As of the July, 2022, release via CMS

HENRICO DOCTORS HOSPITAL

CMS id: 490118
1602 SKIPWITH ROAD, RICHMOND VA 23229. County: HENRICO
System: HCA
CBSA: Richmond, VA

The 767-bed, acute-care hospital had $102,335,373 in net service to patients*, with a total profit margin of 23.43813% in fiscal year 2021, the latest year available.
It spent 2.73% of its operating expenses on uncompensated care and reported $264 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	617 118	595 118	595 119.5	595 118	595 119
Total beds Median	767 162	767 162	767 162	767 162	767 163.5
FTEs Median	1,938.18 788.06	1,920.62 793.42	1,914.79 806.03	1,906.58 787.61	1,757.27 804.34

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	510,502,475 150,932,746	545,346,507 158,950,878	577,533,251 168,696,998	575,737,979 163,454,693	574,845,580 186,589,412
Operating expenses Median	469,097,192 149,311,209	489,352,390 156,110,414	492,106,064 164,890,568	488,043,217 166,516,854	472,510,207 180,120,888
Net income from service 2 patients (NS2P) ? Median	41,405,283 -964,173	55,994,117 -643,601.5	85,427,187 -116,254	87,694,762 -5,025,862	102,335,373 -1,284,564
NS2P margin ? Median	8.11% -0.62	10.27% -0.29	14.79% 0.18	15.23% -5.07	17.80% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HENRICO DOCTORS 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	33,905,666 5,089,215	40,224,398 4,572,541	33,852,887 5,268,134	35,754,019 13,092,619	42,315,660 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	33,905,666	40,224,398	33,852,887	35,754,019	42,315,660
Total income ? Median	75,310,949 6,586,430	96,218,515 6,767,106	119,280,074 8,419,950	123,448,781 8,094,175	144,651,033 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	75,310,949 6,043,842	96,218,515 5,845,112	119,280,074 7,606,259	123,448,781 7,283,041	144,651,033 14,957,241
Net margin Median	13.83355% 4.62%	16.43157% 4.42%	19.50978% 5.16%	20.18813% 5.2%	23.43813% 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 HENRICO DOCTORS 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	93,410,286 23,241,334	92,897,639 23,709,545	95,686,176 24,248,380	96,118,655 22,858,541	91,282,527 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	83,234,769 21,577,146	81,568,481 22,041,594	84,582,242 22,722,063	83,502,713 21,570,441	81,790,183 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	979,835 1,845,420	1,385,184 1,757,392	1,616,206 1,738,842	1,795,269 1,510,463	924,936 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	9,195,682 3,535,627	9,943,974 3,746,588	9,487,728 3,782,288	10,820,673 3,865,578	8,567,408 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	29,324,216 11,160,864	29,718,499 11,987,345	33,884,745 12,926,866	36,415,641 11,884,480	35,941,101 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	29,324,216 10,918,923	29,718,499 11,706,976	33,884,745 12,615,917	36,415,641 11,458,116	35,941,101 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	1,238,765 594,888	1,246,516 595,761	1,223,073 577,894	1,698,517 542,168	1,824,371 549,667
Outlier Median	7,320,301 582,572	5,746,741 538,116	5,445,110 212,434	1,342,885 126,559	1,227,468 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,784,211 3,662,910	0 3,730,911	0 4,081,319	5,062 4,643,908	264 4,389,147
Charity care Median	17,911,316 2,654,636	18,105,855 2,940,659	17,404,018 3,380,215	13,910,118 3,488,738	10,923,870 3,233,405
Uncompensated care (UCC) Median	21,266,891 5,147,790	21,107,547 5,337,617	20,212,339 5,711,082	16,450,019 5,923,418	12,887,198 5,508,107
UCC as a % of operating expenses Median	4.53% 3.24	4.31% 3.12	4.11% 3.21	3.37% 3.3	2.73% 2.86
Total shortfall/UCC Median	34,051,102 9,489,989	21,107,547 9,424,297	20,212,339 10,120,158	16,455,081 11,171,337	12,887,462 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	139,362,921 52,142,039	142,801,624 54,485,252	146,280,504 57,395,589	147,075,428 58,830,919	135,681,159 61,722,907
Salaries as a % of operating expenses Median	31.86 36.68	31.61 36.56	31.75 36.37	32.31 35.93	31.43 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	6,462,842 1,449,244	5,343,147 1,475,986	6,270,270 1,563,078	4,601,119 1,721,954	6,125,750 2,991,828
Contract hours, direct-care Median	98,339.00 22,725	87,153.00 23,018.5	101,009.00 24,503.48	86,338.50 25,026.5	98,502.00 33,786
Contract wages, direct-care Median	65.72 64.67	61.31 64.53	62.08 65.06	53.29 68.97	62.19 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.