As of the July, 2022, release via CMS

SACRED HEART HOSPITAL

CMS id: 390197
421 CHEW STREET, ALLENTOWN PA 18102. County: LEHIGH
System: --
CBSA: Allentown-Bethlehem-Easton, PA-NJ

The 167-bed, acute-care hospital had $-4,614,518 in net service to patients*, with a total profit margin of -5.35009% in fiscal year 2021, the latest year available.
It spent 6.65% of its operating expenses on uncompensated care and reported $3,561,221 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	215
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	107 118	107 118	117 119.5	117 118	99 119
Total beds Median	169 162	169 162	167 162	197 162	167 163.5
FTEs Median	704.26 788.06	624.30 793.42	551.30 806.03	664.00 787.61	690.90 804.34

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	94,586,238 150,932,746	82,509,382 158,950,878	72,509,353 168,696,998	73,604,950 163,454,693	48,778,683 186,589,412
Operating expenses Median	100,499,567 149,311,209	90,239,617 156,110,414	74,148,567 164,890,568	84,486,671 166,516,854	53,393,201 180,120,888
Net income from service 2 patients (NS2P) ? Median	-5,913,329 -964,173	-7,730,235 -643,601.5	-1,639,214 -116,254	-10,881,721 -5,025,862	-4,614,518 -1,284,564
NS2P margin ? Median	-6.25% -0.62	-9.37% -0.29	-2.26% 0.18	-14.78% -5.07	-9.46% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SACRED HEART 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	3,705,084 5,089,215	2,464,563 4,572,541	1,924,967 5,268,134	11,675,798 13,092,619	1,901,542 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	448,660 199,009	14,012 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	213,141 299,524	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	24,97--	15,1--0	--	--	--
⊳ 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	283,287	196,882	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	10,933	9,067	261,028	346,144	129,585
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,649	2,321	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	171,875	138,987	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	821,413	771,625	1,049,189	305,845	443,671
⊳ 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	2,159,084	860,938	600,738	11,023,809	1,328,286
Total income ? Median	-2,208,245 6,586,430	-5,265,672 6,767,106	285,753 8,419,950	794,077 8,094,175	-2,712,976 15,162,888
Non-operating expenses Median	2 146,289.5	22,709,263 164,857	1,724,470 89,880.5	-267,104 106,761	-1,540 31,473.5
Net income Median	-2,208,247 6,043,842	-27,974,935 5,845,112	-1,438,717 7,606,259	1,061,181 7,283,041	-2,711,436 14,957,241
Net margin Median	-2.24663% 4.62%	-32.92178% 4.42%	-1.93287% 5.16%	1.24434% 5.2%	-5.35009% 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 SACRED HEART 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	17,579,433 23,241,334	13,525,530 23,709,545	12,061,134 24,248,380	12,387,699 22,858,541	5,707,985 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	11,862,840 21,577,146	9,153,968 22,041,594	7,380,029 22,722,063	6,959,631 21,570,441	2,384,225 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	4,559,735 1,845,420	3,459,149 1,757,392	3,725,223 1,738,842	4,287,594 1,510,463	2,693,208 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	1,156,858 1,203,033	912,413 1,215,295	955,882 1,313,657	1,140,474 1,365,298	630,552 1,179,746
All outpatient revenue Median Click here to show/hide details	7,092,166 11,160,864	5,203,349 11,987,345	5,367,907 12,926,866	5,975,090 11,884,480	3,922,144 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	7,092,166 10,918,923	5,203,349 11,706,976	5,367,907 12,615,917	5,975,090 11,458,116	3,922,144 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	1,615,631 3,284,314	1,373,386 3,250,551	1,129,258 3,386,837	756,462 3,360,806	417,913 3,508,953
Disproportionate-share hospital (DSH) Median	857,435 594,888	536,487 595,761	130,400 577,894	523,011 542,168	42,191 549,667
Outlier Median	166,212 582,572	125,179 538,116	73,254 212,434	59,047 126,559	21,938 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,109,580 3,662,910	4,122,112 3,730,911	5,350,093 4,081,319	3,141,851 4,643,908	3,561,221 4,389,147
Charity care Median	1,725,944 2,654,636	1,590,813 2,940,659	3,524,982 3,380,215	4,037,797 3,488,738	3,152,954 3,233,405
Uncompensated care (UCC) Median	2,879,667 5,147,790	2,594,070 5,337,617	3,852,697 5,711,082	4,927,846 5,923,418	3,551,441 5,508,107
UCC as a % of operating expenses Median	2.87% 3.24	2.87% 3.12	5.20% 3.21	5.83% 3.3	6.65% 2.86
Total shortfall/UCC Median	8,989,247 9,489,989	6,716,182 9,424,297	9,202,790 10,120,158	8,069,697 11,171,337	7,112,662 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	36,256,683 52,142,039	35,555,537 54,485,252	36,396,994 57,395,589	40,642,215 58,830,919	20,892,497 61,722,907
Salaries as a % of operating expenses Median	36.17 36.68	39.40 36.56	48.93 36.37	48.05 35.93	39.10 35.24
Intern, resident salaries* Median	2,537,876 2,598,592	2,554,714 2,686,824	1,184,972 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	870,974 1,449,244	821,057 1,475,986	202,057 1,563,078	55,296 1,721,954	0 2,991,828
Contract hours, direct-care Median	12,155.00 22,725	11,366.00 23,018.5	2,954.00 24,503.48	674.95 25,026.5	0.00 33,786
Contract wages, direct-care Median	71.66 64.67	72.24 64.53	68.40 65.06	81.93 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.