As of the July, 2022, release via CMS

ST. FRANCIS HOSPITAL

CMS id: 330182
100 PORT WASHINGTON BLVD, ROSLYN NY 11576. County: NASSAU
System: CATHOLIC HEALTH SERVICES OF LONG ISL
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 364-bed, acute-care hospital had $53,526,019 in net service to patients*, with a total profit margin of 19.51259% in fiscal year 2021, the latest year available.
It spent 1.31% of its operating expenses on uncompensated care and reported $24,623,676 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	288 118	288 118	288 119.5	284 118	284 119
Total beds Median	364 162	364 162	364 162	364 162	364 163.5
FTEs Median	2,837.35 788.06	2,906.34 793.42	2,976.00 806.03	2,871.40 787.61	2,882.30 804.34

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	663,225,976 150,932,746	721,057,517 158,950,878	766,116,883 168,696,998	710,644,547 163,454,693	884,418,262 186,589,412
Operating expenses Median	623,185,778 149,311,209	664,484,198 156,110,414	761,685,397 164,890,568	787,525,621 166,516,854	830,892,243 180,120,888
Net income from service 2 patients (NS2P) ? Median	40,040,198 -964,173	56,573,319 -643,601.5	4,431,486 -116,254	-76,881,074 -5,025,862	53,526,019 -1,284,564
NS2P margin ? Median	6.04% -0.62	7.85% -0.29	0.58% 0.18	-10.82% -5.07	6.05% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. FRANCIS 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	106,551,210 5,089,215	17,767,379 4,572,541	153,718,909 5,268,134	178,994,730 13,092,619	136,415,029 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	2,000 194,343	15,000 249,496
⊳ Line 7: Investments ? ⊳ Median	23,011,761 299,524	37,782,520 188,688.5	53,292,708 370,813	12,975,000 309,361.5	10,205,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	20,249	22,622	18,461	16,000	16,000
⊳ Line 11: Rebates and refunds of expenses	0	0	4,236	0	0
⊳ Line 12: Parking lot receipts	579,005	578,892	578,554	155,000	114,000
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	580,962	666,497	661,633	820,000	1,162,000
⊳ Line 15: Revenue from rental of living quarters	41,508	41,508	41,508	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	5,991	12,173	9,138	9,000	8,000
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	2,125	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,363,080	1,271,489	1,348,217	462,000	234,000
⊳ Line 21: Rental of vending machines	45,262	20,308	36,897	10,000	15,000
⊳ Line 22: Rental of hospital space	2,351,764	3,154,708	3,377,177	2,848,508	3,261,756
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	2,998 1,173,286	67,219,926 1,987,202	1,469,312 1,597,664
⊳ Sum Line 24	78,551,628	-25,783,338	94,347,382	94,475,171	119,914,961
Total income ? Median	146,591,408 6,586,430	74,340,698 6,767,106	158,150,395 8,419,950	102,113,656 8,094,175	189,941,048 15,162,888
Non-operating expenses Median	-8,981,592 146,289.5	-9,164,302 164,857	-55,572,605 89,880.5	-9,127,344 106,761	-9,249,952 31,473.5
Net income Median	155,573,000 6,043,842	83,505,000 5,845,112	213,723,000 7,606,259	111,241,000 7,283,041	199,191,000 14,957,241
Net margin Median	20.21013% 4.62%	11.30241% 4.42%	23.23491% 5.16%	12.50406% 5.2%	19.51259% 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 ST. FRANCIS 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	163,023,265 23,241,334	162,220,289 23,709,545	182,947,787 24,248,380	172,473,083 22,858,541	194,493,835 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	163,023,265 21,577,146	162,220,289 22,041,594	182,947,787 22,722,063	172,473,083 21,570,441	194,493,835 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	85,309,507 11,160,864	89,727,324 11,987,345	91,379,013 12,926,866	88,204,516 11,884,480	108,483,124 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	85,309,507 10,918,923	89,727,324 11,706,976	91,379,013 12,615,917	88,204,516 11,458,116	108,483,124 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	1,482,233 3,284,314	2,220,932 3,250,551	3,778,795 3,386,837	4,681,185 3,360,806	5,085,759 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	8,644,734 582,572	5,331,664 538,116	473,632 212,434	512,638 126,559	401,760 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,090,376 3,662,910	10,159,992 3,730,911	15,756,290 4,081,319	20,655,328 4,643,908	24,623,676 4,389,147
Charity care Median	8,925,479 2,654,636	9,856,327 2,940,659	8,419,880 3,380,215	5,978,783 3,488,738	6,492,065 3,233,405
Uncompensated care (UCC) Median	9,649,614 5,147,790	10,940,427 5,337,617	10,035,807 5,711,082	9,034,929 5,923,418	10,850,432 5,508,107
UCC as a % of operating expenses Median	1.55% 3.24	1.65% 3.12	1.32% 3.21	1.15% 3.3	1.31% 2.86
Total shortfall/UCC Median	18,739,990 9,489,989	21,100,419 9,424,297	25,792,097 10,120,158	29,690,257 11,171,337	35,474,108 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	272,937,756 52,142,039	289,032,436 54,485,252	299,215,228 57,395,589	313,852,972 58,830,919	312,360,533 61,722,907
Salaries as a % of operating expenses Median	43.80 36.68	43.50 36.56	39.28 36.37	39.85 35.93	37.59 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	1,276,132 1,469,317
Contract adjusted salaries, direct-care Median	0 1,449,244	0 1,475,986	73,874 1,563,078	49,464 1,721,954	45,220 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	2,517.00 24,503.48	1,535.00 25,026.5	1,481.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	29.35 65.06	32.22 68.97	30.53 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.