As of the July, 2022, release via CMS

NORTH SHORE UNIVERSITY HOSPITAL

CMS id: 330106
300 COMMUNITY DRIVE, MANHASSET NY 10030. County: NASSAU
System: NORTHWELL HEALTHCARE INC
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 802-bed, acute-care hospital had $-1,049,761,028 in net service to patients*, with a total profit margin of 11.08066% in fiscal year 2020, the latest year available.
It spent 0.78% of its operating expenses on uncompensated care and reported $46,352,890 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	611 118	611 118	611 119.5	611 118	-- 119
Total beds Median	1,040 162	1,040 162	802 162	802 162	-- 163.5
FTEs Median	11,739.80 788.06	12,084.50 793.42	0.00 806.03	13,263.10 787.61	-- 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	1,826,917,278 150,932,746	1,883,392,884 158,950,878	2,090,440,085 168,696,998	1,848,079,817 163,454,693	-- 186,589,412
Operating expenses Median	2,498,429,772 149,311,209	2,655,989,818 156,110,414	2,853,799,913 164,890,568	2,897,840,845 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-671,512,494 -964,173	-772,596,934 -643,601.5	-763,359,828 -116,254	-1,049,761,028 -5,025,862	-- -1,284,564
NS2P margin ? Median	-36.76% -0.62	-41.02% -0.29	-36.52% 0.18	-56.80% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH SHORE UNIVERSITY 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	860,709,641 5,089,215	808,194,038 4,572,541	1,058,955,235 5,268,134	1,405,973,559 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	27,450,104 299,524	31,713,457 188,688.5	37,038,372 370,813	26,981,824 309,361.5	-- 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	2,848,494	2,759,220	0	1,190,269	--
⊳ Line 13: Revenue from laundry and linen service	0	0	2,741,025	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,693,749	3,695,152	2,305	2,919,557	--
⊳ Line 15: Revenue from rental of living quarters	0	0	3,522,689	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	263,667	--
⊳ Line 17: Revenue from sale of drugs to other than patients	42,246,439	43,104,339	48,714,452	54,379,441	--
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	-13,305	-18,381	7,321	-25,233	--
⊳ Line 21: Rental of vending machines	94,106	80,986	0	144	--
⊳ Line 22: Rental of hospital space	3,913,826	3,408,515	3,421,138	1,781,833	--
⊳ Line 23: Gov appropriations ? ⊳ Median	15,407,536 1,017,693	16,859,101 983,261.5	708,221 1,173,286	1,450,764 1,987,202	-- 1,597,664
⊳ Sum Line 24	765,006,033	706,522,588	962,775,130	1,317,011,021	--
Total income ? Median	189,197,147 6,586,430	35,597,104 6,767,106	295,595,407 8,419,950	356,212,531 8,094,175	-- 15,162,888
Non-operating expenses Median	-1,812,000 146,289.5	-3,139,000 164,857	-2,312,550 89,880.5	-4,358,187 106,761	-- 31,473.5
Net income Median	191,009,147 6,043,842	38,736,104 5,845,112	297,907,957 7,606,259	360,570,718 7,283,041	-- 14,957,241
Net margin Median	7.10698% 4.62%	1.43915% 4.42%	9.45921% 5.16%	11.08066% 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 NORTH SHORE UNIVERSITY 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	354,442,248 23,241,334	371,029,873 23,709,545	413,214,172 24,248,380	353,712,163 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	326,150,888 21,577,146	342,212,750 22,041,594	383,651,791 22,722,063	331,008,792 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	2,094,544 1,845,420	1,715,772 1,757,392	1,721,638 1,738,842	921,815 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	26,196,816 1,203,033	27,101,351 1,215,295	27,840,743 1,313,657	21,781,556 1,365,298	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	115,419,608 11,160,864	126,754,747 11,987,345	121,125,909 12,926,866	103,750,281 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	71,083,250 10,918,923	77,345,010 11,706,976	70,076,709 12,615,917	61,279,717 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	44,336,358 1,282,808	49,409,737 1,407,728	51,049,200 1,341,512	42,470,564 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	70,596,599 3,284,314	72,948,922 3,250,551	80,279,911 3,386,837	70,867,077 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	3,799,960 594,888	4,037,875 595,761	4,998,472 577,894	3,747,918 542,168	-- 549,667
Outlier Median	19,782,841 582,572	21,413,972 538,116	4,980,683 212,434	2,749,130 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,131,600 3,662,910	17,156,931 3,730,911	9,657,969 4,081,319	46,352,890 4,643,908	-- 4,389,147
Charity care Median	16,838,323 2,654,636	22,077,228 2,940,659	22,804,851 3,380,215	18,006,003 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	17,756,537 5,147,790	24,056,745 5,337,617	23,985,701 5,711,082	22,709,109 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	0.71% 3.24	0.91% 3.12	0.84% 3.21	0.78% 3.3	--% 2.86
Total shortfall/UCC Median	24,888,137 9,489,989	41,213,676 9,424,297	33,643,670 10,120,158	69,061,999 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	1,292,226,539 52,142,039	1,356,028,158 54,485,252	1,496,282,319 57,395,589	1,593,870,687 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	51.72 36.68	51.06 36.56	52.43 36.37	55.00 35.93	-- 35.24
Intern, resident salaries* Median	25,990,143 2,598,592	26,971,439 2,686,824	27,915,413 2,753,773	26,514,147 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	874,626 1,449,244	750,172 1,475,986	930,371 1,563,078	7,944,316 1,721,954	-- 2,991,828
Contract hours, direct-care Median	10,670.00 22,725	9,352.00 23,018.5	11,130.00 24,503.48	55,219.75 25,026.5	-- 33,786
Contract wages, direct-care Median	81.97 64.67	80.22 64.53	83.59 65.06	143.87 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.