As of the July, 2022, release via CMS

STATEN ISLAND UNIVERSITY HOSPITAL

CMS id: 330160
475 SEAVIEW AVENUE, STATEN ISLAND NY 10305. County: RICHMOND
System: NORTHWELL HEALTHCARE INC
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 627-bed, acute-care hospital had $-397,110,509 in net service to patients*, with a total profit margin of 2.87302% in fiscal year 2021, the latest year available.
It spent 1.75% of its operating expenses on uncompensated care and reported $102,357,928 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	414 118	426 118	426 119.5	426 118	426 119
Total beds Median	634 162	627 162	627 162	627 162	627 163.5
FTEs Median	6,026.10 788.06	6,128.60 793.42	6,249.40 806.03	6,579.70 787.61	10,958.10 804.34

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	891,452,687 150,932,746	934,818,061 158,950,878	1,025,118,607 168,696,998	980,511,048 163,454,693	1,134,889,898 186,589,412
Operating expenses Median	1,063,316,779 149,311,209	1,139,893,683 156,110,414	1,238,927,647 164,890,568	1,426,673,178 166,516,854	1,532,000,407 180,120,888
Net income from service 2 patients (NS2P) ? Median	-171,864,092 -964,173	-205,075,622 -643,601.5	-213,809,040 -116,254	-446,162,130 -5,025,862	-397,110,509 -1,284,564
NS2P margin ? Median	-19.28% -0.62	-21.94% -0.29	-20.86% 0.18	-45.50% -5.07	-34.99% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STATEN ISLAND UNIVERSITY 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	243,141,092 5,089,215	181,794,460 4,572,541	331,021,228 5,268,134	618,978,100 13,092,619	441,897,292 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	16,825,319 299,524	20,949,941 188,688.5	25,993,381 370,813	23,182,176 309,361.5	54,491,243 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	59,618	59,164	1--1,189	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	512,902	521,664	1,064,209	592,449	679,974
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,766,894	2,720,984	2,655,043	2,083,024	2,570,078
⊳ 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	83,188,109
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	763,798
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ 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	1,846,788	1,796,806	2,863,391	3,451,827	2,197,484
⊳ Line 23: Gov appropriations ? ⊳ Median	5,472,567 1,017,693	5,839,808 983,261.5	10,286,183 1,173,286	22,500,475 1,987,202	4,463,750 1,597,664
⊳ Sum Line 24	215,597,386	149,846,928	287,956,643	567,168,149	293,542,856
Total income ? Median	71,277,000 6,586,430	-23,281,162 6,767,106	117,212,188 8,419,950	172,815,970 8,094,175	44,786,783 15,162,888
Non-operating expenses Median	2,135,000 146,289.5	9,878,771 164,857	-2,426,288 89,880.5	-22,369 106,761	-514,707 31,473.5
Net income Median	69,142,000 6,043,842	-33,159,933 5,845,112	119,638,476 7,606,259	172,838,339 7,283,041	45,301,490 14,957,241
Net margin Median	6.09399% 4.62%	-2.96969% 4.42%	8.82199% 5.16%	10.80585% 5.2%	2.87302% 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 STATEN ISLAND UNIVERSITY 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	175,212,125 23,241,334	179,789,056 23,709,545	188,286,582 24,248,380	171,984,528 22,858,541	213,309,273 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	155,778,833 21,577,146	161,320,071 22,041,594	170,195,699 22,722,063	162,880,254 21,570,441	205,425,418 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	2,202,124 1,845,420	2,805,637 1,757,392	3,192,906 1,738,842	1,993,983 1,510,463	1,914,325 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	17,231,168 3,535,627	15,663,348 3,746,588	14,897,977 3,782,288	7,110,291 3,865,578	5,969,530 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	35,991,825 11,160,864	42,035,475 11,987,345	50,812,786 12,926,866	43,016,012 11,884,480	50,801,693 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	35,991,825 10,918,923	42,035,475 11,706,976	50,812,786 12,615,917	43,016,012 11,458,116	50,801,693 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	33,101,298 3,284,314	34,442,276 3,250,551	36,107,716 3,386,837	34,221,665 3,360,806	45,384,523 3,508,953
Disproportionate-share hospital (DSH) Median	4,296,945 594,888	4,393,873 595,761	4,702,489 577,894	4,204,083 542,168	4,581,854 549,667
Outlier Median	2,423,897 582,572	3,018,653 538,116	1,606,297 212,434	700,132 126,559	780,993 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	45,374,161 3,662,910	29,454,010 3,730,911	35,110,254 4,081,319	27,487,626 4,643,908	102,357,928 4,389,147
Charity care Median	15,016,224 2,654,636	17,691,704 2,940,659	18,044,516 3,380,215	23,362,421 3,488,738	21,863,842 3,233,405
Uncompensated care (UCC) Median	19,051,476 5,147,790	22,521,449 5,337,617	23,424,589 5,711,082	26,436,337 5,923,418	26,818,160 5,508,107
UCC as a % of operating expenses Median	1.79% 3.24	1.98% 3.12	1.89% 3.21	1.85% 3.3	1.75% 2.86
Total shortfall/UCC Median	64,425,637 9,489,989	51,975,459 9,424,297	58,534,843 10,120,158	53,923,963 11,171,337	129,176,088 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	565,048,699 52,142,039	591,928,397 54,485,252	637,732,428 57,395,589	766,172,206 58,830,919	790,155,397 61,722,907
Salaries as a % of operating expenses Median	53.14 36.68	51.93 36.56	51.47 36.37	53.70 35.93	51.55 35.24
Intern, resident salaries* Median	22,172,258 2,598,592	22,547,656 2,686,824	21,653,083 2,753,773	24,604,486 2,937,156	25,515,703 2,909,848
Contract intern, resident salaries* Median	1,574,365 1,251,927	1,426,036 1,186,494	0 1,204,885	2,471,954 1,279,653	2,471,954 1,469,317
Contract adjusted salaries, direct-care Median	2,020,236 1,449,244	2,581,700 1,475,986	0 1,563,078	5,944,228 1,721,954	12,693,429 2,991,828
Contract hours, direct-care Median	25,413.00 22,725	36,572.00 23,018.5	0.00 24,503.48	41,533.00 25,026.5	91,371.00 33,786
Contract wages, direct-care Median	79.50 64.67	70.59 64.53	0.00 65.06	143.12 68.97	138.92 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.