As of the July, 2022, release via CMS

BRIGHAM AND WOMENS HOSPITAL

CMS id: 220110
75 FRANCIS STREET, BOSTON MA 2115. County: SUFFOLK
System: MASS GENERAL BRIGHAM INC
CBSA: Boston-Cambridge-Newton, MA-NH

The 812-bed, acute-care hospital had $-671,480,187 in net service to patients*, with a total profit margin of 8.52267% in fiscal year 2021, the latest year available.
It spent 0.59% of its operating expenses on uncompensated care and reported $10,854,102 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	forprofit	nfp	nfp
Acute beds Median	607 118	658 118	658 119.5	658 118	674 119
Total beds Median	763 162	804 162	804 162	804 162	812 163.5
FTEs Median	10,867.00 788.06	11,393.52 793.42	0.00 806.03	13,785.29 787.61	14,311.33 804.34

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	2,128,515,637 150,932,746	2,257,366,198 158,950,878	2,416,617,336 168,696,998	2,282,609,958 163,454,693	2,707,497,042 186,589,412
Operating expenses Median	2,883,061,460 149,311,209	2,922,542,941 156,110,414	3,024,397,554 164,890,568	3,141,310,329 166,516,854	3,378,977,229 180,120,888
Net income from service 2 patients (NS2P) ? Median	-754,545,823 -964,173	-665,176,743 -643,601.5	-607,780,218 -116,254	-858,700,371 -5,025,862	-671,480,187 -1,284,564
NS2P margin ? Median	-35.45% -0.62	-29.47% -0.29	-25.15% 0.18	-37.62% -5.07	-24.80% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BRIGHAM AND WOMENS 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	810,506,000 5,089,215	838,100,000 4,572,541	836,970,000 5,268,134	936,399,000 13,092,619	986,300,000 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	4,440,000 299,524	2,748,000 188,688.5	2,259,000 370,813	1,762,000 309,361.5	5,258,000 375,329
⊳ 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	24,580,000	24,399,000	25,466,000	19,925,000	22,467,000
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	7,875,000	8,398,000	8,608,000	6,105,000	5,400,000
⊳ 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	9,703,000	9,205,000	16,884,000	69,030,000	100,120,000
⊳ 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	2,073,000	2,088,000	2,228,000	1,332,000	1,141,000
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	2,050,000	3,013,000	3,855,000	12,157,000	3,703,000
⊳ 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	759,785,000	788,249,000	777,670,000	826,088,000	848,211,000
Total income ? Median	55,960,177 6,586,430	172,923,257 6,767,106	229,189,782 8,419,950	77,698,629 8,094,175	314,819,813 15,162,888
Non-operating expenses Median	100,000 146,289.5	1,048,000 164,857	-59,000 89,880.5	286,341,000 106,761	9,813 31,473.5
Net income Median	55,860,177 6,043,842	171,875,257 5,845,112	229,248,782 7,606,259	-208,642,371 7,283,041	314,810,000 14,957,241
Net margin Median	1.90064% 4.62%	5.55248% 4.42%	7.04603% 5.16%	-6.48157% 5.2%	8.52267% 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 BRIGHAM AND WOMENS 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	359,012,407 23,241,334	368,864,945 23,709,545	403,923,406 24,248,380	385,030,284 22,858,541	452,620,225 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	359,012,407 21,577,146	368,864,945 22,041,594	403,923,406 22,722,063	385,030,284 21,570,441	452,620,225 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	132,906,974 11,160,864	150,411,951 11,987,345	156,721,722 12,926,866	139,155,664 11,884,480	160,913,617 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	132,906,974 10,918,923	150,411,951 11,706,976	156,721,722 12,615,917	139,155,664 11,458,116	160,913,617 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	79,900,694 3,284,314	79,522,176 3,250,551	91,398,981 3,386,837	89,285,216 3,360,806	107,132,193 3,508,953
Disproportionate-share hospital (DSH) Median	5,549,699 594,888	5,009,682 595,761	5,422,702 577,894	4,879,602 542,168	5,386,835 549,667
Outlier Median	27,598,488 582,572	35,978,851 538,116	5,961,979 212,434	5,280,201 126,559	4,281,507 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	58,943,198 3,662,910	45,782,882 3,730,911	57,134,435 4,081,319	81,916,726 4,643,908	10,854,102 4,389,147
Charity care Median	13,504,957 2,654,636	10,823,059 2,940,659	10,447,296 3,380,215	13,334,465 3,488,738	12,035,691 3,233,405
Uncompensated care (UCC) Median	22,846,509 5,147,790	19,590,383 5,337,617	21,000,716 5,711,082	23,410,407 5,923,418	19,825,854 5,508,107
UCC as a % of operating expenses Median	0.79% 3.24	0.67% 3.12	0.69% 3.21	0.75% 3.3	0.59% 2.86
Total shortfall/UCC Median	81,789,707 9,489,989	65,373,265 9,424,297	78,135,151 10,120,158	105,327,133 11,171,337	30,679,956 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	978,717,881 52,142,039	1,007,318,662 54,485,252	1,074,906,268 57,395,589	1,128,724,071 58,830,919	1,197,414,116 61,722,907
Salaries as a % of operating expenses Median	34.49 36.68	35.02 36.56	36.14 36.37	36.48 35.93	35.92 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	7,345,289 1,449,244	7,914,579 1,475,986	7,568,695 1,563,078	14,396,218 1,721,954	28,723,625 2,991,828
Contract hours, direct-care Median	115,328.00 22,725	131,218.00 23,018.5	110,508.00 24,503.48	206,808.00 25,026.5	281,160.00 33,786
Contract wages, direct-care Median	63.69 64.67	60.32 64.53	68.49 65.06	69.61 68.97	102.16 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.