As of the July, 2022, release via CMS

ALICE HYDE MEDICAL CENTER

CMS id: 330084
133 PARK STREET, MALONE NY 12953. County: FRANKLIN
System: UNIVERSITY OF VERMONT HEALTH NETWORK
CBSA: Malone, NY

The 212-bed, acute-care hospital had $-15,888,601 in net service to patients*, with a total profit margin of -1.63189% in fiscal year 2021, the latest year available.
It spent 1.01% of its operating expenses on uncompensated care and reported $8,165,603 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	70 118	43 118	39 119.5	42 118	43 119
Total beds Median	241 162	213 162	208 162	211 162	212 163.5
FTEs Median	992.00 788.06	722.50 793.42	696.90 806.03	679.99 787.61	689.46 804.34

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	77,913,446 150,932,746	82,068,463 158,950,878	82,629,895 168,696,998	75,412,555 163,454,693	84,139,977 186,589,412
Operating expenses Median	92,165,620 149,311,209	93,260,200 156,110,414	93,742,965 164,890,568	96,518,593 166,516,854	100,028,578 180,120,888
Net income from service 2 patients (NS2P) ? Median	-14,252,174 -964,173	-11,191,737 -643,601.5	-11,113,070 -116,254	-21,106,038 -5,025,862	-15,888,601 -1,284,564
NS2P margin ? Median	-18.29% -0.62	-13.64% -0.29	-13.45% 0.18	-27.99% -5.07	-18.88% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ALICE HYDE MEDICAL CENTER 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	6,931,560 5,089,215	11,068,206 4,572,541	15,491,885 5,268,134	22,030,031 13,092,619	14,282,458 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	302,471 224,999	451,408 199,009	207,139 206,870.5	262,407 194,343	212,564 249,496
⊳ Line 7: Investments ? ⊳ Median	108,700 299,524	170,638 188,688.5	319,979 370,813	663,361 309,361.5	484,906 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	55--	1,885
⊳ Line 10: Purchase discounts	31,795	140,263	78,377	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	24,903	13,340
⊳ 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	403,721	424,237	470,593	361,147	336,730
⊳ 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	31,487	27,091	25,844	19,693	15,684
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ 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	8,684	7,396	980	1,557	1,402
⊳ Line 22: Rental of hospital space	-13,831	119,567	289,969	363,520	196,487
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	962,031 1,173,286	1,662,993 1,987,202	2,062,136 1,597,664
⊳ Sum Line 24	6,058,533	9,727,606	13,136,973	18,669,900	10,957,324
Total income ? Median	-7,320,614 6,586,430	-123,531 6,767,106	4,378,815 8,419,950	923,993 8,094,175	-1,606,143 15,162,888
Non-operating expenses Median	-2,076,341 146,289.5	-53,457 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-5,244,273 6,043,842	-70,074 5,845,112	4,378,815 7,606,259	923,993 7,283,041	-1,606,143 14,957,241
Net margin Median	-6.18100% 4.62%	-0.07524% 4.42%	4.46263% 5.16%	0.94824% 5.2%	-1.63189% 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 ALICE HYDE MEDICAL CENTER 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	7,470,185 23,241,334	8,182,234 23,709,545	8,142,186 24,248,380	6,916,715 22,858,541	5,575,675 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	5,943,960 21,577,146	6,242,176 22,041,594	6,506,350 22,722,063	4,722,998 21,570,441	3,958,905 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	1,526,225 1,203,033	1,940,058 1,215,295	1,635,836 1,313,657	2,193,717 1,365,298	1,616,770 1,179,746
All outpatient revenue Median Click here to show/hide details	8,478,403 11,160,864	8,762,791 11,987,345	9,195,696 12,926,866	9,937,775 11,884,480	9,913,361 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	8,478,403 10,918,923	8,762,791 11,706,976	9,195,696 12,615,917	9,401,323 11,458,116	9,099,988 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	536,452 684,010	813,373 670,558
⊳ 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	108,932 594,888	120,083 595,761	118,928 577,894	86,578 542,168	71,470 549,667
Outlier Median	70,794 582,572	184,682 538,116	75,799 212,434	7,375 126,559	8,398 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,668,786 3,662,910	4,272,462 3,730,911	4,796,961 4,081,319	6,292,165 4,643,908	8,165,603 4,389,147
Charity care Median	137,132 2,654,636	480,595 2,940,659	461,437 3,380,215	698,526 3,488,738	398,360 3,233,405
Uncompensated care (UCC) Median	1,328,004 5,147,790	1,557,875 5,337,617	1,326,898 5,711,082	1,799,842 5,923,418	1,005,860 5,508,107
UCC as a % of operating expenses Median	1.44% 3.24	1.67% 3.12	1.42% 3.21	1.86% 3.3	1.01% 2.86
Total shortfall/UCC Median	4,996,790 9,489,989	5,830,337 9,424,297	6,123,859 10,120,158	8,092,007 11,171,337	9,171,463 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	46,474,445 52,142,039	46,154,237 54,485,252	46,525,820 57,395,589	50,524,829 58,830,919	50,947,425 61,722,907
Salaries as a % of operating expenses Median	50.90 36.68	49.49 36.56	49.63 36.37	53.05 35.93	51.50 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	196,267 1,449,244	271,056 1,475,986	526,179 1,563,078	478,926 1,721,954	0 2,991,828
Contract hours, direct-care Median	1,652.00 22,725	2,715.00 23,018.5	5,978.00 24,503.48	6,698.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	118.81 64.67	99.84 64.53	88.02 65.06	71.50 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.