As of the July, 2022, release via CMS

GOOD SAMARITAN HOSPITAL

CMS id: 330158
255 LAFAYETTE AVENUE, SUFFERN NY 10901. County: ROCKLAND
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 286-bed, acute-care hospital had $-13,961,767 in net service to patients*, with a total profit margin of 13.58664% in fiscal year 2021, the latest year available.
It spent 1.30% of its operating expenses on uncompensated care and reported $48,168,275 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	237 118	237 118	237 119.5	237 118	237 119
Total beds Median	286 162	286 162	286 162	286 162	286 163.5
FTEs Median	1,550.10 788.06	1,530.60 793.42	1,494.10 806.03	1,472.50 787.61	1,432.20 804.34

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	306,195,768 150,932,746	342,133,783 158,950,878	343,757,528 168,696,998	286,180,344 163,454,693	346,530,057 186,589,412
Operating expenses Median	303,925,066 149,311,209	326,755,148 156,110,414	340,801,272 164,890,568	342,351,281 166,516,854	360,491,824 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,270,702 -964,173	15,378,635 -643,601.5	2,956,256 -116,254	-56,170,937 -5,025,862	-13,961,767 -1,284,564
NS2P margin ? Median	0.74% -0.62	4.49% -0.29	0.86% 0.18	-19.63% -5.07	-4.03% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GOOD SAMARITAN 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	7,419,353 5,089,215	9,504,489 4,572,541	6,281,994 5,268,134	67,431,435 13,092,619	10,080,799 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	42 224,999	20,507 199,009	690 206,870.5	9,771 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	199,407 299,524	627,807 188,688.5	617,636 370,813	318,517 309,361.5	324,049 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	334,613	10,874	12,184	6,207	103,200
⊳ Line 11: Rebates and refunds of expenses	137,005	280,560	885,255	2,403,412	2,579,185
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	2,073	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	233	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	4,681	5,606	72,082	0	8,317
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	98,417	104,054	101,437	63,569	41,639
⊳ Line 21: Rental of vending machines	11,693	0	0	0	0
⊳ Line 22: Rental of hospital space	432,399	461,970	506,978	506,413	568,008
⊳ Line 23: Gov appropriations ? ⊳ Median	5,131,848 1,017,693	6,962,795 983,261.5	2,222,848 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	1,066,942	1,030,316	1,811,479	64,123,546	6,456,401
Total income ? Median	9,690,055 6,586,430	24,883,124 6,767,106	9,238,250 8,419,950	11,260,498 8,094,175	-3,880,968 15,162,888
Non-operating expenses Median	21,893,598 146,289.5	19,357,906 164,857	17,766,547 89,880.5	83,288,528 106,761	-52,332,390 31,473.5
Net income Median	-12,203,543 6,043,842	5,525,218 5,845,112	-8,528,297 7,606,259	-72,028,030 7,283,041	48,451,422 14,957,241
Net margin Median	-3.89125% 4.62%	1.57128% 4.42%	-2.43638% 5.16%	-20.36924% 5.2%	13.58664% 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 GOOD SAMARITAN 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	64,303,969 23,241,334	67,939,340 23,709,545	64,663,378 24,248,380	56,371,518 22,858,541	66,942,291 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	64,303,969 21,577,146	67,939,340 22,041,594	64,663,378 22,722,063	56,371,518 21,570,441	66,942,291 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	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	30,485,625 11,160,864	32,316,590 11,987,345	31,950,172 12,926,866	26,292,020 11,884,480	30,735,305 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	19,469,106 10,918,923	22,389,449 11,706,976	24,546,828 12,615,917	19,214,872 11,458,116	24,701,662 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	11,016,519 1,282,808	9,927,141 1,407,728	7,403,344 1,341,512	7,077,148 1,407,046	6,033,643 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	2,514,214 594,888	2,834,724 595,761	2,987,382 577,894	2,804,045 542,168	3,529,692 549,667
Outlier Median	2,683,257 582,572	1,567,690 538,116	283,684 212,434	385,862 126,559	642,852 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	35,447,950 3,662,910	31,825,290 3,730,911	19,634,575 4,081,319	44,582,371 4,643,908	48,168,275 4,389,147
Charity care Median	1,660,600 2,654,636	1,942,475 2,940,659	4,076,048 3,380,215	4,778,165 3,488,738	1,662,982 3,233,405
Uncompensated care (UCC) Median	5,372,186 5,147,790	5,819,580 5,337,617	7,671,127 5,711,082	9,853,343 5,923,418	4,686,646 5,508,107
UCC as a % of operating expenses Median	1.77% 3.24	1.78% 3.12	2.25% 3.21	2.88% 3.3	1.30% 2.86
Total shortfall/UCC Median	40,820,136 9,489,989	37,644,870 9,424,297	27,305,702 10,120,158	54,435,714 11,171,337	52,854,921 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	121,342,245 52,142,039	127,161,895 54,485,252	130,056,779 57,395,589	133,163,580 58,830,919	132,132,496 61,722,907
Salaries as a % of operating expenses Median	39.93 36.68	38.92 36.56	38.16 36.37	38.90 35.93	36.65 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	3,847,824 1,449,244	3,702,229 1,475,986	5,171,547 1,563,078	3,207,133 1,721,954	5,215,538 2,991,828
Contract hours, direct-care Median	51,562.94 22,725	46,231.29 23,018.5	60,976.22 24,503.48	40,322.89 25,026.5	43,674.58 33,786
Contract wages, direct-care Median	74.62 64.67	80.08 64.53	84.81 65.06	79.54 68.97	119.42 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.