As of the July, 2022, release via CMS

NORTHERN DUTCHESS HOSPITAL

CMS id: 330049
6511 SPRINGBROOK AVENUE, RHINEBECK NY 12572. County: DUTCHESS
System: HEALTH QUEST SYSTEM
CBSA: Poughkeepsie-Newburgh-Middletown, NY

The 84-bed, acute-care hospital had $8,680,562 in net service to patients*, with a total profit margin of 8.03565% in fiscal year 2021, the latest year available.
It spent 1.16% of its operating expenses on uncompensated care and reported $1,122,686 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	273	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	67 118	67 118	67 119.5	67 118	67 119
Total beds Median	84 162	84 162	84 162	84 162	84 163.5
FTEs Median	459.40 788.06	485.40 793.42	509.60 806.03	514.75 787.61	501.90 804.34

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	125,082,241 150,932,746	136,966,493 158,950,878	105,743,605 168,696,998	135,871,410 163,454,693	160,061,847 186,589,412
Operating expenses Median	106,633,151 149,311,209	118,516,114 156,110,414	96,921,064 164,890,568	144,888,555 166,516,854	151,381,285 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,449,090 -964,173	18,450,379 -643,601.5	8,822,541 -116,254	-9,017,145 -5,025,862	8,680,562 -1,284,564
NS2P margin ? Median	14.75% -0.62	13.47% -0.29	8.34% 0.18	-6.64% -5.07	5.42% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTHERN DUTCHESS 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	3,394,122 5,089,215	3,884,786 4,572,541	2,110,126 5,268,134	13,671,292 13,092,619	4,546,807 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	1,050,431 299,524	1,396,776 188,688.5	227,053 370,813	2,224,557 309,361.5	821,289 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	2,894	756	286	0	7,561
⊳ Line 11: Rebates and refunds of expenses	148,790	203,501	159,930	67,246	111,206
⊳ 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	478,858	560,224	419,690	475,081	368,912
⊳ 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	1,309	849	413	0	993
⊳ Line 18: Revenue from sale of medical records and abstracts	2,185	4,487	2,633	175	291
⊳ 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	8,552	13,217	7,781	10,666	2,754
⊳ Line 22: Rental of hospital space	929,000	943,809	704,142	998,049	947,498
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	772,103	761,167	588,198	9,895,518	2,286,303
Total income ? Median	21,843,212 6,586,430	22,335,165 6,767,106	10,932,667 8,419,950	4,654,147 8,094,175	13,227,369 15,162,888
Non-operating expenses Median	-1,416,964 146,289.5	2,368,016 164,857	1,246,763 89,880.5	778,544 106,761	0 31,473.5
Net income Median	23,260,176 6,043,842	19,967,149 5,845,112	9,685,904 7,606,259	3,875,603 7,283,041	13,227,369 14,957,241
Net margin Median	18.10463% 4.62%	14.17605% 4.42%	8.98059% 5.16%	2.59164% 5.2%	8.03565% 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 NORTHERN DUTCHESS 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	21,628,030 23,241,334	25,116,854 23,709,545	18,692,936 24,248,380	23,616,843 22,858,541	26,621,159 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	19,521,993 21,577,146	22,879,430 22,041,594	17,211,978 22,722,063	20,652,203 21,570,441	23,412,482 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	2,106,037 3,535,627	2,237,424 3,746,588	1,480,958 3,782,288	2,964,640 3,865,578	3,208,677 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	9,338,127 11,160,864	12,873,010 11,987,345	11,398,394 12,926,866	17,229,261 11,884,480	21,345,560 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	9,338,127 10,918,923	12,873,010 11,706,976	11,398,394 12,615,917	17,229,261 11,458,116	21,345,560 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	243,679 3,386,837	1,621,988 3,360,806	3,083,288 3,508,953
Disproportionate-share hospital (DSH) Median	207,361 594,888	295,952 595,761	226,714 577,894	262,450 542,168	294,123 549,667
Outlier Median	187,261 582,572	261,750 538,116	7,084 212,434	133,298 126,559	100,538 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,785,450 3,662,910	3,376,068 3,730,911	2,605,565 4,081,319	4,013,308 4,643,908	1,122,686 4,389,147
Charity care Median	1,439,457 2,654,636	854,212 2,940,659	329,627 3,380,215	941,021 3,488,738	1,308,575 3,233,405
Uncompensated care (UCC) Median	1,970,368 5,147,790	1,148,967 5,337,617	626,229 5,711,082	1,297,207 5,923,418	1,757,919 5,508,107
UCC as a % of operating expenses Median	1.85% 3.24	0.97% 3.12	0.65% 3.21	0.90% 3.3	1.16% 2.86
Total shortfall/UCC Median	4,755,818 9,489,989	4,525,035 9,424,297	3,231,794 10,120,158	5,310,515 11,171,337	2,880,605 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	36,953,035 52,142,039	39,774,141 54,485,252	31,689,251 57,395,589	45,184,985 58,830,919	46,005,638 61,722,907
Salaries as a % of operating expenses Median	34.45 36.68	33.38 36.56	32.53 36.37	31.04 35.93	30.39 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	1,384,233 1,449,244	1,404,052 1,475,986	405,480 1,563,078	754,334 1,721,954	232,297 2,991,828
Contract hours, direct-care Median	17,563.00 22,725	15,798.00 23,018.5	5,600.00 24,503.48	9,830.56 25,026.5	3,740.00 33,786
Contract wages, direct-care Median	78.82 64.67	88.88 64.53	72.41 65.06	76.73 68.97	62.11 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.