As of the July, 2022, release via CMS

WASHINGTON HOSPITAL CENTER

CMS id: 090011
110 IRVING STREET NW, WASHINGTON DC 20010. County: DC
System: MEDLANTIC/HELIX PARENT INC.
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 768-bed, acute-care hospital had $-18,276,479 in net service to patients*, with a total profit margin of 5.31495% in fiscal year 2021, the latest year available.
It spent 1.35% 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	589 118	571 118	569 119.5	584 118	582 119
Total beds Median	752 162	751 162	747 162	769 162	768 163.5
FTEs Median	5,791.92 788.06	5,730.08 793.42	5,786.51 806.03	6,102.40 787.61	6,227.59 804.34

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	1,223,310,265 150,932,746	1,330,462,331 158,950,878	1,339,323,227 168,696,998	1,355,473,840 163,454,693	1,502,866,394 186,589,412
Operating expenses Median	1,242,810,261 149,311,209	1,286,220,456 156,110,414	1,325,114,396 164,890,568	1,409,389,550 166,516,854	1,521,142,873 180,120,888
Net income from service 2 patients (NS2P) ? Median	-19,499,996 -964,173	44,241,875 -643,601.5	14,208,831 -116,254	-53,915,710 -5,025,862	-18,276,479 -1,284,564
NS2P margin ? Median	-1.59% -0.62	3.33% -0.29	1.06% 0.18	-3.98% -5.07	-1.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WASHINGTON HOSPITAL 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	45,060,069 5,089,215	47,438,853 4,572,541	44,622,507 5,268,134	89,947,844 13,092,619	103,043,270 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	520,704 224,999	651,195 199,009	391,370 206,870.5	2,128,412 194,343	1,167,930 249,496
⊳ Line 7: Investments ? ⊳ Median	1,959,663 299,524	2,605,927 188,688.5	1,621,597 370,813	3,316,839 309,361.5	3,006,585 375,329
⊳ 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	2,878,038	3,054,404	3,199,839	3,310,304	3,397,149
⊳ Line 12: Parking lot receipts	4,986,929	5,049,947	5,175,319	4,358,248	3,461,832
⊳ 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	11,435,199	13,910,100	12,878,674	10,864,285	14,271,209
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	60
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	610,317	836,011	706,416	943,423	60,030
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	25,808	22,473	53,704	98,540	24,000
⊳ Line 21: Rental of vending machines	30,404	28,370	19,187	52,993	35,818
⊳ Line 22: Rental of hospital space	437,651	486,266	512,239	327,568	271,587
⊳ 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	22,175,356	20,794,160	20,064,162	64,547,232	77,347,070
Total income ? Median	25,560,073 6,586,430	91,680,728 6,767,106	58,831,338 8,419,950	36,032,134 8,094,175	84,766,791 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	1,000 89,880.5	-1,023,147 106,761	-586,575 31,473.5
Net income Median	25,560,073 6,043,842	91,680,728 5,845,112	58,830,338 7,606,259	37,055,281 7,283,041	85,353,366 14,957,241
Net margin Median	2.01519% 4.62%	6.65365% 4.42%	4.25091% 5.16%	2.56363% 5.2%	5.31495% 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 WASHINGTON HOSPITAL 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	271,276,877 23,241,334	271,351,002 23,709,545	271,492,425 24,248,380	252,298,643 22,858,541	268,954,933 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	267,932,321 21,577,146	268,266,728 22,041,594	267,998,091 22,722,063	249,385,568 21,570,441	266,395,050 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	3,344,556 1,845,420	3,084,274 1,757,392	3,494,334 1,738,842	2,913,075 1,510,463	2,559,883 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	80,929,520 11,160,864	90,009,546 11,987,345	91,047,433 12,926,866	80,616,272 11,884,480	84,591,182 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	80,929,520 10,918,923	90,009,546 11,706,976	91,047,433 12,615,917	80,616,272 11,458,116	84,591,182 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	54,595,370 3,284,314	54,959,126 3,250,551	56,503,319 3,386,837	52,512,693 3,360,806	57,003,961 3,508,953
Disproportionate-share hospital (DSH) Median	8,222,663 594,888	8,579,647 595,761	8,019,835 577,894	7,698,339 542,168	8,181,141 549,667
Outlier Median	20,085,069 582,572	23,495,665 538,116	21,705,101 212,434	4,393,311 126,559	5,405,459 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	743,041 3,662,910	3,436,892 3,730,911	2,608,245 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	11,466,615 2,654,636	11,083,604 2,940,659	16,121,038 3,380,215	14,260,812 3,488,738	14,177,607 3,233,405
Uncompensated care (UCC) Median	26,307,891 5,147,790	24,342,096 5,337,617	29,451,070 5,711,082	26,812,631 5,923,418	20,594,720 5,508,107
UCC as a % of operating expenses Median	2.12% 3.24	1.89% 3.12	2.22% 3.21	1.90% 3.3	1.35% 2.86
Total shortfall/UCC Median	27,050,932 9,489,989	27,778,988 9,424,297	32,059,315 10,120,158	26,812,631 11,171,337	20,594,720 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	534,716,353 52,142,039	561,969,440 54,485,252	561,627,248 57,395,589	616,704,352 58,830,919	654,079,599 61,722,907
Salaries as a % of operating expenses Median	43.02 36.68	43.69 36.56	42.38 36.37	43.76 35.93	43.00 35.24
Intern, resident salaries* Median	20,633,613 2,598,592	19,581,859 2,686,824	20,853,074 2,753,773	19,240,294 2,937,156	22,743,098 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	18,206,523 1,449,244	11,329,831 1,475,986	16,985,011 1,563,078	24,729,500 1,721,954	19,820,289 2,991,828
Contract hours, direct-care Median	218,561.52 22,725	150,218.00 23,018.5	209,485.00 24,503.48	287,658.00 25,026.5	201,405.00 33,786
Contract wages, direct-care Median	83.30 64.67	75.42 64.53	81.08 65.06	85.97 68.97	98.41 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.