As of the July, 2022, release via CMS

PIEDMONT ATHENS REGIONAL MEDICAL CE

CMS id: 110074
1199 PRINCE AVENUE, ATHENS GA 30306. County: CLARKE
System: PIEDMONT HEALTHCARE INC
CBSA: Athens-Clarke County, GA

The 359-bed, acute-care hospital had $23,629,546 in net service to patients*, with a total profit margin of 6.84221% in fiscal year 2021, the latest year available.
It spent 8.75% of its operating expenses on uncompensated care and reported $2,769 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	273	365	365	366	365
Ownership	gov	gov	gov	gov	gov
Acute beds Median	298 118	299 118	301 119.5	303 118	303 119
Total beds Median	351 162	357 162	357 162	359 162	359 163.5
FTEs Median	2,582.01 788.06	2,445.00 793.42	2,238.90 806.03	2,220.89 787.61	2,229.22 804.34

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	339,677,477 150,932,746	502,827,457 158,950,878	521,264,481 168,696,998	437,627,210 163,454,693	546,671,051 186,589,412
Operating expenses Median	316,079,112 149,311,209	484,093,791 156,110,414	571,294,929 164,890,568	475,593,368 166,516,854	523,041,505 180,120,888
Net income from service 2 patients (NS2P) ? Median	23,598,365 -964,173	18,733,666 -643,601.5	-50,030,448 -116,254	-37,966,158 -5,025,862	23,629,546 -1,284,564
NS2P margin ? Median	6.95% -0.62	3.73% -0.29	-9.60% 0.18	-8.68% -5.07	4.32% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PIEDMONT ATHENS REGIONAL MEDICAL CE 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	169,544,690 5,089,215	15,938,024 4,572,541	16,250,062 5,268,134	37,856,532 13,092,619	14,786,566 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	7,181 199,009	197,606 206,870.5	-863 194,343	-107,393 249,496
⊳ Line 7: Investments ? ⊳ Median	160,951 299,524	260,203 188,688.5	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	296,845	251,438	131,569	48,951
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	1,851,165	1,933,290	1,714,753	1,544,334
⊳ 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	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	437,654	437,645	345,710	421,509
⊳ Line 21: Rental of vending machines	0	0	0	0	10,720
⊳ Line 22: Rental of hospital space	0	2,488,505	2,536,093	2,603,694	2,818,445
⊳ 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	169,383,739	10,596,471	10,893,990	33,061,669	10,050,000
Total income ? Median	193,143,055 6,586,430	34,671,690 6,767,106	-33,780,386 8,419,950	-109,626 8,094,175	38,416,112 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-662,161 89,880.5	0 106,761	0 31,473.5
Net income Median	193,143,055 6,043,842	34,671,690 5,845,112	-33,118,225 7,606,259	-109,626 7,283,041	38,416,112 14,957,241
Net margin Median	37.92904% 4.62%	6.68350% 4.42%	-6.16136% 5.16%	-0.02306% 5.2%	6.84221% 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 ATHENS REGIONAL MEDICAL CE 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	61,480,470 23,241,334	86,708,486 23,709,545	87,319,368 24,248,380	84,938,710 22,858,541	97,434,108 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	61,480,470 21,577,146	86,708,486 22,041,594	87,319,368 22,722,063	84,938,710 21,570,441	97,434,108 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	24,829,544 11,160,864	31,802,468 11,987,345	34,131,608 12,926,866	32,096,938 11,884,480	33,259,102 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	23,384,807 10,918,923	29,758,649 11,706,976	32,225,287 12,615,917	29,874,991 11,458,116	31,010,403 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,444,737 1,282,808	2,043,819 1,407,728	1,906,321 1,341,512	2,221,947 1,407,046	2,248,699 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	950,082 3,284,314	4,995,927 3,250,551	8,764,277 3,386,837	8,470,694 3,360,806	9,861,428 3,508,953
Disproportionate-share hospital (DSH) Median	1,598,904 594,888	2,438,058 595,761	2,372,459 577,894	2,292,109 542,168	1,888,109 549,667
Outlier Median	2,696,910 582,572	2,506,634 538,116	1,150,564 212,434	124,034 126,559	292,361 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,320 3,662,910	4,590 3,730,911	12,814,109 4,081,319	13,623,134 4,643,908	2,769 4,389,147
Charity care Median	16,502,907 2,654,636	32,713,047 2,940,659	30,879,350 3,380,215	44,423,611 3,488,738	42,350,056 3,233,405
Uncompensated care (UCC) Median	20,276,038 5,147,790	41,972,417 5,337,617	37,086,533 5,711,082	47,524,703 5,923,418	45,751,169 5,508,107
UCC as a % of operating expenses Median	6.41% 3.24	8.67% 3.12	6.49% 3.21	9.99% 3.3	8.75% 2.86
Total shortfall/UCC Median	20,279,358 9,489,989	41,977,007 9,424,297	49,900,642 10,120,158	61,147,837 11,171,337	45,753,938 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	125,465,451 52,142,039	162,280,550 54,485,252	151,493,902 57,395,589	153,988,470 58,830,919	164,592,119 61,722,907
Salaries as a % of operating expenses Median	41.77 36.68	37.92 36.56	29.96 36.37	32.38 35.93	31.47 35.24
Intern, resident salaries* Median	630,381 2,598,592	3,233,840 2,686,824	4,735,748 2,753,773	5,354,043 2,937,156	6,466,647 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	0 1,449,244	1,362,449 1,475,986	819,189 1,563,078	974,997 1,721,954	3,857,373 2,991,828
Contract hours, direct-care Median	0.00 22,725	17,318.00 23,018.5	8,392.48 24,503.48	13,316.85 25,026.5	32,456.00 33,786
Contract wages, direct-care Median	0.00 64.67	78.67 64.53	97.61 65.06	73.22 68.97	118.85 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.