As of the July, 2022, release via CMS

SAMARITAN HOSPITAL

CMS id: 330180
2215 BURDETT AVE, TROY NY 12180. County: RENSSELAER
System: ST. PETERS HEALTH PARTNERS
CBSA: Albany-Schenectady-Troy, NY

The 365-bed, acute-care hospital had $-14,718,849 in net service to patients*, with a total profit margin of 5.11949% in fiscal year 2021, the latest year available.
It spent 1.82% of its operating expenses on uncompensated care and reported $12,975,562 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	137 118	180 118	213 119.5	290 118	305 119
Total beds Median	212 162	212 162	257 162	350 162	365 163.5
FTEs Median	0.00 788.06	1,195.90 793.42	1,521.20 806.03	1,812.90 787.61	1,838.00 804.34

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	161,451,970 150,932,746	173,848,245 158,950,878	226,749,151 168,696,998	302,660,039 163,454,693	350,318,659 186,589,412
Operating expenses Median	160,153,612 149,311,209	171,655,038 156,110,414	239,272,747 164,890,568	325,550,342 166,516,854	365,037,508 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,298,358 -964,173	2,193,207 -643,601.5	-12,523,596 -116,254	-22,890,303 -5,025,862	-14,718,849 -1,284,564
NS2P margin ? Median	0.80% -0.62	1.26% -0.29	-5.52% 0.18	-7.56% -5.07	-4.20% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for 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	8,247,959 5,089,215	6,914,874 4,572,541	14,199,008 5,268,134	21,365,670 13,092,619	18,216,278 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	4,614,042 299,524	1,249,409 188,688.5	4,405,090 370,813	-1,818,360 309,361.5	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	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	51,975	59,617	58,228	14,693	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	676,993	725,285	925,929	1,116,322	813,156
⊳ 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	82,924	60,965	85,645	128,980	349,584
⊳ Line 18: Revenue from sale of medical records and abstracts	19,771	14,344	18,422	33,424	18,493
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,315,101	1,302,559	1,290,509	1,388,502	1,378,523
⊳ 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	70,677	70,677	130,835	249,403	193,901
⊳ Line 23: Gov appropriations ? ⊳ Median	1,232,239 1,017,693	2,705,204 983,261.5	4,405,074 1,173,286	14,020,874 1,987,202	10,395,271 1,597,664
⊳ Sum Line 24	184,237	726,814	2,879,276	6,231,832	5,067,350
Total income ? Median	9,546,317 6,586,430	9,108,081 6,767,106	1,675,412 8,419,950	-1,524,633 8,094,175	3,497,429 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-15,369,693 31,473.5
Net income Median	9,546,317 6,043,842	9,108,081 5,845,112	1,675,412 7,606,259	-1,524,633 7,283,041	18,867,122 14,957,241
Net margin Median	5.62541% 4.62%	5.03868% 4.42%	0.69534% 5.16%	-0.47053% 5.2%	5.11949% 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 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	23,942,544 23,241,334	26,262,697 23,709,545	25,825,671 24,248,380	26,957,742 22,858,541	28,150,607 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	20,472,579 21,577,146	23,752,498 22,041,594	24,048,155 22,722,063	25,435,312 21,570,441	26,133,920 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	3,469,965 1,845,420	2,510,199 1,757,392	1,777,516 1,738,842	1,522,430 1,510,463	2,016,687 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	10,950,155 11,160,864	12,791,445 11,987,345	16,871,976 12,926,866	20,901,584 11,884,480	22,754,713 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	10,950,155 10,918,923	12,791,445 11,706,976	16,871,976 12,615,917	20,901,584 11,458,116	22,754,713 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	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	317,455 594,888	1,070,706 595,761	1,139,752 577,894	1,335,665 542,168	1,234,833 549,667
Outlier Median	329,916 582,572	407,407 538,116	375,194 212,434	238,114 126,559	492,570 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,268,337 3,662,910	6,396,636 3,730,911	12,781,416 4,081,319	16,778,394 4,643,908	12,975,562 4,389,147
Charity care Median	192,664 2,654,636	155,280 2,940,659	1,857,696 3,380,215	2,985,930 3,488,738	1,865,764 3,233,405
Uncompensated care (UCC) Median	3,048,807 5,147,790	3,605,008 5,337,617	4,758,673 5,711,082	8,396,621 5,923,418	6,661,204 5,508,107
UCC as a % of operating expenses Median	1.90% 3.24	2.10% 3.12	1.99% 3.21	2.58% 3.3	1.82% 2.86
Total shortfall/UCC Median	4,317,144 9,489,989	10,001,644 9,424,297	17,540,089 10,120,158	25,175,015 11,171,337	19,636,766 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	76,467,457 52,142,039	81,202,955 54,485,252	112,801,804 57,395,589	141,749,064 58,830,919	153,790,445 61,722,907
Salaries as a % of operating expenses Median	47.38 36.68	46.91 36.56	46.76 36.37	43.25 35.93	41.85 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	1,160,817 1,449,244	1,674,882 1,475,986	1,867,684 1,563,078	2,552,568 1,721,954	2,848,085 2,991,828
Contract hours, direct-care Median	15,543.00 22,725	23,290.00 23,018.5	25,219.00 24,503.48	38,875.00 25,026.5	22,255.00 33,786
Contract wages, direct-care Median	74.68 64.67	71.91 64.53	74.06 65.06	65.66 68.97	127.98 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.