As of the July, 2022, release via CMS

SAMARITAN MEDICAL CENTER

CMS id: 330157
830 WASHINGTON STREET, WATERTOWN NY 13601. County: JEFFERSON
System: --
CBSA: Watertown-Fort Drum, NY

The 209-bed, acute-care hospital had $-1,996,106 in net service to patients*, with a total profit margin of 6.86158% in fiscal year 2021, the latest year available.
It spent 0.72% of its operating expenses on uncompensated care and reported $30,364,499 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	216 118	216 118	216 119.5	173 118	174 119
Total beds Median	286 162	286 162	286 162	208 162	209 163.5
FTEs Median	1,319.00 788.06	1,440.21 793.42	1,440.21 806.03	1,422.27 787.61	1,443.03 804.34

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	202,482,741 150,932,746	226,843,840 158,950,878	226,843,840 168,696,998	244,783,096 163,454,693	271,866,796 186,589,412
Operating expenses Median	211,332,916 149,311,209	229,674,339 156,110,414	257,660,465 164,890,568	258,496,733 166,516,854	273,862,902 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,850,175 -964,173	-2,830,499 -643,601.5	-30,816,625 -116,254	-13,713,637 -5,025,862	-1,996,106 -1,284,564
NS2P margin ? Median	-4.37% -0.62	-1.25% -0.29	-13.58% 0.18	-5.60% -5.07	-0.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAMARITAN 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	7,733,454 5,089,215	13,365,006 4,572,541	13,365,006 5,268,134	24,855,512 13,092,619	20,540,619 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	100,432 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	41,298	20,545	20,545	47,400	4,059
⊳ Line 11: Rebates and refunds of expenses	300,276	305,991	305,991	148,212	233,816
⊳ 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	776,014	751,389	751,389	510,622	441,340
⊳ Line 15: Revenue from rental of living quarters	0	0	0	699,610	837,313
⊳ 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	1,906	1,856	1,856	776	854
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	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	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	6,613,960	12,285,225	12,285,225	23,348,460	19,023,237
Total income ? Median	-1,116,721 6,586,430	10,534,507 6,767,106	-17,451,619 8,419,950	11,141,875 8,094,175	18,544,513 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-1,519,254 31,473.5
Net income Median	-1,116,721 6,043,842	10,534,507 5,845,112	-17,451,619 7,606,259	11,141,875 7,283,041	20,063,767 14,957,241
Net margin Median	-0.53123% 4.62%	4.38556% 4.42%	-7.26519% 5.16%	4.13215% 5.2%	6.86158% 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 SAMARITAN 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	34,998,426 23,241,334	38,351,160 23,709,545	39,593,609 24,248,380	34,394,713 22,858,541	32,992,543 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	31,906,248 21,577,146	33,229,908 22,041,594	34,772,296 22,722,063	30,748,838 21,570,441	28,937,943 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	1,182,835 1,845,420	1,186,461 1,757,392	636,289 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,909,343 3,535,627	3,934,791 3,746,588	4,185,024 3,782,288	3,645,875 3,865,578	4,054,600 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	16,430,512 11,160,864	18,391,263 11,987,345	23,984,935 12,926,866	22,412,543 11,884,480	22,959,726 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	16,430,512 10,918,923	18,391,263 11,706,976	23,984,935 12,615,917	22,412,543 11,458,116	22,959,726 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	710,742 3,284,314	763,869 3,250,551	843,677 3,386,837	821,577 3,360,806	592,704 3,508,953
Disproportionate-share hospital (DSH) Median	392,464 594,888	491,575 595,761	560,669 577,894	487,955 542,168	451,273 549,667
Outlier Median	2,939,146 582,572	5,081,175 538,116	1,565,445 212,434	412,234 126,559	352,463 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,151,249 3,662,910	13,806,901 3,730,911	14,180,269 4,081,319	17,545,544 4,643,908	30,364,499 4,389,147
Charity care Median	1,136,277 2,654,636	1,176,130 2,940,659	1,032,122 3,380,215	867,080 3,488,738	733,720 3,233,405
Uncompensated care (UCC) Median	3,718,256 5,147,790	3,170,317 5,337,617	2,785,140 5,711,082	2,985,547 5,923,418	1,982,722 5,508,107
UCC as a % of operating expenses Median	1.76% 3.24	1.38% 3.12	1.08% 3.21	1.15% 3.3	0.72% 2.86
Total shortfall/UCC Median	18,869,505 9,489,989	16,977,218 9,424,297	16,965,409 10,120,158	20,531,091 11,171,337	32,347,221 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	99,663,727 52,142,039	104,186,412 54,485,252	108,828,857 57,395,589	105,401,972 58,830,919	113,360,005 61,722,907
Salaries as a % of operating expenses Median	47.16 36.68	45.36 36.56	42.24 36.37	40.77 35.93	41.39 35.24
Intern, resident salaries* Median	670,319 2,598,592	765,235 2,686,824	0 2,753,773	0 2,937,156	712,056 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	3,085,431 1,449,244	3,909,451 1,475,986	3,525,448 1,563,078	3,423,101 1,721,954	3,423,101 2,991,828
Contract hours, direct-care Median	39,645.00 22,725	51,451.00 23,018.5	46,147.00 24,503.48	41,689.00 25,026.5	41,689.00 33,786
Contract wages, direct-care Median	77.83 64.67	75.98 64.53	76.40 65.06	82.11 68.97	82.11 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.