As of the July, 2022, release via CMS

SOUTH SHORE UNIVERSITY HOSPITAL

CMS id: 330043
301 EAST MAIN STREET, BAY SHORE NY 11706. County: SUFFOLK
System: NORTHWELL HEALTHCARE INC
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 304-bed, acute-care hospital had $-230,967,219 in net service to patients*, with a total profit margin of -0.00908% in fiscal year 2021, the latest year available.
It spent 1.36% of its operating expenses on uncompensated care and reported $38,220,991 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	222 118	231 118	237 119.5	237 118	257 119
Total beds Median	269 162	278 162	284 162	284 162	304 163.5
FTEs Median	2,983.00 788.06	2,931.20 793.42	3,205.50 806.03	3,285.80 787.61	3,533.80 804.34

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	447,014,406 150,932,746	464,835,560 158,950,878	536,803,610 168,696,998	548,629,028 163,454,693	672,584,724 186,589,412
Operating expenses Median	601,197,236 149,311,209	648,621,821 156,110,414	737,596,538 164,890,568	774,694,236 166,516,854	903,551,943 180,120,888
Net income from service 2 patients (NS2P) ? Median	-154,182,830 -964,173	-183,786,261 -643,601.5	-200,792,928 -116,254	-226,065,208 -5,025,862	-230,967,219 -1,284,564
NS2P margin ? Median	-34.49% -0.62	-39.54% -0.29	-37.41% 0.18	-41.21% -5.07	-34.34% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SOUTH SHORE UNIVERSITY 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	133,269,345 5,089,215	163,602,862 4,572,541	177,386,924 5,268,134	244,331,194 13,092,619	230,743,588 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	253,236 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	388,471 188,688.5	637,394 370,813	618,008 309,361.5	1,298,831 375,329
⊳ 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	1,203,138	1,028,714	1,149,577	1,022,318	1,047,694
⊳ 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	2,348,703	5,888,850	5,148,637	5,648,724
⊳ 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	15	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	122	0	0
⊳ Line 21: Rental of vending machines	3,676	4,117	844	31	4,575
⊳ Line 22: Rental of hospital space	676,993	980,801	1,102,517	1,222,935	1,370,919
⊳ Line 23: Gov appropriations ? ⊳ Median	6,017,207 1,017,693	7,425,219 983,261.5	7,977,089 1,173,286	8,800,753 1,987,202	6,667,078 1,597,664
⊳ Sum Line 24	125,115,095	151,426,822	160,630,531	227,518,512	214,705,767
Total income ? Median	-20,913,485 6,586,430	-20,183,399 6,767,106	-23,406,004 8,419,950	18,265,986 8,094,175	-223,631 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-141,635 31,473.5
Net income Median	-20,913,485 6,043,842	-20,183,399 5,845,112	-23,406,004 7,606,259	18,265,986 7,283,041	-81,996 14,957,241
Net margin Median	-3.60401% 4.62%	-3.21167% 4.42%	-3.27728% 5.16%	2.30352% 5.2%	-0.00908% 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 SOUTH SHORE UNIVERSITY 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	100,511,615 23,241,334	96,985,654 23,709,545	115,234,603 24,248,380	115,246,489 22,858,541	128,398,450 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	92,864,255 21,577,146	96,985,654 22,041,594	115,234,603 22,722,063	115,246,489 21,570,441	128,398,450 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	7,647,360 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	14,601,095 11,160,864	16,816,244 11,987,345	17,149,201 12,926,866	13,669,922 11,884,480	16,923,442 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	14,601,095 10,918,923	16,816,244 11,706,976	17,149,201 12,615,917	13,669,922 11,458,116	16,923,442 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	6,514,838 3,284,314	7,039,219 3,250,551	8,911,168 3,386,837	9,148,721 3,360,806	10,691,083 3,508,953
Disproportionate-share hospital (DSH) Median	2,515,294 594,888	2,529,615 595,761	3,132,372 577,894	3,194,328 542,168	3,406,280 549,667
Outlier Median	3,943,895 582,572	2,529,173 538,116	352,271 212,434	284,211 126,559	591,424 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,070,797 3,662,910	11,361,425 3,730,911	15,390,934 4,081,319	36,645,081 4,643,908	38,220,991 4,389,147
Charity care Median	9,522,090 2,654,636	13,305,963 2,940,659	14,025,567 3,380,215	12,205,465 3,488,738	11,312,055 3,233,405
Uncompensated care (UCC) Median	10,191,405 5,147,790	14,667,820 5,337,617	14,589,037 5,711,082	15,252,406 5,923,418	12,267,897 5,508,107
UCC as a % of operating expenses Median	1.70% 3.24	2.26% 3.12	1.98% 3.21	1.97% 3.3	1.36% 2.86
Total shortfall/UCC Median	21,262,202 9,489,989	26,029,245 9,424,297	29,979,971 10,120,158	51,897,487 11,171,337	50,488,888 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	303,244,188 52,142,039	323,950,527 54,485,252	361,185,828 57,395,589	385,550,807 58,830,919	436,408,282 61,722,907
Salaries as a % of operating expenses Median	50.44 36.68	49.94 36.56	48.97 36.37	49.77 35.93	48.29 35.24
Intern, resident salaries* Median	2,378,793 2,598,592	2,766,864 2,686,824	3,136,949 2,753,773	3,142,152 2,937,156	3,195,545 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	452,559 1,449,244	197,141 1,475,986	0 1,563,078	5,557,838 1,721,954	16,069,751 2,991,828
Contract hours, direct-care Median	6,221.00 22,725	2,347.00 23,018.5	0.00 24,503.48	36,072.00 25,026.5	83,092.00 33,786
Contract wages, direct-care Median	72.75 64.67	84.00 64.53	0.00 65.06	154.08 68.97	193.40 88.94

* in an approved program

Return to top

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.