As of the July, 2022, release via CMS

UNIVERSITY OF VIRGINIA MEDICAL CENTE

CMS id: 490009
855 WEST MAIN STREET, CHARLOTTESVILLE VA 22908. County: ALBEMARLE
System: --
CBSA: Charlottesville, VA

The 684-bed, acute-care hospital had $28,120,679 in net service to patients*, with a total profit margin of 33.16895% in fiscal year 2021, the latest year available.
It spent 2.86% 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	423 118	429 118	437 119.5	438 118	477 119
Total beds Median	595 162	604 162	612 162	612 162	684 163.5
FTEs Median	7,576.18 788.06	7,977.77 793.42	8,239.85 806.03	8,403.24 787.61	8,346.63 804.34

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	1,486,413,084 150,932,746	1,582,274,997 158,950,878	2,004,889,548 168,696,998	1,658,589,241 163,454,693	1,833,838,938 186,589,412
Operating expenses Median	1,491,703,602 149,311,209	1,608,209,500 156,110,414	1,646,066,712 164,890,568	1,695,190,040 166,516,854	1,805,718,259 180,120,888
Net income from service 2 patients (NS2P) ? Median	-5,290,518 -964,173	-25,934,503 -643,601.5	358,822,836 -116,254	-36,600,799 -5,025,862	28,120,679 -1,284,564
NS2P margin ? Median	-0.36% -0.62	-1.64% -0.29	17.90% 0.18	-2.21% -5.07	1.53% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY OF VIRGINIA MEDICAL CENTE 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	56,448,549 5,089,215	55,447,192 4,572,541	-1,600,413 5,268,134	101,462,989 13,092,619	76,532,018 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	56,448,549	55,447,192	-1,600,413	101,462,989	76,532,018
Total income ? Median	51,158,031 6,586,430	29,512,689 6,767,106	357,222,423 8,419,950	64,862,190 8,094,175	104,652,697 15,162,888
Non-operating expenses Median	-65,931,246 146,289.5	-42,409,663 164,857	0 89,880.5	-7,935,029 106,761	-528,997,320 31,473.5
Net income Median	117,089,277 6,043,842	71,922,352 5,845,112	357,222,423 7,606,259	72,797,219 7,283,041	633,650,017 14,957,241
Net margin Median	7.58910% 4.62%	4.39161% 4.42%	17.83180% 5.16%	4.13608% 5.2%	33.16895% 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 UNIVERSITY OF VIRGINIA MEDICAL CENTE 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	247,524,524 23,241,334	250,584,247 23,709,545	263,831,738 24,248,380	254,798,551 22,858,541	259,533,039 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	244,941,393 21,577,146	248,274,439 22,041,594	261,834,079 22,722,063	252,606,425 21,570,441	257,524,497 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	2,583,131 1,845,420	2,309,808 1,757,392	1,997,659 1,738,842	2,192,126 1,510,463	2,008,542 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	143,479,318 11,160,864	148,790,557 11,987,345	154,559,302 12,926,866	151,777,782 11,884,480	168,296,121 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	138,024,468 10,918,923	142,986,888 11,706,976	148,537,571 12,615,917	146,019,172 11,458,116	161,774,106 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,454,850 1,282,808	5,803,669 1,407,728	6,021,731 1,341,512	5,758,610 1,407,046	6,522,015 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	69,809,558 3,284,314	70,533,439 3,250,551	70,868,369 3,386,837	68,633,068 3,360,806	67,781,674 3,508,953
Disproportionate-share hospital (DSH) Median	6,265,035 594,888	6,238,919 595,761	6,286,826 577,894	6,025,879 542,168	5,713,224 549,667
Outlier Median	28,396,535 582,572	25,463,983 538,116	27,589,562 212,434	7,525,699 126,559	8,262,835 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	65,593,893 2,654,636	60,759,629 2,940,659	76,915,102 3,380,215	34,937,388 3,488,738	47,294,799 3,233,405
Uncompensated care (UCC) Median	77,778,386 5,147,790	85,191,243 5,337,617	110,488,802 5,711,082	40,566,142 5,923,418	51,608,447 5,508,107
UCC as a % of operating expenses Median	5.21% 3.24	5.30% 3.12	6.71% 3.21	2.39% 3.3	2.86% 2.86
Total shortfall/UCC Median	77,778,386 9,489,989	85,191,243 9,424,297	110,488,802 10,120,158	40,566,142 11,171,337	51,608,447 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	505,076,059 52,142,039	541,916,965 54,485,252	567,634,100 57,395,589	582,865,698 58,830,919	602,799,809 61,722,907
Salaries as a % of operating expenses Median	33.86 36.68	33.70 36.56	34.48 36.37	34.38 35.93	33.38 35.24
Intern, resident salaries* Median	39,934,069 2,598,592	42,030,739 2,686,824	44,240,494 2,753,773	48,128,955 2,937,156	47,522,838 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	13,290,653 1,449,244	24,035,022 1,475,986	17,655,734 1,563,078	20,164,932 1,721,954	26,102,258 2,991,828
Contract hours, direct-care Median	173,690.00 22,725	349,127.00 23,018.5	163,741.00 24,503.48	215,504.00 25,026.5	289,224.00 33,786
Contract wages, direct-care Median	76.52 64.67	68.84 64.53	107.83 65.06	93.57 68.97	90.25 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.