As of the July, 2022, release via CMS

ST. VINCENTS MEDICAL CENTER

CMS id: 070028
2800 MAIN STREET, BRIDGEPORT CT 6606. County: FAIRFIELD
System: HARTFORD HEALTHCARE
CBSA: Bridgeport-Stamford-Norwalk, CT

The 302-bed, acute-care hospital had $-54,849,864 in net service to patients*, with a total profit margin of -4.59021% in fiscal year 2021, the latest year available.
It spent 2.81% of its operating expenses on uncompensated care and reported $31,788,203 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	193 118	186 118	177 119.5	184 118	186 119
Total beds Median	334 162	298 162	293 162	300 162	302 163.5
FTEs Median	2,315.00 788.06	3,125.00 793.42	2,084.50 806.03	1,874.37 787.61	1,748.16 804.34

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	393,950,636 150,932,746	417,109,756 158,950,878	394,262,631 168,696,998	338,209,114 163,454,693	433,004,863 186,589,412
Operating expenses Median	412,031,354 149,311,209	411,166,073 156,110,414	383,189,875 164,890,568	404,230,288 166,516,854	487,854,727 180,120,888
Net income from service 2 patients (NS2P) ? Median	-18,080,718 -964,173	5,943,683 -643,601.5	11,072,756 -116,254	-66,021,174 -5,025,862	-54,849,864 -1,284,564
NS2P margin ? Median	-4.59% -0.62	1.42% -0.29	2.81% 0.18	-19.52% -5.07	-12.67% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. VINCENTS MEDICAL CENTER 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	27,729,845 5,089,215	19,149,472 4,572,541	18,862,049 5,268,134	53,314,168 13,092,619	33,439,119 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	1,969,373 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	707,785 299,524	272,623 188,688.5	1,363,053 370,813	0 309,361.5	4,525 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	18,746	19,--27	19,--97	18,683	--
⊳ 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	476,360	468,188	462,018	301,572	150,300
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,656,607	1,590,182	1,438,144	1,169,379	1,176,461
⊳ 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	3,561	1,661	2,472	850	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	7,991,777	4,400,228	8,094	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	49,894	168,923	0
⊳ Line 21: Rental of vending machines	26	65	15,729	53,657	5,777
⊳ Line 22: Rental of hospital space	971,272	1,522,390	2,527,250	0	1,215,199
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	1,969,622 1,987,202	1,912,735 1,597,664
⊳ Sum Line 24	15,900,871	8,903,286	12,974,405	49,629,260	28,974,122
Total income ? Median	9,649,127 6,586,430	25,093,155 6,767,106	29,934,805 8,419,950	-12,707,006 8,094,175	-21,410,745 15,162,888
Non-operating expenses Median	650,176 146,289.5	739,400 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	8,998,951 6,043,842	24,353,755 5,845,112	29,934,805 7,606,259	-12,707,006 7,283,041	-21,410,745 14,957,241
Net margin Median	2.13407% 4.62%	5.58240% 4.42%	7.24595% 5.16%	-3.24553% 5.2%	-4.59021% 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. VINCENTS MEDICAL CENTER 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	83,622,393 23,241,334	74,472,840 23,709,545	70,460,018 24,248,380	67,350,512 22,858,541	73,375,037 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	75,203,518 21,577,146	66,733,884 22,041,594	63,085,776 22,722,063	60,901,117 21,570,441	66,796,184 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	5,406,423 1,845,420	4,906,146 1,757,392	4,595,790 1,738,842	4,036,478 1,510,463	3,550,149 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,012,452 3,535,627	2,832,810 3,746,588	2,778,452 3,782,288	2,412,917 3,865,578	3,028,704 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	29,653,810 11,160,864	28,766,605 11,987,345	26,073,823 12,926,866	20,381,235 11,884,480	28,366,236 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	29,653,810 10,918,923	28,766,605 11,706,976	26,073,823 12,615,917	20,381,235 11,458,116	28,366,236 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	8,514,679 3,284,314	8,176,574 3,250,551	8,307,250 3,386,837	7,946,899 3,360,806	7,951,812 3,508,953
Disproportionate-share hospital (DSH) Median	1,410,226 594,888	1,411,188 595,761	1,369,677 577,894	961,653 542,168	1,238,435 549,667
Outlier Median	2,286,297 582,572	1,741,626 538,116	584,826 212,434	612,936 126,559	791,850 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,447,401 3,662,910	22,417,371 3,730,911	22,790,562 4,081,319	22,730,064 4,643,908	31,788,203 4,389,147
Charity care Median	12,100,069 2,654,636	10,062,354 2,940,659	9,159,109 3,380,215	8,519,692 3,488,738	7,797,847 3,233,405
Uncompensated care (UCC) Median	17,417,507 5,147,790	16,665,333 5,337,617	16,393,572 5,711,082	16,580,927 5,923,418	13,701,787 5,508,107
UCC as a % of operating expenses Median	4.23% 3.24	4.05% 3.12	4.28% 3.21	4.10% 3.3	2.81% 2.86
Total shortfall/UCC Median	22,864,908 9,489,989	39,082,704 9,424,297	39,184,134 10,120,158	39,310,991 11,171,337	45,489,990 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	130,659,299 52,142,039	124,464,979 54,485,252	120,184,446 57,395,589	133,616,705 58,830,919	139,737,302 61,722,907
Salaries as a % of operating expenses Median	30.36 36.68	30.20 36.56	31.36 36.37	33.05 35.93	28.64 35.24
Intern, resident salaries* Median	2,884,759 2,598,592	2,761,657 2,686,824	2,769,504 2,753,773	2,976,225 2,937,156	3,106,796 2,909,848
Contract intern, resident salaries* Median	690,540 1,251,927	400,951 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	730,542 1,449,244	1,314,667 1,475,986	1,471,101 1,563,078	1,872,924 1,721,954	5,339,698 2,991,828
Contract hours, direct-care Median	7,797.00 22,725	17,061.00 23,018.5	20,811.00 24,503.48	23,747.00 25,026.5	56,229.00 33,786
Contract wages, direct-care Median	93.70 64.67	77.06 64.53	70.69 65.06	78.87 68.97	94.96 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.