As of the July, 2022, release via CMS

AHC SHADY GROVE MEDICAL CENTER

CMS id: 210057
9901 MEDICAL CENTER DRIVE, ROCKVILLE MD 20850. County: MONTGOMERY
System: ADVENTIST HEALTHCARE INC
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 360-bed, acute-care hospital had $-10,316,228 in net service to patients*, with a total profit margin of 6.67937% in fiscal year 2021, the latest year available.
It spent 0.00% 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	233 118	280 118	307 119.5	307 118	307 119
Total beds Median	292 162	338 162	360 162	360 162	360 163.5
FTEs Median	1,672.70 788.06	2,045.60 793.42	2,048.18 806.03	2,032.45 787.61	1,921.43 804.34

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	360,736,451 150,932,746	376,928,924 158,950,878	412,884,538 168,696,998	415,692,809 163,454,693	431,435,459 186,589,412
Operating expenses Median	346,298,105 149,311,209	370,867,207 156,110,414	407,036,650 164,890,568	420,645,530 166,516,854	441,751,687 180,120,888
Net income from service 2 patients (NS2P) ? Median	14,438,346 -964,173	6,061,717 -643,601.5	5,847,888 -116,254	-4,952,721 -5,025,862	-10,316,228 -1,284,564
NS2P margin ? Median	4.00% -0.62	1.61% -0.29	1.42% 0.18	-1.19% -5.07	-2.39% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AHC SHADY GROVE 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	9,558,469 5,089,215	14,718,382 4,572,541	23,533,094 5,268,134	38,944,214 13,092,619	42,172,906 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	281,797 224,999	531,097 199,009	158,884 206,870.5	141,542 194,343	189,694 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	34,396 188,688.5	6,576,596 370,813	5,385,134 309,361.5	6,060,119 375,329
⊳ 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	1,445,970	1,681,994	2,002,149	1,267,280	1,185,603
⊳ 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	58,695	59,445	31,182	31,621	25,694
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	295,423	309,774	312,136	123,411	123,303
⊳ Line 21: Rental of vending machines	26,276	25,845	19,303	10,422	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	7,450,308	12,075,831	14,432,844	31,984,804	34,588,493
Total income ? Median	23,996,815 6,586,430	20,780,099 6,767,106	29,380,982 8,419,950	33,991,493 8,094,175	31,856,678 15,162,888
Non-operating expenses Median	389,316 146,289.5	388,716 164,857	259,983 89,880.5	413,399 106,761	222,613 31,473.5
Net income Median	23,607,499 6,043,842	20,391,383 5,845,112	29,120,999 7,606,259	33,578,094 7,283,041	31,634,065 14,957,241
Net margin Median	6.37532% 4.62%	5.20657% 4.42%	6.67274% 5.16%	7.38569% 5.2%	6.67937% 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 AHC SHADY GROVE 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	81,903,123 23,241,334	89,078,113 23,709,545	92,823,671 24,248,380	98,078,870 22,858,541	106,149,988 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	81,903,123 21,577,146	89,078,113 22,041,594	92,823,671 22,722,063	98,078,870 21,570,441	106,149,988 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	0 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	39,321,675 11,160,864	44,484,658 11,987,345	40,553,794 12,926,866	42,042,830 11,884,480	42,210,074 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	39,321,675 10,918,923	44,484,658 11,706,976	40,553,794 12,615,917	42,042,830 11,458,116	42,210,074 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	0 582,572	0 538,116	0 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	323,457 3,730,911	253,271 4,081,319	174,560 4,643,908	0 4,389,147
Charity care Median	5,237,832 2,654,636	5,840,046 2,940,659	6,830,965 3,380,215	7,264,656 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	14,428,572 5,147,790	16,686,641 5,337,617	17,378,175 5,711,082	22,691,228 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	4.17% 3.24	4.50% 3.12	4.27% 3.21	5.39% 3.3	0.00% 2.86
Total shortfall/UCC Median	14,428,572 9,489,989	17,010,098 9,424,297	17,631,446 10,120,158	22,865,788 11,171,337	0 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	122,047,799 52,142,039	133,519,898 54,485,252	152,430,055 57,395,589	155,095,055 58,830,919	154,306,812 61,722,907
Salaries as a % of operating expenses Median	35.24 36.68	36.00 36.56	37.45 36.37	36.87 35.93	34.93 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	8,547,424 1,449,244	6,716,611 1,475,986	9,015,189 1,563,078	14,490,891 1,721,954	25,361,423 2,991,828
Contract hours, direct-care Median	124,543.00 22,725	96,059.06 23,018.5	145,406.64 24,503.48	202,794.00 25,026.5	264,933.00 33,786
Contract wages, direct-care Median	68.63 64.67	69.92 64.53	62.00 65.06	71.46 68.97	95.73 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.