As of the July, 2022, release via CMS

MARYVIEW HOSPITAL

CMS id: 490017
3636 HIGH STREET, PORTSMOUTH VA 23707. County: PORTSMOUTH
System: BON SECOURS MERCY HEALTH
CBSA: Virginia Beach-Norfolk-Newport News, VA-NC

The 352-bed, acute-care hospital had $-4,280,741 in net service to patients*, with a total profit margin of 10.25134% in fiscal year 2021, the latest year available.
It spent 2.57% 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	190 118	193 118	193 119.5	193 118	193 119
Total beds Median	350 162	352 162	352 162	352 162	352 163.5
FTEs Median	2,019.43 788.06	1,963.54 793.42	1,540.54 806.03	1,308.89 787.61	1,305.05 804.34

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	302,928,418 150,932,746	295,002,929 158,950,878	343,323,676 168,696,998	316,714,561 163,454,693	329,000,834 186,589,412
Operating expenses Median	356,925,648 149,311,209	363,286,140 156,110,414	370,428,520 164,890,568	321,781,599 166,516,854	333,281,575 180,120,888
Net income from service 2 patients (NS2P) ? Median	-53,997,230 -964,173	-68,283,211 -643,601.5	-27,104,844 -116,254	-5,067,038 -5,025,862	-4,280,741 -1,284,564
NS2P margin ? Median	-17.83% -0.62	-23.15% -0.29	-7.89% 0.18	-1.60% -5.07	-1.30% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MARYVIEW 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	25,047,378 5,089,215	21,454,289 4,572,541	7,303,504 5,268,134	123,573,417 13,092,619	42,282,863 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-47,970 224,999	-43,363 199,009	-12,464 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	9,137,911 299,524	7,174,459 188,688.5	2,504 370,813	9,763,643 309,361.5	36,109,035 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	57,328	15,779	538,778	1,241,780	435,567
⊳ 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	6,720	6,900	7,720	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,839	1,975	1,279	40	528
⊳ 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	-7,158	3,559	0	0	33,099
⊳ Line 18: Revenue from sale of medical records and abstracts	19,323	17,314	31,661	11,856	1,165
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	15,393	4,350	1,860	2,285	2,210
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	374
⊳ Line 21: Rental of vending machines	61,700	41,425	42,314	30,203	0
⊳ Line 22: Rental of hospital space	135,487	122,646	56,416	56,662	452,442
⊳ 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	15,666,805	14,109,245	6,633,436	112,466,948	5,248,443
Total income ? Median	-28,949,852 6,586,430	-46,828,922 6,767,106	-19,801,340 8,419,950	118,506,379 8,094,175	38,002,122 15,162,888
Non-operating expenses Median	258,819 146,289.5	90,446 164,857	186,760 89,880.5	111,949,282 106,761	-59,439 31,473.5
Net income Median	-29,208,671 6,043,842	-46,919,368 5,845,112	-19,988,100 7,606,259	6,557,097 7,283,041	38,061,561 14,957,241
Net margin Median	-8.90574% 4.62%	-14.82645% 4.42%	-5.70067% 5.16%	1.48927% 5.2%	10.25134% 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 MARYVIEW 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	49,908,380 23,241,334	50,445,653 23,709,545	45,716,626 24,248,380	43,025,666 22,858,541	45,508,583 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	43,194,290 21,577,146	44,982,977 22,041,594	40,608,732 22,722,063	37,853,843 21,570,441	40,692,420 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	3,032,340 3,535,627	2,549,275 3,746,588	2,076,471 3,782,288	2,752,016 3,865,578	3,086,361 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	3,681,750 1,203,033	2,913,401 1,215,295	3,031,423 1,313,657	2,419,807 1,365,298	1,729,802 1,179,746
All outpatient revenue Median Click here to show/hide details	34,397,114 11,160,864	36,764,164 11,987,345	37,555,243 12,926,866	35,369,395 11,884,480	32,130,939 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	28,588,329 10,918,923	29,983,090 11,706,976	31,197,996 12,615,917	29,393,124 11,458,116	27,452,254 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,808,785 1,282,808	6,781,074 1,407,728	6,357,247 1,341,512	5,976,271 1,407,046	4,678,685 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	2,029,286 3,284,314	2,167,556 3,250,551	1,984,840 3,386,837	1,960,057 3,360,806	2,626,124 3,508,953
Disproportionate-share hospital (DSH) Median	1,045,242 594,888	1,272,740 595,761	1,304,151 577,894	1,173,494 542,168	1,152,697 549,667
Outlier Median	1,226,641 582,572	1,134,736 538,116	901,120 212,434	345,520 126,559	294,337 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,248,005 3,662,910	5,235,877 3,730,911	6,605,537 4,081,319	5,261,530 4,643,908	0 4,389,147
Charity care Median	13,940,062 2,654,636	20,746,020 2,940,659	11,878,331 3,380,215	6,112,947 3,488,738	4,833,887 3,233,405
Uncompensated care (UCC) Median	19,025,082 5,147,790	24,734,963 5,337,617	15,337,043 5,711,082	8,797,009 5,923,418	8,559,012 5,508,107
UCC as a % of operating expenses Median	5.33% 3.24	6.81% 3.12	4.14% 3.21	2.73% 3.3	2.57% 2.86
Total shortfall/UCC Median	22,273,087 9,489,989	29,970,840 9,424,297	21,942,580 10,120,158	14,058,539 11,171,337	8,559,012 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	127,554,927 52,142,039	129,839,664 54,485,252	130,025,836 57,395,589	96,042,405 58,830,919	87,897,783 61,722,907
Salaries as a % of operating expenses Median	35.74 36.68	35.74 36.56	35.10 36.37	29.85 35.93	26.37 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	180 2,909,848
Contract intern, resident salaries* Median	2,036,345 1,251,927	1,657,773 1,186,494	2,344,908 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	5,739,591 1,449,244	7,724,501 1,475,986	6,431,832 1,563,078	1,757,602 1,721,954	3,401,618 2,991,828
Contract hours, direct-care Median	110,808.81 22,725	144,310.64 23,018.5	101,155.80 24,503.48	24,451.17 25,026.5	37,206.59 33,786
Contract wages, direct-care Median	51.80 64.67	53.53 64.53	63.58 65.06	71.88 68.97	91.43 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.