As of the July, 2022, release via CMS

VASSAR BROTHERS MEDICAL CENTER

CMS id: 330023
45 READE PLACE, POUGHKEEPSIE NY 12601. County: DUTCHESS
System: HEALTH QUEST SYSTEM
CBSA: Poughkeepsie-Newburgh-Middletown, NY

The 341-bed, acute-care hospital had $-34,568,715 in net service to patients*, with a total profit margin of 2.50503% in fiscal year 2021, the latest year available.
It spent 1.30% of its operating expenses on uncompensated care and reported $21,704,002 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	273	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	299 118	299 118	299 119.5	299 118	296 119
Total beds Median	365 162	365 162	365 162	365 162	341 163.5
FTEs Median	1,940.00 788.06	1,898.30 793.42	1,974.30 806.03	1,867.50 787.61	1,940.90 804.34

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	627,530,499 150,932,746	642,385,783 158,950,878	492,484,716 168,696,998	624,656,472 163,454,693	694,086,733 186,589,412
Operating expenses Median	558,004,733 149,311,209	570,768,041 156,110,414	459,032,045 164,890,568	673,035,654 166,516,854	728,655,448 180,120,888
Net income from service 2 patients (NS2P) ? Median	69,525,766 -964,173	71,617,742 -643,601.5	33,452,671 -116,254	-48,379,182 -5,025,862	-34,568,715 -1,284,564
NS2P margin ? Median	11.08% -0.62	11.15% -0.29	6.79% 0.18	-7.74% -5.07	-4.98% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for VASSAR BROTHERS 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	23,983,302 5,089,215	30,541,743 4,572,541	9,909,142 5,268,134	71,718,008 13,092,619	43,178,835 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	12,275,578 299,524	17,347,376 188,688.5	3,667,531 370,813	20,861,077 309,361.5	7,996,271 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	1,244,477	1,953,958	1,471,928	1,034,974	48,457
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	1,047,010
⊳ 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	2,304,508	2,140,474	1,567,154	1,587,634	1,140,123
⊳ 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	155	3,638	3,389	1,212	1,676
⊳ 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	16,666	14,849	17,312	6,111
⊳ Line 22: Rental of hospital space	0	0	0	0	988,686
⊳ 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	8,158,584	9,079,631	3,184,291	48,215,799	31,950,501
Total income ? Median	93,509,068 6,586,430	102,159,485 6,767,106	43,361,813 8,419,950	23,338,826 8,094,175	8,610,120 15,162,888
Non-operating expenses Median	-17,013,393 146,289.5	24,918,356 164,857	-20,504,824 89,880.5	15,764,622 106,761	-9,858,589 31,473.5
Net income Median	110,522,461 6,043,842	77,241,129 5,845,112	63,866,637 7,606,259	7,574,204 7,283,041	18,468,709 14,957,241
Net margin Median	16.96395% 4.62%	11.47837% 4.42%	12.71246% 5.16%	1.08766% 5.2%	2.50503% 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 VASSAR BROTHERS 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	113,954,690 23,241,334	121,985,888 23,709,545	94,008,796 24,248,380	124,980,919 22,858,541	155,997,827 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	113,954,690 21,577,146	121,985,888 22,041,594	94,008,796 22,722,063	124,980,919 21,570,441	155,997,827 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	51,355,675 11,160,864	56,588,098 11,987,345	44,711,290 12,926,866	53,134,062 11,884,480	62,261,668 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	51,355,675 10,918,923	56,588,098 11,706,976	44,711,290 12,615,917	53,134,062 11,458,116	62,261,668 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	0 3,284,314	0 3,250,551	974,174 3,386,837	9,182,069 3,360,806	22,944,899 3,508,953
Disproportionate-share hospital (DSH) Median	1,898,455 594,888	2,465,094 595,761	1,632,158 577,894	2,067,695 542,168	2,135,424 549,667
Outlier Median	3,019,597 582,572	2,265,862 538,116	76,023 212,434	103,385 126,559	322,867 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	16,231,120 3,662,910	18,007,230 3,730,911	18,753,785 4,081,319	27,791,122 4,643,908	21,704,002 4,389,147
Charity care Median	8,416,776 2,654,636	4,427,265 2,940,659	2,143,150 3,380,215	4,037,184 3,488,738	7,708,171 3,233,405
Uncompensated care (UCC) Median	10,410,748 5,147,790	6,413,086 5,337,617	3,239,899 5,711,082	5,067,840 5,923,418	9,447,396 5,508,107
UCC as a % of operating expenses Median	1.87% 3.24	1.12% 3.12	0.71% 3.21	0.75% 3.3	1.30% 2.86
Total shortfall/UCC Median	26,641,868 9,489,989	24,420,316 9,424,297	21,993,684 10,120,158	32,858,962 11,171,337	31,151,398 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	158,184,582 52,142,039	161,487,694 54,485,252	128,122,339 57,395,589	183,291,485 58,830,919	182,843,867 61,722,907
Salaries as a % of operating expenses Median	28.20 36.68	28.15 36.56	27.75 36.37	27.12 35.93	25.09 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	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	5,089,449 1,449,244	1,313,592 1,475,986	1,427,215 1,563,078	2,512,251 1,721,954	1,190,057 2,991,828
Contract hours, direct-care Median	58,939.00 22,725	16,611.00 23,018.5	18,260.00 24,503.48	28,598.42 25,026.5	14,074.00 33,786
Contract wages, direct-care Median	86.35 64.67	79.08 64.53	78.16 65.06	87.85 68.97	84.56 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.