As of the July, 2022, release via CMS

BRONXCARE HEALTH SYSTEM

CMS id: 330009
1276 FULTON AVENUE, BRONX NY 10456. County: BRONX
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 558-bed, acute-care hospital had $-106,033,265 in net service to patients*, with a total profit margin of 3.17019% in fiscal year 2020, the latest year available.
It spent 10.28% 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	378 118	378 118	382 119.5	382 118	-- 119
Total beds Median	566 162	564 162	558 162	558 162	-- 163.5
FTEs Median	4,205.00 788.06	4,232.20 793.42	4,299.50 806.03	4,340.20 787.61	-- 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	660,122,999 150,932,746	690,478,090 158,950,878	673,466,488 168,696,998	680,538,161 163,454,693	-- 186,589,412
Operating expenses Median	704,945,748 149,311,209	740,401,149 156,110,414	732,472,417 164,890,568	786,571,426 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-44,822,749 -964,173	-49,923,059 -643,601.5	-59,005,929 -116,254	-106,033,265 -5,025,862	-- -1,284,564
NS2P margin ? Median	-6.79% -0.62	-7.23% -0.29	-8.76% 0.18	-15.58% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BRONXCARE HEALTH SYSTEM 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	56,120,207 5,089,215	62,919,121 4,572,541	67,527,027 5,268,134	121,471,675 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	28,637 224,999	10,664 199,009	20,838 206,870.5	209,867 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	669,780 299,524	3,468,986 188,688.5	5,741,869 370,813	6,292,099 309,361.5	-- 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	--
⊳ Line 11: Rebates and refunds of expenses	3,051,055	4,611,623	3,880,428	2,413,843	--
⊳ Line 12: Parking lot receipts	142,000	145,000	145,000	145,000	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	--
⊳ Line 15: Revenue from rental of living quarters	775,859	700,848	712,110	648,580	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	18,643	24,726	22,786	29,367	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	38,350	11,634	26,465	0	--
⊳ Line 22: Rental of hospital space	399,641	313,313	330,390	430,757	--
⊳ Line 23: Gov appropriations ? ⊳ Median	31,140,143 1,017,693	35,289,077 983,261.5	39,455,849 1,173,286	43,958,177 1,987,202	-- 1,597,664
⊳ Sum Line 24	19,856,099	18,343,250	17,191,292	67,343,985	--
Total income ? Median	11,297,458 6,586,430	12,996,062 6,767,106	8,521,098 8,419,950	15,438,410 8,094,175	-- 15,162,888
Non-operating expenses Median	-9,697,474 146,289.5	-3,252,140 164,857	-6,875,161 89,880.5	-9,986,849 106,761	-- 31,473.5
Net income Median	20,994,932 6,043,842	16,248,202 5,845,112	15,396,259 7,606,259	25,425,259 7,283,041	-- 14,957,241
Net margin Median	2.93126% 4.62%	2.15666% 4.42%	2.07779% 5.16%	3.17019% 5.2%	--% 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 BRONXCARE HEALTH SYSTEM 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	75,840,107 23,241,334	83,959,223 23,709,545	83,965,718 24,248,380	86,298,881 22,858,541	-- 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	73,364,399 21,577,146	80,783,798 22,041,594	81,067,493 22,722,063	83,264,354 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	2,475,708 1,845,420	3,175,425 1,757,392	2,898,225 1,738,842	3,034,527 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	9,655,707 11,160,864	9,582,426 11,987,345	10,114,441 12,926,866	7,700,955 11,884,480	-- 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	9,655,707 10,918,923	9,582,426 11,706,976	10,114,441 12,615,917	7,700,955 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	19,904,708 3,284,314	22,790,969 3,250,551	24,734,343 3,386,837	25,459,510 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	4,229,328 594,888	4,509,511 595,761	3,817,461 577,894	3,818,319 542,168	-- 549,667
Outlier Median	19,205 582,572	97,417 538,116	72,311 212,434	100,601 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	-- 4,389,147
Charity care Median	30,810,620 2,654,636	28,436,451 2,940,659	35,530,659 3,380,215	38,693,752 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	67,510,069 5,147,790	54,314,625 5,337,617	73,978,268 5,711,082	80,883,727 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	9.58% 3.24	7.34% 3.12	10.10% 3.21	10.28% 3.3	--% 2.86
Total shortfall/UCC Median	67,510,069 9,489,989	54,314,625 9,424,297	73,978,268 10,120,158	80,883,727 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	362,449,116 52,142,039	369,435,116 54,485,252	380,447,526 57,395,589	400,797,694 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	51.42 36.68	49.90 36.56	51.94 36.37	50.96 35.93	-- 35.24
Intern, resident salaries* Median	25,775,571 2,598,592	26,399,598 2,686,824	26,979,813 2,753,773	30,210,359 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	6,351,672 1,449,244	7,880,659 1,475,986	8,863,175 1,563,078	11,460,271 1,721,954	-- 2,991,828
Contract hours, direct-care Median	150,791.00 22,725	180,070.00 23,018.5	222,690.00 24,503.48	184,280.00 25,026.5	-- 33,786
Contract wages, direct-care Median	42.12 64.67	43.76 64.53	39.80 65.06	62.19 68.97	-- 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.