As of the July, 2022, release via CMS

GRANT MEDICAL CENTER

CMS id: 360017
111 S. GRANT AVE, COLUMBUS OH 43215. County: FRANKLIN
System: OHIOHEALTH
CBSA: Columbus, OH

The 443-bed, acute-care hospital had $156,808,461 in net service to patients*, with a total profit margin of 20.68804% in fiscal year 2021, the latest year available.
It spent 6.24% of its operating expenses on uncompensated care and reported $16,611,570 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	353 118	362 118	399 119.5	409 118	408 119
Total beds Median	388 162	397 162	434 162	444 162	443 163.5
FTEs Median	3,202.26 788.06	3,227.42 793.42	3,406.50 806.03	3,540.34 787.61	3,191.13 804.34

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	700,026,817 150,932,746	725,373,650 158,950,878	772,866,688 168,696,998	762,163,937 163,454,693	868,231,889 186,589,412
Operating expenses Median	582,839,530 149,311,209	615,445,103 156,110,414	667,890,142 164,890,568	702,419,076 166,516,854	711,423,428 180,120,888
Net income from service 2 patients (NS2P) ? Median	117,187,287 -964,173	109,928,547 -643,601.5	104,976,546 -116,254	59,744,861 -5,025,862	156,808,461 -1,284,564
NS2P margin ? Median	16.74% -0.62	15.15% -0.29	13.58% 0.18	7.84% -5.07	18.06% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GRANT MEDICAL CENTER 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	15,300,574 5,089,215	12,679,304 4,572,541	12,547,539 5,268,134	29,573,924 13,092,619	28,762,046 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,804,347 299,524	375,720 188,688.5	0 370,813	-2,149 309,361.5	-815 375,329
⊳ 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	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	70,322	234,578	252,202	210,215	141,776
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,234,188	3,302,928	3,121,117	2,743,128	2,263,152
⊳ 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	0
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	5,058,839	4,058,626	4,654,451	5,595,488	4,240,410
⊳ Line 23: Gov appropriations ? ⊳ Median	5,010 1,017,693	8,285 983,261.5	90,082 1,173,286	-3,757 1,987,202	0 1,597,664
⊳ Sum Line 24	5,127,868	4,699,167	4,429,687	21,030,999	22,117,523
Total income ? Median	132,487,861 6,586,430	122,607,851 6,767,106	117,524,085 8,419,950	89,318,785 8,094,175	185,570,507 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	132,487,861 6,043,842	122,607,851 5,845,112	117,524,085 7,606,259	89,318,785 7,283,041	185,570,507 14,957,241
Net margin Median	18.52129% 4.62%	16.61234% 4.42%	14.96333% 5.16%	11.28136% 5.2%	20.68804% 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 GRANT MEDICAL CENTER 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	79,954,797 23,241,334	78,916,576 23,709,545	78,452,172 24,248,380	70,815,835 22,858,541	77,375,764 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	79,954,797 21,577,146	78,916,576 22,041,594	78,452,172 22,722,063	70,815,835 21,570,441	77,375,764 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	30,321,280 11,160,864	31,358,617 11,987,345	31,244,245 12,926,866	32,747,545 11,884,480	34,074,398 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	30,321,280 10,918,923	31,358,617 11,706,976	31,244,245 12,615,917	32,747,545 11,458,116	34,074,398 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	11,394,887 3,284,314	11,199,056 3,250,551	10,713,918 3,386,837	9,873,345 3,360,806	10,563,264 3,508,953
Disproportionate-share hospital (DSH) Median	3,620,690 594,888	3,385,387 595,761	3,217,608 577,894	2,988,544 542,168	2,830,039 549,667
Outlier Median	3,319,974 582,572	2,607,030 538,116	2,341,167 212,434	1,396,102 126,559	821,707 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	24,691,989 3,662,910	37,978,322 3,730,911	40,458,955 4,081,319	54,920,736 4,643,908	16,611,570 4,389,147
Charity care Median	21,504,432 2,654,636	31,213,168 2,940,659	35,317,683 3,380,215	40,606,277 3,488,738	35,665,804 3,233,405
Uncompensated care (UCC) Median	29,352,759 5,147,790	39,206,106 5,337,617	46,024,504 5,711,082	52,232,758 5,923,418	44,378,812 5,508,107
UCC as a % of operating expenses Median	5.04% 3.24	6.37% 3.12	6.89% 3.21	7.44% 3.3	6.24% 2.86
Total shortfall/UCC Median	54,044,748 9,489,989	77,184,428 9,424,297	86,483,459 10,120,158	107,153,494 11,171,337	60,990,382 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	229,832,789 52,142,039	241,496,779 54,485,252	265,672,592 57,395,589	279,479,644 58,830,919	265,496,260 61,722,907
Salaries as a % of operating expenses Median	39.65 36.68	39.45 36.56	39.97 36.37	39.79 35.93	37.32 35.24
Intern, resident salaries* Median	4,031,167 2,598,592	4,903,804 2,686,824	4,916,062 2,753,773	6,956,833 2,937,156	6,948,055 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	3,238,596 1,449,244	1,449,395 1,475,986	1,254,028 1,563,078	1,902,109 1,721,954	3,909,215 2,991,828
Contract hours, direct-care Median	48,476.00 22,725	20,822.00 23,018.5	18,321.00 24,503.48	27,993.00 25,026.5	43,375.00 33,786
Contract wages, direct-care Median	66.81 64.67	69.61 64.53	68.45 65.06	67.95 68.97	90.13 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.