As of the July, 2022, release via CMS

GRADY MEMORIAL HOSPITAL

CMS id: 110079
80 JESSE HILL JR. DRIVE SE, ATLANTA GA 30303. County: FULTON
System: --
CBSA: Atlanta-Sandy Springs-Alpharetta, GA

The 968-bed, acute-care hospital had $-355,264,277 in net service to patients*, with a total profit margin of 7.75190% in fiscal year 2021, the latest year available.
It spent 19.70% 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	gov	gov	gov	gov	gov
Acute beds Median	413 118	416 118	423 119.5	303 118	435 119
Total beds Median	961 162	974 162	989 162	832 162	968 163.5
FTEs Median	5,789.88 788.06	6,577.33 793.42	6,921.73 806.03	6,666.77 787.61	6,695.82 804.34

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	848,097,164 150,932,746	962,662,817 158,950,878	1,051,926,605 168,696,998	978,057,175 163,454,693	1,116,331,303 186,589,412
Operating expenses Median	1,087,124,160 149,311,209	1,229,987,708 156,110,414	1,324,614,432 164,890,568	1,394,730,484 166,516,854	1,471,595,580 180,120,888
Net income from service 2 patients (NS2P) ? Median	-239,026,996 -964,173	-267,324,891 -643,601.5	-272,687,827 -116,254	-416,673,309 -5,025,862	-355,264,277 -1,284,564
NS2P margin ? Median	-28.18% -0.62	-27.77% -0.29	-25.92% 0.18	-42.60% -5.07	-31.82% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GRADY MEMORIAL HOSPITAL 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	284,365,798 5,089,215	300,083,841 4,572,541	303,152,019 5,268,134	551,171,068 13,092,619	481,861,734 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,914,184 224,999	5,634,520 199,009	6,273,861 206,870.5	6,830,794 194,343	4,354,393 249,496
⊳ 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	-17,480
⊳ 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	0	0	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	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.)	811,676	745,329	681,767	857,949	736,614
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	37,800	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	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	280,602,138	293,703,992	296,196,391	543,482,325	476,788,207
Total income ? Median	45,338,802 6,586,430	32,758,950 6,767,106	30,464,192 8,419,950	134,497,759 8,094,175	126,597,457 15,162,888
Non-operating expenses Median	2,573,950 146,289.5	2,618,487 164,857	2,658,596 89,880.5	2,695,902 106,761	2,707,115 31,473.5
Net income Median	42,764,852 6,043,842	30,140,463 5,845,112	27,805,596 7,606,259	131,801,857 7,283,041	123,890,342 14,957,241
Net margin Median	3.77627% 4.62%	2.38690% 4.42%	2.05195% 5.16%	8.61885% 5.2%	7.75190% 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 GRADY MEMORIAL HOSPITAL 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	112,990,190 23,241,334	121,408,640 23,709,545	154,024,831 24,248,380	147,079,457 22,858,541	158,483,945 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	109,767,137 21,577,146	118,682,438 22,041,594	151,141,326 22,722,063	144,405,056 21,570,441	156,548,288 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	1,326,847 1,845,420	871,227 1,757,392	1,434,090 1,738,842	1,213,353 1,510,463	1,174,606 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	1,896,206 1,203,033	1,854,975 1,215,295	1,449,415 1,313,657	1,461,048 1,365,298	761,051 1,179,746
All outpatient revenue Median Click here to show/hide details	27,230,202 11,160,864	25,648,144 11,987,345	26,294,638 12,926,866	19,821,144 11,884,480	23,177,767 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	27,230,202 10,918,923	25,648,144 11,706,976	26,294,638 12,615,917	19,821,144 11,458,116	23,177,767 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	24,931,787 3,284,314	23,786,789 3,250,551	26,190,023 3,386,837	23,407,068 3,360,806	26,081,536 3,508,953
Disproportionate-share hospital (DSH) Median	4,398,262 594,888	4,023,908 595,761	4,212,337 577,894	3,196,355 542,168	2,973,336 549,667
Outlier Median	4,003,099 582,572	3,175,749 538,116	492,123 212,434	550,395 126,559	732,337 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	186,394,677 2,654,636	202,404,537 2,940,659	157,101,929 3,380,215	145,669,494 3,488,738	197,432,720 3,233,405
Uncompensated care (UCC) Median	251,931,906 5,147,790	251,411,259 5,337,617	260,920,114 5,711,082	269,698,789 5,923,418	289,973,648 5,508,107
UCC as a % of operating expenses Median	23.17% 3.24	20.44% 3.12	19.70% 3.21	19.34% 3.3	19.70% 2.86
Total shortfall/UCC Median	251,931,906 9,489,989	251,411,259 9,424,297	260,920,114 10,120,158	269,698,789 11,171,337	289,973,648 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	394,160,738 52,142,039	448,039,531 54,485,252	478,189,556 57,395,589	502,515,434 58,830,919	549,157,005 61,722,907
Salaries as a % of operating expenses Median	36.26 36.68	36.43 36.56	36.10 36.37	36.03 35.93	37.32 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	32,012,307 1,251,927	33,682,586 1,186,494	35,464,711 1,204,885	37,028,918 1,279,653	37,498,733 1,469,317
Contract adjusted salaries, direct-care Median	50,184,956 1,449,244	47,286,318 1,475,986	53,507,612 1,563,078	55,884,079 1,721,954	80,871,279 2,991,828
Contract hours, direct-care Median	1,203,040.38 22,725	1,178,277.89 23,018.5	1,281,428.19 24,503.48	1,290,773.30 25,026.5	1,376,561.16 33,786
Contract wages, direct-care Median	41.72 64.67	40.13 64.53	41.76 65.06	43.30 68.97	58.75 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.