As of the July, 2022, release via CMS

ST. AGNES HOSPITAL

CMS id: 210011
900 CATON AVENUE, BALTIMORE MD 21229. County: BALTIMORE
System: ASCENSION HEALTH
CBSA: Baltimore-Columbia-Towson, MD

The 271-bed, acute-care hospital had $-33,172,876 in net service to patients*, with a total profit margin of 5.22878% in fiscal year 2021, the latest year available.
It spent 3.15% 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	234 118	226 118	215 119.5	219 118	219 119
Total beds Median	287 162	278 162	267 162	271 162	271 163.5
FTEs Median	2,494.24 788.06	2,469.60 793.42	2,330.00 806.03	2,276.99 787.61	2,164.00 804.34

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	446,590,302 150,932,746	449,369,150 158,950,878	435,786,093 168,696,998	416,755,276 163,454,693	450,223,471 186,589,412
Operating expenses Median	434,822,088 149,311,209	452,935,555 156,110,414	462,504,055 164,890,568	478,273,456 166,516,854	483,396,347 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,768,214 -964,173	-3,566,405 -643,601.5	-26,717,962 -116,254	-61,518,180 -5,025,862	-33,172,876 -1,284,564
NS2P margin ? Median	2.64% -0.62	-0.79% -0.29	-6.13% 0.18	-14.76% -5.07	-7.37% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. AGNES 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	20,585,293 5,089,215	10,740,314 4,572,541	32,190,720 5,268,134	58,673,021 13,092,619	60,675,424 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,065,919 224,999	637,585 199,009	354,583 206,870.5	255,020 194,343	143,909 249,496
⊳ Line 7: Investments ? ⊳ Median	2,054,586 299,524	1,889,343 188,688.5	2,429,602 370,813	1,181,623 309,361.5	3,036,840 375,329
⊳ 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	8,139	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	1,552,731	1,537,704	1,367,502	1,232,227	1,040,062
⊳ Line 15: Revenue from rental of living quarters	0	0	62,495	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	33,465	50,220	1,204,929	27,840	71,965
⊳ Line 17: Revenue from sale of drugs to other than patients	0	202,558	75,465	653,536	1,427,266
⊳ Line 18: Revenue from sale of medical records and abstracts	119,720	82,584	0	47,733	48,543
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	256,560	342,353	315,804	159,701	77,305
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	879,033	880,188	1,038,178	1,008,428	964,060
⊳ 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	14,424,436	5,068,299	25,339,229	54,104,623	53,863,074
Total income ? Median	32,353,507 6,586,430	7,173,909 6,767,106	5,472,758 8,419,950	-2,845,159 8,094,175	27,502,548 15,162,888
Non-operating expenses Median	1,630,883 146,289.5	1,431,616 164,857	1,340,922 89,880.5	1,876,290 106,761	788,752 31,473.5
Net income Median	30,722,624 6,043,842	5,742,293 5,845,112	4,131,836 7,606,259	-4,721,449 7,283,041	26,713,796 14,957,241
Net margin Median	6.57625% 4.62%	1.24803% 4.42%	0.88291% 5.16%	-0.99309% 5.2%	5.22878% 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. AGNES 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	100,210,019 23,241,334	103,464,306 23,709,545	96,798,787 24,248,380	89,465,450 22,858,541	81,716,165 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	100,210,019 21,577,146	103,464,306 22,041,594	96,798,787 22,722,063	89,465,450 21,570,441	81,716,165 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	55,972,087 11,160,864	55,889,262 11,987,345	53,581,566 12,926,866	51,841,623 11,884,480	55,739,849 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	55,972,087 10,918,923	55,889,262 11,706,976	53,581,566 12,615,917	51,841,623 11,458,116	55,739,849 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	9,106,297 3,284,314	9,830,141 3,250,551	9,286,566 3,386,837	8,838,939 3,360,806	8,102,561 3,508,953
Disproportionate-share hospital (DSH) Median	3,313,552 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	0 582,572	0 538,116	0 212,434	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	6,979,221 2,654,636	11,209,633 2,940,659	10,160,436 3,380,215	10,861,283 3,488,738	11,256,944 3,233,405
Uncompensated care (UCC) Median	11,432,458 5,147,790	17,471,917 5,337,617	14,530,145 5,711,082	16,977,681 5,923,418	15,219,507 5,508,107
UCC as a % of operating expenses Median	2.63% 3.24	3.86% 3.12	3.14% 3.21	3.55% 3.3	3.15% 2.86
Total shortfall/UCC Median	11,432,458 9,489,989	17,471,917 9,424,297	14,530,145 10,120,158	16,977,681 11,171,337	15,219,507 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	207,807,340 52,142,039	210,467,411 54,485,252	203,142,444 57,395,589	207,423,481 58,830,919	204,104,325 61,722,907
Salaries as a % of operating expenses Median	47.79 36.68	46.47 36.56	43.92 36.37	43.37 35.93	42.22 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	826,464 1,251,927	828,763 1,186,494	842,862 1,204,885	937,554 1,279,653	937,553 1,469,317
Contract adjusted salaries, direct-care Median	5,141,582 1,449,244	3,375,389 1,475,986	3,116,483 1,563,078	2,589,408 1,721,954	3,650,065 2,991,828
Contract hours, direct-care Median	90,867.00 22,725	60,149.00 23,018.5	69,942.00 24,503.48	49,773.00 25,026.5	47,241.00 33,786
Contract wages, direct-care Median	56.58 64.67	56.12 64.53	44.56 65.06	52.02 68.97	77.26 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.