As of the July, 2022, release via CMS

THE GRIFFIN HOSPITAL

CMS id: 070031
130 DIVISION STREET, DERBY CT 6418. County: NEW HAVEN
System: --
CBSA: New Haven-Milford, CT

The 119-bed, acute-care hospital had $-35,620,915 in net service to patients*, with a total profit margin of 10.18255% in fiscal year 2021, the latest year available.
It spent 0.70% of its operating expenses on uncompensated care and reported $11,172,660 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	gov	gov	gov	gov	gov
Acute beds Median	87 118	87 118	87 119.5	87 118	87 119
Total beds Median	119 162	119 162	119 162	119 162	119 163.5
FTEs Median	1,011.97 788.06	1,035.02 793.42	1,068.71 806.03	1,069.85 787.61	1,158.25 804.34

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	178,017,197 150,932,746	177,311,428 158,950,878	182,503,541 168,696,998	168,971,292 163,454,693	203,080,656 186,589,412
Operating expenses Median	162,389,865 149,311,209	178,697,297 156,110,414	189,138,091 164,890,568	190,894,528 166,516,854	238,701,571 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,627,332 -964,173	-1,385,869 -643,601.5	-6,634,550 -116,254	-21,923,236 -5,025,862	-35,620,915 -1,284,564
NS2P margin ? Median	8.78% -0.62	-0.78% -0.29	-3.64% 0.18	-12.97% -5.07	-17.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE GRIFFIN 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	-386,561 5,089,215	20,592,595 4,572,541	13,786,193 5,268,134	34,992,728 13,092,619	62,682,358 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ 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	555,971	365,851	935,003	688,412
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	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	1,002,357	1,043,457	1,118,253	984,927	1,015,745
⊳ 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	46,565	46,034	36,364	35,281	34,380
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	420,493	290,638	277,450	277,450
⊳ 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	326,282	327,683	328,234	476,178	272,858
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	9,787,658 1,173,286	13,240,929 1,987,202	9,896,258 1,597,664
⊳ Sum Line 24	-1,761,765	18,198,957	1,859,195	19,042,960	50,497,255
Total income ? Median	15,240,771 6,586,430	19,206,726 6,767,106	7,151,643 8,419,950	13,069,492 8,094,175	27,061,443 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	15,240,771 6,043,842	19,206,726 5,845,112	7,151,643 7,606,259	13,069,492 7,283,041	27,061,443 14,957,241
Net margin Median	8.58004% 4.62%	9.70507% 4.42%	3.64341% 5.16%	6.40774% 5.2%	10.18255% 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 THE GRIFFIN 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	30,321,917 23,241,334	29,300,979 23,709,545	26,644,183 24,248,380	24,804,284 22,858,541	26,859,918 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	29,123,795 21,577,146	28,393,380 22,041,594	25,625,078 22,722,063	24,050,822 21,570,441	26,300,968 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	1,198,122 1,845,420	907,599 1,757,392	1,019,105 1,738,842	753,462 1,510,463	558,950 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	14,122,759 11,160,864	14,852,257 11,987,345	13,285,046 12,926,866	11,277,464 11,884,480	15,506,517 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	14,122,759 10,918,923	14,852,257 11,706,976	13,285,046 12,615,917	11,277,464 11,458,116	15,506,517 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	4,461,974 3,284,314	4,315,932 3,250,551	4,247,924 3,386,837	3,863,416 3,360,806	4,206,475 3,508,953
Disproportionate-share hospital (DSH) Median	317,901 594,888	316,053 595,761	371,982 577,894	334,254 542,168	385,459 549,667
Outlier Median	500,896 582,572	406,950 538,116	47,960 212,434	16,245 126,559	13,420 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,355,918 3,662,910	7,659,314 3,730,911	11,191,288 4,081,319	8,549,897 4,643,908	11,172,660 4,389,147
Charity care Median	941,587 2,654,636	1,174,336 2,940,659	1,440,823 3,380,215	1,276,940 3,488,738	1,399,259 3,233,405
Uncompensated care (UCC) Median	1,372,966 5,147,790	1,310,682 5,337,617	1,785,063 5,711,082	1,672,563 5,923,418	1,673,082 5,508,107
UCC as a % of operating expenses Median	0.85% 3.24	0.73% 3.12	0.94% 3.21	0.88% 3.3	0.70% 2.86
Total shortfall/UCC Median	8,728,884 9,489,989	8,969,996 9,424,297	12,976,351 10,120,158	10,222,460 11,171,337	12,845,742 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	65,812,450 52,142,039	68,656,606 54,485,252	72,310,468 57,395,589	74,604,781 58,830,919	94,819,008 61,722,907
Salaries as a % of operating expenses Median	40.53 36.68	38.42 36.56	38.23 36.37	39.08 35.93	39.72 35.24
Intern, resident salaries* Median	2,286,279 2,598,592	2,380,938 2,686,824	2,628,839 2,753,773	2,960,277 2,937,156	3,158,703 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	251,048 1,449,244	162,215 1,475,986	115,959 1,563,078	147,742 1,721,954	684,765 2,991,828
Contract hours, direct-care Median	3,654.00 22,725	2,308.00 23,018.5	2,582.00 24,503.48	2,195.00 25,026.5	7,769.00 33,786
Contract wages, direct-care Median	68.70 64.67	70.28 64.53	44.91 65.06	67.31 68.97	88.14 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.