As of the July, 2022, release via CMS

NYU WINTHROP HOSPITAL

CMS id: 330167
259 FIRST STREET, MINEOLA NY 11501. County: NASSAU
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 511-bed, acute-care hospital had $100,552,648 in net service to patients*, with a total profit margin of 4.77993% in fiscal year 2019, the latest year available.
It spent 0.81% of its operating expenses on uncompensated care and reported $36,943,002 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	243	365	334	--	--
Ownership	nfp	nfp	nfp	--	--
Acute beds Median	428 118	428 118	428 119.5	-- 118	-- 119
Total beds Median	511 162	511 162	511 162	-- 162	-- 163.5
FTEs Median	7,480.10 788.06	7,895.30 793.42	7,878.83 806.03	-- 787.61	-- 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	978,772,201 150,932,746	1,642,608,918 158,950,878	1,547,040,093 168,696,998	-- 163,454,693	-- 186,589,412
Operating expenses Median	991,910,011 149,311,209	1,622,040,672 156,110,414	1,446,487,445 164,890,568	-- 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-13,137,810 -964,173	20,568,246 -643,601.5	100,552,648 -116,254	-- -5,025,862	-- -1,284,564
NS2P margin ? Median	-1.34% -0.62	1.25% -0.29	6.50% 0.18	--% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NYU WINTHROP 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	25,316,405 5,089,215	39,274,798 4,572,541	88,482,848 5,268,134	-- 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	-- 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	640,882 299,524	3,486,993 188,688.5	6,720,253 370,813	-- 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	4,544,075	5,768,414	8,196,030	--	--
⊳ Line 11: Rebates and refunds of expenses	245,856	589,700	246,588	--	--
⊳ Line 12: Parking lot receipts	471,274	877,481	609,438	--	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	--	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	404,156	733,629	704,802	--	--
⊳ Line 15: Revenue from rental of living quarters	1,185,169	1,831,110	1,411,245	--	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	--	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	--	--
⊳ Line 18: Revenue from sale of medical records and abstracts	217,197	25,223	65,910	--	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	--	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,248,673	1,872,632	1,609,776	--	--
⊳ Line 21: Rental of vending machines	0	0	0	--	--
⊳ Line 22: Rental of hospital space	0	0	0	--	--
⊳ Line 23: Gov appropriations ? ⊳ Median	573,133 1,017,693	927,228 983,261.5	346,500 1,173,286	-- 1,987,202	-- 1,597,664
⊳ Sum Line 24	15,785,990	23,162,388	68,572,306	--	--
Total income ? Median	12,178,595 6,586,430	59,843,044 6,767,106	189,035,496 8,419,950	-- 8,094,175	-- 15,162,888
Non-operating expenses Median	-54,034,559 146,289.5	934,235 164,857	110,858,589 89,880.5	-- 106,761	-- 31,473.5
Net income Median	66,213,154 6,043,842	58,908,809 5,845,112	78,176,907 7,606,259	-- 7,283,041	-- 14,957,241
Net margin Median	6.59435% 4.62%	3.50255% 4.42%	4.77993% 5.16%	--% 5.2%	--% 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 NYU WINTHROP 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	137,155,875 23,241,334	207,943,132 23,709,545	190,841,233 24,248,380	-- 22,858,541	-- 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	137,155,875 21,577,146	207,943,132 22,041,594	190,841,233 22,722,063	-- 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	-- --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	-- --	-- --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	-- 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	-- 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	-- --	-- --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	-- --	-- --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	-- 1,365,298	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	68,563,726 11,160,864	117,130,296 11,987,345	116,010,106 12,926,866	-- 11,884,480	-- 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	60,407,212 10,918,923	104,440,696 11,706,976	102,964,184 12,615,917	-- 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	8,156,514 1,282,808	12,689,600 1,407,728	13,045,922 1,341,512	-- 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	-- --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	-- 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	-- --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	29,405,472 3,284,314	45,575,816 3,250,551	42,239,270 3,386,837	-- 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	1,731,794 594,888	2,744,541 595,761	2,316,679 577,894	-- 542,168	-- 549,667
Outlier Median	15,713,413 582,572	23,858,827 538,116	14,260,414 212,434	-- 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	979,226 3,662,910	27,848,358 3,730,911	36,943,002 4,081,319	-- 4,643,908	-- 4,389,147
Charity care Median	7,150,792 2,654,636	11,443,719 2,940,659	8,489,171 3,380,215	-- 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	10,697,989 5,147,790	14,310,919 5,337,617	11,695,567 5,711,082	-- 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	1.08% 3.24	0.88% 3.12	0.81% 3.21	--% 3.3	--% 2.86
Total shortfall/UCC Median	11,677,215 9,489,989	42,159,277 9,424,297	48,638,569 10,120,158	-- 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	490,175,799 52,142,039	797,195,194 54,485,252	582,003,699 57,395,589	-- 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	49.42 36.68	49.15 36.56	40.24 36.37	-- 35.93	-- 35.24
Intern, resident salaries* Median	12,256,395 2,598,592	20,064,285 2,686,824	20,922,572 2,753,773	-- 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	2,225,247 1,251,927	3,410,403 1,186,494	1,315,211 1,204,885	-- 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	2,313,558 1,449,244	6,453,597 1,475,986	4,300,155 1,563,078	-- 1,721,954	-- 2,991,828
Contract hours, direct-care Median	28,644.00 22,725	64,071.00 23,018.5	54,752.00 24,503.48	-- 25,026.5	-- 33,786
Contract wages, direct-care Median	80.77 64.67	100.73 64.53	78.54 65.06	-- 68.97	-- 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.