As of the July, 2022, release via CMS

ELLIS HOSPITAL

CMS id: 330153
1101 NOTT STREET, SCHENECTADY NY 12309. County: SCHENECTADY
System: --
CBSA: Albany-Schenectady-Troy, NY

The 356-bed, acute-care hospital had $-45,632,026 in net service to patients*, with a total profit margin of -0.03523% in fiscal year 2021, the latest year available.
It spent 1.22% of its operating expenses on uncompensated care and reported $24,312,483 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	314 118	298 118	295 119.5	280 118	238 119
Total beds Median	432 162	416 162	413 162	398 162	356 163.5
FTEs Median	2,908.00 788.06	2,877.10 793.42	2,928.20 806.03	2,717.31 787.61	2,353.50 804.34

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	401,781,212 150,932,746	401,378,168 158,950,878	407,323,480 168,696,998	355,429,432 163,454,693	375,558,679 186,589,412
Operating expenses Median	417,027,695 149,311,209	419,978,292 156,110,414	444,591,712 164,890,568	422,261,819 166,516,854	421,190,705 180,120,888
Net income from service 2 patients (NS2P) ? Median	-15,246,483 -964,173	-18,600,124 -643,601.5	-37,268,232 -116,254	-66,832,387 -5,025,862	-45,632,026 -1,284,564
NS2P margin ? Median	-3.79% -0.62	-4.63% -0.29	-9.15% 0.18	-18.80% -5.07	-12.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ELLIS 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	16,117,056 5,089,215	20,738,438 4,572,541	36,298,848 5,268,134	35,121,434 13,092,619	40,237,566 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	2,996,334 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	228,601	213,904	204,851	217,067	274,556
⊳ Line 11: Rebates and refunds of expenses	254,216	587,718	826,534	1,001,837	893,454
⊳ Line 12: Parking lot receipts	44,702	71,977	85,602	128,450	167,498
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,626,439	1,667,231	1,821,575	1,190,865	1,010,828
⊳ 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	160,122	77,871	62,746	6,254	14,719
⊳ Line 18: Revenue from sale of medical records and abstracts	17,499	14,052	4,400	5,550	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	866,209	784,304	936,741	1,006,260	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	99,722	129,480	136,632	113,074	106,186
⊳ Line 22: Rental of hospital space	657,034	703,919	643,064	482,987	440,687
⊳ Line 23: Gov appropriations ? ⊳ Median	1,090,501 1,017,693	1,227,833 983,261.5	1,258,906 1,173,286	1,318,189 1,987,202	2,837,551 1,597,664
⊳ Sum Line 24	11,072,011	15,260,149	30,317,797	29,650,901	31,495,753
Total income ? Median	870,573 6,586,430	2,138,314 6,767,106	-969,384 8,419,950	-31,710,953 8,094,175	-5,394,460 15,162,888
Non-operating expenses Median	-678,935 146,289.5	-8,910,634 164,857	-11,240,845 89,880.5	-5,857,277 106,761	-5,247,975 31,473.5
Net income Median	1,549,508 6,043,842	11,048,948 5,845,112	10,271,461 7,606,259	-25,853,676 7,283,041	-146,485 14,957,241
Net margin Median	0.37079% 4.62%	2.61751% 4.42%	2.31536% 5.16%	-6.61980% 5.2%	-0.03523% 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 ELLIS 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	55,157,999 23,241,334	55,111,608 23,709,545	56,549,555 24,248,380	46,269,580 22,858,541	46,753,779 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	54,333,597 21,577,146	54,186,330 22,041,594	56,524,541 22,722,063	46,269,580 21,570,441	46,753,779 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	824,402 1,203,033	925,278 1,215,295	25,014 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	21,590,916 11,160,864	21,869,348 11,987,345	21,089,872 12,926,866	16,502,015 11,884,480	17,124,475 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	21,590,916 10,918,923	21,869,348 11,706,976	21,089,872 12,615,917	16,502,015 11,458,116	17,124,475 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	3,942,353 3,284,314	4,116,124 3,250,551	4,544,106 3,386,837	4,001,112 3,360,806	4,262,507 3,508,953
Disproportionate-share hospital (DSH) Median	1,617,519 594,888	1,521,310 595,761	1,504,247 577,894	1,309,102 542,168	1,350,748 549,667
Outlier Median	1,532,494 582,572	1,253,451 538,116	124,874 212,434	73,500 126,559	115,040 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,399,494 3,662,910	9,925,869 3,730,911	14,125,285 4,081,319	22,496,400 4,643,908	24,312,483 4,389,147
Charity care Median	4,605,398 2,654,636	3,144,234 2,940,659	3,861,389 3,380,215	3,100,036 3,488,738	1,530,747 3,233,405
Uncompensated care (UCC) Median	7,957,413 5,147,790	7,075,141 5,337,617	7,013,893 5,711,082	5,850,994 5,923,418	5,133,876 5,508,107
UCC as a % of operating expenses Median	1.91% 3.24	1.68% 3.12	1.58% 3.21	1.39% 3.3	1.22% 2.86
Total shortfall/UCC Median	20,356,907 9,489,989	17,001,010 9,424,297	21,139,178 10,120,158	28,347,394 11,171,337	29,446,359 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	217,713,912 52,142,039	217,465,326 54,485,252	225,067,314 57,395,589	216,644,910 58,830,919	206,281,197 61,722,907
Salaries as a % of operating expenses Median	51.92 36.68	51.50 36.56	50.37 36.37	51.03 35.93	48.73 35.24
Intern, resident salaries* Median	3,382,036 2,598,592	3,403,693 2,686,824	3,269,443 2,753,773	3,270,306 2,937,156	3,240,951 2,909,848
Contract intern, resident salaries* Median	63,966 1,251,927	59,763 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	8,201,100 1,449,244	4,577,893 1,475,986	7,850,326 1,563,078	8,810,610 1,721,954	18,680,267 2,991,828
Contract hours, direct-care Median	108,359.00 22,725	57,563.00 23,018.5	108,821.00 24,503.48	102,393.00 25,026.5	183,279.00 33,786
Contract wages, direct-care Median	75.68 64.67	79.53 64.53	72.14 65.06	86.05 68.97	101.92 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.