As of the July, 2022, release via CMS

RIVERSIDE REGIONAL MEDICAL CENTER

CMS id: 490052
500 J CLYDE MORRIS BLVD, NEWPORT NEWS VA 23601. County: NEWPORT NEWS
System: RIVERSIDE HEALTHCARE ASSOCIATION
CBSA: Virginia Beach-Norfolk-Newport News, VA-NC

The 410-bed, acute-care hospital had $-177,613,906 in net service to patients*, with a total profit margin of 8.51685% in fiscal year 2020, the latest year available.
It spent 2.73% 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	277 118	239 118	290 119.5	290 118	-- 119
Total beds Median	392 162	357 162	410 162	410 162	-- 163.5
FTEs Median	2,297.78 788.06	2,290.20 793.42	2,436.90 806.03	2,598.78 787.61	-- 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	611,254,331 150,932,746	618,496,892 158,950,878	744,501,778 168,696,998	729,973,705 163,454,693	-- 186,589,412
Operating expenses Median	720,815,573 149,311,209	742,506,807 156,110,414	841,769,279 164,890,568	907,587,611 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-109,561,242 -964,173	-124,009,915 -643,601.5	-97,267,501 -116,254	-177,613,906 -5,025,862	-- -1,284,564
NS2P margin ? Median	-17.92% -0.62	-20.05% -0.29	-13.06% 0.18	-24.33% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RIVERSIDE REGIONAL MEDICAL 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	205,276,754 5,089,215	211,975,385 4,572,541	230,872,522 5,268,134	278,729,511 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	6 224,999	120,000 199,009	84,400 206,870.5	28,200 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	1,777,789 299,524	1,225,313 188,688.5	1,748,977 370,813	505,167 309,361.5	-- 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	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,863,441	1,764,241	2,005,967	1,704,624	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	7,557,852	18,288,056	22,367,199	32,561,784	--
⊳ Line 18: Revenue from sale of medical records and abstracts	1,804	1,169	308	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	3,341,923	4,019,829	3,967,996	3,657,151	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	55,339	61,103	68,507	64,540	--
⊳ Line 22: Rental of hospital space	1,186,394	1,207,270	1,224,413	1,597,708	--
⊳ Line 23: Gov appropriations ? ⊳ Median	1,411,000 1,017,693	1,396,950 983,261.5	1,389,750 1,173,286	1,312,000 1,987,202	-- 1,597,664
⊳ Sum Line 24	188,081,206	183,891,454	198,015,005	237,298,337	--
Total income ? Median	95,715,512 6,586,430	87,965,470 6,767,106	133,605,021 8,419,950	101,115,605 8,094,175	-- 15,162,888
Non-operating expenses Median	38,476,513 146,289.5	26,305,470 164,857	53,121,801 89,880.5	15,205,845 106,761	-- 31,473.5
Net income Median	57,238,999 6,043,842	61,660,000 5,845,112	80,483,220 7,606,259	85,909,760 7,283,041	-- 14,957,241
Net margin Median	7.01002% 4.62%	7.42469% 4.42%	8.25152% 5.16%	8.51685% 5.2%	--% 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 RIVERSIDE REGIONAL MEDICAL 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	77,856,766 23,241,334	85,100,376 23,709,545	91,583,149 24,248,380	87,973,415 22,858,541	-- 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	77,856,766 21,577,146	85,100,376 22,041,594	91,583,149 22,722,063	87,973,415 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	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	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	92,205,723 11,160,864	95,237,425 11,987,345	101,499,671 12,926,866	99,459,443 11,884,480	-- 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	83,977,215 10,918,923	86,364,198 11,706,976	92,795,001 12,615,917	90,553,124 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	8,228,508 1,282,808	8,873,227 1,407,728	8,704,670 1,341,512	8,906,319 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	6,861,423 3,284,314	7,583,459 3,250,551	8,281,174 3,386,837	7,801,209 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	1,951,077 594,888	1,962,459 595,761	2,830,641 577,894	2,904,887 542,168	-- 549,667
Outlier Median	1,986,463 582,572	1,678,180 538,116	357,253 212,434	374,448 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	-- 4,389,147
Charity care Median	22,312,873 2,654,636	25,382,761 2,940,659	13,543,120 3,380,215	17,455,688 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	28,419,262 5,147,790	35,898,961 5,337,617	24,351,155 5,711,082	24,735,308 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	3.94% 3.24	4.83% 3.12	2.89% 3.21	2.73% 3.3	--% 2.86
Total shortfall/UCC Median	28,419,262 9,489,989	35,898,961 9,424,297	24,351,155 10,120,158	24,735,308 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	138,849,407 52,142,039	142,770,653 54,485,252	158,786,257 57,395,589	173,949,960 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	25.33 36.68	25.09 36.56	24.22 36.37	24.68 35.93	-- 35.24
Intern, resident salaries* Median	7,968,173 2,598,592	8,073,499 2,686,824	8,609,996 2,753,773	9,642,258 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	2,898,634 1,449,244	5,028,700 1,475,986	8,992,337 1,563,078	4,377,213 1,721,954	-- 2,991,828
Contract hours, direct-care Median	38,480.00 22,725	68,211.00 23,018.5	123,468.35 24,503.48	53,716.00 25,026.5	-- 33,786
Contract wages, direct-care Median	75.33 64.67	73.72 64.53	72.83 65.06	81.49 68.97	-- 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.