As of the July, 2022, release via CMS

GRADY MEMORIAL HOSPITAL

CMS id: 360210
561 W. CENTRAL AVENUE, DELAWARE OH 43015. County: DELAWARE
System: OHIOHEALTH
CBSA: Columbus, OH

The 64-bed, acute-care hospital had $24,972,995 in net service to patients*, with a total profit margin of 21.51184% in fiscal year 2021, the latest year available.
It spent 5.09% of its operating expenses on uncompensated care and reported $3,450,771 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	58 118	58 118	58 119.5	58 118	58 119
Total beds Median	64 162	64 162	64 162	64 162	64 163.5
FTEs Median	470.35 788.06	501.86 793.42	472.12 806.03	481.25 787.61	464.89 804.34

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	101,289,422 150,932,746	111,474,606 158,950,878	113,337,231 168,696,998	111,847,928 163,454,693	123,849,192 186,589,412
Operating expenses Median	85,692,454 149,311,209	93,736,043 156,110,414	94,898,803 164,890,568	97,853,674 166,516,854	98,876,197 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,596,968 -964,173	17,738,563 -643,601.5	18,438,428 -116,254	13,994,254 -5,025,862	24,972,995 -1,284,564
NS2P margin ? Median	15.40% -0.62	15.91% -0.29	16.27% 0.18	12.51% -5.07	20.16% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GRADY MEMORIAL HOSPITAL 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	1,555,864 5,089,215	1,459,174 4,572,541	1,181,415 5,268,134	3,445,773 13,092,619	2,126,742 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	183,176 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	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	519,667	522,449	470,048	302,735	168,565
⊳ 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	288,094	217,488	331,711	398,360	11,986
⊳ Line 23: Gov appropriations ? ⊳ Median	1,498 1,017,693	4,815 983,261.5	1,202 1,173,286	3,500 1,987,202	0 1,597,664
⊳ Sum Line 24	563,429	714,422	378,454	2,741,178	1,946,191
Total income ? Median	17,152,832 6,586,430	19,197,737 6,767,106	19,619,843 8,419,950	17,440,027 8,094,175	27,099,737 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	17,152,832 6,043,842	19,197,737 5,845,112	19,619,843 7,606,259	17,440,027 7,283,041	27,099,737 14,957,241
Net margin Median	16.67829% 4.62%	16.99911% 4.42%	17.13244% 5.16%	15.12661% 5.2%	21.51184% 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 GRADY MEMORIAL HOSPITAL 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	6,698,926 23,241,334	5,948,760 23,709,545	6,757,635 24,248,380	6,375,890 22,858,541	7,678,207 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	6,698,926 21,577,146	5,948,760 22,041,594	6,757,635 22,722,063	6,375,890 21,570,441	7,678,207 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	6,903,172 11,160,864	7,489,232 11,987,345	7,770,603 12,926,866	7,592,755 11,884,480	8,128,480 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	6,903,172 10,918,923	7,489,232 11,706,976	7,770,603 12,615,917	7,592,755 11,458,116	8,128,480 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	117,799 594,888	104,448 595,761	84,563 577,894	59,487 542,168	73,569 549,667
Outlier Median	523,601 582,572	395,256 538,116	418,830 212,434	168,098 126,559	321,645 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,622,695 3,662,910	5,055,348 3,730,911	3,921,469 4,081,319	4,409,918 4,643,908	3,450,771 4,389,147
Charity care Median	2,704,543 2,654,636	3,855,882 2,940,659	4,728,373 3,380,215	4,949,093 3,488,738	4,085,885 3,233,405
Uncompensated care (UCC) Median	4,369,824 5,147,790	5,151,012 5,337,617	6,167,324 5,711,082	6,077,566 5,923,418	5,034,964 5,508,107
UCC as a % of operating expenses Median	5.10% 3.24	5.50% 3.12	6.50% 3.21	6.21% 3.3	5.09% 2.86
Total shortfall/UCC Median	8,992,519 9,489,989	10,206,360 9,424,297	10,088,793 10,120,158	10,487,484 11,171,337	8,485,735 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	32,825,982 52,142,039	35,403,610 54,485,252	35,213,563 57,395,589	36,265,710 58,830,919	35,422,317 61,722,907
Salaries as a % of operating expenses Median	38.31 36.68	37.77 36.56	37.11 36.37	37.06 35.93	35.82 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	308,243 1,449,244	227,200 1,475,986	366,243 1,563,078	154,263 1,721,954	450,036 2,991,828
Contract hours, direct-care Median	4,652.00 22,725	2,261.00 23,018.5	3,592.00 24,503.48	1,318.00 25,026.5	4,423.00 33,786
Contract wages, direct-care Median	66.26 64.67	100.49 64.53	101.96 65.06	117.04 68.97	101.75 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.