As of the July, 2022, release via CMS

EMORY UNIVERSITY HOSPITAL MIDTOWN

CMS id: 110078
550 PPEACHTREE STREET, ATLANTA GA 30308. County: FULTON
System: --
CBSA: Atlanta-Sandy Springs-Alpharetta, GA

The 534-bed, acute-care hospital had $-73,059,207 in net service to patients*, with a total profit margin of 20.49087% in fiscal year 2021, the latest year available.
It spent 5.62% of its operating expenses on uncompensated care and reported $44,358,742 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	345 118	346 118	392 119.5	394 118	393 119
Total beds Median	459 162	475 162	529 162	532 162	534 163.5
FTEs Median	2,911.00 788.06	3,092.66 793.42	3,553.00 806.03	3,610.00 787.61	3,629.41 804.34

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	816,294,007 150,932,746	892,680,230 158,950,878	990,092,710 168,696,998	1,044,059,375 163,454,693	1,180,455,698 186,589,412
Operating expenses Median	786,563,517 149,311,209	868,783,044 156,110,414	1,000,979,805 164,890,568	1,102,835,394 166,516,854	1,253,514,905 180,120,888
Net income from service 2 patients (NS2P) ? Median	29,730,490 -964,173	23,897,186 -643,601.5	-10,887,095 -116,254	-58,776,019 -5,025,862	-73,059,207 -1,284,564
NS2P margin ? Median	3.64% -0.62	2.68% -0.29	-1.10% 0.18	-5.63% -5.07	-6.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EMORY UNIVERSITY HOSPITAL 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	77,571,179 5,089,215	101,737,275 4,572,541	121,509,781 5,268,134	200,233,033 13,092,619	257,163,977 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	2,350,700 299,524	2,291,825 188,688.5	0 370,813	157,769 309,361.5	157,769 375,329
⊳ 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	3,375,342	4,818,044	5,191,119	3,822,089	3,724,763
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,619,923	3,712,627	4,093,854	2,857,314	2,285,573
⊳ 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	47,706,489	65,486,809	100,062,668	140,598,304	198,358,183
⊳ 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	56,558	63,254	69,443	58,490	62,428
⊳ Line 22: Rental of hospital space	572,426	12,342	0	0	0
⊳ 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	19,889,741	25,352,374	12,092,697	52,739,067	52,575,261
Total income ? Median	107,301,669 6,586,430	125,634,461 6,767,106	110,622,686 8,419,950	141,457,014 8,094,175	184,104,770 15,162,888
Non-operating expenses Median	487,350 146,289.5	487,350 164,857	2,290,939 89,880.5	0 106,761	-110,476,027 31,473.5
Net income Median	106,814,319 6,043,842	125,147,111 5,845,112	108,331,747 7,606,259	141,457,014 7,283,041	294,580,797 14,957,241
Net margin Median	11.94971% 4.62%	12.58497% 4.42%	9.74555% 5.16%	11.36847% 5.2%	20.49087% 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 EMORY UNIVERSITY HOSPITAL 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	100,524,662 23,241,334	93,924,552 23,709,545	98,280,923 24,248,380	91,093,229 22,858,541	97,130,700 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	100,524,662 21,577,146	93,924,552 22,041,594	98,280,923 22,722,063	91,093,229 21,570,441	97,130,700 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	90,239,469 11,160,864	90,790,039 11,987,345	96,751,747 12,926,866	95,805,892 11,884,480	105,157,432 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	90,239,469 10,918,923	90,790,039 11,706,976	96,751,747 12,615,917	95,805,892 11,458,116	105,157,432 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	7,540,474 3,284,314	6,920,238 3,250,551	6,790,400 3,386,837	6,184,924 3,360,806	5,790,884 3,508,953
Disproportionate-share hospital (DSH) Median	4,223,038 594,888	3,823,177 595,761	3,854,843 577,894	3,302,114 542,168	3,217,014 549,667
Outlier Median	8,482,120 582,572	7,144,876 538,116	6,608,287 212,434	566,997 126,559	663,045 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,534,324 3,662,910	10,986,214 3,730,911	11,574,969 4,081,319	21,874,333 4,643,908	44,358,742 4,389,147
Charity care Median	18,582,999 2,654,636	28,343,841 2,940,659	14,463,783 3,380,215	60,238,740 3,488,738	47,372,054 3,233,405
Uncompensated care (UCC) Median	36,955,901 5,147,790	38,587,641 5,337,617	38,390,241 5,711,082	81,871,489 5,923,418	70,502,169 5,508,107
UCC as a % of operating expenses Median	4.70% 3.24	4.44% 3.12	3.84% 3.21	7.42% 3.3	5.62% 2.86
Total shortfall/UCC Median	41,490,225 9,489,989	49,573,855 9,424,297	49,965,210 10,120,158	103,745,822 11,171,337	114,860,911 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	200,098,836 52,142,039	216,898,410 54,485,252	247,609,103 57,395,589	261,303,833 58,830,919	270,287,782 61,722,907
Salaries as a % of operating expenses Median	25.45 36.68	24.97 36.56	24.74 36.37	23.71 35.93	21.57 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	10,161,398 1,251,927	10,161,398 1,186,494	10,567,066 1,204,885	11,044,761 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	16,779,147 1,449,244	15,960,668 1,475,986	25,225,074 1,563,078	0 1,721,954	26,354,754 2,991,828
Contract hours, direct-care Median	222,201.00 22,725	220,323.00 23,018.5	384,231.00 24,503.48	0.00 25,026.5	253,451.73 33,786
Contract wages, direct-care Median	75.51 64.67	72.44 64.53	65.65 65.06	0.00 68.97	103.98 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.