As of the July, 2022, release via CMS

HOLY CROSS HOSPITAL

CMS id: 210004
1500 FOREST GLEN ROAD, SILVER SPRING MD 20910. County: MONTGOMERY
System: TRINITY HEALTH
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 423-bed, acute-care hospital had $18,444,398 in net service to patients*, with a total profit margin of 23.73198% in fiscal year 2021, the latest year available.
It spent 0.01% 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	363 118	357 118	349 119.5	331 118	331 119
Total beds Median	455 162	449 162	441 162	423 162	423 163.5
FTEs Median	2,692.16 788.06	2,589.21 793.42	2,512.42 806.03	2,552.47 787.61	2,595.45 804.34

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	439,284,480 150,932,746	470,134,626 158,950,878	471,713,246 168,696,998	449,751,283 163,454,693	497,653,091 186,589,412
Operating expenses Median	430,740,965 149,311,209	427,835,510 156,110,414	440,692,109 164,890,568	436,323,719 166,516,854	479,208,693 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,543,515 -964,173	42,299,116 -643,601.5	31,021,137 -116,254	13,427,564 -5,025,862	18,444,398 -1,284,564
NS2P margin ? Median	1.94% -0.62	9.00% -0.29	6.58% 0.18	2.99% -5.07	3.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOLY CROSS 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	36,859,788 5,089,215	21,095,308 4,572,541	23,419,040 5,268,134	47,564,945 13,092,619	131,181,476 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	607,342 224,999	128,507 199,009	307,229 206,870.5	62,897 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	20,415,566 299,524	8,071,144 188,688.5	9,730,613 370,813	5,128,573 309,361.5	94,719,815 375,329
⊳ 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	1,434,814	426,269
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,933,460	3,065,004	3,199,569	1,703,299	1,309,732
⊳ 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	764,877	0	0	872,423	845,810
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	20,878	12,216
⊳ 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	997,068	717,653
⊳ Line 21: Rental of vending machines	0	0	0	0	23,573
⊳ Line 22: Rental of hospital space	0	666,257	694,568	1,001,137	592,806
⊳ 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	12,138,543	9,164,396	9,487,061	36,343,856	32,533,602
Total income ? Median	45,403,303 6,586,430	63,394,424 6,767,106	54,440,177 8,419,950	60,992,509 8,094,175	149,625,874 15,162,888
Non-operating expenses Median	173,303 146,289.5	78,057 164,857	9,561 89,880.5	558,357 106,761	390,979 31,473.5
Net income Median	45,230,000 6,043,842	63,316,367 5,845,112	54,430,616 7,606,259	60,434,152 7,283,041	149,234,895 14,957,241
Net margin Median	9.49922% 4.62%	12.88935% 4.42%	10.99315% 5.16%	12.15206% 5.2%	23.73198% 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 HOLY CROSS 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	117,745,186 23,241,334	115,349,304 23,709,545	100,804,351 24,248,380	68,815,321 22,858,541	73,425,875 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	117,745,186 21,577,146	115,349,304 22,041,594	100,804,351 22,722,063	68,815,321 21,570,441	73,425,875 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 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	32,694,205 11,160,864	32,513,575 11,987,345	29,668,677 12,926,866	23,600,559 11,884,480	22,715,377 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	32,694,205 10,918,923	32,513,575 11,706,976	29,668,677 12,615,917	23,600,559 11,458,116	22,715,377 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	2,485,015 3,284,314	2,622,067 3,250,551	2,327,230 3,386,837	1,599,576 3,360,806	1,789,485 3,508,953
Disproportionate-share hospital (DSH) Median	4,482,916 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	165,604 582,572	108,499 538,116	56,876 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	7,958,347 2,654,636	15,031,014 2,940,659	14,576,770 3,380,215	15,810,486 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	16,755,122 5,147,790	23,746,441 5,337,617	27,824,024 5,711,082	28,233,862 5,923,418	35,589 5,508,107
UCC as a % of operating expenses Median	3.89% 3.24	5.55% 3.12	6.31% 3.21	6.47% 3.3	0.01% 2.86
Total shortfall/UCC Median	16,755,122 9,489,989	23,746,441 9,424,297	27,824,024 10,120,158	28,233,862 11,171,337	35,589 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	184,680,088 52,142,039	181,465,073 54,485,252	180,763,962 57,395,589	187,257,773 58,830,919	195,685,360 61,722,907
Salaries as a % of operating expenses Median	42.87 36.68	43.83 36.56	42.98 36.37	43.36 35.93	42.35 35.24
Intern, resident salaries* Median	253,057 2,598,592	2,265 2,686,824	205,507 2,753,773	202,185 2,937,156	190,111 2,909,848
Contract intern, resident salaries* Median	1,948,179 1,251,927	2,014,970 1,186,494	1,704,466 1,204,885	1,860,260 1,279,653	1,920,336 1,469,317
Contract adjusted salaries, direct-care Median	2,473,489 1,449,244	3,041,726 1,475,986	3,553,817 1,563,078	7,791,891 1,721,954	21,961,816 2,991,828
Contract hours, direct-care Median	59,064.00 22,725	66,926.41 23,018.5	70,015.00 24,503.48	119,409.00 25,026.5	229,896.00 33,786
Contract wages, direct-care Median	41.88 64.67	45.45 64.53	50.76 65.06	65.25 68.97	95.53 88.94

* in an approved program

Return to top

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.