As of the July, 2022, release via CMS

UPPER ALLEGHENY HEALTH SYSTEM

CMS id: 330103
515 MAIN STREET, OLEAN NY 14760. County: CATTARAUGUS
System: --
CBSA: Olean, NY

The 388-bed, acute-care hospital had $-26,877,305 in net service to patients*, with a total profit margin of 3.27792% in fiscal year 2020, the latest year available.
It spent 1.40% of its operating expenses on uncompensated care and reported $6,525,906 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	158 118	260 118	260 119.5	260 118	-- 119
Total beds Median	186 162	567 162	388 162	388 162	-- 163.5
FTEs Median	775.15 788.06	1,412.52 793.42	1,452.45 806.03	1,060.47 787.61	-- 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	112,422,936 150,932,746	174,317,246 158,950,878	179,292,695 168,696,998	154,969,842 163,454,693	-- 186,589,412
Operating expenses Median	121,048,414 149,311,209	187,421,892 156,110,414	190,274,846 164,890,568	181,847,147 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,625,478 -964,173	-13,104,646 -643,601.5	-10,982,151 -116,254	-26,877,305 -5,025,862	-- -1,284,564
NS2P margin ? Median	-7.67% -0.62	-7.52% -0.29	-6.13% 0.18	-17.34% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UPPER ALLEGHENY HEALTH SYSTEM 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	6,016,020 5,089,215	11,209,568 4,572,541	16,713,906 5,268,134	21,435,736 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	340,585 224,999	1,342,149 199,009	1,630,342 206,870.5	1,375,871 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	-159,218 299,524	138,627 188,688.5	338,412 370,813	100,303 309,361.5	-- 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	648	86,111	257,004	--
⊳ Line 11: Rebates and refunds of expenses	885,360	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	713,389	863,449	701,119	492,828	--
⊳ 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	19,153	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	25,173	898	104	176	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	253,093	212,751	151,818	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	80	6,173	2,037	0	--
⊳ Line 22: Rental of hospital space	166,423	588,167	615,468	568,052	--
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	1,285,142 1,987,202	-- 1,597,664
⊳ Sum Line 24	4,025,075	8,016,364	13,127,562	17,204,542	--
Total income ? Median	-2,609,458 6,586,430	-1,895,078 6,767,106	5,731,755 8,419,950	-5,441,569 8,094,175	-- 15,162,888
Non-operating expenses Median	2,570,381 146,289.5	0 164,857	9,296,002 89,880.5	-11,223,997 106,761	-- 31,473.5
Net income Median	-5,179,839 6,043,842	-1,895,078 5,845,112	-3,564,247 7,606,259	5,782,428 7,283,041	-- 14,957,241
Net margin Median	-4.37343% 4.62%	-1.02146% 4.42%	-1.81843% 5.16%	3.27792% 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 UPPER ALLEGHENY HEALTH SYSTEM 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	17,185,503 23,241,334	25,482,165 23,709,545	25,659,444 24,248,380	23,494,780 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	16,416,173 21,577,146	23,215,982 22,041,594	23,956,022 22,722,063	22,182,159 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	769,330 1,845,420	810,624 1,757,392	790,048 1,738,842	624,538 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	0 1,203,033	1,455,559 1,215,295	913,374 1,313,657	688,083 1,365,298	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	12,250,591 11,160,864	20,701,386 11,987,345	21,139,684 12,926,866	18,453,628 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	12,250,591 10,918,923	20,400,989 11,706,976	20,905,292 12,615,917	18,267,980 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	300,397 697,279	234,392 690,232	185,648 684,010	-- 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	291,238 3,284,314	257,400 3,250,551	184,423 3,386,837	182,408 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	294,299 594,888	856,583 595,761	908,365 577,894	802,406 542,168	-- 549,667
Outlier Median	374,559 582,572	228,394 538,116	77,925 212,434	130,417 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,806,398 3,662,910	7,048,422 3,730,911	2,626,807 4,081,319	6,525,906 4,643,908	-- 4,389,147
Charity care Median	1,880,542 2,654,636	1,886,854 2,940,659	1,888,196 3,380,215	561,704 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	2,574,030 5,147,790	2,783,941 5,337,617	3,398,467 5,711,082	2,540,382 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	2.13% 3.24	1.49% 3.12	1.79% 3.21	1.40% 3.3	--% 2.86
Total shortfall/UCC Median	9,380,428 9,489,989	9,832,363 9,424,297	6,025,274 10,120,158	9,066,288 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	44,692,449 52,142,039	69,964,250 54,485,252	68,781,001 57,395,589	67,302,961 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	36.92 36.68	37.33 36.56	36.15 36.37	37.01 35.93	-- 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	801,356 1,449,244	0 1,475,986	2,857,173 1,563,078	2,153,392 1,721,954	-- 2,991,828
Contract hours, direct-care Median	11,693.00 22,725	0.00 23,018.5	38,727.71 24,503.48	29,755.00 25,026.5	-- 33,786
Contract wages, direct-care Median	68.53 64.67	0.00 64.53	73.78 65.06	72.37 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.