As of the July, 2022, release via CMS

MOUNT SINAI HEALTH SYSTEM-BETH ISRAE

CMS id: 330169
1ST AVENUE@ 16TH STREET, NEW YORK NY 10003. County: NEW YORK
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 505-bed, acute-care hospital had $-277,488,215 in net service to patients*, with a total profit margin of -17.20464% in fiscal year 2021, the latest year available.
It spent 1.43% of its operating expenses on uncompensated care and reported $33,771,497 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	522 118	449 118	430 119.5	421 118	411 119
Total beds Median	671 162	554 162	525 162	516 162	505 163.5
FTEs Median	5,039.70 788.06	4,690.85 793.42	4,594.10 806.03	4,419.24 787.61	4,314.04 804.34

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	861,736,325 150,932,746	815,758,908 158,950,878	804,563,845 168,696,998	710,046,379 163,454,693	774,678,091 186,589,412
Operating expenses Median	1,051,302,556 149,311,209	987,770,193 156,110,414	995,546,632 164,890,568	1,060,128,267 166,516,854	1,052,166,306 180,120,888
Net income from service 2 patients (NS2P) ? Median	-189,566,231 -964,173	-172,011,285 -643,601.5	-190,982,787 -116,254	-350,081,888 -5,025,862	-277,488,215 -1,284,564
NS2P margin ? Median	-22.00% -0.62	-21.09% -0.29	-23.74% 0.18	-49.30% -5.07	-35.82% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MOUNT SINAI HEALTH SYSTEM-BETH ISRAE 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	284,514,344 5,089,215	130,997,285 4,572,541	154,196,609 5,268,134	282,272,888 13,092,619	123,039,215 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	916,030 224,999	659,921 199,009	1,787,000 206,870.5	5,670,780 194,343	872,858 249,496
⊳ Line 7: Investments ? ⊳ Median	2,145,213 299,524	2,687,369 188,688.5	4,478,674 370,813	7,366,827 309,361.5	6,197,652 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	1,515,613	2,341,948	1,145,386	1,650,994	1,811,859
⊳ Line 11: Rebates and refunds of expenses	119,241	53,162	574,492	243,227	185,388
⊳ Line 12: Parking lot receipts	207,309	75,472	80,685	63,557	60,902
⊳ Line 13: Revenue from laundry and linen service	0	2,874	1,310	429	2,412
⊳ Line 14: Revenue from meals sold to emplyees and guests	906,794	730,613	1,241,379	459,976	774,464
⊳ Line 15: Revenue from rental of living quarters	2,576,352	1,856,365	1,395,171	1,205,997	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	22,750	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	10,035	7,360	5,068	14,638	49,604
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	3,269,350	4,100,192	6,160,517	6,879,583	8,129,161
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	861	13,589	8,445
⊳ Line 22: Rental of hospital space	1,254,390	789,930	966,260	772,547	537,430
⊳ Line 23: Gov appropriations ? ⊳ Median	14,541,837 1,017,693	18,456,422 983,261.5	15,968,589 1,173,286	15,384,816 1,987,202	20,881,102 1,597,664
⊳ Sum Line 24	257,029,430	99,235,657	120,391,217	242,545,928	83,527,938
Total income ? Median	94,948,113 6,586,430	-41,014,000 6,767,106	-36,786,178 8,419,950	-67,809,000 8,094,175	-154,449,000 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	3,261,826 89,880.5	0 106,761	0 31,473.5
Net income Median	94,948,113 6,043,842	-41,014,000 5,845,112	-40,048,004 7,606,259	-67,809,000 7,283,041	-154,449,000 14,957,241
Net margin Median	8.28336% 4.62%	-4.33206% 4.42%	-4.17706% 5.16%	-6.83339% 5.2%	-17.20464% 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 MOUNT SINAI HEALTH SYSTEM-BETH ISRAE 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	195,523,591 23,241,334	177,222,496 23,709,545	165,805,560 24,248,380	153,518,940 22,858,541	145,951,949 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	190,702,086 21,577,146	173,003,163 22,041,594	162,132,081 22,722,063	150,203,599 21,570,441	142,281,137 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	4,821,505 1,845,420	4,219,333 1,757,392	3,673,479 1,738,842	3,315,341 1,510,463	3,670,812 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	66,313,658 11,160,864	66,137,325 11,987,345	65,892,848 12,926,866	52,350,546 11,884,480	58,976,895 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	66,313,658 10,918,923	66,137,325 11,706,976	65,892,848 12,615,917	52,350,546 11,458,116	58,976,895 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	59,202,445 3,284,314	56,968,992 3,250,551	53,801,381 3,386,837	47,757,060 3,360,806	46,015,634 3,508,953
Disproportionate-share hospital (DSH) Median	7,699,827 594,888	6,829,509 595,761	6,091,987 577,894	5,703,666 542,168	5,058,677 549,667
Outlier Median	4,733,315 582,572	6,325,211 538,116	1,463,536 212,434	1,004,573 126,559	672,400 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	760,351 3,662,910	9,061,029 3,730,911	14,631,696 4,081,319	51,682,873 4,643,908	33,771,497 4,389,147
Charity care Median	16,346,792 2,654,636	11,523,633 2,940,659	14,067,808 3,380,215	15,250,681 3,488,738	13,798,058 3,233,405
Uncompensated care (UCC) Median	21,627,806 5,147,790	15,450,329 5,337,617	17,374,125 5,711,082	17,925,296 5,923,418	15,093,016 5,508,107
UCC as a % of operating expenses Median	2.06% 3.24	1.56% 3.12	1.75% 3.21	1.69% 3.3	1.43% 2.86
Total shortfall/UCC Median	22,388,157 9,489,989	24,511,358 9,424,297	32,005,821 10,120,158	69,608,169 11,171,337	48,864,513 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	385,837,567 52,142,039	376,212,832 54,485,252	373,060,937 57,395,589	395,812,324 58,830,919	367,415,295 61,722,907
Salaries as a % of operating expenses Median	36.70 36.68	38.09 36.56	37.47 36.37	37.34 35.93	34.92 35.24
Intern, resident salaries* Median	13,507,082 2,598,592	17,717,022 2,686,824	16,706,887 2,753,773	17,894,560 2,937,156	17,151,762 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	8,944,196 1,449,244	3,958,129 1,475,986	3,544,530 1,563,078	12,984,393 1,721,954	10,278,208 2,991,828
Contract hours, direct-care Median	107,904.00 22,725	68,096.00 23,018.5	59,107.00 24,503.48	109,351.00 25,026.5	76,421.00 33,786
Contract wages, direct-care Median	82.89 64.67	58.13 64.53	59.97 65.06	118.74 68.97	134.49 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.