As of the July, 2022, release via CMS

PIEDMONT COLUMBUS REGIONAL MIDTOWN

CMS id: 110064
710 CENTER ST., COLUMBUS GA 31902. County: MUSCOGEE
System: PIEDMONT HEALTHCARE INC.
CBSA: Columbus, GA-AL

The 379-bed, acute-care hospital had $12,691,064 in net service to patients*, with a total profit margin of 14.86672% in fiscal year 2021, the latest year available.
It spent 8.15% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	261 118	237 118	261 119.5	261 118	292 119
Total beds Median	326 162	304 162	334 162	334 162	379 163.5
FTEs Median	1,656.88 788.06	1,683.92 793.42	1,789.60 806.03	1,727.96 787.61	1,884.91 804.34

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	307,507,421 150,932,746	325,608,399 158,950,878	344,638,456 168,696,998	340,551,489 163,454,693	404,862,366 186,589,412
Operating expenses Median	304,841,460 149,311,209	302,364,229 156,110,414	326,036,793 164,890,568	316,185,703 166,516,854	392,171,302 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,665,961 -964,173	23,244,170 -643,601.5	18,601,663 -116,254	24,365,786 -5,025,862	12,691,064 -1,284,564
NS2P margin ? Median	0.87% -0.62	7.14% -0.29	5.40% 0.18	7.15% -5.07	3.13% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PIEDMONT COLUMBUS REGIONAL MIDTOWN 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	-16,550,448 5,089,215	26,762,603 4,572,541	24,054,514 5,268,134	30,885,025 13,092,619	86,041,937 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	84,286 224,999	25,616 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	166,970 299,524	234,329 188,688.5	8,950,694 370,813	6,375,775 309,361.5	35,263,006 375,329
⊳ 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	71,912	77,374	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	85,486	102,571	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	10,727,259	3,694,482	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	76,119	93,788	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	713,679	617,401	374,196	718,603	0
⊳ Line 23: Gov appropriations ? ⊳ Median	4,854,369 1,017,693	4,543,399 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	-33,330,528	17,373,643	14,729,624	23,790,647	50,778,931
Total income ? Median	-13,884,487 6,586,430	50,006,773 6,767,106	42,656,177 8,419,950	55,250,811 8,094,175	98,733,001 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	68,011,223 106,761	25,751,645 31,473.5
Net income Median	-13,884,487 6,043,842	50,006,773 5,845,112	42,656,177 7,606,259	-12,760,412 7,283,041	72,981,356 14,957,241
Net margin Median	-4.77201% 4.62%	14.19151% 4.42%	11.56957% 5.16%	-3.43542% 5.2%	14.86672% 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 PIEDMONT COLUMBUS REGIONAL MIDTOWN 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	45,435,895 23,241,334	43,889,988 23,709,545	46,728,367 24,248,380	45,253,830 22,858,541	55,042,101 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	45,435,895 21,577,146	43,889,988 22,041,594	46,728,367 22,722,063	45,253,830 21,570,441	55,042,101 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	30,200,372 11,160,864	32,238,066 11,987,345	35,480,732 12,926,866	34,621,289 11,884,480	35,142,092 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	30,200,372 10,918,923	32,238,066 11,706,976	35,480,732 12,615,917	34,621,289 11,458,116	35,142,092 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	2,924,727 3,284,314	3,094,237 3,250,551	3,343,007 3,386,837	3,317,799 3,360,806	2,846,016 3,508,953
Disproportionate-share hospital (DSH) Median	2,275,200 594,888	2,262,475 595,761	2,249,168 577,894	1,872,625 542,168	3,262,359 549,667
Outlier Median	2,956,566 582,572	655,638 538,116	632,213 212,434	450,042 126,559	346,619 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	57,894 3,662,910	0 3,730,911	0 4,081,319	3,169,714 4,643,908	0 4,389,147
Charity care Median	8,196,361 2,654,636	20,762,646 2,940,659	10,727,154 3,380,215	21,396,045 3,488,738	25,517,723 3,233,405
Uncompensated care (UCC) Median	17,860,532 5,147,790	34,674,623 5,337,617	27,667,556 5,711,082	34,134,416 5,923,418	31,952,950 5,508,107
UCC as a % of operating expenses Median	5.86% 3.24	11.47% 3.12	8.49% 3.21	10.80% 3.3	8.15% 2.86
Total shortfall/UCC Median	17,918,426 9,489,989	34,674,623 9,424,297	27,667,556 10,120,158	37,304,130 11,171,337	31,952,950 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	98,946,045 52,142,039	102,849,061 54,485,252	114,548,339 57,395,589	115,344,263 58,830,919	120,613,587 61,722,907
Salaries as a % of operating expenses Median	32.46 36.68	34.01 36.56	35.13 36.37	31.38 35.93	28.86 35.24
Intern, resident salaries* Median	3,570,653 2,598,592	4,165,993 2,686,824	4,508,692 2,753,773	3,892,609 2,937,156	4,212,100 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	1,732,354 1,449,244	1,396,791 1,475,986	0 1,563,078	6,149 1,721,954	14,112,367 2,991,828
Contract hours, direct-care Median	23,156.46 22,725	18,220.52 23,018.5	0.00 24,503.48	123.00 25,026.5	109,912.00 33,786
Contract wages, direct-care Median	74.81 64.67	76.66 64.53	0.00 65.06	49.99 68.97	128.40 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.