As of the July, 2022, release via CMS

STEWARD ST. ANNES HOSPITAL

CMS id: 220020
795 MIDDLE STREET, FALL RIVER MA 2721. County: BRISTOL
System: STEWARD HEALTHCARE INC
CBSA: Providence-Warwick, RI-MA

The 206-bed, acute-care hospital had $50,289,185 in net service to patients*, with a total profit margin of 17.90516% in fiscal year 2021, the latest year available.
It spent 1.65% of its operating expenses on uncompensated care and reported $5,620,396 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	135 118	163 118	163 119.5	163 118	163 119
Total beds Median	178 162	206 162	206 162	206 162	206 163.5
FTEs Median	1,120.76 788.06	1,124.78 793.42	1,151.00 806.03	1,056.11 787.61	1,127.66 804.34

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	261,907,086 150,932,746	271,985,780 158,950,878	288,059,673 168,696,998	275,193,461 163,454,693	319,799,172 186,589,412
Operating expenses Median	236,709,981 149,311,209	244,968,608 156,110,414	256,083,063 164,890,568	247,501,179 166,516,854	269,509,987 180,120,888
Net income from service 2 patients (NS2P) ? Median	25,197,105 -964,173	27,017,172 -643,601.5	31,976,610 -116,254	27,692,282 -5,025,862	50,289,185 -1,284,564
NS2P margin ? Median	9.62% -0.62	9.93% -0.29	11.10% 0.18	10.06% -5.07	15.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STEWARD ST. ANNES 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	6,889,668 5,089,215	6,424,674 4,572,541	16,226,340 5,268,134	15,102,029 13,092,619	8,491,831 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	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	668,459	601,940	646,056	410,902	422,401
⊳ 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	46,833	44,158	41,402	29,308	16,258
⊳ 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	23,462	10,662	7,107	2,142	6,163
⊳ Line 22: Rental of hospital space	505,650	282,278	247,801	248,460	297,611
⊳ 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	5,645,264	5,485,636	15,283,974	14,411,217	7,749,398
Total income ? Median	32,086,773 6,586,430	33,441,846 6,767,106	48,202,950 8,419,950	42,794,311 8,094,175	58,781,016 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	32,086,773 6,043,842	33,441,846 5,845,112	48,202,950 7,606,259	42,794,311 7,283,041	58,781,016 14,957,241
Net margin Median	11.93719% 4.62%	12.01171% 4.42%	15.84133% 5.16%	14.74164% 5.2%	17.90516% 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 ST. ANNES 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	51,034,166 23,241,334	52,444,792 23,709,545	55,139,435 24,248,380	52,172,506 22,858,541	56,152,055 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	43,476,325 21,577,146	45,240,109 22,041,594	48,445,459 22,722,063	47,271,694 21,570,441	50,530,241 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	7,557,841 1,845,420	7,204,683 1,757,392	6,693,976 1,738,842	4,900,812 1,510,463	5,621,814 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	43,913,796 11,160,864	49,603,102 11,987,345	54,253,363 12,926,866	46,813,137 11,884,480	53,055,585 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	43,913,796 10,918,923	49,603,102 11,706,976	54,253,363 12,615,917	46,813,137 11,458,116	53,055,585 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	427,128 3,284,314	380,440 3,250,551	259,369 3,386,837	185,031 3,360,806	105,516 3,508,953
Disproportionate-share hospital (DSH) Median	1,168,141 594,888	1,045,983 595,761	1,236,493 577,894	1,346,223 542,168	1,317,852 549,667
Outlier Median	527,519 582,572	450,369 538,116	43,582 212,434	29,758 126,559	80,735 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	811,163 3,730,911	6,549,558 4,081,319	6,818,380 4,643,908	5,620,396 4,389,147
Charity care Median	1,442,688 2,654,636	1,573,679 2,940,659	1,686,912 3,380,215	1,859,631 3,488,738	1,539,211 3,233,405
Uncompensated care (UCC) Median	3,591,842 5,147,790	3,702,295 5,337,617	4,445,667 5,711,082	4,569,114 5,923,418	4,434,535 5,508,107
UCC as a % of operating expenses Median	1.52% 3.24	1.51% 3.12	1.74% 3.21	1.85% 3.3	1.65% 2.86
Total shortfall/UCC Median	3,591,842 9,489,989	4,513,458 9,424,297	10,995,225 10,120,158	11,387,494 11,171,337	10,054,931 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	75,294,559 52,142,039	76,298,740 54,485,252	78,740,754 57,395,589	80,206,239 58,830,919	87,274,910 61,722,907
Salaries as a % of operating expenses Median	31.81 36.68	31.15 36.56	30.75 36.37	32.41 35.93	32.38 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	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	10,865 1,449,244	44,377 1,475,986	408,953 1,563,078	102,016 1,721,954	888,285 2,991,828
Contract hours, direct-care Median	155.25 22,725	698.00 23,018.5	6,059.00 24,503.48	1,358.00 25,026.5	6,294.00 33,786
Contract wages, direct-care Median	69.98 64.67	63.58 64.53	67.50 65.06	75.12 68.97	141.13 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.