As of the July, 2022, release via CMS

MOUNT SINAI ST. LUKES ROOSEVELT HOS

CMS id: 330046
1000 TENTH AVENUE, NEW YORK NY 10019. County: NEW YORK
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 793-bed, acute-care hospital had $-217,217,837 in net service to patients*, with a total profit margin of -0.00029% in fiscal year 2021, the latest year available.
It spent 1.54% of its operating expenses on uncompensated care and reported $60,008,019 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	508 118	515 118	541 119.5	541 118	525 119
Total beds Median	771 162	783 162	809 162	809 162	793 163.5
FTEs Median	5,883.37 788.06	6,003.53 793.42	6,088.08 806.03	5,976.80 787.61	6,056.50 804.34

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	1,023,335,532 150,932,746	1,060,187,386 158,950,878	1,178,744,371 168,696,998	1,093,383,744 163,454,693	1,237,660,898 186,589,412
Operating expenses Median	1,146,060,074 149,311,209	1,252,268,728 156,110,414	1,334,075,459 164,890,568	1,442,452,128 166,516,854	1,454,878,735 180,120,888
Net income from service 2 patients (NS2P) ? Median	-122,724,542 -964,173	-192,081,342 -643,601.5	-155,331,088 -116,254	-349,068,384 -5,025,862	-217,217,837 -1,284,564
NS2P margin ? Median	-11.99% -0.62	-18.12% -0.29	-13.18% 0.18	-31.93% -5.07	-17.55% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MOUNT SINAI ST. LUKES ROOSEVELT HOS 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	135,652,963 5,089,215	168,597,315 4,572,541	130,134,170 5,268,134	349,718,424 13,092,619	217,213,679 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	25,057,711 224,999	25,000,571 199,009	0 206,870.5	7,264,861 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	218,863 299,524	1,289,439 188,688.5	2,623,010 370,813	3,941,025 309,361.5	-1,907,081 375,329
⊳ 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	1,225,309	1,966,014	1,046,746	1,004,250	1,291,034
⊳ Line 12: Parking lot receipts	1,822,343	1,786,995	1,735,389	1,203,465	1,574,883
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,140,009	3,629,641	3,707,171	2,443,715	2,433,083
⊳ 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	19,555,933	25,309,294	25,276,717	29,291,091	29,945,945
⊳ Line 18: Revenue from sale of medical records and abstracts	15,551	11,357	8,060	4,853	3,594
⊳ 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	155,218	141,144	185,896	188,439	157,945
⊳ Line 22: Rental of hospital space	12,341,045	11,302,652	10,398,814	11,157,430	9,968,933
⊳ Line 23: Gov appropriations ? ⊳ Median	6,575,251 1,017,693	7,147,791 983,261.5	1,842,792 1,173,286	1,592,209 1,987,202	4,644,026 1,597,664
⊳ Sum Line 24	65,545,730	91,012,417	83,309,575	291,627,086	169,101,317
Total income ? Median	12,928,421 6,586,430	-23,484,027 6,767,106	-25,196,918 8,419,950	650,040 8,094,175	-4,158 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	12,928,421 6,043,842	-23,484,027 5,845,112	-25,196,918 7,606,259	650,040 7,283,041	-4,158 14,957,241
Net margin Median	1.11549% 4.62%	-1.91116% 4.42%	-1.92508% 5.16%	0.04504% 5.2%	-0.00029% 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 ST. LUKES ROOSEVELT HOS 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	192,066,351 23,241,334	196,648,530 23,709,545	228,972,356 24,248,380	211,892,115 22,858,541	240,899,412 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	177,296,193 21,577,146	185,318,199 22,041,594	216,649,296 22,722,063	199,573,471 21,570,441	228,991,028 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	7,154,582 1,845,420	4,551,484 1,757,392	4,408,442 1,738,842	3,839,602 1,510,463	2,160,450 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	7,615,576 3,535,627	6,778,847 3,746,588	7,914,618 3,782,288	8,479,042 3,865,578	9,747,934 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	40,234,009 11,160,864	44,527,119 11,987,345	51,869,147 12,926,866	43,750,808 11,884,480	54,261,905 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	40,234,009 10,918,923	44,527,119 11,706,976	51,869,147 12,615,917	43,750,808 11,458,116	54,261,905 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	49,648,911 3,284,314	51,866,125 3,250,551	59,535,880 3,386,837	55,643,409 3,360,806	64,700,150 3,508,953
Disproportionate-share hospital (DSH) Median	6,696,072 594,888	6,394,695 595,761	8,043,634 577,894	7,058,142 542,168	7,417,855 549,667
Outlier Median	6,653,544 582,572	8,885,248 538,116	4,301,495 212,434	3,912,441 126,559	3,991,764 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	56,079,911 3,662,910	64,733,326 3,730,911	69,753,040 4,081,319	84,266,735 4,643,908	60,008,019 4,389,147
Charity care Median	26,863,830 2,654,636	23,196,476 2,940,659	21,553,953 3,380,215	20,771,018 3,488,738	20,959,478 3,233,405
Uncompensated care (UCC) Median	32,042,030 5,147,790	28,537,571 5,337,617	25,749,497 5,711,082	24,190,580 5,923,418	22,456,665 5,508,107
UCC as a % of operating expenses Median	2.80% 3.24	2.28% 3.12	1.93% 3.21	1.68% 3.3	1.54% 2.86
Total shortfall/UCC Median	88,121,941 9,489,989	93,270,897 9,424,297	95,502,537 10,120,158	108,457,315 11,171,337	82,464,684 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	466,051,434 52,142,039	512,036,546 54,485,252	531,027,789 57,395,589	550,768,234 58,830,919	544,869,269 61,722,907
Salaries as a % of operating expenses Median	40.67 36.68	40.89 36.56	39.80 36.37	38.18 35.93	37.45 35.24
Intern, resident salaries* Median	33,389,616 2,598,592	35,520,307 2,686,824	37,640,095 2,753,773	42,762,335 2,937,156	42,398,837 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	5,985,126 1,449,244	5,639,326 1,475,986	6,975,744 1,563,078	10,160,883 1,721,954	16,448,770 2,991,828
Contract hours, direct-care Median	82,601.00 22,725	93,494.00 23,018.5	90,951.00 24,503.48	176,769.00 25,026.5	173,243.00 33,786
Contract wages, direct-care Median	72.46 64.67	60.32 64.53	76.70 65.06	57.48 68.97	94.95 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.