As of the July, 2022, release via CMS

PRESBYTERIAN HOSPITAL

CMS id: 340053
200 HAWTHORNE LANE, CHARLOTTE NC 28231. County: MECKLENBURG
System: NOVANT HEALTH INC
CBSA: Charlotte-Concord-Gastonia, NC-SC

The 678-bed, acute-care hospital had $77,053,272 in net service to patients*, with a total profit margin of 10.75297% in fiscal year 2020, the latest year available.
It spent 5.47% of its operating expenses on uncompensated care and reported $6,094,379 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	534 118	483 118	469 119.5	538 118	-- 119
Total beds Median	650 162	610 162	596 162	678 162	-- 163.5
FTEs Median	3,479.75 788.06	3,696.43 793.42	3,971.82 806.03	3,861.86 787.61	-- 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	994,053,235 150,932,746	1,053,961,651 158,950,878	1,136,651,897 168,696,998	1,176,201,111 163,454,693	-- 186,589,412
Operating expenses Median	889,084,289 149,311,209	926,815,489 156,110,414	1,051,266,318 164,890,568	1,099,147,839 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	104,968,946 -964,173	127,146,162 -643,601.5	85,385,579 -116,254	77,053,272 -5,025,862	-- -1,284,564
NS2P margin ? Median	10.56% -0.62	12.06% -0.29	7.51% 0.18	6.55% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PRESBYTERIAN 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	17,274,559 5,089,215	15,200,797 4,572,541	17,547,913 5,268,134	55,378,085 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	408,262 224,999	1,823,162 199,009	1,937,696 206,870.5	1,968,885 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	224,086 299,524	243,027 188,688.5	139,274 370,813	227,374 309,361.5	-- 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	0	--
⊳ Line 11: Rebates and refunds of expenses	4,975	155,327	0	18,939	--
⊳ Line 12: Parking lot receipts	226,523	146,213	268,132	131,631	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,732,705	3,430,838	3,924,108	2,277,116	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	234,840	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	176,637	55,495	47,705	50,605	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	459,257	504,422	523,356	232,612	--
⊳ Line 21: Rental of vending machines	71,500	147,593	158,263	148,229	--
⊳ Line 22: Rental of hospital space	4,851	0	0	1,662,901	--
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	-- 1,597,664
⊳ Sum Line 24	11,730,923	8,694,720	10,549,379	48,659,793	--
Total income ? Median	122,243,505 6,586,430	142,346,959 6,767,106	102,933,492 8,419,950	132,431,357 8,094,175	-- 15,162,888
Non-operating expenses Median	1,001 146,289.5	-2,000 164,857	1,005 89,880.5	0 106,761	-- 31,473.5
Net income Median	122,242,504 6,043,842	142,348,959 5,845,112	102,932,487 7,606,259	132,431,357 7,283,041	-- 14,957,241
Net margin Median	12.08733% 4.62%	13.31406% 4.42%	8.91808% 5.16%	10.75297% 5.2%	--% 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 PRESBYTERIAN 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	86,323,041 23,241,334	89,357,396 23,709,545	95,806,859 24,248,380	89,608,675 22,858,541	-- 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	84,621,827 21,577,146	86,673,076 22,041,594	92,946,127 22,722,063	87,672,637 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	1,536,651 1,845,420	2,286,438 1,757,392	2,471,793 1,738,842	1,824,563 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	164,563 1,203,033	397,882 1,215,295	388,939 1,313,657	111,475 1,365,298	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	69,279,977 11,160,864	72,641,690 11,987,345	73,261,256 12,926,866	73,484,403 11,884,480	-- 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	69,279,977 10,918,923	72,641,690 11,706,976	73,261,256 12,615,917	73,484,403 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	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	-- 3,508,953
Disproportionate-share hospital (DSH) Median	2,760,782 594,888	2,911,160 595,761	2,879,921 577,894	2,516,312 542,168	-- 549,667
Outlier Median	6,332,633 582,572	6,951,635 538,116	1,064,991 212,434	1,045,901 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	8,374,273 4,081,319	6,094,379 4,643,908	-- 4,389,147
Charity care Median	28,283,397 2,654,636	29,920,316 2,940,659	26,375,084 3,380,215	45,824,314 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	37,033,875 5,147,790	39,743,138 5,337,617	39,076,248 5,711,082	60,173,797 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	4.17% 3.24	4.29% 3.12	3.72% 3.21	5.47% 3.3	--% 2.86
Total shortfall/UCC Median	37,033,875 9,489,989	39,743,138 9,424,297	47,450,521 10,120,158	66,268,176 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	251,763,867 52,142,039	277,325,171 54,485,252	311,234,590 57,395,589	315,090,154 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	31.79 36.68	32.85 36.56	32.60 36.37	31.96 35.93	-- 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	12,470,144 1,449,244	6,745,430 1,475,986	7,610,979 1,563,078	11,464,866 1,721,954	-- 2,991,828
Contract hours, direct-care Median	273,511.00 22,725	186,512.06 23,018.5	206,483.00 24,503.48	225,514.59 25,026.5	-- 33,786
Contract wages, direct-care Median	45.59 64.67	36.17 64.53	36.86 65.06	50.84 68.97	-- 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.