As of the July, 2022, release via CMS

GLENS FALLS HOSPITAL

CMS id: 330191
100 PARK ST, GLENS FALLS NY 12801. County: WARREN
System: ALBANY MEDICAL CENTER
CBSA: Glens Falls, NY

The 391-bed, acute-care hospital had $-23,185,993 in net service to patients*, with a total profit margin of 1.29107% in fiscal year 2021, the latest year available.
It spent 1.19% of its operating expenses on uncompensated care and reported $15,295,510 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	339 118	337 118	337 119.5	337 118	367 119
Total beds Median	410 162	406 162	391 162	391 162	391 163.5
FTEs Median	2,186.67 788.06	2,162.10 793.42	1,993.10 806.03	1,888.20 787.61	1,825.80 804.34

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	290,641,730 150,932,746	302,748,718 158,950,878	319,036,422 168,696,998	299,559,366 163,454,693	339,066,868 186,589,412
Operating expenses Median	348,357,576 149,311,209	355,313,232 156,110,414	349,782,921 164,890,568	345,968,739 166,516,854	362,252,861 180,120,888
Net income from service 2 patients (NS2P) ? Median	-57,715,846 -964,173	-52,564,514 -643,601.5	-30,746,499 -116,254	-46,409,373 -5,025,862	-23,185,993 -1,284,564
NS2P margin ? Median	-19.86% -0.62	-17.36% -0.29	-9.64% 0.18	-15.49% -5.07	-6.84% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GLENS FALLS 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	20,698,991 5,089,215	59,454,241 4,572,541	26,032,106 5,268,134	83,770,481 13,092,619	22,887,473 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,406,338 224,999	1,374,092 199,009	1,190,700 206,870.5	431,646 194,343	1,638,199 249,496
⊳ Line 7: Investments ? ⊳ Median	2,469,552 299,524	6,231,310 188,688.5	5,112,298 370,813	1,322,394 309,361.5	3,412,550 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	167,702	160,097	204,558	212,968	217,633
⊳ Line 11: Rebates and refunds of expenses	911,508	776,406	840,426	1,249,450	800,673
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	35,935	5,231	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,016,063	1,078,432	1,006,616	805,702	756,473
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	4,290	3,148	333	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	2,822,102	3,005,519	2,900,806	4,855,420	11,264,872
⊳ Line 18: Revenue from sale of medical records and abstracts	41,203	35,167	36,842	24,868	19,914
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	15,900	7,218	18,795	10,670	14,615
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	474,639	482,604	302,166	0	0
⊳ Line 21: Rental of vending machines	105,916	104,986	90,301	64,026	61,354
⊳ Line 22: Rental of hospital space	347,891	242,847	232,733	287,755	481,268
⊳ Line 23: Gov appropriations ? ⊳ Median	1,809,271 1,017,693	3,181,737 983,261.5	4,587,756 1,173,286	5,794,675 1,987,202	462,471 1,597,664
⊳ Sum Line 24	8,937,850	42,618,538	9,358,145	68,564,275	3,612,167
Total income ? Median	-37,016,855 6,586,430	6,889,727 6,767,106	-4,714,393 8,419,950	37,361,108 8,094,175	-298,520 15,162,888
Non-operating expenses Median	-6,786,114 146,289.5	7,366,734 164,857	-4,690,070 89,880.5	-4,161,815 106,761	-4,971,616 31,473.5
Net income Median	-30,230,741 6,043,842	-477,007 5,845,112	-24,323 7,606,259	41,522,923 7,283,041	4,673,096 14,957,241
Net margin Median	-9.70986% 4.62%	-0.13170% 4.42%	-0.00705% 5.16%	10.83217% 5.2%	1.29107% 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 GLENS FALLS 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	36,704,705 23,241,334	36,073,434 23,709,545	31,314,110 24,248,380	29,443,735 22,858,541	31,182,766 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	33,275,912 21,577,146	33,357,749 22,041,594	30,469,055 22,722,063	28,425,491 21,570,441	31,182,766 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	1,132,850 1,845,420	951,815 1,757,392	845,055 1,738,842	1,018,244 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,295,943 3,535,627	1,763,870 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	33,322,001 11,160,864	37,975,503 11,987,345	41,325,297 12,926,866	34,058,962 11,884,480	35,107,266 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	33,322,001 10,918,923	37,975,503 11,706,976	41,325,297 12,615,917	34,058,962 11,458,116	35,107,266 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	480,964 594,888	573,211 595,761	504,195 577,894	488,499 542,168	746,330 549,667
Outlier Median	2,834,577 582,572	1,087,840 538,116	140,340 212,434	137,384 126,559	144,343 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	39,599,833 3,662,910	16,535,550 3,730,911	34,118,748 4,081,319	30,782,094 4,643,908	15,295,510 4,389,147
Charity care Median	1,247,150 2,654,636	4,837,071 2,940,659	3,872,282 3,380,215	3,433,404 3,488,738	2,322,972 3,233,405
Uncompensated care (UCC) Median	2,507,226 5,147,790	8,007,015 5,337,617	6,553,818 5,711,082	5,663,604 5,923,418	4,292,743 5,508,107
UCC as a % of operating expenses Median	0.72% 3.24	2.25% 3.12	1.87% 3.21	1.64% 3.3	1.19% 2.86
Total shortfall/UCC Median	42,107,059 9,489,989	24,542,565 9,424,297	40,672,566 10,120,158	36,445,698 11,171,337	19,588,253 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	154,386,512 52,142,039	158,001,844 54,485,252	153,379,549 57,395,589	147,448,579 58,830,919	153,715,633 61,722,907
Salaries as a % of operating expenses Median	44.32 36.68	44.47 36.56	43.85 36.37	42.62 35.93	42.43 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	2,988,263 1,449,244	3,612,407 1,475,986	3,533,290 1,563,078	6,689,329 1,721,954	13,702,023 2,991,828
Contract hours, direct-care Median	41,902.00 22,725	46,949.00 23,018.5	51,485.00 24,503.48	90,238.00 25,026.5	151,645.00 33,786
Contract wages, direct-care Median	71.32 64.67	76.94 64.53	68.63 65.06	74.13 68.97	90.36 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.