As of the July, 2022, release via CMS

SAINT FRANCIS HOSPITAL

CMS id: 070002
114 WOODLAND STREET, HARTFORD CT 6105. County: HARTFORD
System: TRINITY HEALTH
CBSA: Hartford-East Hartford-Middletown, CT

The 466-bed, acute-care hospital had $25,719,969 in net service to patients*, with a total profit margin of 15.23901% in fiscal year 2021, the latest year available.
It spent 2.13% of its operating expenses on uncompensated care and reported $57,373,650 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	448 118	425 118	404 119.5	344 118	324 119
Total beds Median	595 162	572 162	552 162	492 162	466 163.5
FTEs Median	3,440.37 788.06	3,544.00 793.42	2,991.81 806.03	2,622.53 787.61	1,815.06 804.34

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	769,457,175 150,932,746	871,474,435 158,950,878	922,792,206 168,696,998	827,021,088 163,454,693	872,614,837 186,589,412
Operating expenses Median	775,070,291 149,311,209	859,515,966 156,110,414	844,429,636 164,890,568	834,226,364 166,516,854	846,894,868 180,120,888
Net income from service 2 patients (NS2P) ? Median	-5,613,116 -964,173	11,958,469 -643,601.5	78,362,570 -116,254	-7,205,276 -5,025,862	25,719,969 -1,284,564
NS2P margin ? Median	-0.73% -0.62	1.37% -0.29	8.49% 0.18	-0.87% -5.07	2.95% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT FRANCIS 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	57,837,508 5,089,215	78,388,634 4,572,541	38,015,528 5,268,134	121,342,534 13,092,619	126,541,558 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	72,894 249,496
⊳ 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	1,037,709
⊳ 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	1,759,374
⊳ 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	57,837,508	78,388,634	38,015,528	121,342,534	123,671,581
Total income ? Median	52,224,392 6,586,430	90,347,103 6,767,106	116,378,098 8,419,950	114,137,258 8,094,175	152,261,527 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	237,000 89,880.5	0 106,761	0 31,473.5
Net income Median	52,224,392 6,043,842	90,347,103 5,845,112	116,141,098 7,606,259	114,137,258 7,283,041	152,261,527 14,957,241
Net margin Median	6.31267% 4.62%	9.51159% 4.42%	12.08786% 5.16%	12.03518% 5.2%	15.23901% 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 SAINT FRANCIS 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	161,804,574 23,241,334	145,830,581 23,709,545	143,660,728 24,248,380	118,896,793 22,858,541	113,598,472 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	159,413,532 21,577,146	143,431,774 22,041,594	141,065,786 22,722,063	116,519,972 21,570,441	111,505,274 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	2,391,042 1,845,420	2,398,807 1,757,392	2,594,942 1,738,842	2,376,821 1,510,463	2,093,198 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	53,675,465 11,160,864	50,848,370 11,987,345	47,831,379 12,926,866	45,940,182 11,884,480	46,872,224 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	53,675,465 10,918,923	50,848,370 11,706,976	47,831,379 12,615,917	45,940,182 11,458,116	46,872,224 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	25,053,436 3,284,314	23,113,394 3,250,551	22,929,797 3,386,837	19,669,195 3,360,806	18,745,916 3,508,953
Disproportionate-share hospital (DSH) Median	3,554,403 594,888	2,875,516 595,761	3,149,649 577,894	2,705,839 542,168	2,792,509 549,667
Outlier Median	6,010,446 582,572	5,036,543 538,116	527,008 212,434	581,908 126,559	467,329 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	68,686,227 3,662,910	54,731,191 3,730,911	47,026,930 4,081,319	89,039,942 4,643,908	57,373,650 4,389,147
Charity care Median	7,624,451 2,654,636	7,970,163 2,940,659	8,895,169 3,380,215	9,548,716 3,488,738	12,255,682 3,233,405
Uncompensated care (UCC) Median	11,766,225 5,147,790	13,036,392 5,337,617	13,672,034 5,711,082	11,612,058 5,923,418	18,028,409 5,508,107
UCC as a % of operating expenses Median	1.52% 3.24	1.52% 3.12	1.62% 3.21	1.39% 3.3	2.13% 2.86
Total shortfall/UCC Median	80,452,452 9,489,989	67,767,583 9,424,297	60,698,964 10,120,158	100,652,000 11,171,337	75,402,059 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	245,405,457 52,142,039	249,079,675 54,485,252	221,921,724 57,395,589	201,780,299 58,830,919	203,963,375 61,722,907
Salaries as a % of operating expenses Median	31.66 36.68	28.98 36.56	26.28 36.37	24.19 35.93	24.08 35.24
Intern, resident salaries* Median	1,685,714 2,598,592	1,677,323 2,686,824	1,789,453 2,753,773	1,765,456 2,937,156	1,690,260 2,909,848
Contract intern, resident salaries* Median	10,510,763 1,251,927	10,585,781 1,186,494	10,175,685 1,204,885	9,879,228 1,279,653	12,247,913 1,469,317
Contract adjusted salaries, direct-care Median	17,177,556 1,449,244	19,773,640 1,475,986	18,206,366 1,563,078	14,560,485 1,721,954	0 2,991,828
Contract hours, direct-care Median	412,441.00 22,725	436,740.00 23,018.5	402,243.00 24,503.48	308,551.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	41.65 64.67	45.28 64.53	45.26 65.06	47.19 68.97	0.00 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.