As of the July, 2022, release via CMS

ATRIUM HEALTH UNION

CMS id: 340130
600 HOSPITAL DRIVE, MONROE NC 28111. County: UNION
System: CMHA D/B/A ATRIUM HEALTH
CBSA: Charlotte-Concord-Gastonia, NC-SC

The 182-bed, acute-care hospital had $58,821,061 in net service to patients*, with a total profit margin of 27.92435% in fiscal year 2021, the latest year available.
It spent 7.63% of its operating expenses on uncompensated care and reported $67,240 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	164 118	164 118	164 119.5	164 118	164 119
Total beds Median	252 162	252 162	252 162	252 162	182 163.5
FTEs Median	1,023.69 788.06	968.30 793.42	982.11 806.03	890.65 787.61	1,167.96 804.34

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	236,830,740 150,932,746	243,767,165 158,950,878	257,273,013 168,696,998	238,200,584 163,454,693	283,138,403 186,589,412
Operating expenses Median	205,348,950 149,311,209	199,796,682 156,110,414	197,303,735 164,890,568	199,129,587 166,516,854	224,317,342 180,120,888
Net income from service 2 patients (NS2P) ? Median	31,481,790 -964,173	43,970,483 -643,601.5	59,969,278 -116,254	39,070,997 -5,025,862	58,821,061 -1,284,564
NS2P margin ? Median	13.29% -0.62	18.04% -0.29	23.31% 0.18	16.40% -5.07	20.77% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ATRIUM HEALTH UNION 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	20,864,538 5,089,215	15,517,405 4,572,541	30,122,746 5,268,134	49,891,915 13,092,619	28,086,449 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	660 224,999	-1,343 199,009	111 206,870.5	85 194,343	4,686 249,496
⊳ Line 7: Investments ? ⊳ Median	1,653,662 299,524	2,222,302 188,688.5	2,365,402 370,813	1,546,363 309,361.5	1,743,224 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	291,985	302,762	392,256	423,877	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	518,934	508,478	504,912	364,767	422,489
⊳ 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	27	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	366,814	361,598	351,620	163,666	158,560
⊳ Line 21: Rental of vending machines	35,894	26,747	28,082	26,102	0
⊳ Line 22: Rental of hospital space	544,924	588,194	587,581	660,351	685,978
⊳ 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	17,451,638	11,508,667	25,892,782	46,706,704	25,071,512
Total income ? Median	52,346,328 6,586,430	59,487,888 6,767,106	90,092,024 8,419,950	88,962,912 8,094,175	86,907,510 15,162,888
Non-operating expenses Median	1,980,870 146,289.5	20,585,083 164,857	7,666,151 89,880.5	26,430,927 106,761	0 31,473.5
Net income Median	50,365,458 6,043,842	38,902,805 5,845,112	82,425,873 7,606,259	62,531,985 7,283,041	86,907,510 14,957,241
Net margin Median	19.54458% 4.62%	15.00390% 4.42%	28.68027% 5.16%	21.70552% 5.2%	27.92435% 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 UNION 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	34,356,709 23,241,334	32,902,348 23,709,545	34,520,997 24,248,380	29,438,086 22,858,541	31,678,090 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	31,206,146 21,577,146	30,213,318 22,041,594	31,766,313 22,722,063	29,185,890 21,570,441	31,678,090 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	3,150,563 1,203,033	2,689,030 1,215,295	2,754,684 1,313,657	252,196 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	25,239,184 11,160,864	25,261,581 11,987,345	25,254,618 12,926,866	21,036,994 11,884,480	21,303,213 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	25,239,184 10,918,923	25,261,581 11,706,976	25,254,618 12,615,917	21,036,994 11,458,116	21,303,213 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	548,560 3,284,314	536,030 3,250,551	594,780 3,386,837	540,686 3,360,806	594,667 3,508,953
Disproportionate-share hospital (DSH) Median	1,009,423 594,888	839,121 595,761	798,848 577,894	665,045 542,168	654,849 549,667
Outlier Median	356,722 582,572	169,674 538,116	73,988 212,434	48,810 126,559	46,314 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,227,811 3,662,910	695,871 3,730,911	1,338,820 4,081,319	199,226 4,643,908	67,240 4,389,147
Charity care Median	12,147,772 2,654,636	12,616,653 2,940,659	14,681,036 3,380,215	13,553,604 3,488,738	11,433,783 3,233,405
Uncompensated care (UCC) Median	17,913,659 5,147,790	17,614,086 5,337,617	23,739,389 5,711,082	21,405,125 5,923,418	17,126,415 5,508,107
UCC as a % of operating expenses Median	8.72% 3.24	8.82% 3.12	12.03% 3.21	10.75% 3.3	7.63% 2.86
Total shortfall/UCC Median	20,141,470 9,489,989	18,309,957 9,424,297	25,078,209 10,120,158	21,604,351 11,171,337	17,193,655 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	63,382,242 52,142,039	59,965,383 54,485,252	64,430,145 57,395,589	61,875,821 58,830,919	88,966,349 61,722,907
Salaries as a % of operating expenses Median	30.87 36.68	30.01 36.56	32.66 36.37	31.07 35.93	39.66 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	488,831 1,251,927	418,613 1,186,494	429,078 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,684,158 1,449,244	1,241,323 1,475,986	2,036,179 1,563,078	2,473,766 1,721,954	2,473,766 2,991,828
Contract hours, direct-care Median	42,797.79 22,725	21,898.99 23,018.5	27,748.92 24,503.48	34,647.34 25,026.5	34,647.34 33,786
Contract wages, direct-care Median	62.72 64.67	56.68 64.53	73.38 65.06	71.40 68.97	71.40 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.