As of the July, 2022, release via CMS

BETH ISRAEL DEACONESS MEDICAL CENTER

CMS id: 220086
330 BROOKLINE AVENUE, BOSTON MA 2215. County: SUFFOLK
System: BETH ISRAEL LAHEY HEALTH
CBSA: Boston-Cambridge-Newton, MA-NH

The 743-bed, acute-care hospital had $-233,132,435 in net service to patients*, with a total profit margin of 7.86933% in fiscal year 2021, the latest year available.
It spent 0.98% of its operating expenses on uncompensated care and reported $29,980,451 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	537 118	555 118	555 119.5	555 118	579 119
Total beds Median	686 162	704 162	719 162	719 162	743 163.5
FTEs Median	8,156.91 788.06	8,371.15 793.42	8,500.26 806.03	8,599.38 787.61	8,156.33 804.34

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	1,335,825,772 150,932,746	1,394,488,878 158,950,878	1,439,666,455 168,696,998	1,359,617,729 163,454,693	1,890,242,804 186,589,412
Operating expenses Median	1,658,386,650 149,311,209	1,767,221,009 156,110,414	1,864,234,774 164,890,568	1,982,122,409 166,516,854	2,123,375,239 180,120,888
Net income from service 2 patients (NS2P) ? Median	-322,560,878 -964,173	-372,732,131 -643,601.5	-424,568,319 -116,254	-622,504,680 -5,025,862	-233,132,435 -1,284,564
NS2P margin ? Median	-24.15% -0.62	-26.73% -0.29	-29.49% 0.18	-45.79% -5.07	-12.33% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BETH ISRAEL DEACONESS 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	360,025,878 5,089,215	424,050,511 4,572,541	463,078,961 5,268,134	722,460,107 13,092,619	414,500,377 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,657,176 224,999	4,682,197 199,009	3,910,695 206,870.5	8,187,306 194,343	2,487,343 249,496
⊳ Line 7: Investments ? ⊳ Median	1,048,904 299,524	1,038,402 188,688.5	714,142 370,813	1,005,835 309,361.5	1,237,807 375,329
⊳ 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	2,176,087	2,740,827	3,142,812	2,847,185	4,993,383
⊳ Line 12: Parking lot receipts	16,713,795	11,332,441	11,957,988	8,292,436	9,117,913
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	5,474,215	5,513,803	5,838,857	4,217,909	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	34,443,002	101,037,267	159,631,846	276,176,973	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	995,309	922,486	926,347	677,782	623,367
⊳ Line 21: Rental of vending machines	92,305	102,749	98,418	83,928	73,158
⊳ Line 22: Rental of hospital space	13,496,898	12,585,869	12,922,260	11,929,755	16,666,663
⊳ 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	280,928,187	284,094,470	263,935,596	409,040,998	379,300,743
Total income ? Median	37,465,000 6,586,430	51,318,380 6,767,106	38,510,642 8,419,950	99,955,427 8,094,175	181,367,942 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	37,465,000 6,043,842	51,318,380 5,845,112	38,510,642 7,606,259	99,955,427 7,283,041	181,367,942 14,957,241
Net margin Median	2.20921% 4.62%	2.82196% 4.42%	2.02395% 5.16%	4.80075% 5.2%	7.86933% 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 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	292,208,782 23,241,334	292,043,396 23,709,545	294,031,813 24,248,380	262,429,842 22,858,541	301,553,467 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	288,731,483 21,577,146	289,211,666 22,041,594	292,231,381 22,722,063	260,125,280 21,570,441	299,152,842 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	3,477,299 1,845,420	2,831,730 1,757,392	1,800,432 1,738,842	2,304,562 1,510,463	2,400,625 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	130,797,857 11,160,864	133,702,994 11,987,345	145,734,955 12,926,866	125,910,526 11,884,480	158,316,395 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	130,797,857 10,918,923	133,702,994 11,706,976	145,734,955 12,615,917	125,910,526 11,458,116	158,316,395 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	81,736,285 3,284,314	83,670,015 3,250,551	83,987,157 3,386,837	76,656,829 3,360,806	87,003,963 3,508,953
Disproportionate-share hospital (DSH) Median	5,518,480 594,888	5,594,493 595,761	5,742,162 577,894	4,847,216 542,168	5,543,244 549,667
Outlier Median	13,366,958 582,572	9,622,173 538,116	804,066 212,434	860,348 126,559	1,211,518 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,348,848 3,662,910	0 3,730,911	12,415,461 4,081,319	28,356,187 4,643,908	29,980,451 4,389,147
Charity care Median	7,029,373 2,654,636	11,588,816 2,940,659	6,658,423 3,380,215	8,441,192 3,488,738	11,313,641 3,233,405
Uncompensated care (UCC) Median	17,606,323 5,147,790	21,936,696 5,337,617	18,725,195 5,711,082	21,082,973 5,923,418	20,904,223 5,508,107
UCC as a % of operating expenses Median	1.06% 3.24	1.24% 3.12	1.00% 3.21	1.06% 3.3	0.98% 2.86
Total shortfall/UCC Median	32,955,171 9,489,989	21,936,696 9,424,297	31,140,656 10,120,158	49,439,160 11,171,337	50,884,674 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	648,742,743 52,142,039	673,580,134 54,485,252	697,516,631 57,395,589	701,717,547 58,830,919	635,840,246 61,722,907
Salaries as a % of operating expenses Median	39.12 36.68	38.12 36.56	37.42 36.37	35.47 35.93	29.94 35.24
Intern, resident salaries* Median	39,229,950 2,598,592	41,422,742 2,686,824	44,664,348 2,753,773	49,660,261 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	8,675,955 1,449,244	7,621,383 1,475,986	0 1,563,078	13,968,313 1,721,954	30,758,819 2,991,828
Contract hours, direct-care Median	132,570.00 22,725	112,552.00 23,018.5	0.00 24,503.48	202,199.00 25,026.5	305,787.00 33,786
Contract wages, direct-care Median	65.44 64.67	67.71 64.53	0.00 65.06	69.08 68.97	100.59 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.