As of the July, 2022, release via CMS

LONG ISLAND COMMUNITY HOSPITAL

CMS id: 330141
101 HOSPITAL ROAD, E PATCHOGUE NY 11772. County: SUFFOLK
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 179-bed, acute-care hospital had $-18,056,708 in net service to patients*, with a total profit margin of -0.14411% in fiscal year 2021, the latest year available.
It spent 3.46% of its operating expenses on uncompensated care and reported $9,802,408 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	188 118	191 118	185 119.5	140 118	151 119
Total beds Median	232 162	235 162	229 162	184 162	179 163.5
FTEs Median	1,769.70 788.06	1,689.20 793.42	1,678.20 806.03	1,521.20 787.61	1,397.50 804.34

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	263,768,089 150,932,746	266,018,715 158,950,878	263,332,249 168,696,998	219,729,898 163,454,693	234,097,844 186,589,412
Operating expenses Median	278,311,744 149,311,209	271,279,012 156,110,414	269,552,955 164,890,568	264,572,732 166,516,854	252,154,552 180,120,888
Net income from service 2 patients (NS2P) ? Median	-14,543,655 -964,173	-5,260,297 -643,601.5	-6,220,706 -116,254	-44,842,834 -5,025,862	-18,056,708 -1,284,564
NS2P margin ? Median	-5.51% -0.62	-1.98% -0.29	-2.36% 0.18	-20.41% -5.07	-7.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LONG ISLAND 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	6,547,806 5,089,215	5,927,477 4,572,541	6,910,060 5,268,134	44,685,526 13,092,619	17,693,839 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	100 194,343	7,565 249,496
⊳ Line 7: Investments ? ⊳ Median	22,295 299,524	332,708 188,688.5	0 370,813	488,057 309,361.5	44,459 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	1,692	42,179	3,548	10,369	0
⊳ Line 11: Rebates and refunds of expenses	1,439,323	1,194,962	1,013,933	577,582	1,324,669
⊳ 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	315,873	271,517	263,234	231,014	221,136
⊳ 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	7,362
⊳ Line 17: Revenue from sale of drugs to other than patients	2,092	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	209,143	183,479	147,246	134,719	130,029
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	18,933	20,116	19,687	31,160	14,000
⊳ Line 21: Rental of vending machines	0	0	0	0	5,067
⊳ Line 22: Rental of hospital space	63,882	59,811	94,350	205,446	220,410
⊳ Line 23: Gov appropriations ? ⊳ Median	34,500 1,017,693	32,500 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	4,440,073	3,790,205	5,368,062	43,007,079	15,719,142
Total income ? Median	-7,995,849 6,586,430	667,180 6,767,106	689,354 8,419,950	-157,308 8,094,175	-362,869 15,162,888
Non-operating expenses Median	-376,574 146,289.5	-486,784 164,857	363,192 89,880.5	5,158,330 106,761	0 31,473.5
Net income Median	-7,619,275 6,043,842	1,153,964 5,845,112	326,162 7,606,259	-5,315,638 7,283,041	-362,869 14,957,241
Net margin Median	-2.81866% 4.62%	0.42434% 4.42%	0.12069% 5.16%	-2.01034% 5.2%	-0.14411% 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 LONG ISLAND 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	74,127,647 23,241,334	75,671,122 23,709,545	74,379,011 24,248,380	61,057,123 22,858,541	60,840,521 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	72,058,760 21,577,146	73,487,373 22,041,594	72,174,642 22,722,063	60,039,374 21,570,441	60,683,018 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	2,068,887 1,845,420	2,183,749 1,757,392	2,204,369 1,738,842	1,017,749 1,510,463	157,503 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	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	20,392,448 11,160,864	20,011,263 11,987,345	20,744,945 12,926,866	15,898,858 11,884,480	17,106,063 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	16,510,750 10,918,923	17,588,402 11,706,976	18,810,886 12,615,917	13,820,865 11,458,116	15,512,720 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,881,698 1,282,808	2,422,861 1,407,728	1,934,059 1,341,512	2,077,993 1,407,046	1,593,343 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	4,739,772 3,284,314	5,226,752 3,250,551	5,495,909 3,386,837	5,048,249 3,360,806	5,099,597 3,508,953
Disproportionate-share hospital (DSH) Median	1,527,841 594,888	1,637,535 595,761	1,200,838 577,894	1,436,849 542,168	1,383,504 549,667
Outlier Median	1,590,541 582,572	1,526,079 538,116	272,131 212,434	146,404 126,559	226,262 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,782,819 3,662,910	11,851,518 3,730,911	12,350,569 4,081,319	11,353,609 4,643,908	9,802,408 4,389,147
Charity care Median	8,855,987 2,654,636	2,391,073 2,940,659	2,681,847 3,380,215	2,402,448 3,488,738	3,903,229 3,233,405
Uncompensated care (UCC) Median	10,386,529 5,147,790	7,709,286 5,337,617	8,241,362 5,711,082	9,183,966 5,923,418	8,727,945 5,508,107
UCC as a % of operating expenses Median	3.73% 3.24	2.84% 3.12	3.06% 3.21	3.47% 3.3	3.46% 2.86
Total shortfall/UCC Median	22,169,348 9,489,989	19,560,804 9,424,297	20,591,931 10,120,158	20,537,575 11,171,337	18,530,353 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	126,784,628 52,142,039	123,160,066 54,485,252	121,805,186 57,395,589	117,841,474 58,830,919	112,715,207 61,722,907
Salaries as a % of operating expenses Median	45.55 36.68	45.40 36.56	45.19 36.37	44.54 35.93	44.70 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	2,371,715 1,449,244	3,204,492 1,475,986	1,668,375 1,563,078	3,168,156 1,721,954	5,531,895 2,991,828
Contract hours, direct-care Median	32,487.00 22,725	42,552.00 23,018.5	24,511.00 24,503.48	29,283.00 25,026.5	45,283.00 33,786
Contract wages, direct-care Median	73.01 64.67	75.31 64.53	68.07 65.06	108.19 68.97	122.16 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.