As of the July, 2022, release via CMS

WARREN MEMORIAL HOSPITAL

CMS id: 490033
351 VALLEY HEALTH WAY, FRONT ROYAL VA 22630. County: WARREN
System: VALLEY HEALTH
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 166-bed, acute-care hospital had $-9,767,649 in net service to patients*, with a total profit margin of -5.50539% in fiscal year 2021, the latest year available.
It spent 3.71% of its operating expenses on uncompensated care and reported $8,244,007 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	38 118	38 118	38 119.5	38 118	38 119
Total beds Median	166 162	166 162	166 162	166 162	166 163.5
FTEs Median	424.10 788.06	421.08 793.42	449.06 806.03	455.80 787.61	486.28 804.34

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	61,994,809 150,932,746	64,055,948 158,950,878	74,102,929 168,696,998	76,479,656 163,454,693	88,166,066 186,589,412
Operating expenses Median	70,166,910 149,311,209	73,577,314 156,110,414	80,007,062 164,890,568	82,645,528 166,516,854	97,933,715 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,172,101 -964,173	-9,521,366 -643,601.5	-5,904,133 -116,254	-6,165,872 -5,025,862	-9,767,649 -1,284,564
NS2P margin ? Median	-13.18% -0.62	-14.86% -0.29	-7.97% 0.18	-8.06% -5.07	-11.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WARREN MEMORIAL 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	3,851,380 5,089,215	3,383,762 4,572,541	-7,726,569 5,268,134	9,220,610 13,092,619	4,876,960 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	27,426 224,999	21,191 199,009	38,857 206,870.5	30,307 194,343	2,604,172 249,496
⊳ Line 7: Investments ? ⊳ Median	1,920,817 299,524	1,775,192 188,688.5	1,119,070 370,813	2,052,742 309,361.5	1,197,833 375,329
⊳ 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	226,517	210,259	213,846	182,853	177,519
⊳ Line 15: Revenue from rental of living quarters	0	0	0	406,532	406,532
⊳ 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	1,782	5,417	2,357	2,240	9,830
⊳ Line 18: Revenue from sale of medical records and abstracts	17,724	18,349	22,563	34,574	19,044
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	2,000
⊳ 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	422,231	507,413	297,649	0	256,100
⊳ 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	1,234,883	845,941	-9,420,911	6,511,362	203,930
Total income ? Median	-4,320,721 6,586,430	-6,137,604 6,767,106	-13,630,702 8,419,950	3,054,738 8,094,175	-4,890,689 15,162,888
Non-operating expenses Median	12,196 146,289.5	0 164,857	0 89,880.5	0 106,761	231,689 31,473.5
Net income Median	-4,332,917 6,043,842	-6,137,604 5,845,112	-13,630,702 7,606,259	3,054,738 7,283,041	-5,122,378 14,957,241
Net margin Median	-6.58036% 4.62%	-9.10088% 4.42%	-20.53548% 5.16%	3.56444% 5.2%	-5.50539% 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 WARREN MEMORIAL 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	11,808,224 23,241,334	13,435,766 23,709,545	15,160,641 24,248,380	13,439,401 22,858,541	10,644,958 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	7,757,088 21,577,146	9,297,939 22,041,594	10,557,499 22,722,063	9,487,078 21,570,441	8,626,749 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	4,051,136 1,203,033	4,137,827 1,215,295	4,603,142 1,313,657	3,952,323 1,365,298	2,018,209 1,179,746
All outpatient revenue Median Click here to show/hide details	5,012,107 11,160,864	5,951,437 11,987,345	7,519,718 12,926,866	7,001,154 11,884,480	9,103,834 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	5,012,107 10,918,923	5,939,448 11,706,976	6,011,755 12,615,917	5,662,712 11,458,116	6,288,034 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	11,989 697,279	1,507,963 690,232	1,338,442 684,010	2,815,800 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	969,895 3,284,314	1,263,225 3,250,551	1,329,678 3,386,837	1,173,221 3,360,806	1,285,703 3,508,953
Disproportionate-share hospital (DSH) Median	148,701 594,888	77,899 595,761	76,358 577,894	67,452 542,168	0 549,667
Outlier Median	14,826 582,572	100,702 538,116	8,226 212,434	17,840 126,559	7,299 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,484,905 3,662,910	4,706,016 3,730,911	4,395,635 4,081,319	6,018,372 4,643,908	8,244,007 4,389,147
Charity care Median	2,771,865 2,654,636	1,160,717 2,940,659	1,419,963 3,380,215	1,048,205 3,488,738	723,054 3,233,405
Uncompensated care (UCC) Median	5,959,296 5,147,790	5,490,870 5,337,617	5,164,168 5,711,082	3,666,445 5,923,418	3,634,524 5,508,107
UCC as a % of operating expenses Median	8.49% 3.24	7.46% 3.12	6.45% 3.21	4.44% 3.3	3.71% 2.86
Total shortfall/UCC Median	8,444,201 9,489,989	10,196,886 9,424,297	9,559,803 10,120,158	9,684,817 11,171,337	11,878,531 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	24,967,238 52,142,039	25,446,825 54,485,252	29,884,605 57,395,589	30,205,748 58,830,919	32,962,865 61,722,907
Salaries as a % of operating expenses Median	35.58 36.68	34.59 36.56	37.35 36.37	36.55 35.93	33.66 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	800,365 1,251,927	899,054 1,186,494	723,578 1,204,885	746,797 1,279,653	968,119 1,469,317
Contract adjusted salaries, direct-care Median	1,570,583 1,449,244	1,605,848 1,475,986	0 1,563,078	1,544,022 1,721,954	3,153,967 2,991,828
Contract hours, direct-care Median	22,661.00 22,725	22,838.00 23,018.5	0.00 24,503.48	22,396.00 25,026.5	17,522.00 33,786
Contract wages, direct-care Median	69.31 64.67	70.31 64.53	0.00 65.06	68.94 68.97	180.00 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.