As of the July, 2022, release via CMS

AHN THE MEDICAL CENTER

CMS id: 110107
777 HEMLOCK STREET, MACON GA 31201. County: BIBB
System: CMHA D/B/A ATRIUM HEALTH
CBSA: Macon-Bibb County, GA

The 656-bed, acute-care hospital had $6,810,451 in net service to patients*, with a total profit margin of 11.97983% in fiscal year 2021, the latest year available.
It spent 7.09% 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	446 118	453 118	475 119.5	477 118	477 119
Total beds Median	597 162	610 162	640 162	656 162	656 163.5
FTEs Median	4,231.24 788.06	4,706.52 793.42	4,582.46 806.03	3,957.66 787.61	3,724.49 804.34

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	669,902,423 150,932,746	718,953,884 158,950,878	703,863,232 168,696,998	671,174,744 163,454,693	724,859,330 186,589,412
Operating expenses Median	717,271,594 149,311,209	673,198,274 156,110,414	722,206,404 164,890,568	689,978,533 166,516,854	718,048,879 180,120,888
Net income from service 2 patients (NS2P) ? Median	-47,369,171 -964,173	45,755,610 -643,601.5	-18,343,172 -116,254	-18,803,789 -5,025,862	6,810,451 -1,284,564
NS2P margin ? Median	-7.07% -0.62	6.36% -0.29	-2.61% 0.18	-2.80% -5.07	0.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AHN THE 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	45,915,326 5,089,215	40,905,054 4,572,541	154,879,165 5,268,134	128,342,427 13,092,619	90,918,335 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	41,990 224,999	36,271 199,009	2,695 206,870.5	7,372,356 194,343	5,746,690 249,496
⊳ Line 7: Investments ? ⊳ Median	27,735,739 299,524	16,537,977 188,688.5	116,499,291 370,813	44,529,707 309,361.5	9,629,094 375,329
⊳ 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	19,348	129,071
⊳ Line 11: Rebates and refunds of expenses	3,360	-3,360	0	0	0
⊳ Line 12: Parking lot receipts	1,277,060	0	0	0	-6,758
⊳ 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	4,348
⊳ 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	55,953
⊳ Line 18: Revenue from sale of medical records and abstracts	6,172	3,730	3,673	7,000	11,596
⊳ 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	518,056	0
⊳ Line 21: Rental of vending machines	0	0	0	13,762	0
⊳ Line 22: Rental of hospital space	2,309,494	2,120,336	2,060,011	1,892,014	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	5,424,884 1,173,286	838,615 1,987,202	0 1,597,664
⊳ Sum Line 24	14,541,511	22,210,100	30,888,611	73,151,569	75,348,341
Total income ? Median	-1,453,845 6,586,430	86,660,664 6,767,106	136,535,993 8,419,950	109,538,638 8,094,175	97,728,786 15,162,888
Non-operating expenses Median	2,410,414 146,289.5	0 164,857	-3 89,880.5	0 106,761	0 31,473.5
Net income Median	-3,864,259 6,043,842	86,660,664 5,845,112	136,535,996 7,606,259	109,538,638 7,283,041	97,728,786 14,957,241
Net margin Median	-0.53984% 4.62%	11.40484% 4.42%	15.89953% 5.16%	13.70060% 5.2%	11.97983% 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 AHN THE 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	113,451,941 23,241,334	119,808,414 23,709,545	124,822,765 24,248,380	105,692,320 22,858,541	98,060,334 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	113,023,829 21,577,146	119,453,793 22,041,594	123,066,570 22,722,063	104,540,604 21,570,441	96,764,596 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	428,112 1,845,420	354,621 1,757,392	1,756,195 1,738,842	1,151,716 1,510,463	1,295,738 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	43,613,765 11,160,864	48,570,704 11,987,345	49,691,046 12,926,866	43,249,832 11,884,480	42,649,872 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	39,041,923 10,918,923	43,971,773 11,706,976	44,938,280 12,615,917	38,710,012 11,458,116	38,685,402 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,571,842 1,282,808	4,598,931 1,407,728	4,752,766 1,341,512	4,539,820 1,407,046	3,964,470 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	11,295,271 3,284,314	11,948,948 3,250,551	11,476,642 3,386,837	10,368,554 3,360,806	10,208,894 3,508,953
Disproportionate-share hospital (DSH) Median	3,510,104 594,888	3,576,285 595,761	4,096,501 577,894	3,639,076 542,168	3,225,109 549,667
Outlier Median	4,072,941 582,572	4,403,825 538,116	544,084 212,434	363,615 126,559	409,608 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,659,493 3,662,910	0 3,730,911	4,152,533 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	33,085,227 2,654,636	41,642,100 2,940,659	47,521,974 3,380,215	45,864,712 3,488,738	41,600,316 3,233,405
Uncompensated care (UCC) Median	52,217,794 5,147,790	56,577,903 5,337,617	60,211,462 5,711,082	57,152,913 5,923,418	50,907,019 5,508,107
UCC as a % of operating expenses Median	7.28% 3.24	8.40% 3.12	8.34% 3.21	8.28% 3.3	7.09% 2.86
Total shortfall/UCC Median	54,877,287 9,489,989	56,577,903 9,424,297	64,363,995 10,120,158	57,152,913 11,171,337	50,907,019 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	209,253,384 52,142,039	215,216,796 54,485,252	230,367,803 57,395,589	229,746,690 58,830,919	244,461,639 61,722,907
Salaries as a % of operating expenses Median	32.93 36.68	31.97 36.56	31.90 36.37	33.30 35.93	34.05 35.24
Intern, resident salaries* Median	7,849,468 2,598,592	8,401,968 2,686,824	8,771,695 2,753,773	8,048,124 2,937,156	0 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	4,631,546 1,449,244	1,315,255 1,475,986	17,067,537 1,563,078	1,937,634 1,721,954	9,494,987 2,991,828
Contract hours, direct-care Median	68,901.00 22,725	21,651.69 23,018.5	316,267.05 24,503.48	31,652.19 25,026.5	96,688.10 33,786
Contract wages, direct-care Median	67.22 64.67	60.75 64.53	53.97 65.06	61.22 68.97	98.20 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.