As of the July, 2022, release via CMS

ATRIUM HEALTH CLEVELAND

CMS id: 340021
201 EAST GROVER STREET, SHELBY NC 28150. County: CLEVELAND
System: CMHA D/B/A ATRIUM HEALTH
CBSA: Shelby, NC

The 308-bed, acute-care hospital had $42,341,572 in net service to patients*, with a total profit margin of 23.31032% in fiscal year 2021, the latest year available.
It spent 8.11% of its operating expenses on uncompensated care and reported $113,865 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	190 118	190 118	251 119.5	251 118	251 119
Total beds Median	241 162	241 162	308 162	308 162	308 163.5
FTEs Median	991.45 788.06	995.32 793.42	1,184.59 806.03	1,309.52 787.61	1,676.82 804.34

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	194,336,749 150,932,746	216,799,542 158,950,878	259,358,625 168,696,998	285,389,536 163,454,693	326,562,232 186,589,412
Operating expenses Median	178,410,892 149,311,209	189,954,848 156,110,414	222,698,203 164,890,568	258,610,379 166,516,854	284,220,660 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,925,857 -964,173	26,844,694 -643,601.5	36,660,422 -116,254	26,779,157 -5,025,862	42,341,572 -1,284,564
NS2P margin ? Median	8.19% -0.62	12.38% -0.29	14.14% 0.18	9.38% -5.07	12.97% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ATRIUM HEALTH CLEVELAND 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	31,806,825 5,089,215	24,496,708 4,572,541	50,212,553 5,268,134	86,960,613 13,092,619	44,049,107 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-1,023 224,999	4,977 199,009	60 206,870.5	438 194,343	-10,000 249,496
⊳ Line 7: Investments ? ⊳ Median	2,748,381 299,524	3,682,329 188,688.5	3,923,254 370,813	2,570,631 309,361.5	3,393,608 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	280,304	269,398	384,350	577,707	617,089
⊳ 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	0	0	0	812,128	902,117
⊳ 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	66,069	197,761	227,933	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.)	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	0	0	0	36,403	0
⊳ Line 22: Rental of hospital space	5,289	4,965	20,869	30,369	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	28,773,874	20,468,970	45,686,259	82,705,004	39,146,293
Total income ? Median	47,732,682 6,586,430	51,341,402 6,767,106	86,872,975 8,419,950	113,739,770 8,094,175	86,390,679 15,162,888
Non-operating expenses Median	2,050,448 146,289.5	34,097,515 164,857	12,622,585 89,880.5	42,363,716 106,761	0 31,473.5
Net income Median	45,682,234 6,043,842	17,243,887 5,845,112	74,250,390 7,606,259	71,376,054 7,283,041	86,390,679 14,957,241
Net margin Median	20.20054% 4.62%	7.14636% 4.42%	23.98492% 5.16%	19.16907% 5.2%	23.31032% 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 CLEVELAND 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	28,882,019 23,241,334	33,217,065 23,709,545	35,159,641 24,248,380	36,084,682 22,858,541	35,077,609 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	28,882,019 21,577,146	33,217,065 22,041,594	35,159,641 22,722,063	36,084,682 21,570,441	35,077,609 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	27,375,296 11,160,864	26,843,023 11,987,345	28,831,170 12,926,866	27,478,046 11,884,480	22,655,024 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	27,375,296 10,918,923	26,843,023 11,706,976	28,831,170 12,615,917	27,478,046 11,458,116	22,655,024 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	784,837 594,888	809,635 595,761	901,364 577,894	799,672 542,168	796,101 549,667
Outlier Median	340,703 582,572	156,178 538,116	65,762 212,434	109,984 126,559	91,792 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,663,323 3,662,910	3,704,876 3,730,911	5,408,308 4,081,319	4,173,992 4,643,908	113,865 4,389,147
Charity care Median	8,800,005 2,654,636	21,097,973 2,940,659	16,027,252 3,380,215	16,960,399 3,488,738	15,163,831 3,233,405
Uncompensated care (UCC) Median	14,342,043 5,147,790	24,886,060 5,337,617	24,358,908 5,711,082	26,092,751 5,923,418	23,056,301 5,508,107
UCC as a % of operating expenses Median	8.04% 3.24	13.10% 3.12	10.94% 3.21	10.09% 3.3	8.11% 2.86
Total shortfall/UCC Median	18,005,366 9,489,989	28,590,936 9,424,297	29,767,216 10,120,158	30,266,743 11,171,337	23,170,166 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	57,542,626 52,142,039	58,476,459 54,485,252	75,056,109 57,395,589	85,238,164 58,830,919	117,234,901 61,722,907
Salaries as a % of operating expenses Median	32.25 36.68	30.78 36.56	33.70 36.37	32.96 35.93	41.25 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	1,431,994 1,449,244	1,495,748 1,475,986	3,336,087 1,563,078	2,186,224 1,721,954	2,186,334 2,991,828
Contract hours, direct-care Median	33,235.93 22,725	34,099.47 23,018.5	50,511.80 24,503.48	33,361.27 25,026.5	33,363.27 33,786
Contract wages, direct-care Median	43.09 64.67	43.86 64.53	66.05 65.06	65.53 68.97	65.53 88.94

* in an approved program

Return to top

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.