As of the July, 2022, release via CMS

ARNOT-OGDEN MEDICAL CENTER

CMS id: 330090
600 ROE AVENUE, ELMIRA NY 14905. County: CHEMUNG
System: --
CBSA: Elmira, NY

The 356-bed, acute-care hospital had $-90,196,375 in net service to patients*, with a total profit margin of 2.18136% in fiscal year 2021, the latest year available.
It spent 1.54% of its operating expenses on uncompensated care and reported $11,674,595 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	187 118	187 118	188 119.5	141 118	188 119
Total beds Median	225 162	225 162	271 162	309 162	356 163.5
FTEs Median	2,123.33 788.06	2,123.33 793.42	2,422.40 806.03	2,271.30 787.61	2,270.50 804.34

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	229,238,718 150,932,746	235,503,966 158,950,878	294,015,727 168,696,998	268,766,796 163,454,693	293,774,690 186,589,412
Operating expenses Median	298,306,034 149,311,209	315,138,638 156,110,414	364,505,878 164,890,568	359,029,595 166,516,854	383,971,065 180,120,888
Net income from service 2 patients (NS2P) ? Median	-69,067,316 -964,173	-79,634,672 -643,601.5	-70,490,151 -116,254	-90,262,799 -5,025,862	-90,196,375 -1,284,564
NS2P margin ? Median	-30.13% -0.62	-33.81% -0.29	-23.97% 0.18	-33.58% -5.07	-30.70% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ARNOT-OGDEN 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	55,349,328 5,089,215	69,150,996 4,572,541	64,693,458 5,268,134	89,898,382 13,092,619	95,237,205 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	412,223 224,999	0 199,009	4,894,640 206,870.5	17,865 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,672,136 299,524	0 188,688.5	0 370,813	2,798,606 309,361.5	3,241,434 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	99,543	0	0	629,488	663,752
⊳ Line 11: Rebates and refunds of expenses	399,792	0	0	0	0
⊳ 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	828,351	0	0	786,976	755,923
⊳ 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	0	0	7,265,761	0	35,062,402
⊳ Line 18: Revenue from sale of medical records and abstracts	22,912	0	0	88,685	82,753
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	641,938	0	0	361,005	359,249
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	12,163
⊳ Line 21: Rental of vending machines	0	0	0	219	0
⊳ Line 22: Rental of hospital space	510,284	0	0	494,353	516,629
⊳ Line 23: Gov appropriations ? ⊳ Median	71,115 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	846,580 1,597,664
⊳ Sum Line 24	50,691,034	69,150,996	52,533,057	84,717,095	53,696,320
Total income ? Median	-13,717,988 6,586,430	-10,483,676 6,767,106	-5,796,693 8,419,950	-364,417 8,094,175	5,040,830 15,162,888
Non-operating expenses Median	-4,085,780 146,289.5	0 164,857	0 89,880.5	-6,667,245 106,761	-3,444,936 31,473.5
Net income Median	-9,632,208 6,043,842	-10,483,676 5,845,112	-5,796,693 7,606,259	6,302,828 7,283,041	8,485,766 14,957,241
Net margin Median	-3.38461% 4.62%	-3.44116% 4.42%	-1.61599% 5.16%	1.75730% 5.2%	2.18136% 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 ARNOT-OGDEN 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	42,077,835 23,241,334	42,421,508 23,709,545	45,813,379 24,248,380	44,800,974 22,858,541	38,174,008 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	42,077,835 21,577,146	42,421,508 22,041,594	41,739,934 22,722,063	38,847,357 21,570,441	34,512,158 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	1,028,461 1,738,842	1,252,632 1,510,463	878,859 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	3,044,984 3,782,288	3,567,825 3,865,578	2,350,549 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	1,133,160 1,365,298	432,442 1,179,746
All outpatient revenue Median Click here to show/hide details	22,748,232 11,160,864	22,711,403 11,987,345	28,973,779 12,926,866	25,645,019 11,884,480	26,402,722 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	22,748,232 10,918,923	22,711,403 11,706,976	28,973,779 12,615,917	25,645,019 11,458,116	26,402,722 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	9,656,327 3,284,314	10,373,883 3,250,551	11,273,350 3,386,837	11,495,812 3,360,806	11,069,889 3,508,953
Disproportionate-share hospital (DSH) Median	1,093,263 594,888	1,052,957 595,761	1,426,089 577,894	1,171,993 542,168	892,155 549,667
Outlier Median	177,100 582,572	353,415 538,116	17,490 212,434	30,855 126,559	34,918 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,885,254 3,662,910	8,766,161 3,730,911	29,492,884 4,081,319	16,431,689 4,643,908	11,674,595 4,389,147
Charity care Median	1,260,978 2,654,636	725,527 2,940,659	1,060,678 3,380,215	3,073,176 3,488,738	4,818,838 3,233,405
Uncompensated care (UCC) Median	4,049,405 5,147,790	3,855,704 5,337,617	5,216,256 5,711,082	5,404,912 5,923,418	5,916,097 5,508,107
UCC as a % of operating expenses Median	1.36% 3.24	1.22% 3.12	1.43% 3.21	1.51% 3.3	1.54% 2.86
Total shortfall/UCC Median	16,934,659 9,489,989	12,621,865 9,424,297	34,709,140 10,120,158	21,836,601 11,171,337	17,590,692 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	159,527,620 52,142,039	163,886,433 54,485,252	176,837,666 57,395,589	169,160,231 58,830,919	177,717,265 61,722,907
Salaries as a % of operating expenses Median	53.44 36.68	52.00 36.56	48.51 36.37	47.12 35.93	46.28 35.24
Intern, resident salaries* Median	5,363,440 2,598,592	6,586,002 2,686,824	6,911,591 2,753,773	7,054,221 2,937,156	7,001,496 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	1,267,156 1,449,244	2,513,566 1,475,986	4,338,707 1,563,078	5,614,829 1,721,954	7,650,732 2,991,828
Contract hours, direct-care Median	26,321.00 22,725	43,143.00 23,018.5	72,310.00 24,503.48	93,016.00 25,026.5	90,518.00 33,786
Contract wages, direct-care Median	48.14 64.67	58.26 64.53	60.00 65.06	60.36 68.97	84.52 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.