Hospital and Health System Financial Performance
MOST RECENT DATA

FY 2022 Quarterly Report (Data through June 30, 2022)
FY 2022 Quarterly Databook (Data through June 30, 2022)
 

FY 2021 Annual Report
FY 2021 Annual Databook
CHIA's FY 2021 Annual Hospital and Health System Financial Performance report provides data on the profitability, liquidity, and solvency for all systems and hospitals in the Commonwealth for FY 2021.

CHIA reports both annually and quarterly on the performance of the Commonwealth’s acute care hospitals, associated hospital health systems, and affiliated physician organizations. As hospitals and their respective health systems have evolved, CHIA has added financial information on hospital health systems, affiliated physician organizations, and affiliated health plans in its publications.

CHIA reports on trends in profitability, liquidity, and solvency and also compares a hospital’s individual performance to its peer cohort. Acute hospitals are grouped into cohorts: Academic Medical Centers (AMCs), Teaching hospitals, Community hospitals, and Community-High Public Payer Hospitals (HPP).

Preliminary Update on Massachusetts Acute Hospital and Health System Financial Performance

Annual Acute Hospital and Health System Financial Performance Report

Technical Appendix
Individual Hospital Trend Analysis
Hospital Health System Profiles


Reports on the financial performance of the Commonwealth’s acute care hospitals, associated hospital health systems, and affiliated physician organizations. Dataset assembled by the Center for Health Information and Analysis (CHIA). Reports are published quarterly and annually, and are hosted on a website operated by CHIA.

Hospital and Health System Financial Performance

Hospital Cost Report Data Access Tool
GETTING STARTED

Receive a Username and Password

User Guide (PDF) | Word

Hospital Cost Report Information
Hospital Cost Report Button 308px

The Hospital Cost Report Data Access Tool allows users to query CHIA's hospital cost report data base and provides the opportunity to create customized requests containing cost, revenue, payer mix, and utilization data from Massachusetts acute and non-acute hospitals.

This resource will provide updated data, beginning with FY2016. For access to FY2015 and prior fiscal years, please see additional resources through the Hospital Profiles databooks or contact Public Records.

To access the data, you will need a username and password; prospective users need to register for this information and will immediately receive a user name and password.


Data on costs, revenue, payer mix, and usage from Massachusetts acute and non-acute hospitals. This data is hosted on a website operated by the Center for Health Information and Analysis (CHIA), and you'll need to create a username and password to access it.

Hospital cost reports

This section provides information about Acute Hospital Payments and Rates, and Hospital Remittance Advices and Claims Denials.

Hospital Payment Information

Hospital-Wide Adult All-Payer Readmissions and Revisits in Massachusetts
Readmissions
Hospital readmissions are a central issue in efforts to improve health care quality and reduce costs, due to readmissions being a costly and potentially preventable problem that impacts patient health and experience of care both nationally and in Massachusetts. CHIA currently releases three analytic products annually concerning readmissions:

Released in March 2022, CHIA’s latest report on Hospital-Wide Adult All-Payer Readmissions in Massachusetts: SFY 2011-2020, presents statewide readmissions by characteristics of patients and hospitalizations, readmission rates for COVID-19 and non-COVID-19 discharges, and readmission rates for individual hospitals and groups of hospitals. Additionally, new for this report, social risk factors were incorporated into the risk-standardization methodology for hospital readmission rates to provide a fairer comparison of hospital performance.
 

New! CHIA has released a report on Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals. This report is a statewide, all-payer examination of the prevalence of behavioral health comorbidities and readmissions among hospitalized adults in Massachusetts acute care hospitals. Given the high hospital utilization and cost associated with comorbid behavioral health conditions, stakeholders share a growing awareness that patients with behavioral health comorbidities may have a higher than average risk of readmissions, thus any efforts to reduce readmissions should include identifying risk factors associated with these populations.
 

The Hospital Readmissions Profiles series, released in March 2019, offers a graphical report for each acute care hospital in the Commonwealth.  These profiles provide more in-depth readmission statistics for each hospital broken out by several factors and presented in the context of the statewide figures.

 

Revisits
Providers, payers, and policymakers are increasingly turning their attention to whether the patient returns to the acute care setting at any level (emergency department (ED), observation, or inpatient) within 30 days of inpatient discharge.

Emergency Department Visits After Inpatient Discharge: SFY 2017, released in June 2019, analyzed emergency department (ED) revisits (defined as an ED visit within 30 days of a patient's inpatient discharge). This work expanded upon CHIA's readmissions research.

 

Accounting for Social Risk Factors in Public Reporting on Unplanned Hospital Readmissions in Massachusetts: A Workgroup Report
In February 2020, CHIA released a report from the statewide Social Risk Factors and Readmissions Workgroup, which details the proposed solution for accounting for social risk factors in the public reporting of all-payer, unplanned hospital readmissions.

In 2018 and 2019, CHIA convened a multi-stakeholder workgroup to consider whether CHIA should account for social risk factors in its analysis of hospital readmissions, and if so, to provide recommendations for doing so given the available data sources and methods.

CHIA has adopted a conceptual framework for social risk factors and expanded its existing risk-adjustment model to incorporate patient- and community-level social risk factors. This enhanced methodology is utilized in CHIA's March 2022 annual readmissions report.

Reports on patient readmission rates in Massachusetts hospitals. Reports also include data about hospital revisits within 30 days of discharge and the social and behavioral risk factors leading to readmissions and revisits. This data is hosted on a website operated by the Center for Health Information and Analysis (CHIA).

Hospital readmissions and revisits in Massachusetts

Breaks down how Mass households heat by fuels including comparison to rest of New England.

How Massachusetts Households Heat Their Homes

Throughout history, government and industries have neglected investments in some neighborhoods, especially communities of color, who are more likely to have fewer resources.

How Segregation Creates Communities of Color in MA

Independent Massachusetts Motor Vehicle Uniform Citation Data Analysis and Report

Infectious disease data reports and requests

Infectious diseases like tuberculosis, syphilis, and HIV can often be prevented with vaccines and treated with routine preventive care, but White residents are often diagnosed at a much lower rate.

All data

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