As of the July, 2022, release via CMS

ATRIUM HEALTH CABARRUS

CMS id: 340001
920 CHURCH STREET NORTH, CONCORD NC 28025. County: CABARRUS
System: CMHA DBA ATRIUM HEALTH
CBSA: Charlotte-Concord-Gastonia, NC-SC

The 457-bed, acute-care hospital had $141,997,739 in net service to patients*, with a total profit margin of 28.82769% in fiscal year 2021, the latest year available.
It spent 5.94% of its operating expenses on uncompensated care and reported $195,425 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	393 118	393 118	398 119.5	398 118	398 119
Total beds Median	457 162	457 162	457 162	457 162	457 163.5
FTEs Median	2,644.00 788.06	2,556.80 793.42	2,543.57 806.03	2,516.91 787.61	2,766.99 804.34

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	576,829,528 150,932,746	610,737,663 158,950,878	648,061,729 168,696,998	590,079,383 163,454,693	740,539,454 186,589,412
Operating expenses Median	500,546,663 149,311,209	494,399,634 156,110,414	499,875,148 164,890,568	513,582,288 166,516,854	598,541,715 180,120,888
Net income from service 2 patients (NS2P) ? Median	76,282,865 -964,173	116,338,029 -643,601.5	148,186,581 -116,254	76,497,095 -5,025,862	141,997,739 -1,284,564
NS2P margin ? Median	13.22% -0.62	19.05% -0.29	22.87% 0.18	12.96% -5.07	19.17% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ATRIUM HEALTH CABARRUS 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	82,038,223 5,089,215	-12,537,929 4,572,541	93,979,304 5,268,134	106,143,149 13,092,619	100,436,100 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	861,908 224,999	1,066,762 199,009	1,228,271 206,870.5	962,867 194,343	541,721 249,496
⊳ Line 7: Investments ? ⊳ Median	60,624,432 299,524	-32,569,391 188,688.5	74,164,780 370,813	58,745,072 309,361.5	56,462,838 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	929,590	857,081	1,489,571	1,260,139	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ 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	2,549,859	2,634,982	2,768,785	1,810,973	2,142,306
⊳ Line 15: Revenue from rental of living quarters	2,750	3,000	2,700	2,500	85,191
⊳ 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	-227	-47	-471	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	5,416,964	5,527,522	5,879,497	6,476,518	7,277,641
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	665,957	588,975	554,539	263,686	315,732
⊳ Line 21: Rental of vending machines	0	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	10,986,990	9,353,187	7,891,632	36,621,394	33,610,671
Total income ? Median	158,321,088 6,586,430	103,800,100 6,767,106	242,165,885 8,419,950	182,640,244 8,094,175	242,433,839 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	158,321,088 6,043,842	103,800,100 5,845,112	242,165,885 7,606,259	182,640,244 7,283,041	242,433,839 14,957,241
Net margin Median	24.02927% 4.62%	17.35208% 4.42%	32.63511% 5.16%	26.23303% 5.2%	28.82769% 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 ATRIUM HEALTH CABARRUS 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	85,684,759 23,241,334	90,208,645 23,709,545	91,032,009 24,248,380	82,878,997 22,858,541	85,780,412 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	84,044,891 21,577,146	88,527,762 22,041,594	89,340,477 22,722,063	81,542,266 21,570,441	84,193,196 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	1,639,868 1,845,420	1,680,883 1,757,392	1,691,532 1,738,842	1,336,731 1,510,463	1,587,216 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	40,240,243 11,160,864	42,620,534 11,987,345	42,626,941 12,926,866	34,153,497 11,884,480	37,932,195 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	40,240,243 10,918,923	42,620,534 11,706,976	42,626,941 12,615,917	34,153,497 11,458,116	37,932,195 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	2,856,857 3,284,314	2,956,691 3,250,551	3,028,830 3,386,837	2,706,326 3,360,806	2,871,215 3,508,953
Disproportionate-share hospital (DSH) Median	1,891,041 594,888	1,767,803 595,761	1,623,088 577,894	1,836,669 542,168	1,659,946 549,667
Outlier Median	1,642,134 582,572	1,879,474 538,116	307,904 212,434	263,835 126,559	261,371 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	362,259 3,662,910	418,350 3,730,911	482,805 4,081,319	329,903 4,643,908	195,425 4,389,147
Charity care Median	19,217,816 2,654,636	22,567,559 2,940,659	30,583,593 3,380,215	25,933,013 3,488,738	23,765,247 3,233,405
Uncompensated care (UCC) Median	32,492,185 5,147,790	30,931,143 5,337,617	46,692,974 5,711,082	40,711,850 5,923,418	35,549,179 5,508,107
UCC as a % of operating expenses Median	6.49% 3.24	6.26% 3.12	9.34% 3.21	7.93% 3.3	5.94% 2.86
Total shortfall/UCC Median	32,854,444 9,489,989	31,349,493 9,424,297	47,175,779 10,120,158	41,041,753 11,171,337	35,744,604 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	164,118,470 52,142,039	161,004,845 54,485,252	162,940,246 57,395,589	170,036,357 58,830,919	244,143,849 61,722,907
Salaries as a % of operating expenses Median	32.79 36.68	32.57 36.56	32.60 36.37	33.11 35.93	40.79 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	6,172,592 1,449,244	3,783,541 1,475,986	10,318,998 1,563,078	8,636,912 1,721,954	8,636,912 2,991,828
Contract hours, direct-care Median	95,319.25 22,725	57,631.53 23,018.5	138,855.92 24,503.48	119,239.04 25,026.5	119,239.04 33,786
Contract wages, direct-care Median	64.76 64.67	65.65 64.53	74.31 65.06	72.43 68.97	72.43 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.