As of the July, 2022, release via CMS

GEORGETOWN UNIVERSITY HOSPITAL

CMS id: 090004
3800 RESERVOIR ROAD NW, WASHINGTON DC 20007. County: DC
System: MEDLANTIC HELIX PARENT
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 394-bed, acute-care hospital had $89,074,783 in net service to patients*, with a total profit margin of 14.85051% in fiscal year 2021, the latest year available.
It spent 1.08% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	276 118	289 118	289 119.5	290 118	290 119
Total beds Median	396 162	396 162	393 162	394 162	394 163.5
FTEs Median	3,184.45 788.06	3,251.89 793.42	3,295.09 806.03	2,814.80 787.61	2,833.65 804.34

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	835,942,863 150,932,746	862,331,249 158,950,878	903,832,074 168,696,998	882,013,779 163,454,693	998,448,482 186,589,412
Operating expenses Median	739,018,386 149,311,209	783,619,877 156,110,414	821,569,541 164,890,568	844,148,696 166,516,854	909,373,699 180,120,888
Net income from service 2 patients (NS2P) ? Median	96,924,477 -964,173	78,711,372 -643,601.5	82,262,533 -116,254	37,865,083 -5,025,862	89,074,783 -1,284,564
NS2P margin ? Median	11.59% -0.62	9.13% -0.29	9.10% 0.18	4.29% -5.07	8.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GEORGETOWN UNIVERSITY 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	28,177,600 5,089,215	25,619,581 4,572,541	26,245,035 5,268,134	55,272,535 13,092,619	69,524,649 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	210,629 224,999	643,368 199,009	632,992 206,870.5	25,116,924 194,343	771,817 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	133,406 370,813	168,198 309,361.5	155,940 375,329
⊳ 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	1,977,262	1,852,288	1,636,881	1,736,733	1,635,849
⊳ Line 12: Parking lot receipts	3,157,944	2,300,710	1,592,826	1,041,343	636,678
⊳ 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	3,698,284	3,772,360	3,790,751	3,836,963	8,108,857
⊳ Line 18: Revenue from sale of medical records and abstracts	7,028	8,880	5,517	21,498	56,506
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	486,300	441,300	963,668	908,668	1,008,668
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	41,383	39,017	21,194	0	0
⊳ Line 22: Rental of hospital space	587,904	417,683	434,875	429,682	-3,589
⊳ 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	18,008,898	16,142,547	17,031,495	22,011,301	57,152,497
Total income ? Median	125,102,077 6,586,430	104,330,953 6,767,106	108,507,568 8,419,950	93,137,618 8,094,175	158,599,432 15,162,888
Non-operating expenses Median	12,606,663 146,289.5	0 164,857	2,634,953 89,880.5	-2,135,303 106,761	0 31,473.5
Net income Median	112,495,414 6,043,842	104,330,953 5,845,112	105,872,615 7,606,259	95,272,921 7,283,041	158,599,432 14,957,241
Net margin Median	13.01849% 4.62%	11.74963% 4.42%	11.38321% 5.16%	10.16476% 5.2%	14.85051% 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 GEORGETOWN UNIVERSITY 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	138,496,688 23,241,334	138,041,945 23,709,545	138,738,645 24,248,380	142,750,528 22,858,541	162,605,239 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	137,808,955 21,577,146	138,041,945 22,041,594	138,738,645 22,722,063	142,750,528 21,570,441	162,605,239 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	687,733 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	48,299,017 11,160,864	53,253,150 11,987,345	56,640,521 12,926,866	56,716,854 11,884,480	60,887,419 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	48,299,017 10,918,923	53,253,150 11,706,976	56,640,521 12,615,917	56,716,854 11,458,116	60,887,419 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	29,999,702 3,284,314	30,429,872 3,250,551	31,194,796 3,386,837	31,459,508 3,360,806	35,435,645 3,508,953
Disproportionate-share hospital (DSH) Median	2,305,368 594,888	1,859,910 595,761	2,049,251 577,894	2,016,237 542,168	2,554,149 549,667
Outlier Median	19,233,619 582,572	18,313,056 538,116	12,520,054 212,434	1,149,529 126,559	1,254,565 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	793,121 3,730,911	454,383 4,081,319	123,694 4,643,908	0 4,389,147
Charity care Median	11,831,268 2,654,636	4,359,524 2,940,659	6,466,219 3,380,215	7,147,738 3,488,738	6,659,089 3,233,405
Uncompensated care (UCC) Median	15,542,354 5,147,790	8,948,743 5,337,617	10,822,682 5,711,082	10,776,646 5,923,418	9,813,973 5,508,107
UCC as a % of operating expenses Median	2.10% 3.24	1.14% 3.12	1.32% 3.21	1.28% 3.3	1.08% 2.86
Total shortfall/UCC Median	15,542,354 9,489,989	9,741,864 9,424,297	11,277,065 10,120,158	10,900,340 11,171,337	9,813,973 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	239,306,879 52,142,039	255,082,693 54,485,252	266,687,215 57,395,589	276,904,600 58,830,919	288,940,942 61,722,907
Salaries as a % of operating expenses Median	32.38 36.68	32.55 36.56	32.46 36.37	32.80 35.93	31.77 35.24
Intern, resident salaries* Median	19,746,577 2,598,592	27,036,724 2,686,824	27,261,466 2,753,773	31,233,625 2,937,156	32,977,316 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	17,303,192 1,449,244	14,672,744 1,475,986	12,103,236 1,563,078	9,806,230 1,721,954	17,004,432 2,991,828
Contract hours, direct-care Median	251,386.69 22,725	199,956.42 23,018.5	163,540.00 24,503.48	124,784.00 25,026.5	174,647.00 33,786
Contract wages, direct-care Median	68.83 64.67	73.38 64.53	74.01 65.06	78.59 68.97	97.36 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.