As of the July, 2022, release via CMS

CENTRA HEALTH

CMS id: 490021
1920 ATHERHOLT ROAD, LYNCHBURG VA 24501. County: LYNCHBURG
System: CENTRA HEALTH INC
CBSA: Lynchburg, VA

The 661-bed, acute-care hospital had $198,929,744 in net service to patients*, with a total profit margin of 10.07895% in fiscal year 2021, the latest year available.
It spent 3.84% of its operating expenses on uncompensated care and reported $25,551,803 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	373 118	373 118	382 119.5	365 118	365 119
Total beds Median	629 162	629 162	637 162	661 162	661 163.5
FTEs Median	3,680.28 788.06	3,503.00 793.42	3,520.00 806.03	3,963.53 787.61	3,468.94 804.34

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	711,646,449 150,932,746	759,700,198 158,950,878	779,699,269 168,696,998	836,843,552 163,454,693	894,945,503 186,589,412
Operating expenses Median	703,926,567 149,311,209	856,538,365 156,110,414	849,237,108 164,890,568	633,867,239 166,516,854	696,015,759 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,719,882 -964,173	-96,838,167 -643,601.5	-69,537,839 -116,254	202,976,313 -5,025,862	198,929,744 -1,284,564
NS2P margin ? Median	1.08% -0.62	-12.75% -0.29	-8.92% 0.18	24.25% -5.07	22.23% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CENTRA HEALTH 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	90,535,442 5,089,215	90,586,635 4,572,541	107,184,502 5,268,134	173,406,469 13,092,619	-120,915,652 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	371,757 194,343	-245,470,306 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	33,654,245 309,361.5	27,699,135 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	5,110,659	5,630,285	5,369,608	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	4,978,577
⊳ 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	2,919,100	3,272,949	3,394,182	1,913,176	2,470,980
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	699,037
⊳ 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	9,603,687
⊳ Line 18: Revenue from sale of medical records and abstracts	1,802	3,587	12,552	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	2,802,410	4,300,121	4,454,093	4,328,608	2,941,097
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	298	1,087	29,180	0	3,144
⊳ Line 22: Rental of hospital space	0	0	0	0	10,084,399
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	50 1,597,664
⊳ Sum Line 24	79,701,173	77,378,606	93,924,887	133,138,683	66,074,548
Total income ? Median	98,255,324 6,586,430	-6,251,532 6,767,106	37,646,663 8,419,950	376,382,782 8,094,175	78,014,092 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	90,608,379 106,761	0 31,473.5
Net income Median	98,255,324 6,043,842	-6,251,532 5,845,112	37,646,663 7,606,259	285,774,403 7,283,041	78,014,092 14,957,241
Net margin Median	12.24851% 4.62%	-0.73523% 4.42%	4.24482% 5.16%	28.28749% 5.2%	10.07895% 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 CENTRA HEALTH 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	149,553,533 23,241,334	155,621,400 23,709,545	155,330,399 24,248,380	146,099,847 22,858,541	141,013,754 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	139,654,566 21,577,146	146,667,564 22,041,594	145,120,945 22,722,063	136,569,386 21,570,441	132,748,383 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	3,515,976 1,845,420	3,515,117 1,757,392	3,715,063 1,738,842	3,189,287 1,510,463	2,302,184 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,478,827 3,535,627	3,449,631 3,746,588	3,267,662 3,782,288	3,910,244 3,865,578	3,812,124 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	2,904,164 1,203,033	1,989,088 1,215,295	3,226,729 1,313,657	2,430,930 1,365,298	2,151,063 1,179,746
All outpatient revenue Median Click here to show/hide details	88,006,381 11,160,864	89,982,843 11,987,345	94,838,484 12,926,866	91,781,251 11,884,480	96,536,110 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	80,431,532 10,918,923	81,257,906 11,706,976	85,611,713 12,615,917	83,470,846 11,458,116	89,436,832 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	7,574,849 1,282,808	8,724,937 1,407,728	9,226,771 1,341,512	8,310,405 1,407,046	7,099,278 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	2,855,257 3,284,314	3,013,519 3,250,551	3,024,695 3,386,837	3,334,531 3,360,806	3,053,476 3,508,953
Disproportionate-share hospital (DSH) Median	2,323,598 594,888	2,442,108 595,761	2,749,292 577,894	2,797,673 542,168	2,890,366 549,667
Outlier Median	6,697,469 582,572	10,347,945 538,116	1,438,771 212,434	1,594,752 126,559	1,338,149 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,481,649 3,662,910	6,267,485 3,730,911	0 4,081,319	10,712,309 4,643,908	25,551,803 4,389,147
Charity care Median	27,326,020 2,654,636	22,431,889 2,940,659	14,508,658 3,380,215	22,985,740 3,488,738	18,590,991 3,233,405
Uncompensated care (UCC) Median	35,012,665 5,147,790	30,393,642 5,337,617	15,310,570 5,711,082	25,876,696 5,923,418	26,708,346 5,508,107
UCC as a % of operating expenses Median	4.97% 3.24	3.55% 3.12	1.80% 3.21	4.08% 3.3	3.84% 2.86
Total shortfall/UCC Median	38,494,314 9,489,989	36,661,127 9,424,297	15,310,570 10,120,158	36,589,005 11,171,337	52,260,149 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	205,459,162 52,142,039	233,243,194 54,485,252	234,986,670 57,395,589	228,196,245 58,830,919	221,618,992 61,722,907
Salaries as a % of operating expenses Median	37.14 36.68	37.53 36.56	36.18 36.37	36.00 35.93	31.84 35.24
Intern, resident salaries* Median	1,088,554 2,598,592	1,193,131 2,686,824	1,266,961 2,753,773	1,610,016 2,937,156	1,529,204 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	12,007,033 1,449,244	20,367,468 1,475,986	15,531,436 1,563,078	13,202,835 1,721,954	13,202,835 2,991,828
Contract hours, direct-care Median	162,296.00 22,725	298,328.49 23,018.5	228,070.00 24,503.48	179,355.00 25,026.5	179,355.00 33,786
Contract wages, direct-care Median	73.98 64.67	68.27 64.53	68.10 65.06	73.61 68.97	73.61 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.