As of the July, 2022, release via CMS

ATRIUM HEALTH UNIVERSITY CITY

CMS id: 340166
8800 NORTH TRYON STREET, CHARLOTTE NC 28256. County: MECKLENBURG
System: CMHA D/B/A ATRIUM HEALTH
CBSA: Charlotte-Concord-Gastonia, NC-SC

The 100-bed, acute-care hospital had $79,091,844 in net service to patients*, with a total profit margin of 33.91376% in fiscal year 2021, the latest year available.
It spent 10.82% of its operating expenses on uncompensated care and reported $104,258 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	84 118	84 118	84 119.5	84 118	84 119
Total beds Median	100 162	100 162	100 162	100 162	100 163.5
FTEs Median	810.17 788.06	802.93 793.42	810.76 806.03	779.61 787.61	996.16 804.34

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	210,649,232 150,932,746	222,847,318 158,950,878	227,104,255 168,696,998	213,618,337 163,454,693	257,991,643 186,589,412
Operating expenses Median	157,547,253 149,311,209	158,113,632 156,110,414	153,514,706 164,890,568	156,849,417 166,516,854	178,899,799 180,120,888
Net income from service 2 patients (NS2P) ? Median	53,101,979 -964,173	64,733,686 -643,601.5	73,589,549 -116,254	56,768,920 -5,025,862	79,091,844 -1,284,564
NS2P margin ? Median	25.21% -0.62	29.05% -0.29	32.40% 0.18	26.57% -5.07	30.66% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ATRIUM HEALTH UNIVERSITY CITY 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	3,411,183 5,089,215	4,568,528 4,572,541	4,704,040 5,268,134	9,824,778 13,092,619	12,714,954 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	45,312 224,999	31,280 199,009	25,682 206,870.5	-62 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	53,706 299,524	50,526 188,688.5	48,008 370,813	22,777 309,361.5	24,432 375,329
⊳ 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	450,637
⊳ 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	574,894	592,281	579,688	411,302	475,055
⊳ 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	-1,111
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	450	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	43,150	32,134	29,669	20,811	0
⊳ Line 22: Rental of hospital space	625,374	625,324	625,574	384,163	392,579
⊳ 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	2,068,747	3,236,533	3,395,419	8,985,787	11,373,362
Total income ? Median	56,513,162 6,586,430	69,302,214 6,767,106	78,293,589 8,419,950	66,593,698 8,094,175	91,806,798 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	11,096 89,880.5	3,125 106,761	0 31,473.5
Net income Median	56,513,162 6,043,842	69,302,214 5,845,112	78,282,493 7,606,259	66,590,573 7,283,041	91,806,798 14,957,241
Net margin Median	26.40057% 4.62%	30.47378% 4.42%	33.77036% 5.16%	29.80203% 5.2%	33.91376% 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 UNIVERSITY CITY 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	14,105,557 23,241,334	15,451,609 23,709,545	16,527,156 24,248,380	16,054,783 22,858,541	16,161,021 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	14,105,557 21,577,146	15,451,609 22,041,594	16,527,156 22,722,063	16,054,783 21,570,441	16,161,021 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	13,218,184 11,160,864	14,496,504 11,987,345	14,957,999 12,926,866	11,784,199 11,884,480	12,222,501 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	13,218,184 10,918,923	14,496,504 11,706,976	14,957,999 12,615,917	11,784,199 11,458,116	12,222,501 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	345,137 594,888	345,548 595,761	336,706 577,894	299,721 542,168	288,878 549,667
Outlier Median	168,413 582,572	138,111 538,116	48,144 212,434	49,545 126,559	34,724 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,115,599 3,662,910	1,495,625 3,730,911	2,798,251 4,081,319	184,904 4,643,908	104,258 4,389,147
Charity care Median	12,421,065 2,654,636	11,661,483 2,940,659	15,580,086 3,380,215	15,127,830 3,488,738	12,470,727 3,233,405
Uncompensated care (UCC) Median	20,981,711 5,147,790	15,330,036 5,337,617	25,181,821 5,711,082	23,950,326 5,923,418	19,356,001 5,508,107
UCC as a % of operating expenses Median	13.32% 3.24	9.70% 3.12	16.40% 3.21	15.27% 3.3	10.82% 2.86
Total shortfall/UCC Median	23,097,310 9,489,989	16,825,661 9,424,297	27,980,072 10,120,158	24,135,230 11,171,337	19,460,259 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	53,359,405 52,142,039	52,578,038 54,485,252	54,653,302 57,395,589	53,792,960 58,830,919	75,991,043 61,722,907
Salaries as a % of operating expenses Median	33.87 36.68	33.25 36.56	35.60 36.37	34.30 35.93	42.48 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	1,353,900 1,449,244	1,942,084 1,475,986	1,868,966 1,563,078	1,760,180 1,721,954	1,760,816 2,991,828
Contract hours, direct-care Median	21,700.28 22,725	29,077.47 23,018.5	28,304.42 24,503.48	26,332.34 25,026.5	26,334.89 33,786
Contract wages, direct-care Median	62.39 64.67	66.79 64.53	66.03 65.06	66.84 68.97	66.86 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.