As of the July, 2022, release via CMS

ST. MARYS HEALTHCARE

CMS id: 330047
427 GUY PARK AVENUE, AMSTERDAM NY 12010. County: MONTGOMERY
System: ASCENSION HEALTH
CBSA: Amsterdam, NY

The 290-bed, acute-care hospital had $-22,043,699 in net service to patients*, with a total profit margin of 5.87222% in fiscal year 2021, the latest year available.
It spent 2.43% of its operating expenses on uncompensated care and reported $9,593,655 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	forprofit	nfp	nfp	nfp	nfp
Acute beds Median	92 118	92 118	92 119.5	92 118	92 119
Total beds Median	290 162	290 162	290 162	290 162	290 163.5
FTEs Median	1,412.00 788.06	1,359.10 793.42	1,362.20 806.03	1,322.69 787.61	1,276.60 804.34

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	154,229,515 150,932,746	157,431,388 158,950,878	160,467,494 168,696,998	144,843,792 163,454,693	151,876,635 186,589,412
Operating expenses Median	171,694,549 149,311,209	172,056,470 156,110,414	180,725,701 164,890,568	184,190,009 166,516,854	173,920,334 180,120,888
Net income from service 2 patients (NS2P) ? Median	-17,465,034 -964,173	-14,625,082 -643,601.5	-20,258,207 -116,254	-39,346,217 -5,025,862	-22,043,699 -1,284,564
NS2P margin ? Median	-11.32% -0.62	-9.29% -0.29	-12.62% 0.18	-27.16% -5.07	-14.51% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. MARYS HEALTHCARE 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	9,549,690 5,089,215	13,037,696 4,572,541	16,129,077 5,268,134	33,340,579 13,092,619	16,090,426 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	31,332	27,--53	29,88--	29,16--	71,267
⊳ Line 10: Purchase discounts	800	800	800	800	684
⊳ Line 11: Rebates and refunds of expenses	5,565	6,485	5,230	3,979	25,103
⊳ 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	677,816	656,703	649,831	586,821	476,971
⊳ Line 15: Revenue from rental of living quarters	7,200	7,900	9,266	8,026	697
⊳ 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	3,759	26,075	36,768	1,961	1,452
⊳ Line 18: Revenue from sale of medical records and abstracts	29,608	22,647	17,555	20,486	14,915
⊳ 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	6,824	10,090	8,957	6,758	7,474
⊳ Line 22: Rental of hospital space	0	0	11,676	17,864	24,264
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	5,892,802 1,173,286	7,594,011 1,987,202	2,342,328 1,597,664
⊳ Sum Line 24	8,786,786	12,279,943	9,466,312	25,070,713	13,125,271
Total income ? Median	-7,915,344 6,586,430	-1,587,386 6,767,106	-4,129,130 8,419,950	-6,005,638 8,094,175	-5,953,273 15,162,888
Non-operating expenses Median	-4,941,722 146,289.5	-2,462,706 164,857	-849,010 89,880.5	1,031,404 106,761	-15,816,666 31,473.5
Net income Median	-2,973,622 6,043,842	875,320 5,845,112	-3,280,120 7,606,259	-7,037,042 7,283,041	9,863,393 14,957,241
Net margin Median	-1.81563% 4.62%	0.51348% 4.42%	-1.85741% 5.16%	-3.94930% 5.2%	5.87222% 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 ST. MARYS HEALTHCARE 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	22,005,796 23,241,334	20,029,676 23,709,545	18,585,834 24,248,380	16,895,657 22,858,541	15,414,155 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	16,300,032 21,577,146	14,981,077 22,041,594	13,766,476 22,722,063	12,343,784 21,570,441	10,964,913 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	1,526,013 1,845,420	1,332,579 1,757,392	1,120,149 1,738,842	1,243,256 1,510,463	1,276,683 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,920,464 3,535,627	1,996,161 3,746,588	1,968,246 3,782,288	1,679,590 3,865,578	1,652,232 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	2,259,287 1,203,033	1,719,859 1,215,295	1,730,963 1,313,657	1,629,027 1,365,298	1,520,327 1,179,746
All outpatient revenue Median Click here to show/hide details	10,192,614 11,160,864	10,219,206 11,987,345	9,845,191 12,926,866	9,481,520 11,884,480	9,383,460 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	10,192,614 10,918,923	10,219,206 11,706,976	9,845,191 12,615,917	9,481,520 11,458,116	9,383,460 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	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	612,293 594,888	481,040 595,761	451,618 577,894	424,757 542,168	264,905 549,667
Outlier Median	292,196 582,572	271,086 538,116	175,139 212,434	54,556 126,559	176,724 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,962,328 3,662,910	5,245,019 3,730,911	10,557,492 4,081,319	12,940,118 4,643,908	9,593,655 4,389,147
Charity care Median	1,188,351 2,654,636	1,428,853 2,940,659	2,533,242 3,380,215	2,300,612 3,488,738	1,928,589 3,233,405
Uncompensated care (UCC) Median	3,489,346 5,147,790	3,831,092 5,337,617	4,994,659 5,711,082	5,115,372 5,923,418	4,224,470 5,508,107
UCC as a % of operating expenses Median	2.03% 3.24	2.23% 3.12	2.76% 3.21	2.78% 3.3	2.43% 2.86
Total shortfall/UCC Median	9,451,674 9,489,989	9,076,111 9,424,297	15,552,151 10,120,158	18,055,490 11,171,337	13,818,125 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	86,371,149 52,142,039	85,978,415 54,485,252	89,156,263 57,395,589	89,295,464 58,830,919	90,547,032 61,722,907
Salaries as a % of operating expenses Median	50.31 36.68	49.97 36.56	49.33 36.37	48.48 35.93	52.06 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	851,705 1,449,244	809,781 1,475,986	648,284 1,563,078	714,463 1,721,954	1,356,060 2,991,828
Contract hours, direct-care Median	15,536.00 22,725	13,672.00 23,018.5	10,765.00 24,503.48	12,100.00 25,026.5	18,942.00 33,786
Contract wages, direct-care Median	54.82 64.67	59.23 64.53	60.22 65.06	59.05 68.97	71.59 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.