As of the July, 2022, release via CMS

HUNTINGTON HOSPITAL

CMS id: 330045
270 PARK AVENUE, HUNTINGTON NY 11743. County: SUFFOLK
System: NORTHWELL HEALTHCARE INC
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 280-bed, acute-care hospital had $-105,762,477 in net service to patients*, with a total profit margin of 9.33656% in fiscal year 2021, the latest year available.
It spent 0.28% of its operating expenses on uncompensated care and reported $31,317,329 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	230 118	224 118	224 119.5	224 118	224 119
Total beds Median	287 162	280 162	280 162	280 162	280 163.5
FTEs Median	1,980.10 788.06	2,078.60 793.42	2,180.60 806.03	2,194.90 787.61	2,284.80 804.34

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	336,855,130 150,932,746	351,898,765 158,950,878	396,576,827 168,696,998	405,015,844 163,454,693	457,617,281 186,589,412
Operating expenses Median	412,850,362 149,311,209	434,088,204 156,110,414	472,916,819 164,890,568	490,852,118 166,516,854	563,379,758 180,120,888
Net income from service 2 patients (NS2P) ? Median	-75,995,232 -964,173	-82,189,439 -643,601.5	-76,339,992 -116,254	-85,836,274 -5,025,862	-105,762,477 -1,284,564
NS2P margin ? Median	-22.56% -0.62	-23.36% -0.29	-19.25% 0.18	-21.19% -5.07	-23.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HUNTINGTON 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	95,292,744 5,089,215	81,710,621 4,572,541	106,433,375 5,268,134	151,743,317 13,092,619	163,779,590 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	7,599,157 299,524	8,699,404 188,688.5	11,045,551 370,813	9,773,788 309,361.5	21,802,762 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	6--,216	47,222	48,--67	4,188	--
⊳ 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	1,071,627	987,331	1,005,760	696,017	704,219
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	24,000	21,000	28,000	27,600
⊳ Line 17: Revenue from sale of drugs to other than patients	11,347	8,164	2,853	2,173	2,859
⊳ 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	99,502	86,783	86,539	24,440	0
⊳ Line 21: Rental of vending machines	5,104	4,461	1,041	37	5,632
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	173,326 1,017,693	2,693 983,261.5	147,599 1,173,286	412,136 1,987,202	532,997 1,597,664
⊳ Sum Line 24	86,271,910	71,850,563	94,074,965	140,802,538	140,703,521
Total income ? Median	19,297,512 6,586,430	-478,818 6,767,106	30,093,383 8,419,950	65,907,043 8,094,175	58,017,113 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-22,946,266 89,880.5	0 106,761	0 31,473.5
Net income Median	19,297,512 6,043,842	-478,818 5,845,112	53,039,649 7,606,259	65,907,043 7,283,041	58,017,113 14,957,241
Net margin Median	4.46549% 4.62%	-0.11043% 4.42%	10.54445% 5.16%	11.83762% 5.2%	9.33656% 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 HUNTINGTON 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	88,457,967 23,241,334	91,568,520 23,709,545	98,967,358 24,248,380	93,980,966 22,858,541	107,350,602 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	86,280,187 21,577,146	89,074,184 22,041,594	97,236,993 22,722,063	92,122,882 21,570,441	105,246,604 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	2,177,780 1,845,420	2,494,336 1,757,392	1,730,365 1,738,842	1,858,084 1,510,463	2,103,998 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	20,033,253 11,160,864	20,183,337 11,987,345	22,514,708 12,926,866	17,886,979 11,884,480	22,144,621 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	20,033,253 10,918,923	20,183,337 11,706,976	22,514,708 12,615,917	17,886,979 11,458,116	22,144,621 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	2,928,294 3,284,314	3,651,177 3,250,551	4,432,279 3,386,837	4,713,034 3,360,806	6,114,581 3,508,953
Disproportionate-share hospital (DSH) Median	594,888 594,888	0 595,761	1,634,748 577,894	1,307,314 542,168	1,146,663 549,667
Outlier Median	1,537,681 582,572	1,345,852 538,116	317,737 212,434	388,908 126,559	344,983 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,365,144 3,662,910	14,038,889 3,730,911	15,508,952 4,081,319	20,535,345 4,643,908	31,317,329 4,389,147
Charity care Median	7,188,809 2,654,636	4,640,397 2,940,659	3,162,439 3,380,215	348,310 3,488,738	593,868 3,233,405
Uncompensated care (UCC) Median	8,401,483 5,147,790	5,711,651 5,337,617	4,507,113 5,711,082	1,768,485 5,923,418	1,598,304 5,508,107
UCC as a % of operating expenses Median	2.03% 3.24	1.32% 3.12	0.95% 3.21	0.36% 3.3	0.28% 2.86
Total shortfall/UCC Median	22,766,627 9,489,989	19,750,540 9,424,297	20,016,065 10,120,158	22,303,830 11,171,337	32,915,633 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	200,587,154 52,142,039	213,372,852 54,485,252	240,048,022 57,395,589	249,993,130 58,830,919	281,739,477 61,722,907
Salaries as a % of operating expenses Median	48.59 36.68	49.15 36.56	50.76 36.37	50.93 35.93	50.01 35.24
Intern, resident salaries* Median	177,254 2,598,592	223,914 2,686,824	220,706 2,753,773	215,549 2,937,156	1,104,702 2,909,848
Contract intern, resident salaries* Median	967,105 1,251,927	1,077,530 1,186,494	1,193,610 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,421,290 1,449,244	1,471,449 1,475,986	0 1,563,078	1,817,399 1,721,954	3,276,213 2,991,828
Contract hours, direct-care Median	37,914.00 22,725	39,015.00 23,018.5	0.00 24,503.48	15,162.00 25,026.5	26,075.00 33,786
Contract wages, direct-care Median	37.49 64.67	37.71 64.53	0.00 65.06	119.87 68.97	125.65 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.