As of the July, 2022, release via CMS

TRINITY HOSPITAL HOLDING COMPANY

CMS id: 360211
4000 JOHNSON ROAD, STEUBENVILLE OH 43952. County: JEFFERSON
System: CATHOLIC HEALTH INITIATIVES-NATIONAL
CBSA: Weirton-Steubenville, WV-OH

The 269-bed, acute-care hospital had $-1,482,909 in net service to patients*, with a total profit margin of 17.92379% in fiscal year 2021, the latest year available.
It spent 1.98% of its operating expenses on uncompensated care and reported $4,199,701 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	174 118	174 118	151 119.5	179 118	179 119
Total beds Median	284 162	284 162	261 162	263 162	269 163.5
FTEs Median	1,258.00 788.06	1,255.23 793.42	1,424.94 806.03	1,518.31 787.61	1,535.49 804.34

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	228,580,133 150,932,746	223,068,212 158,950,878	229,364,178 168,696,998	217,130,129 163,454,693	254,150,342 186,589,412
Operating expenses Median	226,630,805 149,311,209	226,584,109 156,110,414	226,820,791 164,890,568	235,242,077 166,516,854	255,633,251 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,949,328 -964,173	-3,515,897 -643,601.5	2,543,387 -116,254	-18,111,948 -5,025,862	-1,482,909 -1,284,564
NS2P margin ? Median	0.85% -0.62	-1.58% -0.29	1.11% 0.18	-8.34% -5.07	-0.58% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TRINITY HOSPITAL HOLDING COMPANY 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	23,408,338 5,089,215	14,704,942 4,572,541	11,864,169 5,268,134	17,156,501 13,092,619	57,308,042 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	69,758 224,999	102 199,009	301,452 206,870.5	80,993 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	4,447,897 299,524	4,149,930 188,688.5	3,855,567 370,813	3,018,799 309,361.5	2,401,210 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	855	29,046	5,028	9,258	1,639
⊳ Line 11: Rebates and refunds of expenses	0	0	0	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	1,509,920	403,617	334,257	299,305	274,880
⊳ 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	120	1,316	0	0	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.)	733,476	782,576	756,733	814,411	553,108
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	224,034	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	244,016	331,869	310,775	181,632	201,212
⊳ Line 23: Gov appropriations ? ⊳ Median	141,653 1,017,693	56,808 983,261.5	111,783 1,173,286	33,666 1,987,202	5,744 1,597,664
⊳ Sum Line 24	16,036,609	8,949,678	6,188,574	12,718,437	53,870,249
Total income ? Median	25,357,666 6,586,430	11,189,045 6,767,106	14,407,556 8,419,950	-955,447 8,094,175	55,825,133 15,162,888
Non-operating expenses Median	0 146,289.5	269 164,857	256,005 89,880.5	59,302 106,761	0 31,473.5
Net income Median	25,357,666 6,043,842	11,188,776 5,845,112	14,151,551 7,606,259	-1,014,749 7,283,041	55,825,133 14,957,241
Net margin Median	10.06303% 4.62%	4.70565% 4.42%	5.86645% 5.16%	-0.43312% 5.2%	17.92379% 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 TRINITY HOSPITAL HOLDING COMPANY 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	39,779,259 23,241,334	35,778,641 23,709,545	34,494,323 24,248,380	30,997,572 22,858,541	32,473,860 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	33,027,938 21,577,146	30,016,982 22,041,594	29,723,484 22,722,063	28,201,124 21,570,441	29,455,012 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	644,050 1,845,420	264,896 1,757,392	276,722 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,193,545 3,535,627	3,828,465 3,746,588	2,579,365 3,782,288	1,387,035 3,865,578	1,657,686 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	1,913,726 1,203,033	1,668,298 1,215,295	1,914,752 1,313,657	1,409,413 1,365,298	1,361,162 1,179,746
All outpatient revenue Median Click here to show/hide details	27,249,488 11,160,864	26,708,878 11,987,345	27,144,405 12,926,866	26,515,169 11,884,480	27,881,709 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	25,641,279 10,918,923	25,413,663 11,706,976	26,170,166 12,615,917	25,690,757 11,458,116	27,096,560 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,608,209 1,282,808	1,295,215 1,407,728	974,239 1,341,512	824,412 1,407,046	785,149 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	271,510 3,360,806	2,002,677 3,508,953
Disproportionate-share hospital (DSH) Median	846,822 594,888	684,699 595,761	708,066 577,894	708,959 542,168	785,054 549,667
Outlier Median	242,416 582,572	241,418 538,116	115,386 212,434	77,372 126,559	50,412 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,827,150 3,662,910	10,880,545 3,730,911	7,370,199 4,081,319	10,761,276 4,643,908	4,199,701 4,389,147
Charity care Median	1,745,018 2,654,636	2,352,882 2,940,659	2,038,467 3,380,215	3,822,777 3,488,738	3,621,852 3,233,405
Uncompensated care (UCC) Median	3,813,808 5,147,790	5,192,383 5,337,617	4,048,933 5,711,082	6,107,280 5,923,418	5,067,425 5,508,107
UCC as a % of operating expenses Median	1.68% 3.24	2.29% 3.12	1.79% 3.21	2.60% 3.3	1.98% 2.86
Total shortfall/UCC Median	10,640,958 9,489,989	16,072,928 9,424,297	11,419,132 10,120,158	16,868,556 11,171,337	9,267,126 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	63,231,603 52,142,039	81,651,361 54,485,252	91,850,309 57,395,589	98,962,477 58,830,919	106,389,658 61,722,907
Salaries as a % of operating expenses Median	28.27 36.68	36.04 36.56	40.49 36.37	42.07 35.93	41.62 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	302,569 2,937,156	1,510,259 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	1,760,883 1,449,244	1,629,806 1,475,986	1,763,111 1,563,078	2,361,998 1,721,954	3,577,819 2,991,828
Contract hours, direct-care Median	34,579.00 22,725	34,730.61 23,018.5	34,741.72 24,503.48	30,865.52 25,026.5	50,778.50 33,786
Contract wages, direct-care Median	50.92 64.67	46.93 64.53	50.75 65.06	76.53 68.97	70.46 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.