As of the July, 2022, release via CMS

MARY WASHINGTON HOSPITAL

CMS id: 490022
1001 SAM PERRY BLVD, FREDERICKSBURG VA 22401. County: FREDERICKSBURG CITY
System: MEDICORP HEALTH SYSTEM
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 431-bed, acute-care hospital had $9,038,874 in net service to patients*, with a total profit margin of 4.63640% in fiscal year 2021, the latest year available.
It spent 3.40% 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	378 118	378 118	378 119.5	388 118	388 119
Total beds Median	421 162	421 162	421 162	431 162	431 163.5
FTEs Median	1,693.79 788.06	1,697.22 793.42	1,766.25 806.03	1,677.71 787.61	1,682.24 804.34

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	403,028,584 150,932,746	418,447,916 158,950,878	490,248,641 168,696,998	476,025,201 163,454,693	536,613,104 186,589,412
Operating expenses Median	402,479,690 149,311,209	415,045,208 156,110,414	468,125,373 164,890,568	465,292,417 166,516,854	527,574,230 180,120,888
Net income from service 2 patients (NS2P) ? Median	548,894 -964,173	3,402,708 -643,601.5	22,123,268 -116,254	10,732,784 -5,025,862	9,038,874 -1,284,564
NS2P margin ? Median	0.14% -0.62	0.81% -0.29	4.51% 0.18	2.25% -5.07	1.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MARY WASHINGTON 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	14,683,717 5,089,215	17,474,952 4,572,541	8,638,783 5,268,134	20,318,883 13,092,619	16,651,212 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,740,694 224,999	1,732,825 199,009	1,796,275 206,870.5	2,014,929 194,343	1,499,937 249,496
⊳ Line 7: Investments ? ⊳ Median	75,640 299,524	106,085 188,688.5	60,683 370,813	50,659 309,361.5	60,364 375,329
⊳ 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	36,312	6,132	29,296
⊳ 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	48,858	44,543	53,978	36,206	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	65,265	67,575	72,829	71,274	17,006
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	291,271	310,266	267,812	265,342	301,360
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	23,546
⊳ Line 22: Rental of hospital space	11,757	10,152	10,152	9,871	16,621
⊳ 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	12,450,232	15,203,506	6,340,742	17,864,470	14,703,082
Total income ? Median	15,232,611 6,586,430	20,877,660 6,767,106	30,762,051 8,419,950	31,051,667 8,094,175	25,690,086 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	38,542 31,473.5
Net income Median	15,232,611 6,043,842	20,877,660 5,845,112	30,762,051 7,606,259	31,051,667 7,283,041	25,651,544 14,957,241
Net margin Median	3.64668% 4.62%	4.78930% 4.42%	6.16613% 5.16%	6.25608% 5.2%	4.63640% 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 MARY WASHINGTON 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	92,844,371 23,241,334	102,831,532 23,709,545	111,941,040 24,248,380	104,932,674 22,858,541	101,237,749 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	92,844,371 21,577,146	102,831,532 22,041,594	111,941,040 22,722,063	104,932,674 21,570,441	101,237,749 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	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	40,384,537 11,160,864	43,472,773 11,987,345	46,597,144 12,926,866	43,165,036 11,884,480	46,863,536 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	36,327,711 10,918,923	39,769,281 11,706,976	42,748,340 12,615,917	39,730,377 11,458,116	43,955,323 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,056,826 1,282,808	3,703,492 1,407,728	3,848,804 1,341,512	3,434,659 1,407,046	2,908,213 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	1,009,831 594,888	1,264,659 595,761	2,374,144 577,894	1,977,482 542,168	2,212,459 549,667
Outlier Median	3,523,329 582,572	2,225,726 538,116	493,699 212,434	470,244 126,559	348,986 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	4,665,501 4,081,319	10,731,089 4,643,908	0 4,389,147
Charity care Median	14,833,684 2,654,636	18,914,070 2,940,659	11,971,785 3,380,215	13,717,246 3,488,738	8,738,852 3,233,405
Uncompensated care (UCC) Median	30,405,864 5,147,790	33,602,655 5,337,617	28,338,625 5,711,082	22,457,722 5,923,418	17,943,585 5,508,107
UCC as a % of operating expenses Median	7.55% 3.24	8.10% 3.12	6.05% 3.21	4.83% 3.3	3.40% 2.86
Total shortfall/UCC Median	30,405,864 9,489,989	33,602,655 9,424,297	33,004,126 10,120,158	33,188,811 11,171,337	17,943,585 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	120,677,272 52,142,039	121,458,378 54,485,252	129,281,449 57,395,589	123,956,975 58,830,919	135,581,635 61,722,907
Salaries as a % of operating expenses Median	29.98 36.68	29.26 36.56	27.62 36.37	26.64 35.93	25.70 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	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	6,601,472 1,449,244	12,396,335 1,475,986	15,911,044 1,563,078	8,890,002 1,721,954	25,497,241 2,991,828
Contract hours, direct-care Median	90,754.98 22,725	166,433.00 23,018.5	209,821.11 24,503.48	148,095.33 25,026.5	203,850.33 33,786
Contract wages, direct-care Median	72.74 64.67	74.48 64.53	75.83 65.06	60.03 68.97	125.08 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.