As of the July, 2022, release via CMS

OUR LADY OF LOURDES MEMORIAL HOSP

CMS id: 330011
169 RIVERSIDE DRIVE, BINGHAMTON NY 13905. County: BROOME
System: ASCENSION HEALTH
CBSA: Binghamton, NY

The 175-bed, acute-care hospital had $-72,164,743 in net service to patients*, with a total profit margin of 10.55672% in fiscal year 2021, the latest year available.
It spent 2.08% of its operating expenses on uncompensated care and reported $23,735,183 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	138 118	138 118	151 119.5	151 118	165 119
Total beds Median	154 162	148 162	161 162	161 162	175 163.5
FTEs Median	2,027.29 788.06	2,033.59 793.42	2,129.28 806.03	2,249.18 787.61	2,359.38 804.34

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	304,501,476 150,932,746	312,256,543 158,950,878	329,947,998 168,696,998	323,792,000 163,454,693	364,280,139 186,589,412
Operating expenses Median	330,664,212 149,311,209	368,283,320 156,110,414	387,343,319 164,890,568	420,495,268 166,516,854	436,444,882 180,120,888
Net income from service 2 patients (NS2P) ? Median	-26,162,736 -964,173	-56,026,777 -643,601.5	-57,395,321 -116,254	-96,703,268 -5,025,862	-72,164,743 -1,284,564
NS2P margin ? Median	-8.59% -0.62	-17.94% -0.29	-17.40% 0.18	-29.87% -5.07	-19.81% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OUR LADY OF LOURDES MEMORIAL HOSP 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	46,991,564 5,089,215	56,505,324 4,572,541	63,736,949 5,268,134	78,304,879 13,092,619	123,677,004 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	43,551 224,999	27,364 199,009	14,894 206,870.5	84 194,343	90 249,496
⊳ Line 7: Investments ? ⊳ Median	9,378,767 299,524	4,855,907 188,688.5	1,375,566 370,813	-1,823,932 309,361.5	22,544,146 375,329
⊳ 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	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	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	935,381	863,958	890,144	838,347	595,171
⊳ Line 15: Revenue from rental of living quarters	1,080,669	1,096,152	1,104,329	1,002,244	774,864
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	20,040	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	26,094	0	17,489	24,988	73,664
⊳ 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	318	160	203	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	5,657,762 1,017,693	0 983,261.5	7,162,904 1,173,286	21,310,679 1,987,202	4,900,666 1,597,664
⊳ Sum Line 24	29,869,022	49,641,743	53,171,420	56,952,469	94,788,403
Total income ? Median	20,828,828 6,586,430	478,547 6,767,106	6,341,628 8,419,950	-18,398,389 8,094,175	51,512,261 15,162,888
Non-operating expenses Median	1,036,360 146,289.5	0 164,857	0 89,880.5	166,944 106,761	0 31,473.5
Net income Median	19,792,468 6,043,842	478,547 5,845,112	6,341,628 7,606,259	-18,565,333 7,283,041	51,512,261 14,957,241
Net margin Median	5.63097% 4.62%	0.12977% 4.42%	1.61084% 5.16%	-4.61713% 5.2%	10.55672% 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 OUR LADY OF LOURDES MEMORIAL HOSP 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	34,852,607 23,241,334	32,902,650 23,709,545	34,884,587 24,248,380	33,536,098 22,858,541	36,513,744 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	34,852,607 21,577,146	32,902,650 22,041,594	34,884,587 22,722,063	33,536,098 21,570,441	36,513,744 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	30,180,691 11,160,864	32,761,310 11,987,345	32,346,270 12,926,866	30,205,502 11,884,480	29,711,936 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	27,324,583 10,918,923	29,865,620 11,706,976	29,248,762 12,615,917	26,722,456 11,458,116	25,925,236 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,856,108 1,282,808	2,895,690 1,407,728	3,097,508 1,341,512	3,483,046 1,407,046	3,786,700 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	2,712,852 3,284,314	3,153,493 3,250,551	3,627,347 3,386,837	4,498,367 3,360,806	4,507,654 3,508,953
Disproportionate-share hospital (DSH) Median	566,255 594,888	606,233 595,761	584,893 577,894	513,228 542,168	454,453 549,667
Outlier Median	1,235,052 582,572	533,364 538,116	677,368 212,434	178,643 126,559	254,444 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,944,758 3,662,910	14,280,283 3,730,911	14,757,977 4,081,319	24,188,370 4,643,908	23,735,183 4,389,147
Charity care Median	5,295,906 2,654,636	6,923,916 2,940,659	9,190,760 3,380,215	8,277,224 3,488,738	6,555,130 3,233,405
Uncompensated care (UCC) Median	9,114,885 5,147,790	9,831,544 5,337,617	12,329,226 5,711,082	12,122,431 5,923,418	9,097,725 5,508,107
UCC as a % of operating expenses Median	2.76% 3.24	2.67% 3.12	3.18% 3.21	2.88% 3.3	2.08% 2.86
Total shortfall/UCC Median	21,059,643 9,489,989	24,111,827 9,424,297	27,087,203 10,120,158	36,310,801 11,171,337	32,832,908 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	138,267,054 52,142,039	155,336,566 54,485,252	161,459,916 57,395,589	181,114,130 58,830,919	189,496,623 61,722,907
Salaries as a % of operating expenses Median	41.81 36.68	42.18 36.56	41.68 36.37	43.07 35.93	43.42 35.24
Intern, resident salaries* Median	1,586,603 2,598,592	1,899,506 2,686,824	2,427,323 2,753,773	3,341,418 2,937,156	3,307,939 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	1,585,176 1,449,244	0 1,475,986	117,061 1,563,078	3,244,237 1,721,954	3,302,414 2,991,828
Contract hours, direct-care Median	14,631.00 22,725	0.00 23,018.5	969.00 24,503.48	28,962.00 25,026.5	28,787.00 33,786
Contract wages, direct-care Median	108.34 64.67	0.00 64.53	120.81 65.06	112.02 68.97	114.72 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.