As of the July, 2022, release via CMS

BON SECOURS COMMUNITY HOSPITAL

CMS id: 330135
160 EAST MAIN STREET, PORT JERVIS NY 12771. County: ORANGE
System: --
CBSA: Poughkeepsie-Newburgh-Middletown, NY

The 168-bed, acute-care hospital had $-14,744,208 in net service to patients*, with a total profit margin of 13.31091% in fiscal year 2021, the latest year available.
It spent 2.41% of its operating expenses on uncompensated care and reported $17,018,831 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	88 118	88 118	88 119.5	88 118	88 119
Total beds Median	168 162	168 162	168 162	168 162	168 163.5
FTEs Median	434.20 788.06	437.80 793.42	429.90 806.03	421.40 787.61	403.00 804.34

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	75,865,831 150,932,746	73,505,650 158,950,878	72,316,805 168,696,998	71,308,842 163,454,693	76,183,731 186,589,412
Operating expenses Median	75,469,367 149,311,209	79,246,550 156,110,414	82,182,864 164,890,568	85,809,405 166,516,854	90,927,939 180,120,888
Net income from service 2 patients (NS2P) ? Median	396,464 -964,173	-5,740,900 -643,601.5	-9,866,059 -116,254	-14,500,563 -5,025,862	-14,744,208 -1,284,564
NS2P margin ? Median	0.52% -0.62	-7.81% -0.29	-13.64% 0.18	-20.33% -5.07	-19.35% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BON SECOURS COMMUNITY 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	5,902,435 5,089,215	4,138,780 4,572,541	2,199,684 5,268,134	19,959,991 13,092,619	9,625,250 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	370 224,999	626 199,009	57 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	45,379 299,524	128,905 188,688.5	155,478 370,813	57,482 309,361.5	54,795 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	8,573	4,389	1,678	197,537	234,009
⊳ Line 11: Rebates and refunds of expenses	34,873	29,923	80,363	44,585	44,960
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	674	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ 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	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	260	402	1,265	59	2,261
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	7,610	3,576	6,531	1,792	1,386
⊳ Line 21: Rental of vending machines	5,693	0	0	0	0
⊳ Line 22: Rental of hospital space	10,767	31,200	29,998	13,500	16,275
⊳ Line 23: Gov appropriations ? ⊳ Median	5,537,759 1,017,693	3,675,604 983,261.5	1,549,518 1,173,286	0 1,987,202	6,080,543 1,597,664
⊳ Sum Line 24	250,477	264,155	374,796	19,645,036	3,191,021
Total income ? Median	6,298,899 6,586,430	-1,602,120 6,767,106	-7,666,375 8,419,950	5,459,428 8,094,175	-5,118,958 15,162,888
Non-operating expenses Median	1,835,051 146,289.5	-3,502,330 164,857	-10,859,000 89,880.5	7,159,426 106,761	-16,540,912 31,473.5
Net income Median	4,463,848 6,043,842	1,900,210 5,845,112	3,192,625 7,606,259	-1,699,998 7,283,041	11,421,954 14,957,241
Net margin Median	5.45914% 4.62%	2.44732% 4.42%	4.28445% 5.16%	-1.86263% 5.2%	13.31091% 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 BON SECOURS COMMUNITY 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	15,857,747 23,241,334	15,297,636 23,709,545	13,362,673 24,248,380	11,840,775 22,858,541	12,219,641 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	11,992,557 21,577,146	11,827,544 22,041,594	9,839,569 22,722,063	8,813,619 21,570,441	10,220,569 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	1,942,118 1,845,420	1,865,486 1,757,392	1,726,759 1,738,842	1,457,420 1,510,463	1,148,291 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	1,923,072 1,203,033	1,604,606 1,215,295	1,796,345 1,313,657	1,569,736 1,365,298	850,781 1,179,746
All outpatient revenue Median Click here to show/hide details	5,320,083 11,160,864	5,134,175 11,987,345	4,962,082 12,926,866	4,508,286 11,884,480	5,296,042 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	5,320,083 10,918,923	5,134,175 11,706,976	4,962,082 12,615,917	4,508,286 11,458,116	5,296,042 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	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	292,177 594,888	285,463 595,761	237,531 577,894	216,130 542,168	250,083 549,667
Outlier Median	409,907 582,572	196,644 538,116	29,804 212,434	54,684 126,559	76,589 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,258,804 3,662,910	11,033,495 3,730,911	13,625,780 4,081,319	16,676,027 4,643,908	17,018,831 4,389,147
Charity care Median	633,400 2,654,636	959,512 2,940,659	1,683,834 3,380,215	2,397,493 3,488,738	860,777 3,233,405
Uncompensated care (UCC) Median	2,683,177 5,147,790	3,003,346 5,337,617	3,602,218 5,711,082	4,592,319 5,923,418	2,187,266 5,508,107
UCC as a % of operating expenses Median	3.56% 3.24	3.79% 3.12	4.38% 3.21	5.35% 3.3	2.41% 2.86
Total shortfall/UCC Median	12,941,981 9,489,989	14,036,841 9,424,297	17,227,998 10,120,158	21,268,346 11,171,337	19,206,097 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	28,603,506 52,142,039	30,387,914 54,485,252	30,679,913 57,395,589	32,427,427 58,830,919	33,566,197 61,722,907
Salaries as a % of operating expenses Median	37.90 36.68	38.35 36.56	37.33 36.37	37.79 35.93	36.92 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	578,074 1,449,244	675,953 1,475,986	0 1,563,078	483,173 1,721,954	849,398 2,991,828
Contract hours, direct-care Median	6,798.00 22,725	7,352.00 23,018.5	0.00 24,503.48	6,184.00 25,026.5	9,086.16 33,786
Contract wages, direct-care Median	85.04 64.67	91.94 64.53	0.00 65.06	78.13 68.97	93.48 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.