As of the July, 2022, release via CMS

MARY IMMACULATE HOSPITAL

CMS id: 490041
2 BERNARDINE DRIVE, NEWPORT NEWS VA 23602. County: NEWPORT NEWS
System: BON SECOURS MERCY HEALTH SYSTEM
CBSA: Virginia Beach-Norfolk-Newport News, VA-NC

The 230-bed, acute-care hospital had $4,411,991 in net service to patients*, with a total profit margin of 11.92305% in fiscal year 2021, the latest year available.
It spent 2.48% 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	105 118	105 118	105 119.5	105 118	105 119
Total beds Median	230 162	230 162	230 162	230 162	230 163.5
FTEs Median	891.07 788.06	843.89 793.42	695.87 806.03	648.79 787.61	656.00 804.34

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	168,899,678 150,932,746	176,709,535 158,950,878	184,533,609 168,696,998	175,897,005 163,454,693	177,167,289 186,589,412
Operating expenses Median	163,231,009 149,311,209	164,390,548 156,110,414	169,110,192 164,890,568	164,961,200 166,516,854	172,755,298 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,668,669 -964,173	12,318,987 -643,601.5	15,423,417 -116,254	10,935,805 -5,025,862	4,411,991 -1,284,564
NS2P margin ? Median	3.36% -0.62	6.97% -0.29	8.36% 0.18	6.22% -5.07	2.49% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MARY IMMACULATE 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	5,928,808 5,089,215	6,130,328 4,572,541	3,763,337 5,268,134	7,997,356 13,092,619	18,885,250 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	279,906 224,999	101,043 199,009	182,859 206,870.5	110,923 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,537,478 299,524	3,962,953 188,688.5	2,027,143 370,813	3,367,657 309,361.5	10,085,504 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	10,080	8,294	4,792	8,079	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	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	9,141	10,918	6,949	4,252	1,462
⊳ 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	3,271	6,885	5,845	270	45,519
⊳ Line 18: Revenue from sale of medical records and abstracts	459	113	0	250	45
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	2,606	1,320	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	-3,099	0
⊳ Line 21: Rental of vending machines	5,269	11,521	16,742	13,357	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	2,080,598	2,027,281	1,519,007	4,495,667	8,752,153
Total income ? Median	11,597,477 6,586,430	18,449,315 6,767,106	19,186,754 8,419,950	18,933,161 8,094,175	23,297,241 15,162,888
Non-operating expenses Median	730,444 146,289.5	-103,729 164,857	945,718 89,880.5	477,142 106,761	-78,194 31,473.5
Net income Median	10,867,033 6,043,842	18,553,044 5,845,112	18,241,036 7,606,259	18,456,019 7,283,041	23,375,435 14,957,241
Net margin Median	6.21583% 4.62%	10.14715% 4.42%	9.68738% 5.16%	10.03621% 5.2%	11.92305% 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 IMMACULATE 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	28,847,433 23,241,334	29,630,897 23,709,545	28,288,468 24,248,380	21,746,178 22,858,541	19,010,037 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	27,019,505 21,577,146	27,919,821 22,041,594	26,775,947 22,722,063	20,748,235 21,570,441	17,996,073 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	1,827,928 1,203,033	1,711,076 1,215,295	1,512,521 1,313,657	997,943 1,365,298	1,013,964 1,179,746
All outpatient revenue Median Click here to show/hide details	11,087,867 11,160,864	13,296,853 11,987,345	13,029,938 12,926,866	15,151,621 11,884,480	19,178,171 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	11,087,867 10,918,923	13,296,853 11,706,976	13,029,938 12,615,917	15,151,621 11,458,116	19,178,171 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	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	482,935 594,888	702,457 595,761	687,538 577,894	564,229 542,168	492,606 549,667
Outlier Median	751,421 582,572	499,822 538,116	310,967 212,434	180,891 126,559	295,097 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,640,895 3,662,910	2,023,869 3,730,911	3,485,393 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	4,842,807 2,654,636	5,741,369 2,940,659	6,515,512 3,380,215	3,228,378 3,488,738	2,511,464 3,233,405
Uncompensated care (UCC) Median	7,118,838 5,147,790	7,289,064 5,337,617	8,358,436 5,711,082	4,228,549 5,923,418	4,277,109 5,508,107
UCC as a % of operating expenses Median	4.36% 3.24	4.43% 3.12	4.94% 3.21	2.56% 3.3	2.48% 2.86
Total shortfall/UCC Median	9,759,733 9,489,989	9,312,933 9,424,297	11,843,829 10,120,158	4,228,549 11,171,337	4,277,109 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	46,770,901 52,142,039	46,274,083 54,485,252	43,870,558 57,395,589	40,073,283 58,830,919	41,339,369 61,722,907
Salaries as a % of operating expenses Median	28.65 36.68	28.15 36.56	25.94 36.37	24.29 35.93	23.93 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	310,578 1,449,244	1,129,781 1,475,986	1,391,954 1,563,078	1,962,949 1,721,954	3,017,176 2,991,828
Contract hours, direct-care Median	3,752.48 22,725	18,115.71 23,018.5	25,484.20 24,503.48	26,574.53 25,026.5	32,910.17 33,786
Contract wages, direct-care Median	82.77 64.67	62.36 64.53	54.62 65.06	73.87 68.97	91.68 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.