As of the July, 2022, release via CMS

ATRIUM HEALTH STANLY

CMS id: 340119
301 YADKIN STREET, ALBEMARLE NC 28001. County: STANLY
System: CMHA D/B/A ATRIUM HEALTH
CBSA: Albemarle, NC

The 109-bed, acute-care hospital had $22,182,683 in net service to patients*, with a total profit margin of 26.55515% in fiscal year 2021, the latest year available.
It spent 7.43% of its operating expenses on uncompensated care and reported $33,590 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	87 118	87 118	87 119.5	87 118	87 119
Total beds Median	109 162	109 162	109 162	109 162	109 163.5
FTEs Median	497.54 788.06	456.96 793.42	482.09 806.03	469.80 787.61	586.63 804.34

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	89,580,405 150,932,746	93,475,699 158,950,878	97,625,275 168,696,998	93,254,933 163,454,693	115,086,862 186,589,412
Operating expenses Median	84,564,800 149,311,209	80,009,585 156,110,414	78,287,102 164,890,568	81,252,352 166,516,854	92,904,179 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,015,605 -964,173	13,466,114 -643,601.5	19,338,173 -116,254	12,002,581 -5,025,862	22,182,683 -1,284,564
NS2P margin ? Median	5.60% -0.62	14.41% -0.29	19.81% 0.18	12.87% -5.07	19.27% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ATRIUM HEALTH STANLY 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	7,765,491 5,089,215	-1,159,804 4,572,541	9,115,651 5,268,134	14,799,706 13,092,619	11,408,300 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,993 224,999	199,593 199,009	-39 206,870.5	29 194,343	78,301 249,496
⊳ Line 7: Investments ? ⊳ Median	634,311 299,524	839,765 188,688.5	898,749 370,813	588,108 309,361.5	5,532,376 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	115,359	122,932	160,921	146,468	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	476,431	485,372	518,041	320,052	293,117
⊳ 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	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	180
⊳ 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	35,297	23,384	22,682	9,525	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	6,500,100	-2,830,850	7,515,297	13,735,524	5,504,326
Total income ? Median	12,781,096 6,586,430	12,306,310 6,767,106	28,453,824 8,419,950	26,802,287 8,094,175	33,590,983 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	12,781,096 6,043,842	12,306,310 5,845,112	28,453,824 7,606,259	26,802,287 7,283,041	33,590,983 14,957,241
Net margin Median	13.12957% 4.62%	13.33065% 4.42%	26.65690% 5.16%	24.80438% 5.2%	26.55515% 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 STANLY 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	12,868,454 23,241,334	12,008,331 23,709,545	13,559,512 24,248,380	12,093,459 22,858,541	13,501,631 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	12,343,054 21,577,146	11,425,187 22,041,594	12,919,608 22,722,063	11,494,514 21,570,441	13,128,176 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	525,400 1,845,420	583,144 1,757,392	639,904 1,738,842	598,945 1,510,463	373,455 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	9,397,371 11,160,864	9,933,388 11,987,345	10,228,162 12,926,866	8,207,803 11,884,480	7,533,445 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	9,397,371 10,918,923	9,933,388 11,706,976	10,228,162 12,615,917	8,207,803 11,458,116	7,533,445 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	313,682 594,888	272,101 595,761	270,569 577,894	223,817 542,168	258,173 549,667
Outlier Median	109,835 582,572	39,076 538,116	32,758 212,434	13,988 126,559	17,006 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	277,408 3,662,910	1,106,441 3,730,911	1,203,921 4,081,319	61,047 4,643,908	33,590 4,389,147
Charity care Median	3,403,720 2,654,636	7,563,730 2,940,659	6,022,672 3,380,215	5,131,903 3,488,738	4,458,730 3,233,405
Uncompensated care (UCC) Median	7,073,267 5,147,790	9,568,103 5,337,617	9,201,777 5,711,082	8,113,918 5,923,418	6,904,587 5,508,107
UCC as a % of operating expenses Median	8.36% 3.24	11.96% 3.12	11.75% 3.21	9.99% 3.3	7.43% 2.86
Total shortfall/UCC Median	7,350,675 9,489,989	10,674,544 9,424,297	10,405,698 10,120,158	8,174,965 11,171,337	6,938,177 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	30,512,378 52,142,039	28,346,852 54,485,252	31,317,872 57,395,589	31,446,573 58,830,919	42,462,200 61,722,907
Salaries as a % of operating expenses Median	36.08 36.68	35.43 36.56	40.00 36.37	38.70 35.93	45.71 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	1,668,107 1,449,244	418,022 1,475,986	1,530,564 1,563,078	1,770,816 1,721,954	1,770,816 2,991,828
Contract hours, direct-care Median	25,735.00 22,725	8,142.28 23,018.5	22,627.39 24,503.48	26,891.21 25,026.5	26,891.21 33,786
Contract wages, direct-care Median	64.82 64.67	51.34 64.53	67.64 65.06	65.85 68.97	65.85 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.