As of the July, 2022, release via CMS

PRESBYTERIAN HOSPITAL HUNTERSVILLE

CMS id: 340183
10030 GILEAD ROAD, HUNTERSVILLE NC 28078. County: MECKLENBURG
System: NOVANT HEALTH INC
CBSA: Charlotte-Concord-Gastonia, NC-SC

The 127-bed, acute-care hospital had $55,121,400 in net service to patients*, with a total profit margin of 24.83627% in fiscal year 2020, the latest year available.
It spent 5.35% of its operating expenses on uncompensated care and reported $1,519,567 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	83 118	83 118	118 119.5	108 118	-- 119
Total beds Median	91 162	93 162	139 162	127 162	-- 163.5
FTEs Median	542.92 788.06	598.80 793.42	648.99 806.03	717.82 787.61	-- 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	194,537,296 150,932,746	226,139,662 158,950,878	242,700,564 168,696,998	236,828,020 163,454,693	-- 186,589,412
Operating expenses Median	138,006,206 149,311,209	150,046,826 156,110,414	173,690,058 164,890,568	181,706,620 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	56,531,090 -964,173	76,092,836 -643,601.5	69,010,506 -116,254	55,121,400 -5,025,862	-- -1,284,564
NS2P margin ? Median	29.06% -0.62	33.65% -0.29	28.43% 0.18	23.27% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PRESBYTERIAN HOSPITAL HUNTERSVILLE 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	1,225,583 5,089,215	854,170 4,572,541	854,908 5,268,134	4,919,719 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	4,257,646 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	40,031 299,524	46,302 188,688.5	31,610 370,813	32,608 309,361.5	-- 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	1,259	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	898	137	735	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	445,331	489,971	524,185	296,209	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	179,464	239,492	229,701	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	836	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	20,464	37,525	37,133	29,615	--
⊳ Line 22: Rental of hospital space	12,976	11,726	0	0	--
⊳ 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	526,419	29,017	31,544	301,546	--
Total income ? Median	57,756,673 6,586,430	76,947,006 6,767,106	69,865,414 8,419,950	60,041,119 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	57,756,673 6,043,842	76,947,006 5,845,112	69,865,414 7,606,259	60,041,119 7,283,041	-- 14,957,241
Net margin Median	29.50338% 4.62%	33.89828% 4.42%	28.68563% 5.16%	24.83627% 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 HUNTERSVILLE 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	16,666,979 23,241,334	20,712,415 23,709,545	22,379,947 24,248,380	22,258,139 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	16,666,979 21,577,146	20,712,415 22,041,594	22,379,947 22,722,063	22,258,139 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	0 1,845,420	0 1,757,392	0 1,738,842	0 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	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	10,678,640 11,160,864	12,372,708 11,987,345	12,932,741 12,926,866	12,142,743 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	10,678,640 10,918,923	12,372,708 11,706,976	12,932,741 12,615,917	12,142,743 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	803,423 3,284,314	1,770,119 3,250,551	1,456,507 3,386,837	1,338,966 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	151,542 594,888	163,745 595,761	200,613 577,894	173,208 542,168	-- 549,667
Outlier Median	107,579 582,572	81,534 538,116	38,621 212,434	34,697 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	864,169 3,662,910	838,023 3,730,911	1,544,343 4,081,319	1,519,567 4,643,908	-- 4,389,147
Charity care Median	5,044,561 2,654,636	8,920,142 2,940,659	4,318,435 3,380,215	6,519,353 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	7,392,441 5,147,790	11,445,262 5,337,617	7,283,218 5,711,082	9,722,168 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	5.36% 3.24	7.63% 3.12	4.19% 3.21	5.35% 3.3	--% 2.86
Total shortfall/UCC Median	8,256,610 9,489,989	12,283,285 9,424,297	8,827,561 10,120,158	11,241,735 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	38,337,740 52,142,039	45,708,154 54,485,252	51,223,768 57,395,589	53,778,324 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	32.60 36.68	34.68 36.56	33.81 36.37	34.54 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	619,163 1,449,244	1,558,505 1,475,986	1,722,492 1,563,078	1,741,831 1,721,954	-- 2,991,828
Contract hours, direct-care Median	9,297.00 22,725	45,846.00 23,018.5	26,314.00 24,503.48	43,365.00 25,026.5	-- 33,786
Contract wages, direct-care Median	66.60 64.67	33.99 64.53	65.46 65.06	40.17 68.97	-- 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.