As of the July, 2022, release via CMS

INOVA LOUDOUN HOSPITAL CENTER

CMS id: 490043
44045 RIVERSIDE PARKWAY, LEESBURG VA 20176. County: LOUDOUN
System: INOVA HEALTH SYSTEM
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 311-bed, acute-care hospital had $43,674,633 in net service to patients*, with a total profit margin of 15.13164% in fiscal year 2021, the latest year available.
It spent 4.54% of its operating expenses on uncompensated care and reported $15,145,997 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	122 118	122 118	141 119.5	141 118	166 119
Total beds Median	267 162	267 162	275 162	275 162	311 163.5
FTEs Median	1,276.10 788.06	1,309.76 793.42	1,280.07 806.03	1,414.35 787.61	1,327.14 804.34

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	343,355,237 150,932,746	323,830,328 158,950,878	384,476,897 168,696,998	381,345,220 163,454,693	467,002,312 186,589,412
Operating expenses Median	298,308,977 149,311,209	294,886,941 156,110,414	329,182,150 164,890,568	362,981,350 166,516,854	423,327,679 180,120,888
Net income from service 2 patients (NS2P) ? Median	45,046,260 -964,173	28,943,387 -643,601.5	55,294,747 -116,254	18,363,870 -5,025,862	43,674,633 -1,284,564
NS2P margin ? Median	13.12% -0.62	8.94% -0.29	14.38% 0.18	4.82% -5.07	9.35% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for INOVA LOUDOUN HOSPITAL CENTER 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	21,599,153 5,089,215	8,362,758 4,572,541	21,228,332 5,268,134	39,468,395 13,092,619	31,802,735 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	0	0	0	0	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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ 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	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	21,599,153	8,362,758	21,228,332	39,468,395	31,802,735
Total income ? Median	66,645,413 6,586,430	37,306,145 6,767,106	76,523,079 8,419,950	57,832,265 8,094,175	75,477,368 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	3 106,761	0 31,473.5
Net income Median	66,645,413 6,043,842	37,306,145 5,845,112	76,523,079 7,606,259	57,832,262 7,283,041	75,477,368 14,957,241
Net margin Median	18.26130% 4.62%	11.23026% 4.42%	18.86174% 5.16%	13.74296% 5.2%	15.13164% 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 INOVA LOUDOUN HOSPITAL CENTER 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	41,959,579 23,241,334	43,216,072 23,709,545	48,366,097 24,248,380	46,779,814 22,858,541	56,293,283 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	36,332,185 21,577,146	38,081,870 22,041,594	43,053,442 22,722,063	42,624,430 21,570,441	50,667,712 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	857,624 1,845,420	911,981 1,757,392	841,194 1,738,842	940,259 1,510,463	640,813 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	4,769,770 1,203,033	4,222,221 1,215,295	4,471,461 1,313,657	3,215,125 1,365,298	4,984,758 1,179,746
All outpatient revenue Median Click here to show/hide details	20,100,061 11,160,864	21,637,616 11,987,345	22,162,556 12,926,866	18,178,592 11,884,480	22,801,117 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	20,100,061 10,918,923	21,637,616 11,706,976	22,162,556 12,615,917	18,178,592 11,458,116	22,801,117 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	61,626 3,284,314	72,971 3,250,551	74,529 3,386,837	74,396 3,360,806	83,340 3,508,953
Disproportionate-share hospital (DSH) Median	227,010 594,888	206,090 595,761	423,660 577,894	446,856 542,168	318,672 549,667
Outlier Median	1,186,484 582,572	1,137,668 538,116	175,209 212,434	279,122 126,559	260,535 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,403,588 3,662,910	5,203,535 3,730,911	7,522,060 4,081,319	11,815,101 4,643,908	15,145,997 4,389,147
Charity care Median	8,763,969 2,654,636	11,410,310 2,940,659	18,377,654 3,380,215	18,734,480 3,488,738	18,660,885 3,233,405
Uncompensated care (UCC) Median	17,038,329 5,147,790	19,243,490 5,337,617	19,630,264 5,711,082	18,807,281 5,923,418	19,235,064 5,508,107
UCC as a % of operating expenses Median	5.71% 3.24	6.53% 3.12	5.96% 3.21	5.18% 3.3	4.54% 2.86
Total shortfall/UCC Median	22,441,917 9,489,989	24,447,025 9,424,297	27,152,324 10,120,158	30,622,382 11,171,337	34,381,061 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	95,514,877 52,142,039	100,558,925 54,485,252	105,998,992 57,395,589	114,436,746 58,830,919	129,792,703 61,722,907
Salaries as a % of operating expenses Median	34.38 36.68	34.10 36.56	32.61 36.37	31.20 35.93	30.99 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	14,000 1,469,317
Contract adjusted salaries, direct-care Median	189,808 1,449,244	565,472 1,475,986	1,077,102 1,563,078	4,223,539 1,721,954	9,781,891 2,991,828
Contract hours, direct-care Median	3,725.48 22,725	10,115.00 23,018.5	14,831.00 24,503.48	57,100.00 25,026.5	82,980.00 33,786
Contract wages, direct-care Median	50.95 64.67	55.90 64.53	72.63 65.06	73.97 68.97	117.88 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.