As of the July, 2022, release via CMS

NIAGARA FALLS MEMORIAL MEDICAL CENTE

CMS id: 330065
621 10TH STREET, NIAGARA FALLS NY 14203. County: NIAGARA
System: --
CBSA: Buffalo-Cheektowaga, NY

The 133-bed, acute-care hospital had $-27,071,052 in net service to patients*, with a total profit margin of -6.09224% in fiscal year 2021, the latest year available.
It spent 1.49% of its operating expenses on uncompensated care and reported $13,442,418 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	121 118	121 118	121 119.5	121 118	121 119
Total beds Median	133 162	133 162	133 162	133 162	133 163.5
FTEs Median	919.90 788.06	926.00 793.42	929.00 806.03	843.40 787.61	822.00 804.34

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	97,392,218 150,932,746	93,578,162 158,950,878	96,402,414 168,696,998	96,868,532 163,454,693	99,702,187 186,589,412
Operating expenses Median	110,452,227 149,311,209	112,074,932 156,110,414	117,696,559 164,890,568	126,103,635 166,516,854	126,773,239 180,120,888
Net income from service 2 patients (NS2P) ? Median	-13,060,009 -964,173	-18,496,770 -643,601.5	-21,294,145 -116,254	-29,235,103 -5,025,862	-27,071,052 -1,284,564
NS2P margin ? Median	-13.41% -0.62	-19.77% -0.29	-22.09% 0.18	-30.18% -5.07	-27.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NIAGARA FALLS MEMORIAL MEDICAL CENTE 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	16,079,258 5,089,215	15,816,919 4,572,541	25,125,214 5,268,134	31,872,984 13,092,619	19,791,227 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,558,273 224,999	1,454,360 199,009	524,970 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	13,162 299,524	125,817 188,688.5	123,873 370,813	129,496 309,361.5	32,520 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	81,319	0	143,042	155,346	121,533
⊳ Line 11: Rebates and refunds of expenses	0	101,610	0	25,395	390,291
⊳ Line 12: Parking lot receipts	98,623	63,943	33,873	91,949	179,112
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	244,417	219,386	215,889	179,658	229,771
⊳ 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	1,981,342	2,720,817	3,394,067	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	27,491	25,386	29,315	12,357	13,648
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	2,740
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	658,197	559,011	598,970	530,749	559,135
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	5,255,434 1,987,202	451,762 1,597,664
⊳ Sum Line 24	11,416,434	10,546,589	20,061,215	25,492,600	17,810,715
Total income ? Median	3,019,249 6,586,430	-2,679,851 6,767,106	3,831,069 8,419,950	2,637,881 8,094,175	-7,279,825 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	3,019,249 6,043,842	-2,679,851 5,845,112	3,831,069 7,606,259	2,637,881 7,283,041	-7,279,825 14,957,241
Net margin Median	2.66080% 4.62%	-2.44970% 4.42%	3.15243% 5.16%	2.04897% 5.2%	-6.09224% 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 NIAGARA FALLS MEMORIAL MEDICAL CENTE 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	12,494,421 23,241,334	10,516,622 23,709,545	10,417,644 24,248,380	9,337,977 22,858,541	8,548,864 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	12,494,421 21,577,146	10,516,622 22,041,594	10,417,644 22,722,063	9,337,977 21,570,441	8,548,864 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	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	7,077,250 11,160,864	6,641,665 11,987,345	5,806,510 12,926,866	5,576,283 11,884,480	6,601,108 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	7,077,250 10,918,923	6,641,665 11,706,976	5,806,510 12,615,917	5,576,283 11,458,116	6,601,108 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	793,814 3,284,314	754,736 3,250,551	745,849 3,386,837	819,273 3,360,806	740,558 3,508,953
Disproportionate-share hospital (DSH) Median	719,239 594,888	602,319 595,761	601,949 577,894	519,509 542,168	483,896 549,667
Outlier Median	284,397 582,572	44,820 538,116	26,055 212,434	13,136 126,559	19,482 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,892,174 3,662,910	8,924,641 3,730,911	11,376,403 4,081,319	17,004,069 4,643,908	13,442,418 4,389,147
Charity care Median	1,741,229 2,654,636	2,163,398 2,940,659	1,787,448 3,380,215	3,218,330 3,488,738	1,186,841 3,233,405
Uncompensated care (UCC) Median	3,793,914 5,147,790	3,038,623 5,337,617	2,581,046 5,711,082	4,091,147 5,923,418	1,890,390 5,508,107
UCC as a % of operating expenses Median	3.43% 3.24	2.71% 3.12	2.19% 3.21	3.24% 3.3	1.49% 2.86
Total shortfall/UCC Median	9,686,088 9,489,989	11,963,264 9,424,297	13,957,449 10,120,158	21,095,216 11,171,337	15,332,808 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	54,810,099 52,142,039	57,218,150 54,485,252	59,482,970 57,395,589	60,692,234 58,830,919	60,826,568 61,722,907
Salaries as a % of operating expenses Median	49.23 36.68	50.68 36.56	50.30 36.37	48.01 35.93	47.98 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	2,033,702 1,449,244	76,084 1,475,986	0 1,563,078	2,565,778 1,721,954	0 2,991,828
Contract hours, direct-care Median	23,341.00 22,725	1,081.00 23,018.5	0.00 24,503.48	14,015.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	87.13 64.67	70.38 64.53	0.00 65.06	183.07 68.97	0.00 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.