As of the July, 2022, release via CMS

BON SECOURS DEPAUL MEDICAL CENTER

CMS id: 490011
150 KINGSLEY LANE, NORFOLK VA 23505. County: NORFOLK
System: BON SECOURS MERCY HEALTH
CBSA: Virginia Beach-Norfolk-Newport News, VA-NC

The 57-bed, acute-care hospital had $-23,035,132 in net service to patients*, with a total profit margin of -9.96136% in fiscal year 2021, the latest year available.
It spent 4.53% 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	212
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	83 118	87 118	87 119.5	115 118	34 119
Total beds Median	129 162	133 162	133 162	138 162	57 163.5
FTEs Median	1,086.64 788.06	1,054.91 793.42	817.16 806.03	470.42 787.61	292.47 804.34

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	148,223,830 150,932,746	149,236,993 158,950,878	143,356,418 168,696,998	111,541,153 163,454,693	38,037,107 186,589,412
Operating expenses Median	196,078,824 149,311,209	194,883,263 156,110,414	189,310,838 164,890,568	139,580,942 166,516,854	61,072,239 180,120,888
Net income from service 2 patients (NS2P) ? Median	-47,854,994 -964,173	-45,646,270 -643,601.5	-45,954,420 -116,254	-28,039,789 -5,025,862	-23,035,132 -1,284,564
NS2P margin ? Median	-32.29% -0.62	-30.59% -0.29	-32.06% 0.18	-25.14% -5.07	-60.56% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BON SECOURS DEPAUL 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	13,518,030 5,089,215	12,163,934 4,572,541	12,730,307 5,268,134	42,049,200 13,092,619	17,650,642 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-13,666 224,999	-12,520 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	224,595 299,524	-934,357 188,688.5	-1,895,504 370,813	993,469 309,361.5	2,396,692 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	26,138	9,408	5,718	10,342	374
⊳ 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	89	151	117	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	604	6,500	9,031	4,150	142
⊳ 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	36,654	20,701	24,247	14,205	0
⊳ Line 22: Rental of hospital space	587,979	712,401	723,608	633,427	414,204
⊳ 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	12,655,637	12,361,650	13,863,090	40,393,607	14,839,230
Total income ? Median	-34,336,964 6,586,430	-33,482,336 6,767,106	-33,224,113 8,419,950	14,009,411 8,094,175	-5,384,490 15,162,888
Non-operating expenses Median	55,694 146,289.5	-93,791 164,857	37,492 89,880.5	30,861,213 106,761	162,767 31,473.5
Net income Median	-34,392,658 6,043,842	-33,388,545 5,845,112	-33,261,605 7,606,259	-16,851,802 7,283,041	-5,547,257 14,957,241
Net margin Median	-21.26392% 4.62%	-20.68671% 4.42%	-21.30969% 5.16%	-10.97191% 5.2%	-9.96136% 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 BON SECOURS DEPAUL 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	26,603,329 23,241,334	26,866,624 23,709,545	22,155,332 24,248,380	16,105,928 22,858,541	6,778,718 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	24,864,058 21,577,146	24,795,106 22,041,594	20,025,867 22,722,063	15,170,270 21,570,441	6,778,718 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	1,739,271 1,203,033	2,071,518 1,215,295	2,129,465 1,313,657	935,658 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	11,804,871 11,160,864	11,706,976 11,987,345	11,386,390 12,926,866	8,391,529 11,884,480	3,758,198 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	11,804,871 10,918,923	11,706,976 11,706,976	11,386,390 12,615,917	8,391,529 11,458,116	3,758,198 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	1,376,913 3,284,314	1,492,464 3,250,551	1,320,520 3,386,837	1,099,799 3,360,806	909,432 3,508,953
Disproportionate-share hospital (DSH) Median	554,611 594,888	410,202 595,761	427,737 577,894	342,610 542,168	82,741 549,667
Outlier Median	3,009,008 582,572	2,242,534 538,116	1,406,598 212,434	244,004 126,559	10,869 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,962,760 3,662,910	4,254,473 3,730,911	5,442,855 4,081,319	5,467,950 4,643,908	0 4,389,147
Charity care Median	7,687,338 2,654,636	13,775,144 2,940,659	7,881,970 3,380,215	4,643,048 3,488,738	1,764,390 3,233,405
Uncompensated care (UCC) Median	10,898,889 5,147,790	16,200,230 5,337,617	9,644,765 5,711,082	6,047,203 5,923,418	2,767,864 5,508,107
UCC as a % of operating expenses Median	5.56% 3.24	8.31% 3.12	5.09% 3.21	4.33% 3.3	4.53% 2.86
Total shortfall/UCC Median	13,861,649 9,489,989	20,454,703 9,424,297	15,087,620 10,120,158	11,515,153 11,171,337	2,767,864 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	68,603,279 52,142,039	69,220,983 54,485,252	61,328,567 57,395,589	35,644,729 58,830,919	11,476,296 61,722,907
Salaries as a % of operating expenses Median	34.99 36.68	35.52 36.56	32.40 36.37	25.54 35.93	18.79 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	1,309,227 1,251,927	696,495 1,186,494	1,526,163 1,204,885	1,379,682 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,749,059 1,449,244	1,389,641 1,475,986	2,894,600 1,563,078	1,278,206 1,721,954	403,237 2,991,828
Contract hours, direct-care Median	56,988.86 22,725	38,895.84 23,018.5	49,652.00 24,503.48	19,877.84 25,026.5	4,515.57 33,786
Contract wages, direct-care Median	48.24 64.67	35.73 64.53	58.30 65.06	64.30 68.97	89.30 88.94

* in an approved program

Return to top

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.