As of the July, 2022, release via CMS

THE QUEENS MEDICAL CENTER

CMS id: 120001
1301 PUNCHBOWL STREET, HONOLULU HI 96813. County: HONOLULU
System: THE QUEENS HEALTH SYSTEMS
CBSA: Urban Honolulu, HI

The 674-bed, acute-care hospital had $-119,891,145 in net service to patients*, with a total profit margin of 17.25285% in fiscal year 2021, the latest year available.
It spent 1.04% 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	525 118	557 118	592 119.5	616 118	616 119
Total beds Median	583 162	615 162	650 162	674 162	674 163.5
FTEs Median	4,078.21 788.06	3,940.60 793.42	3,953.41 806.03	4,217.40 787.61	4,599.77 804.34

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	998,332,786 150,932,746	1,060,016,250 158,950,878	1,099,781,812 168,696,998	1,136,534,054 163,454,693	1,220,251,782 186,589,412
Operating expenses Median	1,084,948,071 149,311,209	1,102,062,091 156,110,414	1,102,716,928 164,890,568	1,175,025,807 166,516,854	1,340,142,927 180,120,888
Net income from service 2 patients (NS2P) ? Median	-86,615,285 -964,173	-42,045,841 -643,601.5	-2,935,116 -116,254	-38,491,753 -5,025,862	-119,891,145 -1,284,564
NS2P margin ? Median	-8.68% -0.62	-3.97% -0.29	-0.27% 0.18	-3.39% -5.07	-9.83% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE QUEENS MEDICAL CENTER 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	124,995,178 5,089,215	111,543,808 4,572,541	103,946,824 5,268,134	102,504,783 13,092,619	399,312,040 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-676,988 224,999	1,963,562 199,009	2,323,463 206,870.5	4,500,304 194,343	4,724,707 249,496
⊳ Line 7: Investments ? ⊳ Median	98,435 299,524	159,947 188,688.5	704,839 370,813	734,600 309,361.5	67,238,591 375,329
⊳ 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	844,602	0	0	0	0
⊳ Line 12: Parking lot receipts	887,011	1,088,364	1,168,755	1,255,714	1,348,239
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,140,089	5,884,524	6,069,485	5,764,214	4,276,179
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	58,440	56,375	65,403	34,156	117,694
⊳ Line 17: Revenue from sale of drugs to other than patients	643,560	2,506,226	2,120,230	1,853,310	2,691,450
⊳ Line 18: Revenue from sale of medical records and abstracts	4,710	5,119	4,675	4,467	3,939
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	169,621	119,563	90,013	81,528	57,090
⊳ 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	2,434,702	2,452,129	2,618,157	2,722,222	2,724,362
⊳ 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	114,390,996	97,307,999	88,781,804	85,554,268	316,129,789
Total income ? Median	38,379,893 6,586,430	69,497,967 6,767,106	101,011,708 8,419,950	64,013,030 8,094,175	279,420,895 15,162,888
Non-operating expenses Median	6 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	38,379,887 6,043,842	69,497,967 5,845,112	101,011,708 7,606,259	64,013,030 7,283,041	279,420,895 14,957,241
Net margin Median	3.41662% 4.62%	5.93209% 4.42%	8.39157% 5.16%	5.16635% 5.2%	17.25285% 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 THE QUEENS MEDICAL CENTER 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	144,784,812 23,241,334	147,490,405 23,709,545	139,824,826 24,248,380	141,664,320 22,858,541	144,212,049 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	144,784,812 21,577,146	147,490,405 22,041,594	139,824,826 22,722,063	141,664,320 21,570,441	144,212,049 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 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	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	43,367,263 11,160,864	45,913,264 11,987,345	47,213,879 12,926,866	49,912,986 11,884,480	53,546,422 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	43,367,263 10,918,923	45,913,264 11,706,976	47,213,879 12,615,917	49,912,986 11,458,116	53,546,422 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	11,839,172 3,284,314	11,323,583 3,250,551	10,775,411 3,386,837	11,494,896 3,360,806	11,671,045 3,508,953
Disproportionate-share hospital (DSH) Median	4,045,604 594,888	4,668,823 595,761	4,416,344 577,894	4,512,342 542,168	4,653,239 549,667
Outlier Median	11,305,243 582,572	14,525,184 538,116	11,994,456 212,434	608,923 126,559	927,139 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	23,911,756 3,662,910	4,656,202 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	2,833,817 2,654,636	3,219,913 2,940,659	8,295,485 3,380,215	8,613,841 3,488,738	5,282,138 3,233,405
Uncompensated care (UCC) Median	13,049,876 5,147,790	15,298,207 5,337,617	14,845,586 5,711,082	20,842,188 5,923,418	13,879,411 5,508,107
UCC as a % of operating expenses Median	1.20% 3.24	1.39% 3.12	1.35% 3.21	1.77% 3.3	1.04% 2.86
Total shortfall/UCC Median	36,961,632 9,489,989	19,954,409 9,424,297	14,845,586 10,120,158	20,842,188 11,171,337	13,879,411 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	419,907,061 52,142,039	416,618,289 54,485,252	425,285,009 57,395,589	470,363,445 58,830,919	524,751,891 61,722,907
Salaries as a % of operating expenses Median	38.70 36.68	37.80 36.56	38.57 36.37	40.03 35.93	39.16 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	6,269,619 1,251,927	6,163,906 1,186,494	5,820,206 1,204,885	7,083,452 1,279,653	7,145,590 1,469,317
Contract adjusted salaries, direct-care Median	14,138,750 1,449,244	10,402,067 1,475,986	11,333,746 1,563,078	0 1,721,954	7,222,534 2,991,828
Contract hours, direct-care Median	338,793.00 22,725	280,152.61 23,018.5	296,899.07 24,503.48	0.00 25,026.5	228,853.96 33,786
Contract wages, direct-care Median	41.73 64.67	37.13 64.53	38.17 65.06	0.00 68.97	31.56 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.