As of the July, 2022, release via CMS

DANVILLE REGIONAL MEDICAL CENTER

CMS id: 490075
142 SOUTH MAIN, DANVILLE VA 24541. County: DANVILLE CITY
System: LIFEPOINT HOSPITALS
CBSA: Danville, VA

The 319-bed, acute-care hospital had $41,435,212 in net service to patients*, with a total profit margin of 12.46864% in fiscal year 2021, the latest year available.
It spent 2.23% 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	196 118	261 118	281 119.5	249 118	238 119
Total beds Median	250 162	342 162	361 162	330 162	319 163.5
FTEs Median	1,154.02 788.06	1,613.08 793.42	1,617.52 806.03	1,540.80 787.61	1,505.00 804.34

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	184,198,153 150,932,746	332,927,832 158,950,878	372,600,090 168,696,998	340,181,557 163,454,693	371,408,812 186,589,412
Operating expenses Median	180,817,071 149,311,209	303,801,654 156,110,414	324,209,994 164,890,568	313,963,235 166,516,854	329,973,600 180,120,888
Net income from service 2 patients (NS2P) ? Median	3,381,082 -964,173	29,126,178 -643,601.5	48,390,096 -116,254	26,218,322 -5,025,862	41,435,212 -1,284,564
NS2P margin ? Median	1.84% -0.62	8.75% -0.29	12.99% 0.18	7.71% -5.07	11.16% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DANVILLE 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	4,011,189 5,089,215	3,671,810 4,572,541	3,484,482 5,268,134	20,204,465 13,092,619	5,568,781 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	367,190	595,239	644,654	446,537	505,713
⊳ 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	57	164	125,871
⊳ Line 17: Revenue from sale of drugs to other than patients	975	0	1,770	2,000	2,000
⊳ Line 18: Revenue from sale of medical records and abstracts	2,763	0	1,258	208	218
⊳ 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	53,665	34,269	83,237	26,246
⊳ Line 22: Rental of hospital space	1,083,263	1,250,043	1,252,541	1,205,568	1,125,558
⊳ 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	2,556,998	1,772,863	1,549,933	18,466,751	3,783,175
Total income ? Median	7,392,271 6,586,430	32,797,988 6,767,106	51,874,578 8,419,950	46,422,787 8,094,175	47,003,993 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	7,392,271 6,043,842	32,797,988 5,845,112	51,874,578 7,606,259	46,422,787 7,283,041	47,003,993 14,957,241
Net margin Median	3.92769% 4.62%	9.74392% 4.42%	13.79333% 5.16%	12.88141% 5.2%	12.46864% 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 DANVILLE 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	43,624,802 23,241,334	68,823,369 23,709,545	63,857,370 24,248,380	56,236,387 22,858,541	47,194,161 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	40,101,538 21,577,146	65,649,342 22,041,594	60,541,443 22,722,063	53,117,281 21,570,441	45,579,998 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	1,132,685 1,845,420	1,073,702 1,757,392	1,223,219 1,738,842	1,287,886 1,510,463	822,248 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,390,579 3,535,627	2,100,325 3,746,588	2,092,708 3,782,288	1,831,220 3,865,578	791,915 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	18,910,031 11,160,864	42,564,970 11,987,345	37,988,640 12,926,866	29,919,471 11,884,480	28,273,509 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	18,604,874 10,918,923	42,564,970 11,706,976	37,988,640 12,615,917	29,919,471 11,458,116	28,273,509 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	305,157 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	6,466,729 3,284,314	6,651,836 3,250,551	5,779,012 3,386,837	5,145,007 3,360,806	4,914,432 3,508,953
Disproportionate-share hospital (DSH) Median	852,144 594,888	1,314,428 595,761	1,429,522 577,894	1,298,742 542,168	1,095,574 549,667
Outlier Median	259,609 582,572	621,031 538,116	700,615 212,434	131,013 126,559	48,772 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,335,504 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	967,449 2,654,636	865,565 2,940,659	1,171,527 3,380,215	2,578,408 3,488,738	2,319,689 3,233,405
Uncompensated care (UCC) Median	7,673,458 5,147,790	12,472,416 5,337,617	11,518,190 5,711,082	8,456,940 5,923,418	7,348,359 5,508,107
UCC as a % of operating expenses Median	4.24% 3.24	4.11% 3.12	3.55% 3.21	2.69% 3.3	2.23% 2.86
Total shortfall/UCC Median	9,008,962 9,489,989	12,472,416 9,424,297	11,518,190 10,120,158	8,456,940 11,171,337	7,348,359 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	65,801,814 52,142,039	100,089,752 54,485,252	99,639,746 57,395,589	96,179,720 58,830,919	96,720,089 61,722,907
Salaries as a % of operating expenses Median	37.31 36.68	34.66 36.56	32.10 36.37	31.89 35.93	30.48 35.24
Intern, resident salaries* Median	3,434,141 2,598,592	3,280,746 2,686,824	3,426,434 2,753,773	3,415,263 2,937,156	3,392,652 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	615,025 1,449,244	4,032,393 1,475,986	8,570,358 1,563,078	6,424,994 1,721,954	14,519,271 2,991,828
Contract hours, direct-care Median	9,179.00 22,725	65,561.00 23,018.5	130,184.00 24,503.48	94,371.00 25,026.5	121,790.00 33,786
Contract wages, direct-care Median	67.00 64.67	61.51 64.53	65.83 65.06	68.08 68.97	119.22 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.