As of the July, 2022, release via CMS

GEORGE WASHINGTON UNIV HOSPITAL

CMS id: 090001
900 23RD STREET, WASHINGTON DC 20037. County: DC
System: UNIVERSAL HEALTH SERVICES INC
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 375-bed, acute-care hospital had $9,978,362 in net service to patients*, with a total profit margin of 3.51549% in fiscal year 2021, the latest year available.
It spent 1.03% of its operating expenses on uncompensated care and reported $386 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	255 118	255 118	259 119.5	265 118	265 119
Total beds Median	365 162	365 162	369 162	375 162	375 163.5
FTEs Median	2,259.39 788.06	2,347.90 793.42	2,485.76 806.03	2,370.40 787.61	2,356.11 804.34

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	577,941,801 150,932,746	618,438,121 158,950,878	598,546,286 168,696,998	547,067,334 163,454,693	609,244,680 186,589,412
Operating expenses Median	520,328,703 149,311,209	564,770,773 156,110,414	569,201,330 164,890,568	567,549,452 166,516,854	599,266,318 180,120,888
Net income from service 2 patients (NS2P) ? Median	57,613,098 -964,173	53,667,348 -643,601.5	29,344,956 -116,254	-20,482,118 -5,025,862	9,978,362 -1,284,564
NS2P margin ? Median	9.97% -0.62	8.68% -0.29	4.90% 0.18	-3.74% -5.07	1.64% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GEORGE WASHINGTON UNIV 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	5,438,734 5,089,215	6,915,754 4,572,541	6,694,795 5,268,134	50,936,277 13,092,619	11,856,398 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	0 299,524	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	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	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	0	0	0	0	0
⊳ 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	5,438,734	6,915,754	6,694,795	50,936,277	11,856,398
Total income ? Median	63,051,832 6,586,430	60,583,102 6,767,106	36,039,751 8,419,950	30,454,159 8,094,175	21,834,760 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	63,051,832 6,043,842	60,583,102 5,845,112	36,039,751 7,606,259	30,454,159 7,283,041	21,834,760 14,957,241
Net margin Median	10.80801% 4.62%	9.68781% 4.42%	5.95461% 5.16%	5.09264% 5.2%	3.51549% 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 GEORGE WASHINGTON UNIV 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	111,843,704 23,241,334	112,849,608 23,709,545	123,291,472 24,248,380	115,544,055 22,858,541	124,673,119 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	107,593,335 21,577,146	107,910,999 22,041,594	118,173,504 22,722,063	110,664,771 21,570,441	120,023,590 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	1,098,024 1,845,420	1,180,362 1,757,392	1,329,852 1,738,842	619,112 1,510,463	882,734 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,152,345 3,535,627	3,758,247 3,746,588	3,788,116 3,782,288	4,260,172 3,865,578	3,766,795 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	22,215,978 11,160,864	23,205,290 11,987,345	23,557,890 12,926,866	19,375,142 11,884,480	23,577,412 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	22,215,978 10,918,923	23,205,290 11,706,976	23,557,890 12,615,917	19,375,142 11,458,116	23,577,412 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	27,506,216 3,284,314	27,802,467 3,250,551	30,155,023 3,386,837	27,982,992 3,360,806	30,501,319 3,508,953
Disproportionate-share hospital (DSH) Median	3,402,120 594,888	3,636,960 595,761	3,794,918 577,894	3,845,086 542,168	3,848,427 549,667
Outlier Median	5,977,294 582,572	5,176,019 538,116	732,275 212,434	668,315 126,559	991,682 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,855 3,662,910	163 3,730,911	88 4,081,319	4,365 4,643,908	386 4,389,147
Charity care Median	6,163,146 2,654,636	5,818,853 2,940,659	7,597,508 3,380,215	7,659,533 3,488,738	2,872,752 3,233,405
Uncompensated care (UCC) Median	9,484,207 5,147,790	10,105,640 5,337,617	12,226,715 5,711,082	13,627,941 5,923,418	6,194,858 5,508,107
UCC as a % of operating expenses Median	1.82% 3.24	1.79% 3.12	2.15% 3.21	2.40% 3.3	1.03% 2.86
Total shortfall/UCC Median	9,486,062 9,489,989	10,105,803 9,424,297	12,226,803 10,120,158	13,632,306 11,171,337	6,195,244 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	166,941,340 52,142,039	179,405,551 54,485,252	190,026,827 57,395,589	183,194,030 58,830,919	191,891,558 61,722,907
Salaries as a % of operating expenses Median	32.23 36.68	31.89 36.56	31.02 36.37	30.30 35.93	30.57 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	21,094,653 1,251,927	21,166,488 1,186,494	22,510,943 1,204,885	24,130,235 1,279,653	23,217,529 1,469,317
Contract adjusted salaries, direct-care Median	27,360,516 1,449,244	27,771,359 1,475,986	31,251,049 1,563,078	34,913,267 1,721,954	47,149,938 2,991,828
Contract hours, direct-care Median	688,229.00 22,725	801,843.00 23,018.5	850,247.00 24,503.48	787,421.00 25,026.5	826,088.00 33,786
Contract wages, direct-care Median	39.75 64.67	34.63 64.53	36.76 65.06	44.34 68.97	57.08 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.