As of the July, 2022, release via CMS

MOUNT SINAI HOSPITAL

CMS id: 330024
ONE GUSTAVE L. LEVY PLACE, NEW YORK NY 10029. County: NEW YORK
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 1,183-bed, acute-care hospital had $-557,038,392 in net service to patients*, with a total profit margin of 4.08433% in fiscal year 2020, the latest year available.
It spent 1.26% of its operating expenses on uncompensated care and reported $250,088,386 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	885 118	943 118	912 119.5	940 118	-- 119
Total beds Median	1,103 162	1,161 162	1,133 162	1,183 162	-- 163.5
FTEs Median	10,639.00 788.06	11,550.36 793.42	12,265.70 806.03	11,859.80 787.61	-- 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	2,467,873,137 150,932,746	2,683,297,481 158,950,878	2,854,596,182 168,696,998	2,683,766,080 163,454,693	-- 186,589,412
Operating expenses Median	2,466,493,561 149,311,209	2,737,976,336 156,110,414	2,966,047,396 164,890,568	3,240,804,472 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,379,576 -964,173	-54,678,855 -643,601.5	-111,451,214 -116,254	-557,038,392 -5,025,862	-- -1,284,564
NS2P margin ? Median	0.06% -0.62	-2.04% -0.29	-3.90% 0.18	-20.76% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MOUNT SINAI 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	142,422,418 5,089,215	164,641,018 4,572,541	202,289,916 5,268,134	578,310,656 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	715,894 224,999	1,007,984 199,009	639,833 206,870.5	18,184,000 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	30,821,812 299,524	44,575,631 188,688.5	59,945,891 370,813	98,741,773 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	113,962	--	--	--	--
⊳ Line 10: Purchase discounts	3,039,435	2,872,351	2,932,263	3,051,922	--
⊳ Line 11: Rebates and refunds of expenses	7,095,895	13,194,064	11,532,600	23,729,582	--
⊳ Line 12: Parking lot receipts	3,173,855	3,392,176	3,742,676	2,104,807	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	11,331,236	12,565,053	13,244,716	7,867,566	--
⊳ Line 15: Revenue from rental of living quarters	669,739	538,444	535,735	81,578	--
⊳ 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	222,963	155,007	152,453	57,910	--
⊳ 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	149,774	235,819	193,809	162,111	--
⊳ Line 22: Rental of hospital space	0	0	0	16,034	--
⊳ Line 23: Gov appropriations ? ⊳ Median	34,085,277 1,017,693	40,370,266 983,261.5	22,352,722 1,173,286	23,130,360 1,987,202	-- 1,597,664
⊳ Sum Line 24	51,002,576	45,734,223	87,017,218	401,183,013	--
Total income ? Median	143,801,994 6,586,430	109,962,163 6,767,106	90,838,702 8,419,950	21,272,264 8,094,175	-- 15,162,888
Non-operating expenses Median	-196,751,006 146,289.5	-50,135,837 164,857	-214,452,298 89,880.5	-111,961,736 106,761	-- 31,473.5
Net income Median	340,553,000 6,043,842	160,098,000 5,845,112	305,291,000 7,606,259	133,234,000 7,283,041	-- 14,957,241
Net margin Median	13.04653% 4.62%	5.62154% 4.42%	9.98699% 5.16%	4.08433% 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 MOUNT SINAI 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	445,524,164 23,241,334	456,655,908 23,709,545	499,618,798 24,248,380	486,673,195 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	432,093,681 21,577,146	443,496,314 22,041,594	485,212,545 22,722,063	472,740,220 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	4,871,551 1,845,420	4,768,887 1,757,392	5,912,864 1,738,842	5,747,227 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	8,558,932 3,535,627	8,390,707 3,746,588	8,493,389 3,782,288	8,185,748 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	155,963,818 11,160,864	162,046,226 11,987,345	178,278,437 12,926,866	157,999,610 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	155,963,818 10,918,923	162,046,226 11,706,976	178,278,437 12,615,917	157,999,610 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	125,899,474 3,284,314	130,497,793 3,250,551	144,324,913 3,386,837	141,878,399 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	13,692,416 594,888	13,166,921 595,761	14,305,984 577,894	14,131,395 542,168	-- 549,667
Outlier Median	23,859,009 582,572	34,256,783 538,116	5,318,509 212,434	5,190,412 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,722,788 3,662,910	54,586,196 3,730,911	149,948,490 4,081,319	250,088,386 4,643,908	-- 4,389,147
Charity care Median	31,471,224 2,654,636	27,405,211 2,940,659	26,905,727 3,380,215	38,955,752 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	36,891,904 5,147,790	33,909,779 5,337,617	30,825,554 5,711,082	40,871,198 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	1.50% 3.24	1.24% 3.12	1.04% 3.21	1.26% 3.3	--% 2.86
Total shortfall/UCC Median	58,614,692 9,489,989	88,495,975 9,424,297	180,774,044 10,120,158	290,959,584 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	921,511,924 52,142,039	1,031,141,191 54,485,252	1,116,862,050 57,395,589	1,234,023,618 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	37.36 36.68	37.66 36.56	37.65 36.37	38.08 35.93	-- 35.24
Intern, resident salaries* Median	58,535,265 2,598,592	68,986,632 2,686,824	75,867,649 2,753,773	83,125,036 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	7,000,795 1,449,244	7,986,039 1,475,986	7,529,330 1,563,078	17,854,718 1,721,954	-- 2,991,828
Contract hours, direct-care Median	233,988.00 22,725	212,867.00 23,018.5	133,394.00 24,503.48	227,376.00 25,026.5	-- 33,786
Contract wages, direct-care Median	29.92 64.67	37.52 64.53	56.44 65.06	78.53 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.