As of the July, 2022, release via CMS

GENEVA GENERAL HOSPITAL

CMS id: 330058
196 NORTH STREET, GENEVA NY 14456. County: ONTARIO
System: --
CBSA: Rochester, NY

The 462-bed, acute-care hospital had $-27,523,105 in net service to patients*, with a total profit margin of -0.32028% in fiscal year 2021, the latest year available.
It spent 1.60% of its operating expenses on uncompensated care and reported $7,834,783 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	forprofit	nfp	nfp	nfp
Acute beds Median	103 118	103 118	103 119.5	103 118	103 119
Total beds Median	477 162	477 162	477 162	462 162	462 163.5
FTEs Median	1,008.20 788.06	990.30 793.42	951.42 806.03	920.50 787.61	808.47 804.34

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	109,484,185 150,932,746	108,336,187 158,950,878	119,406,784 168,696,998	98,445,522 163,454,693	109,724,454 186,589,412
Operating expenses Median	117,917,845 149,311,209	120,437,830 156,110,414	132,109,706 164,890,568	121,691,435 166,516,854	137,247,559 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,433,660 -964,173	-12,101,643 -643,601.5	-12,702,922 -116,254	-23,245,913 -5,025,862	-27,523,105 -1,284,564
NS2P margin ? Median	-7.70% -0.62	-11.17% -0.29	-10.64% 0.18	-23.61% -5.07	-25.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GENEVA GENERAL 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	12,566,726 5,089,215	342,871 4,572,541	43,269,267 5,268,134	8,552,182 13,092,619	19,989,521 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	484,033 224,999	612,171 199,009	80,231 206,870.5	14,634 194,343	20,951 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	611,939 370,813	169,201 309,361.5	2,366,702 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	17,504	-2,481	-3,554	2,389	122
⊳ Line 11: Rebates and refunds of expenses	22,304	25,041	67,227	8,698	30,343
⊳ Line 12: Parking lot receipts	30	30	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	0	0	469,064	424,223	400,265
⊳ Line 15: Revenue from rental of living quarters	117,222	46,248	70,147	71,624	56,615
⊳ Line 16: Revenue from sale of medical and surgical supplies	107	91	116	27	21
⊳ Line 17: Revenue from sale of drugs to other than patients	16,186	12,404	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	12,831	2,843	2,157	18,099	12,329
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,460,919	1,666,232	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	25,673	24,099	23,483	19,487	17,700
⊳ Line 22: Rental of hospital space	50,908	51,182	840	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	702,639 1,017,693	430,136 983,261.5	329,631 1,173,286	700,354 1,987,202	400,032 1,597,664
⊳ Sum Line 24	9,629,133	-2,551,623	41,592,866	7,100,379	16,661,165
Total income ? Median	4,133,066 6,586,430	-11,758,772 6,767,106	30,566,345 8,419,950	-14,693,731 8,094,175	-7,533,584 15,162,888
Non-operating expenses Median	-4,361,331 146,289.5	-10,096,184 164,857	2,249,960 89,880.5	-8,951,953 106,761	-7,118,135 31,473.5
Net income Median	8,494,397 6,043,842	-1,662,588 5,845,112	28,316,385 7,606,259	-5,741,778 7,283,041	-415,449 14,957,241
Net margin Median	6.95972% 4.62%	-1.52981% 4.42%	17.40661% 5.16%	-5.36626% 5.2%	-0.32028% 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 GENEVA GENERAL 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	15,121,721 23,241,334	15,861,286 23,709,545	14,959,357 24,248,380	12,223,715 22,858,541	12,097,566 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	12,250,239 21,577,146	12,837,355 22,041,594	12,962,270 22,722,063	10,499,133 21,570,441	10,747,689 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	782,294 3,535,627	828,850 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	2,089,188 1,203,033	2,195,081 1,215,295	1,997,087 1,313,657	1,724,582 1,365,298	1,349,877 1,179,746
All outpatient revenue Median Click here to show/hide details	6,083,283 11,160,864	6,430,459 11,987,345	6,483,860 12,926,866	5,370,345 11,884,480	5,739,007 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	6,083,283 10,918,923	6,430,459 11,706,976	6,483,860 12,615,917	5,370,345 11,458,116	5,739,007 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	103,025 594,888	131,211 595,761	144,075 577,894	113,303 542,168	110,672 549,667
Outlier Median	348,041 582,572	295,679 538,116	21,660 212,434	56,559 126,559	223,045 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,166,248 3,662,910	5,140,070 3,730,911	4,908,332 4,081,319	6,618,957 4,643,908	7,834,783 4,389,147
Charity care Median	1,775,110 2,654,636	1,183,585 2,940,659	1,256,486 3,380,215	1,450,741 3,488,738	1,146,484 3,233,405
Uncompensated care (UCC) Median	2,750,938 5,147,790	2,267,492 5,337,617	2,341,842 5,711,082	2,756,339 5,923,418	2,189,764 5,508,107
UCC as a % of operating expenses Median	2.33% 3.24	1.88% 3.12	1.77% 3.21	2.27% 3.3	1.60% 2.86
Total shortfall/UCC Median	5,917,186 9,489,989	7,407,562 9,424,297	7,250,174 10,120,158	9,375,296 11,171,337	10,024,547 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	60,013,313 52,142,039	60,596,344 54,485,252	61,590,438 57,395,589	58,939,711 58,830,919	71,554,375 61,722,907
Salaries as a % of operating expenses Median	50.89 36.68	50.31 36.56	46.62 36.37	45.51 35.93	52.27 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	1,815,480 1,449,244	2,937,014 1,475,986	3,839,828 1,563,078	4,294,479 1,721,954	451,376 2,991,828
Contract hours, direct-care Median	24,985.00 22,725	38,594.00 23,018.5	59,648.00 24,503.48	60,593.16 25,026.5	13,427.30 33,786
Contract wages, direct-care Median	72.66 64.67	76.10 64.53	64.37 65.06	70.87 68.97	33.62 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.