As of the July, 2022, release via CMS

SISTERS OF CHARITY HOSPITAL

CMS id: 330078
2157 MAIN STREET, BUFFALO NY 14214. County: ERIE
System: CATHOLIC HEALTH SYSTEM
CBSA: Buffalo-Cheektowaga, NY

The 466-bed, acute-care hospital had $-97,624,574 in net service to patients*, with a total profit margin of -5.13101% in fiscal year 2020, the latest year available.
It spent 2.34% of its operating expenses on uncompensated care and reported $33,884,934 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	297 118	316 118	316 119.5	316 118	-- 119
Total beds Median	427 162	466 162	466 162	466 162	-- 163.5
FTEs Median	2,182.37 788.06	2,130.60 793.42	2,165.70 806.03	2,116.51 787.61	-- 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	318,628,357 150,932,746	310,690,034 158,950,878	303,965,415 168,696,998	276,277,028 163,454,693	-- 186,589,412
Operating expenses Median	329,114,207 149,311,209	337,604,385 156,110,414	345,361,697 164,890,568	373,901,602 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,485,850 -964,173	-26,914,351 -643,601.5	-41,396,282 -116,254	-97,624,574 -5,025,862	-- -1,284,564
NS2P margin ? Median	-3.29% -0.62	-8.66% -0.29	-13.62% 0.18	-35.34% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SISTERS OF CHARITY 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	28,720,688 5,089,215	17,017,430 4,572,541	34,767,136 5,268,134	79,223,643 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	24,418 199,009	24,419 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	822,825 299,524	1,741,322 188,688.5	939,219 370,813	576,305 309,361.5	-- 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	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	133,661	82,614	79,175	82,023	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	973,127	1,025,468	1,032,852	627,701	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	16,500	--
⊳ Line 18: Revenue from sale of medical records and abstracts	2,286	5,441	4,032	3,059	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	13,350	11,700	15,885	7,025	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	9,965,103	--
⊳ Line 21: Rental of vending machines	48,046	49,824	50,716	40,174	--
⊳ Line 22: Rental of hospital space	694,787	721,513	708,642	700,356	--
⊳ Line 23: Gov appropriations ? ⊳ Median	331,898 1,017,693	754,055 983,261.5	0 1,173,286	209,251 1,987,202	-- 1,597,664
⊳ Sum Line 24	25,700,708	12,601,075	31,912,196	66,996,146	--
Total income ? Median	18,234,838 6,586,430	-9,896,921 6,767,106	-6,629,146 8,419,950	-18,400,931 8,094,175	-- 15,162,888
Non-operating expenses Median	13,968 146,289.5	2,521 164,857	7,009 89,880.5	-160,171 106,761	-- 31,473.5
Net income Median	18,220,870 6,043,842	-9,899,442 5,845,112	-6,636,155 7,606,259	-18,240,760 7,283,041	-- 14,957,241
Net margin Median	5.24569% 4.62%	-3.02082% 4.42%	-1.95911% 5.16%	-5.13101% 5.2%	--% 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 SISTERS OF CHARITY 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	37,793,057 23,241,334	33,961,848 23,709,545	30,308,801 24,248,380	25,884,009 22,858,541	-- 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	37,490,613 21,577,146	33,722,850 22,041,594	30,065,410 22,722,063	25,674,767 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	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	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	302,444 1,203,033	238,998 1,215,295	243,391 1,313,657	209,242 1,365,298	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	10,184,933 11,160,864	9,675,254 11,987,345	9,935,047 12,926,866	8,884,390 11,884,480	-- 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	10,184,933 10,918,923	9,675,254 11,706,976	9,935,047 12,615,917	8,884,390 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	3,556,042 3,284,314	3,264,417 3,250,551	3,136,428 3,386,837	3,242,266 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	1,068,143 594,888	1,009,498 595,761	996,737 577,894	906,356 542,168	-- 549,667
Outlier Median	1,192,448 582,572	1,650,940 538,116	83,633 212,434	76,238 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	16,012,401 3,662,910	19,303,749 3,730,911	15,442,959 4,081,319	33,884,934 4,643,908	-- 4,389,147
Charity care Median	4,250,334 2,654,636	3,843,055 2,940,659	5,040,115 3,380,215	5,975,464 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	7,122,551 5,147,790	6,440,725 5,337,617	8,071,807 5,711,082	8,749,717 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	2.16% 3.24	1.91% 3.12	2.34% 3.21	2.34% 3.3	--% 2.86
Total shortfall/UCC Median	23,134,952 9,489,989	25,744,474 9,424,297	23,514,766 10,120,158	42,634,651 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	145,465,501 52,142,039	147,257,221 54,485,252	153,388,743 57,395,589	157,510,253 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	44.20 36.68	43.62 36.56	44.41 36.37	42.13 35.93	-- 35.24
Intern, resident salaries* Median	457,397 2,598,592	467,203 2,686,824	475,390 2,753,773	507,298 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	2,438,042 1,251,927	2,460,071 1,186,494	2,724,858 1,204,885	2,736,123 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	4,740,438 1,449,244	4,300,174 1,475,986	3,008,300 1,563,078	5,657,229 1,721,954	-- 2,991,828
Contract hours, direct-care Median	124,670.00 22,725	115,397.00 23,018.5	100,618.00 24,503.48	119,670.00 25,026.5	-- 33,786
Contract wages, direct-care Median	38.02 64.67	37.26 64.53	29.90 65.06	47.27 68.97	-- 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.