As of the July, 2022, release via CMS

NORTHSIDE HOSPITAL

CMS id: 110161
1000 JOHNSON FERRY ROAD NE, ATLANTA GA 30342. County: FULTON
System: --
CBSA: Atlanta-Sandy Springs-Alpharetta, GA

The 721-bed, acute-care hospital had $-119,445,432 in net service to patients*, with a total profit margin of 19.37763% in fiscal year 2021, the latest year available.
It spent 5.28% of its operating expenses on uncompensated care and reported $15,504,983 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	496 118	508 118	478 119.5	471 118	493 119
Total beds Median	524 162	536 162	506 162	677 162	721 163.5
FTEs Median	7,732.39 788.06	8,155.84 793.42	8,183.80 806.03	8,769.09 787.61	8,241.64 804.34

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	2,002,891,524 150,932,746	2,081,577,841 158,950,878	2,181,641,810 168,696,998	2,228,962,521 163,454,693	2,524,347,527 186,589,412
Operating expenses Median	1,927,318,813 149,311,209	2,108,476,520 156,110,414	2,250,848,434 164,890,568	2,361,432,856 166,516,854	2,643,792,959 180,120,888
Net income from service 2 patients (NS2P) ? Median	75,572,711 -964,173	-26,898,679 -643,601.5	-69,206,624 -116,254	-132,470,335 -5,025,862	-119,445,432 -1,284,564
NS2P margin ? Median	3.77% -0.62	-1.29% -0.29	-3.17% 0.18	-5.94% -5.07	-4.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTHSIDE 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	225,840,027 5,089,215	292,457,521 4,572,541	178,097,662 5,268,134	370,937,698 13,092,619	754,882,414 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	547,519 224,999	663,540 199,009	287,185 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,067,097 299,524	1,095,274 188,688.5	823,244 370,813	134,337,578 309,361.5	461,522,780 375,329
⊳ 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	5,846,954	9,153,594
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	3,985,868	5,747,305	6,504,979	3,915,641	3,774,792
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,337,388	2,795,955	2,845,300	2,194,165	2,110,826
⊳ 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	1,052,791	1,021,341	1,033,126	161,076,758	180,146,051
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	48,397	56,955
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	300,149	267,864	20,054	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	113,371	53,490	26,661	0	0
⊳ Line 22: Rental of hospital space	11,370,138	10,412,402	9,544,246	14,645,753	14,866,424
⊳ 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	205,065,706	270,400,350	157,012,867	48,872,452	83,250,992
Total income ? Median	301,412,738 6,586,430	265,558,842 6,767,106	108,891,038 8,419,950	238,467,363 8,094,175	635,436,982 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	166,240,914 89,880.5	0 106,761	0 31,473.5
Net income Median	301,412,738 6,043,842	265,558,842 5,845,112	-57,349,876 7,606,259	238,467,363 7,283,041	635,436,982 14,957,241
Net margin Median	13.52396% 4.62%	11.18597% 4.42%	-2.43035% 5.16%	9.17217% 5.2%	19.37763% 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 NORTHSIDE 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	56,557,358 23,241,334	59,618,859 23,709,545	65,818,626 24,248,380	71,835,438 22,858,541	93,269,803 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	56,557,358 21,577,146	59,618,859 22,041,594	65,818,626 22,722,063	71,835,438 21,570,441	93,269,803 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	139,793,038 11,160,864	134,680,328 11,987,345	138,604,157 12,926,866	137,420,718 11,884,480	145,378,165 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	139,793,038 10,918,923	134,680,328 11,706,976	138,604,157 12,615,917	137,420,718 11,458,116	145,378,165 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	1,539,380 594,888	1,654,817 595,761	1,679,637 577,894	2,112,935 542,168	2,138,128 549,667
Outlier Median	9,226,250 582,572	9,300,918 538,116	1,468,076 212,434	1,469,457 126,559	2,135,534 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,645,573 3,662,910	12,172 3,730,911	9,353,759 4,081,319	7,496,834 4,643,908	15,504,983 4,389,147
Charity care Median	81,237,946 2,654,636	84,951,765 2,940,659	86,017,716 3,380,215	107,921,324 3,488,738	121,181,882 3,233,405
Uncompensated care (UCC) Median	95,303,479 5,147,790	96,000,327 5,337,617	104,045,574 5,711,082	126,442,022 5,923,418	139,637,261 5,508,107
UCC as a % of operating expenses Median	4.94% 3.24	4.55% 3.12	4.62% 3.21	5.35% 3.3	5.28% 2.86
Total shortfall/UCC Median	100,949,052 9,489,989	96,012,499 9,424,297	113,399,333 10,120,158	133,938,856 11,171,337	155,142,244 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	558,941,328 52,142,039	601,562,393 54,485,252	627,850,460 57,395,589	663,904,553 58,830,919	660,244,546 61,722,907
Salaries as a % of operating expenses Median	30.62 36.68	30.57 36.56	28.86 36.37	29.57 35.93	26.45 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	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	4,198,275 1,449,244	4,181,701 1,475,986	9,468,003 1,563,078	12,902,972 1,721,954	35,862,845 2,991,828
Contract hours, direct-care Median	65,506.00 22,725	57,164.00 23,018.5	160,231.00 24,503.48	181,856.00 25,026.5	364,550.00 33,786
Contract wages, direct-care Median	64.09 64.67	73.15 64.53	59.09 65.06	70.95 68.97	98.38 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.