Astrelis
Urban PPS hospital · Atlanta, GA

GRADY MEMORIAL HOSPITAL

CCN 110079FULTON CountyVoluntary non-profit - PrivateUrban (USDA RUCC)492 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Atlanta, GA. It ran an operating loss of 28.3% in FY24 on $1659.7M of operating revenue. It held 145 days of cash on hand (79th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -42.6% in FY20 to -28.3% in FY24. Including nonoperating items, the all-in result was positive at 10.8%.

Operating margin · FY24
-28.3%
3.0 pts vs FY23
vs Urban PPS hospitals5th pctl of 2,562 (FY24)
Days cash on hand · FY24
145d
all sources
55.9 days vs FY23
vs Urban PPS hospitals79th pctl of 2,354 (FY24)
Total operating revenue · FY24
$1.66B
241.9 $M vs FY23
vs Urban PPS hospitals95th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+10.8%
2.3 pts vs FY23
vs Urban PPS hospitals66th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at GRADY MEMORIAL HOSPITAL is about $16.6M per year (1% of FY24 total operating revenue).

Where GRADY MEMORIAL HOSPITAL sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%GRADY MEMORIAL -28.277844551801035%-20%0%+20%Urban PPS hospital median +2.027429837815152%GRADY MEMORIAL -28.277844551801035%
One urban pps hospitalGRADY MEMORIALUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
-28.3% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+10.8% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
145d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.47× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
77% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
51d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue1,185,9361,417,8511,659,719
Other operating revenue252525
Total operating revenue1,185,9621,417,8761,659,744
Total operating expenses1,654,9751,861,0072,129,084
Operating income(469,013)(443,131)(469,340)
Operating margin %-39.5%-31.3%-28.3%
Grants & contributions11,1932,6036,135
Other non-operating, net481,115613,615720,270
Net income23,295173,087257,065
Net income %+1.4%+8.5%+10.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 492-bed hospital at 95% occupancy 40% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
95.4%
Verified fact2024
HCRIS WS S-3
Average daily census
470.62
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
492
Verified fact2024
HCRIS WS S-3
Annual discharges
33,928
Verified fact2024
HCRIS WS S-3
Average length of stay
5.1d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
40.4%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
8,204
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.8%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$324.2M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.324
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.229454
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-42.6%-31.8%-39.5%-31.3%-28.3%FY20FY21FY22FY23FY24
Days cash on hand
75 days83 days66 days89 days145 daysFY20FY21FY22FY23FY24

The county this hospital serves

FULTON County, GA · metro, 1M+ population
Median household income
$91.5K
vs $82.1K US · $59.7K rural median
Poverty rate
12.9%
vs 12.5% US · 14.3% rural median
Uninsured
9.7%
vs 8.6% US · 8.4% rural median
Age 65+
12.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 3.2% of county personal income is Medicare/Medicaid medical benefits; 8.7% arrives as government transfers (BEA, 2022).

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