As of the July, 2022, release via CMS

CHRISTIANA CARE HEALTH SYSTEM

CMS id: 080001
501 W. 14TH STREET, WILMINGTON DE 19899. County: NEW CASTLE
System: --
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 1,274-bed, acute-care hospital had $-155,590,619 in net service to patients*, with a total profit margin of 21.10527% in fiscal year 2021, the latest year available.
It spent 2.17% of its operating expenses on uncompensated care and reported $17,067,758 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	917 118	915 118	920 119.5	945 118	1026 119
Total beds Median	1,128 162	1,126 162	1,166 162	1,193 162	1,274 163.5
FTEs Median	9,673.63 788.06	10,068.39 793.42	10,458.47 806.03	11,075.88 787.61	10,539.13 804.34

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	1,644,558,268 150,932,746	1,740,416,567 158,950,878	1,816,037,419 168,696,998	1,713,248,685 163,454,693	1,995,679,596 186,589,412
Operating expenses Median	1,700,462,291 149,311,209	1,828,359,009 156,110,414	1,920,857,414 164,890,568	1,997,296,280 166,516,854	2,151,270,215 180,120,888
Net income from service 2 patients (NS2P) ? Median	-55,904,023 -964,173	-87,942,442 -643,601.5	-104,819,995 -116,254	-284,047,595 -5,025,862	-155,590,619 -1,284,564
NS2P margin ? Median	-3.40% -0.62	-5.05% -0.29	-5.77% 0.18	-16.58% -5.07	-7.80% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CHRISTIANA CARE HEALTH SYSTEM 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	338,726,184 5,089,215	340,361,113 4,572,541	319,148,901 5,268,134	479,455,476 13,092,619	731,080,597 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	410,609 224,999	4,263,605 199,009	8,276,745 206,870.5	588,336 194,343	1,144,081 249,496
⊳ Line 7: Investments ? ⊳ Median	1,707,049 299,524	999,091 188,688.5	167,358 370,813	29,205,743 309,361.5	24,209,959 375,329
⊳ 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	3,517,682	3,445,543	3,662,309	0	0
⊳ Line 15: Revenue from rental of living quarters	87,739	87,824	87,813	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	87	18,020	208,884	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ 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	3,771,812	3,808,265	3,375,714	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	329,155,377	327,701,214	303,336,502	449,661,397	705,726,557
Total income ? Median	282,822,161 6,586,430	252,418,671 6,767,106	214,328,906 8,419,950	195,407,881 8,094,175	575,489,978 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	282,822,161 6,043,842	252,418,671 5,845,112	214,328,906 7,606,259	195,407,881 7,283,041	575,489,978 14,957,241
Net margin Median	14.26029% 4.62%	12.13098% 4.42%	10.03795% 5.16%	8.91173% 5.2%	21.10527% 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 CHRISTIANA CARE HEALTH SYSTEM 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	338,631,767 23,241,334	329,415,823 23,709,545	328,506,012 24,248,380	316,542,720 22,858,541	339,592,333 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	328,532,573 21,577,146	319,382,320 22,041,594	316,406,334 22,722,063	304,341,568 21,570,441	326,008,926 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	3,017,740 1,845,420	2,263,329 1,757,392	2,942,811 1,738,842	4,802,709 1,510,463	5,538,043 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	7,081,454 3,535,627	7,770,174 3,746,588	9,156,867 3,782,288	7,398,443 3,865,578	8,045,364 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	126,613,616 11,160,864	143,152,070 11,987,345	153,464,837 12,926,866	147,113,583 11,884,480	152,746,412 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	126,613,616 10,918,923	143,152,070 11,706,976	153,464,837 12,615,917	147,113,583 11,458,116	152,746,412 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	35,318,279 3,284,314	34,689,499 3,250,551	34,571,356 3,386,837	33,681,659 3,360,806	33,528,197 3,508,953
Disproportionate-share hospital (DSH) Median	8,163,306 594,888	7,961,178 595,761	7,918,481 577,894	6,994,282 542,168	8,433,655 549,667
Outlier Median	28,836,572 582,572	25,533,125 538,116	28,512,618 212,434	7,133,878 126,559	6,719,112 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	38,141,191 3,662,910	27,783,886 3,730,911	16,487,057 4,081,319	18,815,015 4,643,908	17,067,758 4,389,147
Charity care Median	12,773,276 2,654,636	22,397,114 2,940,659	22,226,957 3,380,215	28,594,937 3,488,738	25,687,834 3,233,405
Uncompensated care (UCC) Median	33,239,119 5,147,790	43,581,804 5,337,617	41,111,987 5,711,082	54,583,995 5,923,418	46,699,075 5,508,107
UCC as a % of operating expenses Median	1.95% 3.24	2.38% 3.12	2.14% 3.21	2.73% 3.3	2.17% 2.86
Total shortfall/UCC Median	71,380,310 9,489,989	71,365,690 9,424,297	57,599,044 10,120,158	73,399,010 11,171,337	63,766,833 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	811,199,421 52,142,039	870,075,795 54,485,252	937,275,593 57,395,589	974,097,013 58,830,919	1,018,251,507 61,722,907
Salaries as a % of operating expenses Median	47.70 36.68	47.59 36.56	48.79 36.37	48.77 35.93	46.94 35.24
Intern, resident salaries* Median	16,848,888 2,598,592	17,015,177 2,686,824	17,766,239 2,753,773	18,810,829 2,937,156	19,553,546 2,909,848
Contract intern, resident salaries* Median	902,014 1,251,927	875,093 1,186,494	1,161,014 1,204,885	846,869 1,279,653	986,764 1,469,317
Contract adjusted salaries, direct-care Median	2,195,992 1,449,244	970,335 1,475,986	1,764,257 1,563,078	1,932,175 1,721,954	12,982,240 2,991,828
Contract hours, direct-care Median	40,332.00 22,725	23,819.27 23,018.5	37,814.26 24,503.48	38,232.67 25,026.5	130,771.17 33,786
Contract wages, direct-care Median	54.45 64.67	40.74 64.53	46.66 65.06	50.54 68.97	99.27 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.