As of the July, 2022, release via CMS

PIEDMONT MEDICAL CENTER

CMS id: 420002
222 SOUTH HERLONG AVENUE, ROCK HILL SC 29732. County: YORK
System: TENET HEALTHCARE CORPORATION
CBSA: Charlotte-Concord-Gastonia, NC-SC

The 288-bed, acute-care hospital had $77,776,475 in net service to patients*, with a total profit margin of 23.84170% in fiscal year 2021, the latest year available.
It spent 8.69% of its operating expenses on uncompensated care and reported $0 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	244 118	244 118	244 119.5	244 118	244 119
Total beds Median	288 162	288 162	288 162	288 162	288 163.5
FTEs Median	1,110.00 788.06	1,112.00 793.42	1,151.90 806.03	1,081.20 787.61	1,105.30 804.34

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	268,935,696 150,932,746	288,915,464 158,950,878	307,801,382 168,696,998	320,629,239 163,454,693	366,688,079 186,589,412
Operating expenses Median	232,192,035 149,311,209	240,051,773 156,110,414	259,594,628 164,890,568	266,586,847 166,516,854	288,911,604 180,120,888
Net income from service 2 patients (NS2P) ? Median	36,743,661 -964,173	48,863,691 -643,601.5	48,206,754 -116,254	54,042,392 -5,025,862	77,776,475 -1,284,564
NS2P margin ? Median	13.66% -0.62	16.91% -0.29	15.66% 0.18	16.86% -5.07	21.21% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PIEDMONT 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	3,641,709 5,089,215	3,331,299 4,572,541	5,799,436 5,268,134	3,217,528 13,092,619	12,668,614 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	440 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	-489,178 299,524	-482,610 188,688.5	35,636 370,813	-345,744 309,361.5	-1,196,519 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	13,966	6,210	3,929	12,720	5,320
⊳ Line 11: Rebates and refunds of expenses	78,443	131,206	165,781	180,174	363,020
⊳ 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	0	0	0	0	0
⊳ 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	6,435
⊳ 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	13,396	57,537
⊳ Line 22: Rental of hospital space	799,437	705,216	679,916	510,375	306,608
⊳ 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	3,238,601	2,971,277	4,914,174	2,846,607	13,126,213
Total income ? Median	40,385,370 6,586,430	52,194,990 6,767,106	54,006,190 8,419,950	57,259,920 8,094,175	90,445,089 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	40,385,370 6,043,842	52,194,990 5,845,112	54,006,190 7,606,259	57,259,920 7,283,041	90,445,089 14,957,241
Net margin Median	14.81611% 4.62%	17.85990% 4.42%	17.22132% 5.16%	17.68118% 5.2%	23.84170% 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 PIEDMONT 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	44,261,675 23,241,334	47,653,400 23,709,545	52,248,532 24,248,380	54,728,394 22,858,541	53,734,924 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	43,651,831 21,577,146	47,117,510 22,041,594	51,850,659 22,722,063	54,446,579 21,570,441	53,229,960 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	609,844 1,845,420	535,890 1,757,392	397,873 1,738,842	281,815 1,510,463	504,964 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	19,625,156 11,160,864	21,092,586 11,987,345	21,440,801 12,926,866	18,137,151 11,884,480	20,505,319 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	19,625,156 10,918,923	21,092,586 11,706,976	21,440,801 12,615,917	18,137,151 11,458,116	20,505,319 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	1,249,957 594,888	1,178,335 595,761	1,258,157 577,894	1,310,786 542,168	984,382 549,667
Outlier Median	1,418,636 582,572	3,125,820 538,116	2,929,068 212,434	379,195 126,559	154,360 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	15,998,142 2,654,636	17,351,099 2,940,659	19,716,180 3,380,215	18,985,981 3,488,738	18,759,989 3,233,405
Uncompensated care (UCC) Median	24,864,366 5,147,790	24,369,282 5,337,617	27,815,904 5,711,082	26,060,364 5,923,418	25,116,463 5,508,107
UCC as a % of operating expenses Median	10.71% 3.24	10.15% 3.12	10.72% 3.21	9.78% 3.3	8.69% 2.86
Total shortfall/UCC Median	24,864,366 9,489,989	24,369,282 9,424,297	27,815,904 10,120,158	26,060,364 11,171,337	25,116,463 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,811,472 52,142,039	79,456,521 54,485,252	84,893,323 57,395,589	84,788,254 58,830,919	87,645,269 61,722,907
Salaries as a % of operating expenses Median	33.52 36.68	33.12 36.56	32.70 36.37	31.80 35.93	30.34 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	2,698,048 1,449,244	3,984,992 1,475,986	5,349,226 1,563,078	7,756,550 1,721,954	8,572,163 2,991,828
Contract hours, direct-care Median	41,867.00 22,725	60,103.00 23,018.5	77,724.00 24,503.48	115,235.00 25,026.5	88,276.00 33,786
Contract wages, direct-care Median	64.44 64.67	66.30 64.53	68.82 65.06	67.31 68.97	97.11 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.