As of the July, 2022, release via CMS

JOHN DEMPSEY HOSPITAL

CMS id: 070036
263 FARMINGTON AVENUE, FARMINGTON CT 6030. County: HARTFORD
System: --
CBSA: Hartford-East Hartford-Middletown, CT

The 156-bed, acute-care hospital had $-255,726,312 in net service to patients*, with a total profit margin of -31.75613% in fiscal year 2021, the latest year available.
It spent 0.63% of its operating expenses on uncompensated care and reported $64,560,231 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	138 118	122 118	118 119.5	118 118	118 119
Total beds Median	176 162	160 162	156 162	156 162	156 163.5
FTEs Median	1,392.54 788.06	1,234.66 793.42	1,670.38 806.03	1,667.93 787.61	1,713.48 804.34

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	371,162,643 150,932,746	398,746,805 158,950,878	428,476,712 168,696,998	402,585,016 163,454,693	456,560,089 186,589,412
Operating expenses Median	429,314,740 149,311,209	466,935,228 156,110,414	549,000,760 164,890,568	632,186,749 166,516,854	712,286,401 180,120,888
Net income from service 2 patients (NS2P) ? Median	-58,152,097 -964,173	-68,188,423 -643,601.5	-120,524,048 -116,254	-229,601,733 -5,025,862	-255,726,312 -1,284,564
NS2P margin ? Median	-15.67% -0.62	-17.10% -0.29	-28.13% 0.18	-57.03% -5.07	-56.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JOHN DEMPSEY 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	31,061,759 5,089,215	40,402,759 4,572,541	43,752,106 5,268,134	78,298,751 13,092,619	84,327,122 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	950,003 224,999	0 199,009	1,056,969 206,870.5	671,395 194,343	2,988 249,496
⊳ 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	0	0	0	0
⊳ 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	842,439	745,328	814,682	724,048	396,341
⊳ 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	2,509	3,600	17,577	32,225	76,215
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	5,800	6,575	5,675	6,275	6,285
⊳ 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	0	0	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	29,261,008	39,647,256	41,857,203	76,864,808	83,845,293
Total income ? Median	-27,090,338 6,586,430	-27,785,664 6,767,106	-76,771,942 8,419,950	-151,302,982 8,094,175	-171,399,190 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	365,630 31,473.5
Net income Median	-27,090,338 6,043,842	-27,785,664 5,845,112	-76,771,942 7,606,259	-151,302,982 7,283,041	-171,764,820 14,957,241
Net margin Median	-6.73513% 4.62%	-6.32715% 4.42%	-16.25736% 5.16%	-31.46352% 5.2%	-31.75613% 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 JOHN DEMPSEY 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	64,421,727 23,241,334	64,859,401 23,709,545	62,406,289 24,248,380	60,878,935 22,858,541	64,443,155 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	62,340,800 21,577,146	63,240,979 22,041,594	60,598,265 22,722,063	58,385,502 21,570,441	62,028,575 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	2,080,927 1,845,420	1,618,422 1,757,392	1,808,024 1,738,842	2,493,433 1,510,463	2,414,580 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	38,883,983 11,160,864	39,097,969 11,987,345	35,251,694 12,926,866	30,684,191 11,884,480	33,427,306 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	38,883,983 10,918,923	39,097,969 11,706,976	35,251,694 12,615,917	30,684,191 11,458,116	33,427,306 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	23,352,957 3,284,314	22,994,357 3,250,551	21,575,342 3,386,837	22,917,256 3,360,806	22,847,356 3,508,953
Disproportionate-share hospital (DSH) Median	1,054,011 594,888	1,029,136 595,761	995,885 577,894	843,489 542,168	804,844 549,667
Outlier Median	3,338,041 582,572	3,442,603 538,116	5,160,403 212,434	1,196,870 126,559	1,748,646 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	24,790,269 3,662,910	37,191,561 3,730,911	39,633,956 4,081,319	50,328,503 4,643,908	64,560,231 4,389,147
Charity care Median	108,687 2,654,636	142,837 2,940,659	140,934 3,380,215	472,203 3,488,738	1,387,229 3,233,405
Uncompensated care (UCC) Median	1,439,725 5,147,790	7,893,998 5,337,617	2,178,852 5,711,082	2,515,760 5,923,418	4,456,014 5,508,107
UCC as a % of operating expenses Median	0.34% 3.24	1.69% 3.12	0.40% 3.21	0.40% 3.3	0.63% 2.86
Total shortfall/UCC Median	26,229,994 9,489,989	45,085,559 9,424,297	41,812,808 10,120,158	52,844,263 11,171,337	69,016,245 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	117,422,908 52,142,039	138,298,596 54,485,252	143,755,100 57,395,589	173,901,777 58,830,919	185,133,029 61,722,907
Salaries as a % of operating expenses Median	27.57 36.68	29.62 36.56	27.31 36.37	27.51 35.93	25.99 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 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	3,083,001 1,449,244	3,664,100 1,475,986	2,550,487 1,563,078	1,960,339 1,721,954	5,890,002 2,991,828
Contract hours, direct-care Median	49,882.93 22,725	43,018.90 23,018.5	37,268.34 24,503.48	26,774.05 25,026.5	55,824.75 33,786
Contract wages, direct-care Median	61.80 64.67	85.17 64.53	68.44 65.06	73.22 68.97	105.51 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.