Velarion Records

Short-term acute care hospital · Cleveland, Ohio · 501 beds · CMS certification number 360059

The Metrohealth System

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 23, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$1.5B
$1,516,818,640 · G-3 line 3
Operating expenses
$2.1B
$2,131,170,007 · G-3 line 4
Result from patient care
−$614.4M
−$614,351,367 · G-3 line 5
Margin on patient care
−40.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $253.7M in its first year on file (1996) to $1.5B in 2025.
  • Its result from patient care: −$567.6M (2023), −$659.6M (2024), −$614.4M (2025).
  • 2 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 6.2% of its inpatient days and Medicare for 12.5%.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
reopened
$253.7M
$337.9M
1997
reopened
$266.0M
$320.0M
1998
reopened
$280.3M
$340.0M
1999
reopened
$361.2M
$432.6M
2000
reopened
$369.7M
$455.1M
2001
reopened
$402.0M
$473.2M
2002
reopened
$414.4M
$497.3M
2003
settled with audit
$418.0M
$514.0M
2004
reopened
$487.4M
$545.9M
2005
reopened
$512.6M
$569.7M
2006
reopened
$543.2M
$603.7M
2007
reopened
$550.6M
$634.4M
2008
reopened
$605.9M
$665.0M
2009
reopened
$632.1M
$667.8M
2010
reopened
$671.3M
$727.7M
2011
reopened
$660.1M
$736.7M
2012
reopened
$662.2M
$747.4M
2013
reopened
$732.6M
$821.9M
2014
reopened
$782.3M
$855.6M
2015
reopened
$795.6M
$890.0M
2016
reopened
$883.9M
$1.0B
2017
reopened
$953.1M
$1.2B
2018
reopened
$1.0B
$1.2B
2019
reopened
$1.1B
$1.4B
2020
reopened
$1.1B
$1.4B
2021
settled
$1.2B
$1.5B
2022
settled with audit
$1.2B
$1.6B
2023
amended
$1.3B
$1.8B
2024
amended
$1.4B
$2.0B
2025
as submitted
$1.5B
$2.1B

Beside its peers

Short-term acute care hospitals in Ohio with 400 and over beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
The Metrohealth System501$1,516,818,640$2,131,170,007−40.5%
Fairview Hospital, Cleveland475$782,136,479$624,370,87120.2%
Grant Medical Center, Columbus551$1,407,285,725$1,294,110,5048.0%
Hillcrest Hospital, Mayfield Heights482$774,243,072$685,083,74211.5%
Mercy Health St. Vincent Medical Center, Toledo538$1,071,759,439$1,109,992,574−3.6%
Mount Carmel East, Columbus523$789,292,952$860,748,226−9.0%

Patients and payers

Discharges
23,249
S-3 line 14, col 15
Inpatient days
118,419
S-3 line 14, col 8
Beds in use, on an average day
325.3
days ÷ days in year
Occupancy
64.8%
days ÷ bed days
Medicare share of days
12.5%
S-3 cols 6 ÷ 8
Medicaid share of days
6.2%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: governmental, other.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 360059. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 23, 2026.