As of the July, 2022, release via CMS

HOLYOKE MEDICAL CENTER

CMS id: 220024
575 BEECH STREET, HOLYOKE MA 1040. County: HAMPDEN
System: --
CBSA: Springfield, MA

The 196-bed, acute-care hospital had $-36,887,747 in net service to patients*, with a total profit margin of 0.41378% in fiscal year 2021, the latest year available.
It spent 0.83% 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	147 118	147 118	147 119.5	147 118	159 119
Total beds Median	185 162	185 162	185 162	185 162	196 163.5
FTEs Median	1,066.45 788.06	1,130.00 793.42	1,157.47 806.03	1,111.67 787.61	1,115.37 804.34

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	136,768,779 150,932,746	145,210,209 158,950,878	156,587,949 168,696,998	138,579,363 163,454,693	151,257,836 186,589,412
Operating expenses Median	150,642,420 149,311,209	160,624,402 156,110,414	172,823,273 164,890,568	173,302,939 166,516,854	188,145,583 180,120,888
Net income from service 2 patients (NS2P) ? Median	-13,873,641 -964,173	-15,414,193 -643,601.5	-16,235,324 -116,254	-34,723,576 -5,025,862	-36,887,747 -1,284,564
NS2P margin ? Median	-10.14% -0.62	-10.62% -0.29	-10.37% 0.18	-25.06% -5.07	-24.39% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOLYOKE MEDICAL CENTER 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	16,898,301 5,089,215	20,854,245 4,572,541	20,929,240 5,268,134	52,976,157 13,092,619	37,669,492 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	51,881 224,999	13,930 199,009	52,001 206,870.5	238,677 194,343	81,546 249,496
⊳ Line 7: Investments ? ⊳ Median	270,570 299,524	375,753 188,688.5	353,608 370,813	305,297 309,361.5	-287,016 375,329
⊳ 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	50,990	0	17,669	49,035	0
⊳ 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	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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	128,121	127,542	130,476	120,189	115,637
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	872,611	892,810	941,496	1,060,236	886,323
⊳ 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	15,524,128	19,444,210	19,433,990	51,202,723	36,873,002
Total income ? Median	3,024,660 6,586,430	5,440,052 6,767,106	4,693,916 8,419,950	18,252,581 8,094,175	781,745 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	3,024,660 6,043,842	5,440,052 5,845,112	4,693,916 7,606,259	18,252,581 7,283,041	781,745 14,957,241
Net margin Median	1.96832% 4.62%	3.27587% 4.42%	2.64420% 5.16%	9.52861% 5.2%	0.41378% 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 HOLYOKE MEDICAL CENTER 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	23,031,606 23,241,334	25,355,363 23,709,545	25,002,004 24,248,380	20,789,066 22,858,541	21,148,456 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	21,327,610 21,577,146	23,286,676 22,041,594	23,267,248 22,722,063	19,087,676 21,570,441	19,157,233 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	1,703,996 1,845,420	2,068,687 1,757,392	1,734,756 1,738,842	1,701,390 1,510,463	1,991,223 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	16,086,596 11,160,864	17,101,739 11,987,345	19,242,483 12,926,866	16,741,717 11,884,480	17,028,714 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	16,086,596 10,918,923	17,101,739 11,706,976	19,242,483 12,615,917	16,741,717 11,458,116	17,028,714 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	1,077,870 594,888	1,217,185 595,761	1,188,450 577,894	858,240 542,168	810,577 549,667
Outlier Median	215,541 582,572	93,539 538,116	10,386 212,434	12,548 126,559	155,952 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,491,930 3,662,910	0 3,730,911	5,424,450 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	23,070 2,654,636	960,597 2,940,659	1,028,117 3,380,215	750,230 3,488,738	525,475 3,233,405
Uncompensated care (UCC) Median	1,632,636 5,147,790	2,408,441 5,337,617	1,912,414 5,711,082	2,363,334 5,923,418	1,565,721 5,508,107
UCC as a % of operating expenses Median	1.08% 3.24	1.50% 3.12	1.11% 3.21	1.36% 3.3	0.83% 2.86
Total shortfall/UCC Median	3,124,566 9,489,989	2,408,441 9,424,297	7,336,864 10,120,158	2,363,334 11,171,337	1,565,721 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,345,576 52,142,039	81,533,665 54,485,252	88,011,420 57,395,589	87,050,038 58,830,919	92,012,117 61,722,907
Salaries as a % of operating expenses Median	51.21 36.68	50.76 36.56	50.75 36.37	50.13 35.93	48.84 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	473,145 1,449,244	719,968 1,475,986	465,688 1,563,078	1,540,257 1,721,954	504,843 2,991,828
Contract hours, direct-care Median	3,858.00 22,725	8,021.00 23,018.5	6,108.21 24,503.48	7,635.77 25,026.5	5,103.84 33,786
Contract wages, direct-care Median	122.64 64.67	89.76 64.53	76.24 65.06	201.72 68.97	98.91 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.