As of the July, 2022, release via CMS

HARTFORD HOSPITAL

CMS id: 070025
80 SEYMOUR STREET, HARTFORD CT 6102. County: HARTFORD
System: HARTFORD HEALTHCARE
CBSA: Hartford-East Hartford-Middletown, CT

The 927-bed, acute-care hospital had $-208,161,181 in net service to patients*, with a total profit margin of 10.32428% in fiscal year 2021, the latest year available.
It spent 1.26% of its operating expenses on uncompensated care and reported $0 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	635 118	645 118	615 119.5	605 118	613 119
Total beds Median	931 162	938 162	937 162	927 162	927 163.5
FTEs Median	5,849.00 788.06	6,325.00 793.42	6,444.00 806.03	6,758.20 787.61	6,909.25 804.34

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	1,122,621,147 150,932,746	1,230,702,224 158,950,878	1,411,929,830 168,696,998	1,424,704,008 163,454,693	1,616,182,843 186,589,412
Operating expenses Median	1,209,666,652 149,311,209	1,366,295,291 156,110,414	1,491,386,583 164,890,568	1,691,021,596 166,516,854	1,824,344,024 180,120,888
Net income from service 2 patients (NS2P) ? Median	-87,045,505 -964,173	-135,593,067 -643,601.5	-79,456,753 -116,254	-266,317,588 -5,025,862	-208,161,181 -1,284,564
NS2P margin ? Median	-7.75% -0.62	-11.02% -0.29	-5.63% 0.18	-18.69% -5.07	-12.88% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HARTFORD 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	184,038,976 5,089,215	198,732,747 4,572,541	163,275,892 5,268,134	302,683,492 13,092,619	418,196,149 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	51,341,850 224,999	2,645,470 199,009	2,267,944 206,870.5	2,272,516 194,343	1,233,688 249,496
⊳ Line 7: Investments ? ⊳ Median	70,238,341 299,524	18,413,246 188,688.5	18,913,486 370,813	8,622,884 309,361.5	13,047,735 375,329
⊳ 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	560,998	851,917	868,499	514,096	403,508
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,264,441	3,951,774	4,720,852	4,090,656	3,845,066
⊳ 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	8,128,558	8,834,708	8,030,941	8,432,293
⊳ 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	3,090,171	2,981,698	3,379,939	3,292,813	3,343,364
⊳ Line 23: Gov appropriations ? ⊳ Median	13,211,725 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	42,331,450	161,760,084	124,290,464	275,859,586	387,890,495
Total income ? Median	96,993,471 6,586,430	63,139,680 6,767,106	83,819,139 8,419,950	36,365,904 8,094,175	210,034,968 15,162,888
Non-operating expenses Median	196 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	96,993,275 6,043,842	63,139,680 5,845,112	83,819,139 7,606,259	36,365,904 7,283,041	210,034,968 14,957,241
Net margin Median	7.42299% 4.62%	4.41711% 4.42%	5.32116% 5.16%	2.10525% 5.2%	10.32428% 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 HARTFORD 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	249,072,696 23,241,334	238,861,516 23,709,545	252,278,413 24,248,380	238,255,833 22,858,541	250,873,888 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	238,454,247 21,577,146	229,028,830 22,041,594	238,464,729 22,722,063	224,227,208 21,570,441	236,536,818 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	7,561,169 1,845,420	7,100,143 1,757,392	6,453,634 1,738,842	6,184,364 1,510,463	5,988,944 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	4,905,344 3,782,288	5,202,166 3,865,578	5,196,998 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	3,057,280 1,203,033	2,732,543 1,215,295	2,454,706 1,313,657	2,642,095 1,365,298	3,151,128 1,179,746
All outpatient revenue Median Click here to show/hide details	65,530,445 11,160,864	65,774,683 11,987,345	66,509,178 12,926,866	63,776,782 11,884,480	73,290,764 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	65,530,445 10,918,923	65,774,683 11,706,976	66,509,178 12,615,917	63,776,782 11,458,116	73,290,764 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	38,436,577 3,284,314	36,822,391 3,250,551	37,434,095 3,386,837	37,055,983 3,360,806	37,561,786 3,508,953
Disproportionate-share hospital (DSH) Median	5,376,313 594,888	4,783,845 595,761	5,077,042 577,894	5,258,648 542,168	4,670,483 549,667
Outlier Median	6,967,328 582,572	5,608,728 538,116	1,402,737 212,434	1,409,495 126,559	1,866,112 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	25,480,800 3,662,910	0 3,730,911	0 4,081,319	4,701,710 4,643,908	0 4,389,147
Charity care Median	17,817,559 2,654,636	21,088,668 2,940,659	14,907,124 3,380,215	15,413,625 3,488,738	16,331,250 3,233,405
Uncompensated care (UCC) Median	20,715,106 5,147,790	24,682,120 5,337,617	23,321,497 5,711,082	23,244,568 5,923,418	23,007,400 5,508,107
UCC as a % of operating expenses Median	1.71% 3.24	1.81% 3.12	1.56% 3.21	1.37% 3.3	1.26% 2.86
Total shortfall/UCC Median	46,195,906 9,489,989	24,682,120 9,424,297	23,321,497 10,120,158	27,946,278 11,171,337	23,007,400 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	452,632,093 52,142,039	477,082,551 54,485,252	521,299,874 57,395,589	559,431,332 58,830,919	602,603,484 61,722,907
Salaries as a % of operating expenses Median	37.42 36.68	34.92 36.56	34.95 36.37	33.08 35.93	33.03 35.24
Intern, resident salaries* Median	6,339,572 2,598,592	5,750,376 2,686,824	6,225,092 2,753,773	6,042,265 2,937,156	6,426,072 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	21,712,240 1,469,317
Contract adjusted salaries, direct-care Median	3,657,195 1,449,244	6,279,891 1,475,986	7,652,729 1,563,078	11,428,101 1,721,954	29,888,746 2,991,828
Contract hours, direct-care Median	43,692.00 22,725	78,426.00 23,018.5	96,356.00 24,503.48	122,010.00 25,026.5	542,132.00 33,786
Contract wages, direct-care Median	83.70 64.67	80.07 64.53	79.42 65.06	93.67 68.97	55.13 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.