As of the July, 2022, release via CMS

RIVERSIDE METHODIST HOSPITAL

CMS id: 360006
3535 OLENTANGY RIVER ROAD, COLUMBUS OH 43214. County: FRANKLIN
System: OHIOHEALTH
CBSA: Columbus, OH

The 787-bed, acute-care hospital had $221,623,096 in net service to patients*, with a total profit margin of 18.62107% in fiscal year 2021, the latest year available.
It spent 3.47% of its operating expenses on uncompensated care and reported $28,879,357 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	561 118	565 118	577 119.5	613 118	628 119
Total beds Median	716 162	723 162	734 162	772 162	787 163.5
FTEs Median	6,317.12 788.06	6,247.35 793.42	6,350.60 806.03	6,546.09 787.61	5,974.72 804.34

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	1,276,448,188 150,932,746	1,352,189,850 158,950,878	1,438,460,798 168,696,998	1,387,896,360 163,454,693	1,586,915,630 186,589,412
Operating expenses Median	1,163,194,601 149,311,209	1,189,809,821 156,110,414	1,259,008,418 164,890,568	1,300,337,145 166,516,854	1,365,292,534 180,120,888
Net income from service 2 patients (NS2P) ? Median	113,253,587 -964,173	162,380,029 -643,601.5	179,452,380 -116,254	87,559,215 -5,025,862	221,623,096 -1,284,564
NS2P margin ? Median	8.87% -0.62	12.01% -0.29	12.48% 0.18	6.31% -5.07	13.97% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RIVERSIDE METHODIST 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	81,013,328 5,089,215	44,242,504 4,572,541	48,858,252 5,268,134	81,203,824 13,092,619	90,782,230 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	24,609,253 299,524	5,977 188,688.5	0 370,813	10 309,361.5	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	872,905	1,097,999	1,192,305	900,815	634,228
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,193,968	6,361,748	6,456,974	5,631,497	3,872,623
⊳ 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	21,102,689	19,838,220	23,736,033	25,517,863	20,396,672
⊳ Line 23: Gov appropriations ? ⊳ Median	5,000 1,017,693	4,555 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	28,229,513	16,934,005	17,472,940	49,153,639	65,878,707
Total income ? Median	194,266,915 6,586,430	206,622,533 6,767,106	228,310,632 8,419,950	168,763,039 8,094,175	312,405,326 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	194,266,915 6,043,842	206,622,533 5,845,112	228,310,632 7,606,259	168,763,039 7,283,041	312,405,326 14,957,241
Net margin Median	14.31104% 4.62%	14.79646% 4.42%	15.35048% 5.16%	11.48751% 5.2%	18.62107% 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 RIVERSIDE METHODIST 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	200,248,599 23,241,334	206,351,256 23,709,545	211,900,479 24,248,380	199,717,400 22,858,541	205,869,445 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	197,712,232 21,577,146	203,739,431 22,041,594	208,812,516 22,722,063	196,877,873 21,570,441	203,606,852 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	2,536,367 1,845,420	2,611,825 1,757,392	3,087,963 1,738,842	2,839,527 1,510,463	2,262,593 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	58,639,472 11,160,864	64,595,007 11,987,345	69,513,788 12,926,866	66,948,583 11,884,480	73,567,255 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	58,639,472 10,918,923	64,595,007 11,706,976	69,513,788 12,615,917	66,948,583 11,458,116	73,567,255 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	20,405,173 3,284,314	21,417,176 3,250,551	22,649,649 3,386,837	21,675,859 3,360,806	21,677,370 3,508,953
Disproportionate-share hospital (DSH) Median	3,499,757 594,888	3,644,810 595,761	3,853,904 577,894	3,347,499 542,168	3,816,314 549,667
Outlier Median	6,981,232 582,572	6,628,877 538,116	6,225,239 212,434	2,008,751 126,559	1,615,034 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	36,427,537 3,662,910	0 3,730,911	40,624,903 4,081,319	97,471,745 4,643,908	28,879,357 4,389,147
Charity care Median	28,131,272 2,654,636	33,484,905 2,940,659	43,504,375 3,380,215	44,121,450 3,488,738	41,409,793 3,233,405
Uncompensated care (UCC) Median	37,775,995 5,147,790	40,486,686 5,337,617	51,254,266 5,711,082	52,089,016 5,923,418	47,364,710 5,508,107
UCC as a % of operating expenses Median	3.25% 3.24	3.40% 3.12	4.07% 3.21	4.01% 3.3	3.47% 2.86
Total shortfall/UCC Median	74,203,532 9,489,989	40,486,686 9,424,297	91,879,169 10,120,158	149,560,761 11,171,337	76,244,067 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	459,594,677 52,142,039	449,444,741 54,485,252	464,999,969 57,395,589	488,356,009 58,830,919	485,703,257 61,722,907
Salaries as a % of operating expenses Median	39.51 36.68	37.77 36.56	36.93 36.37	37.56 35.93	35.58 35.24
Intern, resident salaries* Median	6,921,696 2,598,592	7,780,409 2,686,824	8,297,857 2,753,773	9,553,043 2,937,156	9,911,749 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	3,091,952 1,449,244	1,788,796 1,475,986	3,374,130 1,563,078	2,710,933 1,721,954	5,897,393 2,991,828
Contract hours, direct-care Median	44,641.00 22,725	25,018.00 23,018.5	48,598.00 24,503.48	39,537.00 25,026.5	64,281.00 33,786
Contract wages, direct-care Median	69.26 64.67	71.50 64.53	69.43 65.06	68.57 68.97	91.74 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.