As of the July, 2022, release via CMS

PECONIC BAY MEDICAL CENTER

CMS id: 330107
1 HEROS WAY, RIVERHEAD NY 11901. County: SUFFOLK
System: NORTHWELL HEALTHCARE INC
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 190-bed, acute-care hospital had $-21,606,741 in net service to patients*, with a total profit margin of 0.11599% in fiscal year 2021, the latest year available.
It spent 1.51% of its operating expenses on uncompensated care and reported $28,179,238 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	109 118	114 118	114 119.5	114 118	114 119
Total beds Median	177 162	184 162	184 162	184 162	190 163.5
FTEs Median	1,021.20 788.06	1,066.10 793.42	1,142.60 806.03	1,175.10 787.61	1,172.70 804.34

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	175,851,452 150,932,746	193,366,444 158,950,878	216,688,244 168,696,998	214,241,698 163,454,693	261,717,790 186,589,412
Operating expenses Median	178,947,935 149,311,209	195,469,650 156,110,414	234,293,954 164,890,568	290,972,370 166,516,854	283,324,531 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,096,483 -964,173	-2,103,206 -643,601.5	-17,605,710 -116,254	-76,730,672 -5,025,862	-21,606,741 -1,284,564
NS2P margin ? Median	-1.76% -0.62	-1.09% -0.29	-8.12% 0.18	-35.82% -5.07	-8.26% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PECONIC BAY 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	6,479,180 5,089,215	5,390,470 4,572,541	6,156,703 5,268,134	60,073,465 13,092,619	21,935,739 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	300,000 194,343	250,000 249,496
⊳ Line 7: Investments ? ⊳ Median	102,234 299,524	142,906 188,688.5	1,380,245 370,813	938,985 309,361.5	465,729 375,329
⊳ 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	0
⊳ Line 11: Rebates and refunds of expenses	0	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	492,747	512,240	622,000	515,443	527,375
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	505	803	1,367	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	8,247
⊳ Line 18: Revenue from sale of medical records and abstracts	51,906	28,922	0	15,282	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	198,176	192,465	193,733	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	134,284	309,098
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	1,002,203 1,987,202	0 1,597,664
⊳ Sum Line 24	5,633,612	4,513,134	3,959,358	57,167,268	20,375,290
Total income ? Median	3,382,697 6,586,430	3,287,264 6,767,106	-11,449,007 8,419,950	-16,657,207 8,094,175	328,998 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	3,382,697 6,043,842	3,287,264 5,845,112	-11,449,007 7,606,259	-16,657,207 7,283,041	328,998 14,957,241
Net margin Median	1.85525% 4.62%	1.65391% 4.42%	-5.13766% 5.16%	-6.07229% 5.2%	0.11599% 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 PECONIC BAY 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	57,127,304 23,241,334	63,428,973 23,709,545	66,146,571 24,248,380	68,732,065 22,858,541	73,565,006 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	49,909,388 21,577,146	55,242,127 22,041,594	58,182,843 22,722,063	62,053,195 21,570,441	65,953,936 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	7,217,916 1,203,033	8,186,846 1,215,295	7,963,728 1,313,657	6,678,870 1,365,298	7,611,070 1,179,746
All outpatient revenue Median Click here to show/hide details	12,465,619 11,160,864	16,714,824 11,987,345	20,497,034 12,926,866	18,641,882 11,884,480	34,918,873 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	9,479,682 10,918,923	12,453,323 11,706,976	14,158,865 12,615,917	11,833,015 11,458,116	16,991,505 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,985,937 1,282,808	4,261,501 1,407,728	6,338,169 1,341,512	6,808,867 1,407,046	17,927,368 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	8,015,203 3,284,314	8,554,555 3,250,551	8,930,529 3,386,837	9,383,309 3,360,806	10,052,536 3,508,953
Disproportionate-share hospital (DSH) Median	792,770 594,888	722,684 595,761	600,738 577,894	528,489 542,168	485,249 549,667
Outlier Median	1,021,478 582,572	1,094,124 538,116	612,550 212,434	646,950 126,559	1,618,828 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,840,971 3,662,910	10,403,983 3,730,911	30,816,510 4,081,319	36,614,573 4,643,908	28,179,238 4,389,147
Charity care Median	5,844,923 2,654,636	693,619 2,940,659	0 3,380,215	575,455 3,488,738	527,329 3,233,405
Uncompensated care (UCC) Median	6,970,984 5,147,790	4,203,949 5,337,617	4,129,442 5,711,082	6,340,490 5,923,418	4,274,599 5,508,107
UCC as a % of operating expenses Median	3.90% 3.24	2.15% 3.12	1.76% 3.21	2.18% 3.3	1.51% 2.86
Total shortfall/UCC Median	17,811,955 9,489,989	14,607,932 9,424,297	34,945,952 10,120,158	42,955,063 11,171,337	32,453,837 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,396,216 52,142,039	89,358,729 54,485,252	113,209,643 57,395,589	143,780,059 58,830,919	128,595,461 61,722,907
Salaries as a % of operating expenses Median	43.25 36.68	45.71 36.56	48.32 36.37	49.41 35.93	45.39 35.24
Intern, resident salaries* Median	2,347,295 2,598,592	2,508,332 2,686,824	2,766,867 2,753,773	2,802,273 2,937,156	2,752,529 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	3,303,564 1,449,244	4,667,803 1,475,986	0 1,563,078	1,959,050 1,721,954	4,925,836 2,991,828
Contract hours, direct-care Median	31,160.00 22,725	77,454.00 23,018.5	0.00 24,503.48	19,057.00 25,026.5	30,789.00 33,786
Contract wages, direct-care Median	106.02 64.67	60.27 64.53	0.00 65.06	102.80 68.97	159.99 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.