As of the July, 2022, release via CMS

RICHMOND COMMUNITY HOSPITAL

CMS id: 490094
1500 NORTH 28TH STREET, RICHMOND VA 23223. County: RICHMOND
System: BON SECOURS MERCY HEALTH
CBSA: Richmond, VA

The 101-bed, acute-care hospital had $91,077,621 in net service to patients*, with a total profit margin of 39.84833% in fiscal year 2021, the latest year available.
It spent 2.66% 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	96 118	96 118	96 119.5	101 118	101 119
Total beds Median	101 162	101 162	101 162	101 162	101 163.5
FTEs Median	435.60 788.06	443.25 793.42	346.88 806.03	321.32 787.61	330.41 804.34

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	151,373,446 150,932,746	220,201,535 158,950,878	203,819,569 168,696,998	232,042,758 163,454,693	247,835,698 186,589,412
Operating expenses Median	109,677,637 149,311,209	167,484,581 156,110,414	133,475,711 164,890,568	141,238,674 166,516,854	156,758,077 180,120,888
Net income from service 2 patients (NS2P) ? Median	41,695,809 -964,173	52,716,954 -643,601.5	70,343,858 -116,254	90,804,084 -5,025,862	91,077,621 -1,284,564
NS2P margin ? Median	27.54% -0.62	23.94% -0.29	34.51% 0.18	39.13% -5.07	36.75% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RICHMOND COMMUNITY 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	1,075,701 5,089,215	2,354,927 4,572,541	5,638,069 5,268,134	24,499,221 13,092,619	12,768,999 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	384,556 299,524	1,191,269 188,688.5	1,623,899 370,813	324,264 309,361.5	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	2,598	2,482,905	4,991,401	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	850,541
⊳ Line 18: Revenue from sale of medical records and abstracts	0	2,200	2,355	1,445	12
⊳ 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	48,736	72,426	21,497	0
⊳ Line 22: Rental of hospital space	0	97,596	6,552	102,462	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	691,145	1,012,528	1,449,932	19,058,152	11,918,446
Total income ? Median	42,771,510 6,586,430	55,071,881 6,767,106	75,981,927 8,419,950	115,303,305 8,094,175	103,846,620 15,162,888
Non-operating expenses Median	103,877 146,289.5	0 164,857	183,163 89,880.5	22,605,455 106,761	0 31,473.5
Net income Median	42,667,633 6,043,842	55,071,881 5,845,112	75,798,764 7,606,259	92,697,850 7,283,041	103,846,620 14,957,241
Net margin Median	27.98811% 4.62%	24.74513% 4.42%	36.18811% 5.16%	36.13360% 5.2%	39.84833% 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 RICHMOND COMMUNITY 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	3,962,581 23,241,334	3,652,263 23,709,545	3,153,162 24,248,380	3,448,466 22,858,541	3,880,176 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	3,962,581 21,577,146	3,652,263 22,041,594	3,153,162 22,722,063	3,448,466 21,570,441	3,880,176 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	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	18,861,177 11,160,864	20,927,683 11,987,345	25,708,590 12,926,866	28,577,373 11,884,480	31,065,697 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	18,861,177 10,918,923	20,927,683 11,706,976	25,708,590 12,615,917	28,577,373 11,458,116	31,065,697 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	75,451 594,888	66,953 595,761	134,159 577,894	47,278 542,168	44,470 549,667
Outlier Median	229,615 582,572	219,212 538,116	189,160 212,434	56,945 126,559	32,506 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	907,656 3,662,910	1,063,120 3,730,911	0 4,081,319	593,323 4,643,908	0 4,389,147
Charity care Median	6,631,202 2,654,636	7,362,508 2,940,659	6,640,412 3,380,215	4,134,832 3,488,738	3,194,830 3,233,405
Uncompensated care (UCC) Median	8,225,626 5,147,790	8,381,884 5,337,617	7,535,575 5,711,082	5,037,792 5,923,418	4,167,561 5,508,107
UCC as a % of operating expenses Median	7.50% 3.24	5.00% 3.12	5.65% 3.21	3.57% 3.3	2.66% 2.86
Total shortfall/UCC Median	9,133,282 9,489,989	9,445,004 9,424,297	7,535,575 10,120,158	5,631,115 11,171,337	4,167,561 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	29,112,346 52,142,039	28,174,249 54,485,252	30,007,716 57,395,589	23,088,303 58,830,919	22,536,293 61,722,907
Salaries as a % of operating expenses Median	29.44 36.68	26.18 36.56	22.48 36.37	16.35 35.93	14.38 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	125,784 1,449,244	160,039 1,475,986	2,708,501 1,563,078	1,736,855 1,721,954	1,247,019 2,991,828
Contract hours, direct-care Median	1,960.34 22,725	5,544.00 23,018.5	42,511.91 24,503.48	24,745.55 25,026.5	15,246.83 33,786
Contract wages, direct-care Median	64.16 64.67	28.87 64.53	63.71 65.06	70.19 68.97	81.79 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.