083 4,643,908	2,654,069 4,389,147
Charity care Median	14,063,884 2,654,636	9,914,912 2,940,659	11,668,611 3,380,215	16,361,694 3,488,738	20,562,967 3,233,405
Uncompensated care (UCC) Median	25,707,879 5,147,790	36,790,605 5,337,617	41,953,367 5,711,082	45,991,975 5,923,418	39,952,417 5,508,107
UCC as a % of operating expenses Median	7.60% 3.24	10.14% 3.12	11.07% 3.21	11.90% 3.3	9.79% 2.86
Total shortfall/UCC Median	29,973,240 9,489,989	42,193,847 9,424,297	45,897,329 10,120,158	50,874,058 11,171,337	42,606,486 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	134,401,053 52,142,039	144,299,273 54,485,252	146,924,499 57,395,589	149,262,789 58,830,919	157,291,348 61,722,907
Salaries as a % of operating expenses Median	39.72 36.68	39.76 36.56	38.78 36.37	38.62 35.93	38.54 35.24
Intern, resident salaries* Median	3,993,183 2,598,592	3,878,991 2,686,824	4,283,761 2,753,773	4,595,700 2,937,156	4,643,182 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	2,284,410 1,449,244	1,714,040 1,475,986	909,787 1,563,078	1,531,805 1,721,954	730,158 2,991,828
Contract hours, direct-care Median	40,364.00 22,725	33,341.00 23,018.5	19,732.00 24,503.48	27,741.00 25,026.5	25,861.00 33,786
Contract wages, direct-care Median	56.60 64.67	51.41 64.53	46.11 65.06	55.22 68.97	28.23 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.