As of the July, 2022, release via CMS

CHILDRENS HOSPITAL CORPORATION

CMS id: 223302
300 LONGWOOD AVENUE, BOSTON MA 2115. County: SUFFOLK
System: --
CBSA: Boston-Cambridge-Newton, MA-NH

The 415-bed, childrens hospital had $-257,112,867 in net service to patients*, with a total profit margin of 4.16994% in fiscal year 2021, the latest year available.
It spent 0.00% 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 childrens 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	300 128	294 138	294 132	294 132	294 139.5
Total beds Median	415 240	415 250	415 253	415 249	415 268
FTEs Median	7,315.64 2,348.49	7,440.49 2,474.39	7,757.32 2,467.2	7,944.79 2,280	7,944.79 2,550.69

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	1,234,525,189 525,064,989	1,302,832,049 548,140,349	1,398,179,719 553,978,614	1,267,835,641 521,749,556	1,469,507,982 559,523,956
Operating expenses Median	1,414,737,752 380,030,370	1,455,696,872 429,061,291	1,534,306,619 434,503,640	1,614,126,682 430,707,869	1,726,620,849 498,567,350
Net income from service 2 patients (NS2P) ? Median	-180,212,563 -1,841,638	-152,864,823 -522,484	-136,126,900 94,166	-346,291,041 -11,959,831	-257,112,867 -16,074,830
NS2P margin ? Median	-14.60% -2.86	-11.73% -0.41	-9.74% 0.04	-27.31% -3.45	-17.50% -5.04

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CHILDRENS HOSPITAL CORPORATION compared to all** childrens 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 childrens hospitals available to calculate medians:

2017	2018	2019	2020	2021
63	63	63	65	51

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	252,996,563 47,186,201	275,730,820 49,550,891	140,877,900 43,369,484	308,043,038 74,563,993	332,244,967 88,066,310
⊳ Line 6: Contributions ? ⊳ Median	1,189,000 4,971,706	1,085,000 3,491,448	985,000 3,929,547	1,015,000 3,691,284	1,003,100 7,353,627
⊳ Line 7: Investments ? ⊳ Median	6,005 2,300,556	16,000 2,264,044	25,000 4,702,047	9,000 2,451,684	100 7,318,686
⊳ 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	6,988,000	7,536,000	8,525,000	7,061,000	7,833,000
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	7,189,000	7,433,000	7,894,000	5,665,700	4,756,000
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	176,000	222,000	151,000	117,000	43,000
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	10,270,000	6,911,000	7,366,000	6,853,000	7,861,000
⊳ Line 23: Gov appropriations ? ⊳ Median	0 --	14,602,000 --	15,815,000 --	15,815,000 --	15,565,000 --
⊳ Sum Line 24	227,178,558	237,925,820	100,116,900	271,507,338	295,183,767
Total income ? Median	72,784,000 61,461,455	122,865,997 56,564,697	4,751,000 58,012,242	-38,248,003 50,617,244	75,132,100 62,924,624
Non-operating expenses Median	0 2,760,568	0 2,724,150	0 829,348	0 4,089,642	0 503,757
Net income Median	72,784,000 45,197,733	122,865,997 39,952,380	4,751,000 58,012,242	-38,248,003 40,996,852	75,132,100 74,165,836
Net margin Median	4.89297% 9.76%	7.78341% 8.11%	0.30870% 10.11%	-2.42709% 6.66%	4.16994% 11.48%

* 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 CHILDRENS HOSPITAL CORPORATION compared to all** childrens hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
63	63	63	65	51

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	0 --	0 --	0 --	0 --	0 --
"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	0 --	0 --	0 --	0 --	0 --
⊳ 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 --	0 --	0 --	0 --	0 --
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ 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 --	0 --	0 --	0 --	0 --
All outpatient revenue Median Click here to show/hide details	2,690,011 277,359	2,482,310 515,761.5	2,925,673 419,825	3,196,391 384,974	2,849,836 540,291
"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	2,690,011 277,359	2,482,310 515,761.5	2,925,673 419,825	3,196,391 384,974	2,849,836 540,291
⊳ Home Health agencies (HHA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	293,477 23,594	289,340 27,114	324,299 29,521	273,495 20,769	325,364 18,619.5
Disproportionate-share hospital (DSH) Median	0 --	0 --	0 --	0 --	0 --
Outlier Median	98,192 24,094	134,184 26,215	213,920 19,933	97,911 22,747	116,539 17,351

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 --	0 --	0 --	0 --	0 --
Charity care Median	0 --	0 --	0 --	0 --	0 --
Uncompensated care (UCC) Median	0 --	0 --	0 --	0 --	0 --
UCC as a % of operating expenses Median	0.00% 0	0.00% 0	0.00% 0	0.00% 0	0.00% 0
Total shortfall/UCC Median	0 --	0 --	0 --	0 --	0 --

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	715,185,211 158,917,507	744,436,673 172,292,593	747,602,909 181,542,159	775,277,825 180,024,857	812,442,969 198,946,032
Salaries as a % of operating expenses Median	46.63 42.46	45.99 41.44	44.29 41.89	43.35 41.02	42.88 39.81
Intern, resident salaries* Median	0 --	0 --	0 --	0 --	0 --
Contract intern, resident salaries* Median	0 --	0 --	0 --	0 --	0 --
Contract adjusted salaries, direct-care Median	0 --	0 --	0 --	0 --	0 --
Contract hours, direct-care Median	0.00 --	0.00 --	0.00 --	0.00 --	0.00 --
Contract wages, direct-care Median	0.00 --	0.00 --	0.00 --	0.00 --	0.00 --

* in an approved program

Return to top

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.