As of the July, 2022, release via CMS

TRINITAS HOSPITAL

CMS id: 310027
225 WILLIAMSON STREET, ELIZABETH NJ 7201. County: UNION
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 442-bed, acute-care hospital had $-85,009,547 in net service to patients*, with a total profit margin of 4.73307% in fiscal year 2021, the latest year available.
It spent 8.21% 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	195 118	195 118	195 119.5	195 118	195 119
Total beds Median	442 162	442 162	423 162	442 162	442 163.5
FTEs Median	2,210.06 788.06	2,922.86 793.42	2,175.86 806.03	2,020.49 787.61	2,003.03 804.34

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	229,214,871 150,932,746	232,885,013 158,950,878	236,128,027 168,696,998	207,994,210 163,454,693	230,653,000 186,589,412
Operating expenses Median	291,642,839 149,311,209	297,171,213 156,110,414	302,441,892 164,890,568	310,269,170 166,516,854	315,662,547 180,120,888
Net income from service 2 patients (NS2P) ? Median	-62,427,968 -964,173	-64,286,200 -643,601.5	-66,313,865 -116,254	-102,274,960 -5,025,862	-85,009,547 -1,284,564
NS2P margin ? Median	-27.24% -0.62	-27.60% -0.29	-28.08% 0.18	-49.17% -5.07	-36.86% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TRINITAS 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	71,999,465 5,089,215	71,612,784 4,572,541	71,499,438 5,268,134	111,384,639 13,092,619	100,692,351 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	123,824 224,999	123,768 199,009	92,103 206,870.5	131,715 194,343	103,630 249,496
⊳ Line 7: Investments ? ⊳ Median	4,281,978 299,524	4,582,286 188,688.5	4,894,312 370,813	5,724,876 309,361.5	7,092,725 375,329
⊳ 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	52,148	39,843	140,174	742,225	261,986
⊳ Line 12: Parking lot receipts	362,155	353,934	358,994	270,425	394,516
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	936,653	948,367	977,182	693,039	698,188
⊳ 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	238,095	229,316	624,437	1,890,917	1,685,401
⊳ Line 18: Revenue from sale of medical records and abstracts	5,239	5,745	3,550	506	125
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	9,367,299	10,095,017	9,002,924	7,898,941	7,580,969
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	25,241	31,528	27,482	6,913	15,785
⊳ Line 22: Rental of hospital space	56,676	74,698	66,437	70,369	73,241
⊳ Line 23: Gov appropriations ? ⊳ Median	52,230,777 1,017,693	51,052,242 983,261.5	50,721,294 1,173,286	88,991,918 1,987,202	75,281,569 1,597,664
⊳ Sum Line 24	4,318,163	4,074,687	4,589,341	4,962,305	7,503,434
Total income ? Median	9,571,497 6,586,430	7,326,584 6,767,106	5,185,573 8,419,950	9,109,679 8,094,175	15,682,804 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	9,571,497 6,043,842	7,326,584 5,845,112	5,185,573 7,606,259	9,109,679 7,283,041	15,682,804 14,957,241
Net margin Median	3.17764% 4.62%	2.40612% 4.42%	1.68567% 5.16%	2.85231% 5.2%	4.73307% 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 TRINITAS 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	44,242,959 23,241,334	43,982,390 23,709,545	41,005,159 24,248,380	37,314,699 22,858,541	32,913,856 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	37,085,330 21,577,146	36,827,444 22,041,594	33,579,381 22,722,063	30,922,104 21,570,441	28,650,492 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	5,015,194 1,845,420	4,740,500 1,757,392	5,151,598 1,738,842	3,531,121 1,510,463	2,988,794 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	2,142,435 1,203,033	2,414,446 1,215,295	2,274,180 1,313,657	2,861,474 1,365,298	1,274,570 1,179,746
All outpatient revenue Median Click here to show/hide details	13,347,906 11,160,864	14,176,825 11,987,345	11,892,698 12,926,866	7,802,121 11,884,480	8,820,584 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	13,347,906 10,918,923	14,176,825 11,706,976	11,892,698 12,615,917	7,802,121 11,458,116	8,820,584 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	3,769,647 3,284,314	3,875,322 3,250,551	3,707,481 3,386,837	3,195,525 3,360,806	3,056,982 3,508,953
Disproportionate-share hospital (DSH) Median	1,940,433 594,888	1,701,832 595,761	1,401,725 577,894	1,213,796 542,168	1,070,593 549,667
Outlier Median	52,144 582,572	111,505 538,116	52,762 212,434	32,516 126,559	117,198 139,139

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	26,114,810 2,654,636	30,466,430 2,940,659	26,663,685 3,380,215	0 3,488,738	22,850,009 3,233,405
Uncompensated care (UCC) Median	29,391,535 5,147,790	33,293,679 5,337,617	30,052,075 5,711,082	4,123,209 5,923,418	25,909,348 5,508,107
UCC as a % of operating expenses Median	10.08% 3.24	11.20% 3.12	9.94% 3.21	1.33% 3.3	8.21% 2.86
Total shortfall/UCC Median	29,391,535 9,489,989	33,293,679 9,424,297	30,052,075 10,120,158	4,123,209 11,171,337	25,909,348 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	129,121,920 52,142,039	130,257,586 54,485,252	133,504,106 57,395,589	131,308,254 58,830,919	134,301,793 61,722,907
Salaries as a % of operating expenses Median	45.43 36.68	44.93 36.56	45.23 36.37	43.47 35.93	43.78 35.24
Intern, resident salaries* Median	2,818,524 2,598,592	2,893,976 2,686,824	2,924,224 2,753,773	3,028,865 2,937,156	3,079,387 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	567,425 1,449,244	567,425 1,475,986	1,195,002 1,563,078	1,816,828 1,721,954	0 2,991,828
Contract hours, direct-care Median	10,400.00 22,725	10,400.00 23,018.5	17,991.00 24,503.48	26,413.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	54.56 64.67	54.56 64.53	66.42 65.06	68.79 68.97	0.00 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.