As of the July, 2022, release via CMS

ALBANY MEDICAL CENTER HOSPITAL

CMS id: 330013
43 NEW SCOTLAND AVENUE, ALBANY NY 12208. County: ALBANY
System: ALBANY MEDICAL CENTER
CBSA: Albany-Schenectady-Troy, NY

The 789-bed, acute-care hospital had $-77,092,630 in net service to patients*, with a total profit margin of 8.58230% in fiscal year 2021, the latest year available.
It spent 0.72% of its operating expenses on uncompensated care and reported $24,821,905 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	580 118	585 118	578 119.5	586 118	581 119
Total beds Median	784 162	793 162	786 162	794 162	789 163.5
FTEs Median	4,967.30 788.06	5,122.00 793.42	5,341.00 806.03	5,282.20 787.61	5,058.80 804.34

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	962,326,296 150,932,746	1,017,269,603 158,950,878	1,061,906,263 168,696,998	1,050,459,647 163,454,693	1,113,565,605 186,589,412
Operating expenses Median	984,321,339 149,311,209	1,042,436,492 156,110,414	1,091,458,683 164,890,568	1,103,680,267 166,516,854	1,190,658,235 180,120,888
Net income from service 2 patients (NS2P) ? Median	-21,995,043 -964,173	-25,166,889 -643,601.5	-29,552,420 -116,254	-53,220,620 -5,025,862	-77,092,630 -1,284,564
NS2P margin ? Median	-2.29% -0.62	-2.47% -0.29	-2.78% 0.18	-5.07% -5.07	-6.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ALBANY MEDICAL CENTER HOSPITAL 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	40,509,888 5,089,215	77,346,478 4,572,541	54,784,842 5,268,134	120,486,635 13,092,619	164,264,133 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	5,746,660 299,524	39,724,279 188,688.5	13,484,469 370,813	6,491,727 309,361.5	4,259,486 375,329
⊳ 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	4,070,619	4,886,399	6,808,191	6,683,344	7,846,397
⊳ Line 12: Parking lot receipts	1,697,110	1,693,700	1,744,601	1,496,791	1,587,497
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	5,517,638	4,525,446	6,093,008	4,748,321	5,002,010
⊳ 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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	1,249 983,261.5	0 1,173,286	12,256,719 1,987,202	29,937,261 1,597,664
⊳ Sum Line 24	23,477,861	26,515,405	26,654,573	88,809,733	115,631,482
Total income ? Median	18,514,845 6,586,430	52,179,589 6,767,106	25,232,422 8,419,950	67,266,015 8,094,175	87,171,503 15,162,888
Non-operating expenses Median	-130,721 146,289.5	7,161,632 164,857	-3,405,744 89,880.5	-14,931,540 106,761	-22,495,630 31,473.5
Net income Median	18,645,566 6,043,842	45,017,957 5,845,112	28,638,166 7,606,259	82,197,555 7,283,041	109,667,133 14,957,241
Net margin Median	1.85928% 4.62%	4.11267% 4.42%	2.56456% 5.16%	7.01975% 5.2%	8.58230% 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 ALBANY MEDICAL CENTER HOSPITAL 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	179,340,731 23,241,334	176,786,443 23,709,545	187,402,742 24,248,380	172,877,039 22,858,541	172,081,220 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	174,177,965 21,577,146	172,795,794 22,041,594	182,505,151 22,722,063	168,396,003 21,570,441	168,730,636 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	1,810,974 1,845,420	1,590,804 1,757,392	1,975,822 1,738,842	1,292,140 1,510,463	1,148,002 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,351,792 3,535,627	2,399,845 3,746,588	2,921,769 3,782,288	3,188,896 3,865,578	2,202,582 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	30,145,550 11,160,864	38,995,065 11,987,345	44,559,631 12,926,866	48,572,326 11,884,480	51,162,583 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	30,145,550 10,918,923	38,995,065 11,706,976	44,559,631 12,615,917	48,572,326 11,458,116	51,162,583 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	30,472,236 3,284,314	30,770,592 3,250,551	32,956,107 3,386,837	33,063,304 3,360,806	34,314,593 3,508,953
Disproportionate-share hospital (DSH) Median	4,819,710 594,888	4,770,431 595,761	4,991,911 577,894	4,722,365 542,168	4,571,374 549,667
Outlier Median	9,666,133 582,572	9,244,364 538,116	2,744,544 212,434	1,873,828 126,559	1,273,756 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	19,454,335 3,662,910	13,379,973 3,730,911	20,156,021 4,081,319	24,129,601 4,643,908	24,821,905 4,389,147
Charity care Median	7,184,438 2,654,636	6,690,367 2,940,659	7,060,610 3,380,215	6,498,008 3,488,738	4,441,640 3,233,405
Uncompensated care (UCC) Median	11,399,855 5,147,790	10,253,553 5,337,617	11,691,835 5,711,082	11,548,289 5,923,418	8,566,041 5,508,107
UCC as a % of operating expenses Median	1.16% 3.24	0.98% 3.12	1.07% 3.21	1.05% 3.3	0.72% 2.86
Total shortfall/UCC Median	30,854,190 9,489,989	23,633,526 9,424,297	31,847,856 10,120,158	35,677,890 11,171,337	33,387,946 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	298,495,074 52,142,039	318,859,936 54,485,252	334,757,164 57,395,589	337,344,975 58,830,919	337,057,660 61,722,907
Salaries as a % of operating expenses Median	30.30 36.68	30.59 36.56	30.67 36.37	30.57 35.93	28.31 35.24
Intern, resident salaries* Median	28,077,726 2,598,592	29,377,840 2,686,824	30,479,593 2,753,773	31,405,800 2,937,156	32,555,983 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	9,150,312 1,449,244	4,282,932 1,475,986	6,872,136 1,563,078	14,983,221 1,721,954	22,899,159 2,991,828
Contract hours, direct-care Median	138,237.00 22,725	70,872.00 23,018.5	105,625.00 24,503.48	122,956.00 25,026.5	204,460.00 33,786
Contract wages, direct-care Median	66.19 64.67	60.43 64.53	65.06 65.06	121.86 68.97	112.00 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.