As of the July, 2022, release via CMS

GASTON MEMORIAL HOSPITAL

CMS id: 340032
2525 COURT DRIVE, GASTONIA NC 28054. County: GASTON
System: CAROMONT HEALTH
CBSA: Charlotte-Concord-Gastonia, NC-SC

The 393-bed, acute-care hospital had $62,636,451 in net service to patients*, with a total profit margin of 16.87688% in fiscal year 2021, the latest year available.
It spent 8.26% of its operating expenses on uncompensated care and reported $1,199,177 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	296 118	296 118	326 119.5	336 118	336 119
Total beds Median	370 162	370 162	383 162	393 162	393 163.5
FTEs Median	2,602.01 788.06	2,640.83 793.42	2,664.25 806.03	2,619.69 787.61	2,681.73 804.34

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	419,814,348 150,932,746	455,654,592 158,950,878	488,019,695 168,696,998	501,456,774 163,454,693	562,521,028 186,589,412
Operating expenses Median	393,866,206 149,311,209	420,139,410 156,110,414	443,649,054 164,890,568	462,882,145 166,516,854	499,884,577 180,120,888
Net income from service 2 patients (NS2P) ? Median	25,948,142 -964,173	35,515,182 -643,601.5	44,370,641 -116,254	38,574,629 -5,025,862	62,636,451 -1,284,564
NS2P margin ? Median	6.18% -0.62	7.79% -0.29	9.09% 0.18	7.69% -5.07	11.13% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GASTON 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	3,119,814 5,089,215	2,248,310 4,572,541	3,615,317 5,268,134	15,256,283 13,092,619	37,411,459 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	166,179 224,999	149,382 199,009	138,979 206,870.5	426,006 194,343	3,064,805 249,496
⊳ Line 7: Investments ? ⊳ Median	-200,616 299,524	-110,083 188,688.5	-470,597 370,813	63,977 309,361.5	-45,034 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	139,797	221,29--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	150,015	136,257	240,584	276,349	354,578
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	160,210	196,229	207,312	204,872	199,521
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,159,783	2,136,658	1,983,940	1,761,673	1,570,318
⊳ Line 15: Revenue from rental of living quarters	0	0	0	300,000	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	141,517	148,346	219,956	174,078	299,894
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	88,779	500,000
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	440,440	316,096	740,467	734,279	728,757
⊳ 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	102,286	-724,575	554,676	11,086,191	30,507,372
Total income ? Median	29,067,956 6,586,430	37,763,492 6,767,106	47,985,958 8,419,950	53,830,912 8,094,175	100,047,910 15,162,888
Non-operating expenses Median	-3,337,624 146,289.5	-3,655,595 164,857	-912,177 89,880.5	-987,210 106,761	-1,201,979 31,473.5
Net income Median	32,405,580 6,043,842	41,419,087 5,845,112	48,898,135 7,606,259	54,818,122 7,283,041	101,249,889 14,957,241
Net margin Median	7.66209% 4.62%	9.04539% 4.42%	9.94602% 5.16%	10.60901% 5.2%	16.87688% 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 GASTON 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	73,192,285 23,241,334	80,744,664 23,709,545	82,793,709 24,248,380	77,262,770 22,858,541	78,307,130 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	73,192,285 21,577,146	80,744,664 22,041,594	82,793,709 22,722,063	77,262,770 21,570,441	78,307,130 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	33,704,749 11,160,864	35,047,168 11,987,345	34,266,836 12,926,866	33,647,571 11,884,480	33,828,605 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	33,704,749 10,918,923	35,047,168 11,706,976	34,266,836 12,615,917	33,647,571 11,458,116	33,828,605 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	1,961,605 594,888	2,022,643 595,761	1,981,152 577,894	1,633,795 542,168	1,457,619 549,667
Outlier Median	1,410,232 582,572	1,318,497 538,116	1,396,348 212,434	218,044 126,559	198,917 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,568,169 3,662,910	1,041,990 3,730,911	574,268 4,081,319	897,393 4,643,908	1,199,177 4,389,147
Charity care Median	23,111,378 2,654,636	20,404,211 2,940,659	22,313,275 3,380,215	23,691,912 3,488,738	28,422,827 3,233,405
Uncompensated care (UCC) Median	37,070,159 5,147,790	34,216,260 5,337,617	35,989,385 5,711,082	39,837,996 5,923,418	41,308,237 5,508,107
UCC as a % of operating expenses Median	9.41% 3.24	8.14% 3.12	8.11% 3.21	8.61% 3.3	8.26% 2.86
Total shortfall/UCC Median	40,638,328 9,489,989	35,258,250 9,424,297	36,563,653 10,120,158	40,735,389 11,171,337	42,507,414 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	153,434,965 52,142,039	161,402,271 54,485,252	167,986,380 57,395,589	170,019,826 58,830,919	188,933,314 61,722,907
Salaries as a % of operating expenses Median	38.96 36.68	38.42 36.56	37.86 36.37	36.73 35.93	37.80 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	3,237,579 1,449,244	7,640,155 1,475,986	6,629,544 1,563,078	9,208,525 1,721,954	0 2,991,828
Contract hours, direct-care Median	44,601.90 22,725	105,765.14 23,018.5	89,979.72 24,503.48	124,628.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	72.59 64.67	72.24 64.53	73.68 65.06	73.89 68.97	0.00 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.