As of the July, 2022, release via CMS

BETH ISRAEL DEACONESS - PLYMOUTH

CMS id: 220060
275 SANDWICH STREET, PLYMOUTH MA 2360. County: PLYMOUTH
System: BETH ISRAEL LAHEY HEALTH
CBSA: Boston-Cambridge-Newton, MA-NH

The 169-bed, acute-care hospital had $-1,043,608 in net service to patients*, with a total profit margin of 1.74111% in fiscal year 2021, the latest year available.
It spent 1.37% of its operating expenses on uncompensated care and reported $6,749,007 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	132 118	132 118	132 119.5	132 118	132 119
Total beds Median	164 162	164 162	164 162	164 162	169 163.5
FTEs Median	1,324.68 788.06	1,349.06 793.42	1,372.86 806.03	1,377.59 787.61	1,339.94 804.34

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	254,827,645 150,932,746	269,230,949 158,950,878	289,825,286 168,696,998	282,750,370 163,454,693	316,976,232 186,589,412
Operating expenses Median	248,449,533 149,311,209	263,292,994 156,110,414	280,702,371 164,890,568	291,217,002 166,516,854	318,019,840 180,120,888
Net income from service 2 patients (NS2P) ? Median	6,378,112 -964,173	5,937,955 -643,601.5	9,122,915 -116,254	-8,466,632 -5,025,862	-1,043,608 -1,284,564
NS2P margin ? Median	2.50% -0.62	2.21% -0.29	3.15% 0.18	-2.99% -5.07	-0.33% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BETH ISRAEL DEACONESS - PLYMOUTH 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	7,928,932 5,089,215	7,345,283 4,572,541	5,721,787 5,268,134	27,954,584 13,092,619	6,678,806 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,889,375 224,999	2,081,337 199,009	1,108,381 206,870.5	1,202,626 194,343	1,076,739 249,496
⊳ Line 7: Investments ? ⊳ Median	157,951 299,524	186,534 188,688.5	92,334 370,813	134,340 309,361.5	168,395 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	214,800	240,925	213,457	93,837	65,642
⊳ Line 11: Rebates and refunds of expenses	0	0	0	681,211	1,077,180
⊳ 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	919,277	959,587	1,031,494	916,698	801,680
⊳ 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	13,953	14,073	11,570	22,569	12,420
⊳ 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	7,835	6,981	7,230	5,650	4,554
⊳ Line 22: Rental of hospital space	43,369	30,456	129,791	95,155	104,512
⊳ 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	4,682,372	3,822,370	3,127,530	24,802,498	3,367,684
Total income ? Median	14,307,044 6,586,430	13,283,238 6,767,106	14,844,702 8,419,950	19,487,952 8,094,175	5,635,198 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	14,307,044 6,043,842	13,283,238 5,845,112	14,844,702 7,606,259	19,487,952 7,283,041	5,635,198 14,957,241
Net margin Median	5.44498% 4.62%	4.80274% 4.42%	5.02279% 5.16%	6.27217% 5.2%	1.74111% 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 BETH ISRAEL DEACONESS - PLYMOUTH 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	62,968,988 23,241,334	66,760,223 23,709,545	73,235,622 24,248,380	65,601,888 22,858,541	72,192,673 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	56,289,167 21,577,146	60,014,679 22,041,594	66,690,106 22,722,063	59,320,557 21,570,441	65,073,327 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	6,679,821 1,845,420	6,745,544 1,757,392	6,545,516 1,738,842	6,281,331 1,510,463	7,119,346 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	41,823,563 11,160,864	45,911,940 11,987,345	48,841,285 12,926,866	47,657,493 11,884,480	57,494,569 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	41,823,563 10,918,923	45,911,940 11,706,976	48,841,285 12,615,917	47,657,493 11,458,116	57,494,569 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	803,465 594,888	827,542 595,761	586,449 577,894	531,770 542,168	468,907 549,667
Outlier Median	583,128 582,572	713,167 538,116	94,311 212,434	77,560 126,559	120,353 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,951,967 3,662,910	3,355,822 3,730,911	1,722,635 4,081,319	3,653,786 4,643,908	6,749,007 4,389,147
Charity care Median	747,362 2,654,636	1,223,692 2,940,659	2,884,863 3,380,215	1,613,298 3,488,738	1,721,866 3,233,405
Uncompensated care (UCC) Median	2,320,947 5,147,790	3,746,449 5,337,617	5,148,000 5,711,082	3,808,808 5,923,418	4,347,998 5,508,107
UCC as a % of operating expenses Median	0.93% 3.24	1.42% 3.12	1.83% 3.21	1.31% 3.3	1.37% 2.86
Total shortfall/UCC Median	4,272,914 9,489,989	7,102,271 9,424,297	6,870,635 10,120,158	7,462,594 11,171,337	11,097,005 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	102,724,032 52,142,039	108,756,726 54,485,252	113,215,610 57,395,589	118,655,984 58,830,919	123,606,917 61,722,907
Salaries as a % of operating expenses Median	41.35 36.68	41.31 36.56	40.33 36.37	40.74 35.93	38.87 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	2,444,058 1,449,244	3,162,390 1,475,986	4,320,031 1,563,078	4,434,489 1,721,954	7,892,710 2,991,828
Contract hours, direct-care Median	33,011.00 22,725	42,349.00 23,018.5	49,774.00 24,503.48	55,571.96 25,026.5	85,075.67 33,786
Contract wages, direct-care Median	74.04 64.67	74.67 64.53	86.79 65.06	79.80 68.97	92.77 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.