As of the July, 2022, release via CMS

MARLBOROUGH HOSPITAL

CMS id: 220049
157 UNION STREET, MARLBOROUGH MA 1752. County: MIDDLESEX
System: --
CBSA: Boston-Cambridge-Newton, MA-NH

The 67-bed, acute-care hospital had $-22,322,774 in net service to patients*, with a total profit margin of 5.17569% in fiscal year 2021, the latest year available.
It spent 2.04% 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	57 118	57 118	57 119.5	57 118	57 119
Total beds Median	67 162	67 162	67 162	67 162	67 163.5
FTEs Median	393.69 788.06	410.11 793.42	400.20 806.03	402.48 787.61	414.40 804.34

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	79,578,717 150,932,746	76,177,355 158,950,878	74,273,825 168,696,998	69,578,172 163,454,693	87,746,417 186,589,412
Operating expenses Median	86,740,805 149,311,209	90,283,317 156,110,414	89,772,264 164,890,568	94,773,430 166,516,854	110,069,191 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,162,088 -964,173	-14,105,962 -643,601.5	-15,498,439 -116,254	-25,195,258 -5,025,862	-22,322,774 -1,284,564
NS2P margin ? Median	-9.00% -0.62	-18.52% -0.29	-20.87% 0.18	-36.21% -5.07	-25.44% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MARLBOROUGH 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	13,837,883 5,089,215	13,974,373 4,572,541	15,763,661 5,268,134	27,002,773 13,092,619	28,330,560 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	257,801 224,999	1,228,269 199,009	283,564 206,870.5	406,656 194,343	587,952 249,496
⊳ Line 7: Investments ? ⊳ Median	2,113,350 299,524	1,192,430 188,688.5	1,551,591 370,813	1,476,994 309,361.5	3,570,999 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	2	160	97	0	0
⊳ Line 11: Rebates and refunds of expenses	40	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	38,539	46,227	39,491	252,031	233,440
⊳ 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	1,395	5,404	1,673	407
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	30,609	30,392	15,060	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,034,098	1,036,827	1,043,937	1,044,278	1,094,257
⊳ Line 23: Gov appropriations ? ⊳ Median	9,782,721 1,017,693	8,976,501 983,261.5	11,350,397 1,173,286	9,826,216 1,987,202	11,595,966 1,597,664
⊳ Sum Line 24	611,332	1,461,955	1,458,788	13,979,865	11,247,539
Total income ? Median	6,675,795 6,586,430	-131,589 6,767,106	265,222 8,419,950	1,807,515 8,094,175	6,007,786 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	6,675,795 6,043,842	-131,589 5,845,112	265,222 7,606,259	1,807,515 7,283,041	6,007,786 14,957,241
Net margin Median	7.14626% 4.62%	-0.14596% 4.42%	0.29457% 5.16%	1.87150% 5.2%	5.17569% 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 MARLBOROUGH 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	14,103,885 23,241,334	14,125,775 23,709,545	14,169,191 24,248,380	14,016,081 22,858,541	14,933,629 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	14,103,885 21,577,146	14,125,775 22,041,594	14,169,191 22,722,063	14,016,081 21,570,441	14,933,629 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	6,215,481 11,160,864	6,988,894 11,987,345	8,270,176 12,926,866	6,946,172 11,884,480	7,824,438 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	6,215,481 10,918,923	6,988,894 11,706,976	8,270,176 12,615,917	6,946,172 11,458,116	7,824,438 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	363,903 594,888	362,769 595,761	360,927 577,894	351,234 542,168	365,631 549,667
Outlier Median	216,975 582,572	144,393 538,116	15,302 212,434	24,639 126,559	37,742 139,139

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	904,798 2,654,636	578,138 2,940,659	1,417,125 3,380,215	1,479,516 3,488,738	1,562,445 3,233,405
Uncompensated care (UCC) Median	1,931,154 5,147,790	1,629,305 5,337,617	2,792,422 5,711,082	3,214,485 5,923,418	2,245,722 5,508,107
UCC as a % of operating expenses Median	2.23% 3.24	1.80% 3.12	3.11% 3.21	3.39% 3.3	2.04% 2.86
Total shortfall/UCC Median	1,931,154 9,489,989	1,629,305 9,424,297	2,792,422 10,120,158	3,214,485 11,171,337	2,245,722 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	30,947,547 52,142,039	34,037,748 54,485,252	34,180,867 57,395,589	35,391,530 58,830,919	37,811,250 61,722,907
Salaries as a % of operating expenses Median	38.08 36.68	41.08 36.56	40.52 36.37	39.58 35.93	36.31 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	1,979,781 1,449,244	1,476,683 1,475,986	923,199 1,563,078	2,720,353 1,721,954	2,674,014 2,991,828
Contract hours, direct-care Median	28,966.00 22,725	21,701.00 23,018.5	13,441.00 24,503.48	30,742.00 25,026.5	31,520.00 33,786
Contract wages, direct-care Median	68.35 64.67	68.05 64.53	68.69 65.06	88.49 68.97	84.84 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.