As of the July, 2022, release via CMS

YALE-NEW HAVEN HOSPITAL

CMS id: 070022
20 YORK STREET, NEW HAVEN CT 6504. County: NEW HAVEN
System: YALE NEW HAVEN HEALTH SERVICES CORP
CBSA: New Haven-Milford, CT

The 1,567-bed, acute-care hospital had $-365,301,987 in net service to patients*, with a total profit margin of 11.67900% in fiscal year 2021, the latest year available.
It spent 1.35% of its operating expenses on uncompensated care and reported $188,206,934 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	1,031 118	1,020 118	1,024 119.5	1,040 118	1040 119
Total beds Median	1,540 162	1,540 162	1,549 162	1,567 162	1,567 163.5
FTEs Median	11,015.79 788.06	11,355.74 793.42	11,812.00 806.03	12,262.96 787.61	12,881.00 804.34

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	2,515,260,802 150,932,746	2,749,659,018 158,950,878	2,989,374,104 168,696,998	2,923,045,981 163,454,693	3,238,519,875 186,589,412
Operating expenses Median	2,645,266,672 149,311,209	2,779,143,806 156,110,414	3,020,793,537 164,890,568	3,384,585,956 166,516,854	3,603,821,862 180,120,888
Net income from service 2 patients (NS2P) ? Median	-130,005,870 -964,173	-29,484,788 -643,601.5	-31,419,433 -116,254	-461,539,975 -5,025,862	-365,301,987 -1,284,564
NS2P margin ? Median	-5.17% -0.62	-1.07% -0.29	-1.05% 0.18	-15.79% -5.07	-11.28% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for YALE-NEW HAVEN 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	364,169,739 5,089,215	275,986,789 4,572,541	197,678,978 5,268,134	510,608,081 13,092,619	841,848,002 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	26,180,187 224,999	35,815,314 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	150,338,894 299,524	107,533,000 188,688.5	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	657,398	615,153	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	8,905,044	8,410,184	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	5,930,110	2,901,887	0	0	0
⊳ Line 15: Revenue from rental of living quarters	651,517	649,710	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	63,239,924	77,153,536	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.)	831,090	795,863	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	202,641	193,659	0	0	0
⊳ Line 21: Rental of vending machines	36,743	-4,057	0	0	0
⊳ Line 22: Rental of hospital space	2,860,252	2,781,352	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	104,335,939	39,141,188	197,678,978	510,608,081	841,848,002
Total income ? Median	234,163,869 6,586,430	246,502,001 6,767,106	166,259,545 8,419,950	49,068,106 8,094,175	476,546,015 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	234,163,869 6,043,842	246,502,001 5,845,112	166,259,545 7,606,259	49,068,106 7,283,041	476,546,015 14,957,241
Net margin Median	8.13230% 4.62%	8.14709% 4.42%	5.21672% 5.16%	1.42903% 5.2%	11.67900% 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 YALE-NEW HAVEN 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	442,809,770 23,241,334	434,377,846 23,709,545	435,383,775 24,248,380	426,713,713 22,858,541	419,742,311 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	419,759,542 21,577,146	413,015,315 22,041,594	415,074,079 22,722,063	410,351,982 21,570,441	406,550,697 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	11,012,381 1,845,420	7,603,973 1,757,392	9,609,682 1,738,842	8,266,497 1,510,463	6,748,947 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	6,686,379 3,535,627	9,232,113 3,746,588	7,086,702 3,782,288	4,883,459 3,865,578	4,844,371 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	5,351,468 1,203,033	4,526,445 1,215,295	3,613,312 1,313,657	3,211,775 1,365,298	1,598,296 1,179,746
All outpatient revenue Median Click here to show/hide details	227,525,723 11,160,864	219,612,210 11,987,345	227,061,454 12,926,866	193,890,110 11,884,480	208,059,894 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	227,525,723 10,918,923	219,612,210 11,706,976	227,061,454 12,615,917	193,890,110 11,458,116	208,059,894 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	84,970,352 3,284,314	85,658,694 3,250,551	88,976,994 3,386,837	87,836,256 3,360,806	87,009,999 3,508,953
Disproportionate-share hospital (DSH) Median	10,654,974 594,888	9,574,467 595,761	9,542,696 577,894	9,596,058 542,168	9,388,484 549,667
Outlier Median	24,432,638 582,572	25,840,169 538,116	4,059,121 212,434	1,985,997 126,559	1,394,667 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	114,444,860 3,662,910	279,059,975 3,730,911	205,495,818 4,081,319	270,063,553 4,643,908	188,206,934 4,389,147
Charity care Median	21,818,673 2,654,636	31,389,450 2,940,659	32,775,333 3,380,215	51,059,568 3,488,738	35,778,892 3,233,405
Uncompensated care (UCC) Median	31,453,802 5,147,790	39,251,812 5,337,617	49,344,416 5,711,082	64,934,786 5,923,418	48,507,650 5,508,107
UCC as a % of operating expenses Median	1.19% 3.24	1.41% 3.12	1.63% 3.21	1.92% 3.3	1.35% 2.86
Total shortfall/UCC Median	145,898,662 9,489,989	318,311,787 9,424,297	254,840,234 10,120,158	334,998,339 11,171,337	236,714,584 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	913,353,327 52,142,039	955,103,712 54,485,252	1,020,316,071 57,395,589	1,169,476,830 58,830,919	1,171,748,114 61,722,907
Salaries as a % of operating expenses Median	34.53 36.68	34.37 36.56	33.78 36.37	34.55 35.93	32.51 35.24
Intern, resident salaries* Median	70,795,818 2,598,592	74,175,063 2,686,824	80,140,065 2,753,773	87,075,661 2,937,156	90,772,382 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	20,825,074 1,449,244	15,446,587 1,475,986	23,880,386 1,563,078	26,343,252 1,721,954	37,584,610 2,991,828
Contract hours, direct-care Median	187,762.00 22,725	183,075.21 23,018.5	347,667.00 24,503.48	550,085.00 25,026.5	300,926.00 33,786
Contract wages, direct-care Median	110.91 64.67	84.37 64.53	68.69 65.06	47.89 68.97	124.90 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.