As of the July, 2022, release via CMS

BEAUMONT HEALTH - TRENTON

CMS id: 230176
5450 FORT STREET, TRENTON MI 48183. County: WAYNE
System: BEAUMONT HEALTH
CBSA: Detroit-Warren-Dearborn, MI

The 193-bed, acute-care hospital had $18,873,734 in net service to patients*, with a total profit margin of 12.20091% in fiscal year 2021, the latest year available.
It spent 1.61% of its operating expenses on uncompensated care and reported $4,642,318 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	181	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	165 118	165 118	165 119.5	165 118	165 119
Total beds Median	193 162	193 162	193 162	193 162	193 163.5
FTEs Median	1,032.31 788.06	1,064.33 793.42	1,024.11 806.03	1,021.21 787.61	912.61 804.34

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	188,922,834 150,932,746	98,926,125 158,950,878	209,866,494 168,696,998	190,093,947 163,454,693	203,443,262 186,589,412
Operating expenses Median	166,845,371 149,311,209	84,455,852 156,110,414	188,880,184 164,890,568	178,449,163 166,516,854	184,569,528 180,120,888
Net income from service 2 patients (NS2P) ? Median	22,077,463 -964,173	14,470,273 -643,601.5	20,986,310 -116,254	11,644,784 -5,025,862	18,873,734 -1,284,564
NS2P margin ? Median	11.69% -0.62	14.63% -0.29	10.00% 0.18	6.13% -5.07	9.28% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BEAUMONT HEALTH - TRENTON 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	1,205,470 5,089,215	369,581 4,572,541	1,712,361 5,268,134	10,207,554 13,092,619	6,926,582 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	98,851 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	11,134	10,453	8,450	9,787	11,503
⊳ Line 11: Rebates and refunds of expenses	28,196	-13,180	15,686	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	75,024	0	425,327	736,844	636,932
⊳ 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	246,107	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	857	-50	1,413	5,910	7,675
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	126,013	123,472	126,400
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	118,021	56,648	109,426	78,850	0
⊳ Line 21: Rental of vending machines	2,995	-300	4,932	16,903	3,676
⊳ Line 22: Rental of hospital space	114,217	22,521	290,985	151,533	114,197
⊳ 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	756,175	293,489	484,022	9,084,255	6,026,199
Total income ? Median	23,282,933 6,586,430	14,839,854 6,767,106	22,698,671 8,419,950	21,852,338 8,094,175	25,800,316 15,162,888
Non-operating expenses Median	-14,502 146,289.5	-6,095 164,857	0 89,880.5	0 106,761	133,290 31,473.5
Net income Median	23,297,435 6,043,842	14,845,949 5,845,112	22,698,671 7,606,259	21,852,338 7,283,041	25,667,026 14,957,241
Net margin Median	12.25353% 4.62%	14.95125% 4.42%	10.72823% 5.16%	10.90972% 5.2%	12.20091% 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 BEAUMONT HEALTH - TRENTON 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	41,637,176 23,241,334	21,735,432 23,709,545	40,797,064 24,248,380	38,897,656 22,858,541	39,373,964 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	41,637,176 21,577,146	21,735,432 22,041,594	40,797,064 22,722,063	38,897,656 21,570,441	39,373,964 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	13,519,537 11,160,864	6,958,103 11,987,345	14,437,966 12,926,866	11,995,504 11,884,480	11,676,565 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	13,519,537 10,918,923	6,958,103 11,706,976	14,437,966 12,615,917	11,995,504 11,458,116	11,676,565 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	7,679,271 3,284,314	3,807,510 3,250,551	7,347,548 3,386,837	7,263,444 3,360,806	7,181,621 3,508,953
Disproportionate-share hospital (DSH) Median	246,342 594,888	140,353 595,761	296,317 577,894	203,998 542,168	272,454 549,667
Outlier Median	247,858 582,572	168,764 538,116	187,344 212,434	25,315 126,559	34,932 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,370,019 3,662,910	1,019,949 3,730,911	4,313,866 4,081,319	6,460,253 4,643,908	4,642,318 4,389,147
Charity care Median	1,061,873 2,654,636	415,146 2,940,659	2,983,538 3,380,215	1,398,953 3,488,738	1,067,644 3,233,405
Uncompensated care (UCC) Median	1,814,204 5,147,790	1,147,385 5,337,617	4,531,496 5,711,082	3,438,269 5,923,418	2,970,517 5,508,107
UCC as a % of operating expenses Median	1.09% 3.24	1.36% 3.12	2.40% 3.21	1.93% 3.3	1.61% 2.86
Total shortfall/UCC Median	4,184,223 9,489,989	2,167,334 9,424,297	8,845,362 10,120,158	9,898,522 11,171,337	7,612,835 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	69,326,425 52,142,039	36,281,816 54,485,252	74,174,295 57,395,589	67,500,551 58,830,919	65,466,813 61,722,907
Salaries as a % of operating expenses Median	41.55 36.68	42.96 36.56	39.27 36.37	37.83 35.93	35.47 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	3,981,738 1,279,653	5,300,258 1,469,317
Contract adjusted salaries, direct-care Median	953,354 1,449,244	431,883 1,475,986	564,259 1,563,078	4,536,598 1,721,954	6,149,382 2,991,828
Contract hours, direct-care Median	14,045.00 22,725	6,628.57 23,018.5	8,300.00 24,503.48	106,541.00 25,026.5	174,194.00 33,786
Contract wages, direct-care Median	67.88 64.67	65.15 64.53	67.98 65.06	42.58 68.97	35.30 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.