As of the July, 2022, release via CMS

CHARLESTON AREA MEDICAL CENTER INC.

CMS id: 510022
501 MORRIS STREET, CHARLESTON WV 25326. County: KANAWHA
System: --
CBSA: Charleston, WV

The 855-bed, acute-care hospital had $-69,244,554 in net service to patients*, with a total profit margin of 4.32596% in fiscal year 2021, the latest year available.
It spent 2.41% of its operating expenses on uncompensated care and reported $33,452,992 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	661 118	661 118	645 119.5	641 118	654 119
Total beds Median	868 162	864 162	846 162	842 162	855 163.5
FTEs Median	6,411.88 788.06	6,457.32 793.42	6,514.52 806.03	6,259.40 787.61	6,518.50 804.34

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	1,013,319,000 150,932,746	1,067,181,000 158,950,878	1,150,234,000 168,696,998	1,066,655,000 163,454,693	1,257,464,000 186,589,412
Operating expenses Median	1,098,877,000 149,311,209	1,104,030,000 156,110,414	1,194,413,107 164,890,568	1,203,150,108 166,516,854	1,326,708,554 180,120,888
Net income from service 2 patients (NS2P) ? Median	-85,558,000 -964,173	-36,849,000 -643,601.5	-44,179,107 -116,254	-136,495,108 -5,025,862	-69,244,554 -1,284,564
NS2P margin ? Median	-8.44% -0.62	-3.45% -0.29	-3.84% 0.18	-12.80% -5.07	-5.51% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CHARLESTON AREA MEDICAL CENTER INC. 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	68,300,000 5,089,215	50,862,000 4,572,541	103,282,000 5,268,134	172,654,000 13,092,619	129,232,554 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	3,649,313 249,496
⊳ Line 7: Investments ? ⊳ Median	4,612,000 299,524	-6,316,000 188,688.5	32,478,000 370,813	19,384,000 309,361.5	17,422,000 375,329
⊳ 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	1,733,110	2,111,708	1,184,951	1,420,296
⊳ Line 13: Revenue from laundry and linen service	0	1,195,758	1,076,827	942,380	944,874
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	7,040,880	7,496,784	4,828,536	5,413,084
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	5,444,749	4,473,178	4,583,243	4,724,195
⊳ Line 17: Revenue from sale of drugs to other than patients	0	29,497,699	43,742,607	51,883,126	62,329,223
⊳ 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	250,096	250,000	194,565	121,504
⊳ Line 22: Rental of hospital space	0	5,546,785	3,258,569	0	3,618,579
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	74,189,000 1,987,202	0 1,597,664
⊳ Sum Line 24	63,688,000	6,468,923	8,394,327	15,464,199	29,589,486
Total income ? Median	-17,258,000 6,586,430	14,013,000 6,767,106	59,102,893 8,419,950	36,158,892 8,094,175	59,988,000 15,162,888
Non-operating expenses Median	-5,727,000 146,289.5	-111,000 164,857	128,000 89,880.5	109,000 106,761	0 31,473.5
Net income Median	-11,531,000 6,043,842	14,124,000 5,845,112	58,974,893 7,606,259	36,049,892 7,283,041	59,988,000 14,957,241
Net margin Median	-1.06609% 4.62%	1.26328% 4.42%	4.70476% 5.16%	2.90887% 5.2%	4.32596% 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 CHARLESTON AREA MEDICAL CENTER INC. 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	182,425,765 23,241,334	188,570,941 23,709,545	182,471,396 24,248,380	164,487,223 22,858,541	153,066,434 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	177,205,619 21,577,146	183,140,657 22,041,594	176,471,431 22,722,063	159,399,110 21,570,441	149,378,333 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	1,013,320 1,845,420	977,780 1,757,392	1,062,051 1,738,842	805,521 1,510,463	565,828 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,206,826 3,535,627	4,452,504 3,746,588	4,937,914 3,782,288	4,282,592 3,865,578	3,122,273 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	70,606,544 11,160,864	82,090,079 11,987,345	80,337,281 12,926,866	68,895,060 11,884,480	72,998,775 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	70,606,544 10,918,923	82,090,079 11,706,976	80,337,281 12,615,917	68,895,060 11,458,116	72,998,775 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	17,616,242 3,284,314	17,850,079 3,250,551	17,872,269 3,386,837	17,044,025 3,360,806	15,915,887 3,508,953
Disproportionate-share hospital (DSH) Median	6,570,190 594,888	6,150,800 595,761	5,628,001 577,894	5,142,570 542,168	4,787,361 549,667
Outlier Median	9,256,749 582,572	7,666,563 538,116	1,663,984 212,434	729,411 126,559	1,728,806 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	44,841,508 3,662,910	33,112,946 3,730,911	51,023,104 4,081,319	38,844,385 4,643,908	33,452,992 4,389,147
Charity care Median	21,335,698 2,654,636	20,349,915 2,940,659	22,703,915 3,380,215	30,860,863 3,488,738	19,582,287 3,233,405
Uncompensated care (UCC) Median	27,980,048 5,147,790	32,039,446 5,337,617	36,331,832 5,711,082	40,989,193 5,923,418	31,992,424 5,508,107
UCC as a % of operating expenses Median	2.55% 3.24	2.90% 3.12	3.04% 3.21	3.41% 3.3	2.41% 2.86
Total shortfall/UCC Median	72,821,556 9,489,989	65,152,392 9,424,297	87,354,936 10,120,158	79,833,578 11,171,337	65,445,416 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	426,033,963 52,142,039	448,130,357 54,485,252	470,392,615 57,395,589	481,341,085 58,830,919	518,992,670 61,722,907
Salaries as a % of operating expenses Median	38.46 36.68	40.39 36.56	39.57 36.37	40.01 35.93	38.94 35.24
Intern, resident salaries* Median	11,852,799 2,598,592	12,273,421 2,686,824	12,750,220 2,753,773	13,517,532 2,937,156	13,782,446 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	22,834,039 1,449,244	20,666,208 1,475,986	22,147,630 1,563,078	18,745,051 1,721,954	15,072,616 2,991,828
Contract hours, direct-care Median	330,755.28 22,725	318,853.66 23,018.5	331,218.00 24,503.48	271,460.08 25,026.5	192,911.00 33,786
Contract wages, direct-care Median	69.04 64.67	64.81 64.53	66.87 65.06	69.05 68.97	78.13 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.