As of the July, 2022, release via CMS

STEWARD CARNEY HOSPITAL INC

CMS id: 220017
2100 DORCHESTER AVENUE, DORCHESTER MA 2124. County: SUFFOLK
System: STEWARD HEALTHCARE INC
CBSA: Boston-Cambridge-Newton, MA-NH

The 122-bed, acute-care hospital had $-38,459,451 in net service to patients*, with a total profit margin of -0.27495% in fiscal year 2021, the latest year available.
It spent 2.17% of its operating expenses on uncompensated care and reported $10,912,208 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	100 118	100 118	100 119.5	96 118	96 119
Total beds Median	126 162	126 162	126 162	122 162	122 163.5
FTEs Median	746.77 788.06	713.43 793.42	708.27 806.03	682.04 787.61	642.50 804.34

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	112,003,483 150,932,746	107,180,430 158,950,878	107,003,830 168,696,998	104,981,795 163,454,693	91,542,452 186,589,412
Operating expenses Median	148,307,973 149,311,209	145,333,298 156,110,414	145,063,944 164,890,568	156,318,725 166,516,854	130,001,903 180,120,888
Net income from service 2 patients (NS2P) ? Median	-36,304,490 -964,173	-38,152,868 -643,601.5	-38,060,114 -116,254	-51,336,930 -5,025,862	-38,459,451 -1,284,564
NS2P margin ? Median	-32.41% -0.62	-35.60% -0.29	-35.57% 0.18	-48.90% -5.07	-42.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STEWARD CARNEY HOSPITAL 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	11,622,058 5,089,215	14,212,578 4,572,541	28,369,422 5,268,134	56,330,231 13,092,619	38,102,996 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ 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	269,767	282,618	277,726	123,757	195,090
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	331,965	303,203	294,220	264,353	272,084
⊳ 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	21,521	12,871	11,074	12,264	10,156
⊳ 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	9,727	8,553	6,528	2,901	8,605
⊳ Line 22: Rental of hospital space	1,347,239	952,430	946,619	502,777	364,447
⊳ 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	9,641,839	12,652,903	26,833,255	55,424,179	37,252,614
Total income ? Median	-24,682,432 6,586,430	-23,940,290 6,767,106	-9,690,692 8,419,950	4,993,301 8,094,175	-356,455 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	-24,682,432 6,043,842	-23,940,290 5,845,112	-9,690,692 7,606,259	4,993,301 7,283,041	-356,455 14,957,241
Net margin Median	-19.96548% 4.62%	-19.72131% 4.42%	-7.15850% 5.16%	3.09543% 5.2%	-0.27495% 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 STEWARD CARNEY HOSPITAL 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	25,073,385 23,241,334	21,994,617 23,709,545	20,625,607 24,248,380	22,236,348 22,858,541	18,685,984 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	22,351,473 21,577,146	19,575,677 22,041,594	17,870,177 22,722,063	20,376,902 21,570,441	16,272,366 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	2,721,912 1,845,420	2,418,940 1,757,392	2,755,430 1,738,842	1,859,446 1,510,463	2,413,618 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	10,761,554 11,160,864	9,565,670 11,987,345	8,846,553 12,926,866	5,846,340 11,884,480	5,286,231 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	10,761,554 10,918,923	9,565,670 11,706,976	8,846,553 12,615,917	5,846,340 11,458,116	5,286,231 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	4,320,422 3,284,314	2,894,888 3,250,551	1,908,589 3,386,837	2,321,028 3,360,806	2,515,835 3,508,953
Disproportionate-share hospital (DSH) Median	1,423,454 594,888	1,311,350 595,761	1,151,032 577,894	1,391,309 542,168	1,124,043 549,667
Outlier Median	401,585 582,572	479,409 538,116	120,239 212,434	68,814 126,559	28,875 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,109,116 3,662,910	13,698,599 3,730,911	9,082,309 4,081,319	12,314,754 4,643,908	10,912,208 4,389,147
Charity care Median	1,711,660 2,654,636	1,885,220 2,940,659	1,833,246 3,380,215	1,976,593 3,488,738	1,021,276 3,233,405
Uncompensated care (UCC) Median	4,686,792 5,147,790	3,806,609 5,337,617	4,203,425 5,711,082	4,352,380 5,923,418	2,819,109 5,508,107
UCC as a % of operating expenses Median	3.16% 3.24	2.62% 3.12	2.90% 3.21	2.78% 3.3	2.17% 2.86
Total shortfall/UCC Median	10,795,908 9,489,989	17,505,208 9,424,297	13,285,734 10,120,158	16,667,134 11,171,337	13,731,317 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	55,439,925 52,142,039	56,250,326 54,485,252	56,091,511 57,395,589	58,830,919 58,830,919	51,197,631 61,722,907
Salaries as a % of operating expenses Median	37.38 36.68	38.70 36.56	38.67 36.37	37.64 35.93	39.38 35.24
Intern, resident salaries* Median	2,492,713 2,598,592	2,494,186 2,686,824	2,275,290 2,753,773	2,083,569 2,937,156	2,107,020 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	1,440,546 1,449,244	892,886 1,475,986	1,261,054 1,563,078	3,692,000 1,721,954	2,961,529 2,991,828
Contract hours, direct-care Median	24,175.00 22,725	14,612.00 23,018.5	18,628.00 24,503.48	30,446.00 25,026.5	20,725.00 33,786
Contract wages, direct-care Median	59.59 64.67	61.11 64.53	67.70 65.06	121.26 68.97	142.90 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.