As of the July, 2022, release via CMS

ST. MARYS HOSPITAL

CMS id: 070016
56 FRANKLIN STREET, WATERBURY CT 6706. County: NEW HAVEN
System: TRINITY HEALTH
CBSA: New Haven-Milford, CT

The 164-bed, acute-care hospital had $16,365,615 in net service to patients*, with a total profit margin of 14.80983% in fiscal year 2021, the latest year available.
It spent 3.11% of its operating expenses on uncompensated care and reported $20,480,390 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	119 118	119 118	118 119.5	119 118	119 119
Total beds Median	155 162	164 162	163 162	164 162	164 163.5
FTEs Median	1,476.44 788.06	1,485.40 793.42	1,265.34 806.03	1,129.39 787.61	1,047.45 804.34

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	274,164,231 150,932,746	309,989,375 158,950,878	308,867,669 168,696,998	283,103,461 163,454,693	317,673,819 186,589,412
Operating expenses Median	261,642,800 149,311,209	300,420,117 156,110,414	289,359,111 164,890,568	288,470,924 166,516,854	301,308,204 180,120,888
Net income from service 2 patients (NS2P) ? Median	12,521,431 -964,173	9,569,258 -643,601.5	19,508,558 -116,254	-5,367,463 -5,025,862	16,365,615 -1,284,564
NS2P margin ? Median	4.57% -0.62	3.09% -0.29	6.32% 0.18	-1.90% -5.07	5.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. MARYS 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	13,457,682 5,089,215	18,860,923 4,572,541	14,828,447 5,268,134	40,529,425 13,092,619	36,015,104 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,122,695 224,999	481,963 199,009	734,006 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	-283,787 299,524	312,010 188,688.5	2,246,299 370,813	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	251,828	38,915	-430	0	0
⊳ Line 12: Parking lot receipts	201,562	208,032	182,806	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	1,435,898	1,309,747	1,228,178	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	280,398	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	2,645	1,704	-1,000	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	184,968	173,841	166,974	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	495,518	0	482,345	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	9,765,957	16,334,711	9,789,269	40,529,425	36,015,104
Total income ? Median	25,979,113 6,586,430	28,430,181 6,767,106	34,337,005 8,419,950	35,161,962 8,094,175	52,380,719 15,162,888
Non-operating expenses Median	491,168 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	25,487,945 6,043,842	28,430,181 5,845,112	34,337,005 7,606,259	35,161,962 7,283,041	52,380,719 14,957,241
Net margin Median	8.86161% 4.62%	8.64533% 4.42%	10.60779% 5.16%	10.86477% 5.2%	14.80983% 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 ST. MARYS 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	57,776,539 23,241,334	53,868,942 23,709,545	50,078,118 24,248,380	44,064,845 22,858,541	42,331,229 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	57,251,729 21,577,146	53,301,514 22,041,594	49,463,173 22,722,063	43,530,835 21,570,441	41,850,683 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	524,810 1,845,420	567,428 1,757,392	614,945 1,738,842	534,010 1,510,463	480,546 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	25,527,631 11,160,864	24,748,887 11,987,345	24,856,178 12,926,866	21,970,288 11,884,480	23,341,623 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	25,527,631 10,918,923	24,748,887 11,706,976	24,856,178 12,615,917	21,970,288 11,458,116	23,341,623 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	8,262,808 3,284,314	7,329,738 3,250,551	6,920,272 3,386,837	6,447,136 3,360,806	6,009,139 3,508,953
Disproportionate-share hospital (DSH) Median	1,573,392 594,888	1,363,023 595,761	1,249,065 577,894	1,265,751 542,168	1,176,973 549,667
Outlier Median	639,717 582,572	1,811,569 538,116	78,942 212,434	57,100 126,559	79,058 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,991,052 3,662,910	19,047,512 3,730,911	15,653,214 4,081,319	35,988,637 4,643,908	20,480,390 4,389,147
Charity care Median	4,088,076 2,654,636	5,352,782 2,940,659	4,381,773 3,380,215	5,121,384 3,488,738	6,205,943 3,233,405
Uncompensated care (UCC) Median	6,167,216 5,147,790	8,053,775 5,337,617	7,247,833 5,711,082	6,052,954 5,923,418	9,360,923 5,508,107
UCC as a % of operating expenses Median	2.36% 3.24	2.68% 3.12	2.50% 3.21	2.10% 3.3	3.11% 2.86
Total shortfall/UCC Median	28,158,268 9,489,989	27,101,287 9,424,297	22,901,047 10,120,158	42,041,591 11,171,337	29,841,313 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	98,418,039 52,142,039	96,953,632 54,485,252	85,962,258 57,395,589	80,030,132 58,830,919	81,835,134 61,722,907
Salaries as a % of operating expenses Median	38.60 36.68	33.01 36.56	29.71 36.37	27.74 35.93	27.16 35.24
Intern, resident salaries* Median	3,469,391 2,598,592	3,467,134 2,686,824	3,495,044 2,753,773	3,559,736 2,937,156	3,665,594 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	54,045 1,449,244	56,225 1,475,986	283,123 1,563,078	619,385 1,721,954	791,864 2,991,828
Contract hours, direct-care Median	1,050.00 22,725	1,067.50 23,018.5	4,433.73 24,503.48	7,679.00 25,026.5	9,818.72 33,786
Contract wages, direct-care Median	51.47 64.67	52.67 64.53	63.86 65.06	80.66 68.97	80.65 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.