As of the July, 2022, release via CMS

SINAI HOSPITAL OF BALTIMORE INC.

CMS id: 210012
2401 W. BELEVDERE AVENUE, BALTIMORE MD 21215. County: BALTIMORE
System: LIFEBRIDGE HEALTH
CBSA: Baltimore-Columbia-Towson, MD

The 426-bed, acute-care hospital had $3,255,393 in net service to patients*, with a total profit margin of 14.20146% in fiscal year 2021, the latest year available.
It spent 0.00% 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	408 118	386 118	362 119.5	370 118	370 119
Total beds Median	470 162	448 162	418 162	426 162	426 163.5
FTEs Median	3,579.00 788.06	3,657.00 793.42	3,606.00 806.03	3,635.00 787.61	3,475.20 804.34

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	740,875,761 150,932,746	755,055,000 158,950,878	766,256,977 168,696,998	773,091,000 163,454,693	854,990,345 186,589,412
Operating expenses Median	727,868,003 149,311,209	752,444,000 156,110,414	784,881,000 164,890,568	791,569,642 166,516,854	851,734,952 180,120,888
Net income from service 2 patients (NS2P) ? Median	13,007,758 -964,173	2,611,000 -643,601.5	-18,624,023 -116,254	-18,478,642 -5,025,862	3,255,393 -1,284,564
NS2P margin ? Median	1.76% -0.62	0.35% -0.29	-2.43% 0.18	-2.39% -5.07	0.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SINAI HOSPITAL OF BALTIMORE INC. 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	57,372,239 5,089,215	56,128,000 4,572,541	59,782,023 5,268,134	73,744,000 13,092,619	138,661,000 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	2,735,000 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	29,092,000 299,524	23,799,000 188,688.5	22,186,000 370,813	19,959,000 309,361.5	91,437,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	40,113	14,641	80,101	65,930	42,235
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	1,542,497	1,564,693	1,477,563	1,065,262	447,715
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	249,723	271,784	254,262	78,619	84,585
⊳ 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	-57	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	13,165	12,424	19,384	6,850	7,187
⊳ 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	35,985	38,884	31,969	25,252	23,122
⊳ Line 22: Rental of hospital space	433,910	279,269	321,697	315,111	282,910
⊳ 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	25,964,846	27,412,362	35,411,047	52,227,976	46,336,246
Total income ? Median	70,379,997 6,586,430	58,739,000 6,767,106	41,158,000 8,419,950	55,265,358 8,094,175	141,916,393 15,162,888
Non-operating expenses Median	7,302,000 146,289.5	194,000 164,857	0 89,880.5	0 106,761	803,393 31,473.5
Net income Median	63,077,997 6,043,842	58,545,000 5,845,112	41,158,000 7,606,259	55,265,358 7,283,041	141,113,000 14,957,241
Net margin Median	7.90206% 4.62%	7.21724% 4.42%	4.98257% 5.16%	6.52611% 5.2%	14.20146% 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 SINAI HOSPITAL OF BALTIMORE INC. 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	169,237,718 23,241,334	169,668,483 23,709,545	173,683,955 24,248,380	185,879,674 22,858,541	195,544,682 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	169,237,718 21,577,146	169,668,483 22,041,594	173,683,955 22,722,063	185,879,674 21,570,441	195,544,682 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	112,411,690 11,160,864	117,955,028 11,987,345	114,986,835 12,926,866	113,252,730 11,884,480	116,652,082 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	112,411,690 10,918,923	117,955,028 11,706,976	114,986,835 12,615,917	113,252,730 11,458,116	116,652,082 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	19,564,425 3,284,314	21,036,686 3,250,551	21,903,959 3,386,837	24,037,572 3,360,806	24,160,827 3,508,953
Disproportionate-share hospital (DSH) Median	7,338,353 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	12,948 582,572	0 538,116	0 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,959,651 3,662,910	20,655,290 3,730,911	15,629,562 4,081,319	18,981,751 4,643,908	0 4,389,147
Charity care Median	4,551,450 2,654,636	3,829,057 2,940,659	2,982,410 3,380,215	3,542,948 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	16,344,393 5,147,790	20,975,481 5,337,617	15,809,670 5,711,082	19,271,426 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	2.25% 3.24	2.79% 3.12	2.01% 3.21	2.43% 3.3	0.00% 2.86
Total shortfall/UCC Median	32,304,044 9,489,989	41,630,771 9,424,297	31,439,232 10,120,158	38,253,177 11,171,337	0 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	259,725,289 52,142,039	272,767,076 54,485,252	279,629,191 57,395,589	289,315,230 58,830,919	307,505,188 61,722,907
Salaries as a % of operating expenses Median	35.72 36.68	36.27 36.56	35.66 36.37	36.61 35.93	36.10 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	611,148 1,251,927	722,753 1,186,494	735,943 1,204,885	544,571 1,279,653	288,396 1,469,317
Contract adjusted salaries, direct-care Median	6,312,093 1,449,244	6,557,291 1,475,986	10,198,135 1,563,078	6,093,400 1,721,954	10,400,900 2,991,828
Contract hours, direct-care Median	139,636.00 22,725	144,625.00 23,018.5	204,209.00 24,503.48	141,065.00 25,026.5	134,460.00 33,786
Contract wages, direct-care Median	45.20 64.67	45.34 64.53	49.94 65.06	43.20 68.97	77.35 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.