As of the July, 2022, release via CMS

CJW MEDICAL CENTER

CMS id: 490112
7101 JAHNKE ROAD, RICHMOND VA 23225. County: RICHMOND
System: HCA
CBSA: Richmond, VA

The 793-bed, acute-care hospital had $273,087,597 in net service to patients*, with a total profit margin of 22.88796% in fiscal year 2021, the latest year available.
It spent 3.08% 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	487 118	487 118	486 119.5	495 118	483 119
Total beds Median	793 162	793 162	793 162	793 162	793 163.5
FTEs Median	2,595.31 788.06	2,578.00 793.42	2,553.52 806.03	2,388.89 787.61	2,407.16 804.34

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	692,538,666 150,932,746	721,229,000 158,950,878	770,391,186 168,696,998	786,655,526 163,454,693	876,716,585 186,589,412
Operating expenses Median	566,540,512 149,311,209	585,194,624 156,110,414	593,564,292 164,890,568	586,493,991 166,516,854	603,628,988 180,120,888
Net income from service 2 patients (NS2P) ? Median	125,998,154 -964,173	136,034,376 -643,601.5	176,826,894 -116,254	200,161,535 -5,025,862	273,087,597 -1,284,564
NS2P margin ? Median	18.19% -0.62	18.86% -0.29	22.95% 0.18	25.44% -5.07	31.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CJW 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	1,960,760 5,089,215	1,681,874 4,572,541	1,978,160 5,268,134	17,314,359 13,092,619	-14,237,970 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	1,960,760	1,681,874	1,978,160	17,314,359	-14,237,970
Total income ? Median	127,958,914 6,586,430	137,716,250 6,767,106	178,805,054 8,419,950	217,475,894 8,094,175	258,849,627 15,162,888
Non-operating expenses Median	49,787,513 146,289.5	42,197,140 164,857	45,800,306 89,880.5	52,188,495 106,761	61,445,854 31,473.5
Net income Median	78,171,401 6,043,842	95,519,110 5,845,112	133,004,748 7,606,259	165,287,399 7,283,041	197,403,773 14,957,241
Net margin Median	11.25579% 4.62%	13.21312% 4.42%	17.22036% 5.16%	20.55890% 5.2%	22.88796% 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 CJW 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	128,447,583 23,241,334	137,136,516 23,709,545	144,434,924 24,248,380	144,566,094 22,858,541	155,372,496 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	111,762,388 21,577,146	119,114,802 22,041,594	126,904,545 22,722,063	126,620,769 21,570,441	140,587,682 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	6,752,650 1,845,420	6,583,310 1,757,392	5,902,232 1,738,842	4,663,456 1,510,463	2,505,262 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	9,932,545 3,535,627	11,438,404 3,746,588	11,628,147 3,782,288	13,281,869 3,865,578	12,279,552 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	38,110,434 11,160,864	42,223,718 11,987,345	44,153,012 12,926,866	43,203,192 11,884,480	49,515,594 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	38,110,434 10,918,923	42,223,718 11,706,976	44,153,012 12,615,917	43,203,192 11,458,116	49,515,594 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	800,500 3,284,314	663,151 3,250,551	394,351 3,386,837	233,572 3,360,806	234,981 3,508,953
Disproportionate-share hospital (DSH) Median	1,676,759 594,888	1,711,147 595,761	2,612,812 577,894	3,170,281 542,168	3,723,373 549,667
Outlier Median	7,995,015 582,572	7,085,084 538,116	5,997,063 212,434	847,310 126,559	1,133,389 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	29,773 3,662,910	129,318 3,730,911	5,329 4,081,319	3,046 4,643,908	0 4,389,147
Charity care Median	29,236,439 2,654,636	28,580,322 2,940,659	23,546,031 3,380,215	18,439,983 3,488,738	16,080,367 3,233,405
Uncompensated care (UCC) Median	33,947,079 5,147,790	32,596,411 5,337,617	27,795,278 5,711,082	21,750,717 5,923,418	18,598,581 5,508,107
UCC as a % of operating expenses Median	5.99% 3.24	5.57% 3.12	4.68% 3.21	3.71% 3.3	3.08% 2.86
Total shortfall/UCC Median	33,976,852 9,489,989	32,725,729 9,424,297	27,800,607 10,120,158	21,753,763 11,171,337	18,598,581 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	185,889,123 52,142,039	189,066,874 54,485,252	190,261,515 57,395,589	180,664,355 58,830,919	187,493,566 61,722,907
Salaries as a % of operating expenses Median	30.14 36.68	30.10 36.56	29.73 36.37	28.26 35.93	28.16 35.24
Intern, resident salaries* Median	880,278 2,598,592	251,095 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	8,784,477 1,449,244	6,237,119 1,475,986	7,408,331 1,563,078	5,837,400 1,721,954	16,024,982 2,991,828
Contract hours, direct-care Median	147,447.00 22,725	106,755.00 23,018.5	134,998.00 24,503.48	111,311.85 25,026.5	243,140.81 33,786
Contract wages, direct-care Median	59.58 64.67	58.42 64.53	54.88 65.06	52.44 68.97	65.91 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.