As of the July, 2022, release via CMS

NYC HEALTH + HOSPITAL / CONEY ISLAND

CMS id: 330196
2601, BROOKLYN NY 11235. County: KINGS
System: NEW YORK CITY HEALTH & HOSPITAL
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 327-bed, acute-care hospital had $-284,257,994 in net service to patients*, with a total profit margin of -7.32862% in fiscal year 2021, the latest year available.
It spent 8.65% of its operating expenses on uncompensated care and reported $191,532,261 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	gov	gov	gov	gov	gov
Acute beds Median	251 118	251 118	251 119.5	266 118	222 119
Total beds Median	371 162	371 162	371 162	371 162	327 163.5
FTEs Median	2,938.30 788.06	2,641.70 793.42	2,643.20 806.03	2,632.80 787.61	2,581.04 804.34

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	372,085,405 150,932,746	485,621,432 158,950,878	364,449,195 168,696,998	406,578,540 163,454,693	541,295,496 186,589,412
Operating expenses Median	500,705,544 149,311,209	526,001,635 156,110,414	507,961,466 164,890,568	607,286,783 166,516,854	825,553,490 180,120,888
Net income from service 2 patients (NS2P) ? Median	-128,620,139 -964,173	-40,380,203 -643,601.5	-143,512,271 -116,254	-200,708,243 -5,025,862	-284,257,994 -1,284,564
NS2P margin ? Median	-34.57% -0.62	-8.32% -0.29	-39.38% 0.18	-49.37% -5.07	-52.51% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NYC HEALTH + HOSPITAL / CONEY ISLAND 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	66,271,228 5,089,215	52,425,604 4,572,541	99,751,606 5,268,134	157,926,640 13,092,619	227,887,466 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	2,649,634 194,343	320,965 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	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	28,573	38,673	28,701	40,203	3,695
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	14,105	12,027	17,906	5,811	1,325
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	46,908	137	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	10	0	0
⊳ Line 21: Rental of vending machines	0	0	10,427	0	21,936
⊳ Line 22: Rental of hospital space	71,599	6,282	2,425	4,187	0
⊳ Line 23: Gov appropriations ? ⊳ Median	24,483,793 1,017,693	8,473,857 983,261.5	16,080,218 1,173,286	12,758,292 1,987,202	183,567,912 1,597,664
⊳ Sum Line 24	41,673,158	43,847,857	83,611,782	142,468,513	43,971,633
Total income ? Median	-62,348,911 6,586,430	12,045,401 6,767,106	-43,760,665 8,419,950	-42,781,603 8,094,175	-56,370,528 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-62,348,911 6,043,842	12,045,401 5,845,112	-43,760,665 7,606,259	-42,781,603 7,283,041	-56,370,528 14,957,241
Net margin Median	-14.22333% 4.62%	2.23873% 4.42%	-9.42710% 5.16%	-7.57860% 5.2%	-7.32862% 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 NYC HEALTH + HOSPITAL / CONEY ISLAND 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	72,173,611 23,241,334	77,781,919 23,709,545	81,698,415 24,248,380	98,886,960 22,858,541	108,490,888 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	67,811,536 21,577,146	70,872,819 22,041,594	75,361,248 22,722,063	92,970,475 21,570,441	96,023,234 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	3,417,736 1,845,420	6,085,476 1,757,392	5,911,105 1,738,842	5,916,485 1,510,463	12,467,654 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	944,339 3,535,627	823,624 3,746,588	426,062 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	7,452,840 11,160,864	8,646,648 11,987,345	11,798,818 12,926,866	13,624,641 11,884,480	14,783,505 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	7,452,840 10,918,923	8,646,648 11,706,976	11,798,818 12,615,917	13,624,641 11,458,116	14,783,505 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	15,549,123 3,284,314	16,519,274 3,250,551	16,457,010 3,386,837	18,681,965 3,360,806	20,147,621 3,508,953
Disproportionate-share hospital (DSH) Median	5,435,191 594,888	5,064,624 595,761	5,191,137 577,894	6,121,236 542,168	5,331,652 549,667
Outlier Median	3,522,639 582,572	6,755,138 538,116	8,550,052 212,434	2,599,780 126,559	9,184,856 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	150,716,542 3,662,910	84,206,169 3,730,911	170,774,068 4,081,319	193,953,527 4,643,908	191,532,261 4,389,147
Charity care Median	52,294,653 2,654,636	74,151,782 2,940,659	52,357,712 3,380,215	67,663,149 3,488,738	62,783,764 3,233,405
Uncompensated care (UCC) Median	76,612,916 5,147,790	97,153,647 5,337,617	74,710,229 5,711,082	81,674,211 5,923,418	71,449,505 5,508,107
UCC as a % of operating expenses Median	15.30% 3.24	18.47% 3.12	14.71% 3.21	13.45% 3.3	8.65% 2.86
Total shortfall/UCC Median	227,329,458 9,489,989	181,359,816 9,424,297	245,484,297 10,120,158	275,627,738 11,171,337	262,981,766 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	186,512,639 52,142,039	207,763,079 54,485,252	197,715,687 57,395,589	193,864,450 58,830,919	216,772,322 61,722,907
Salaries as a % of operating expenses Median	37.25 36.68	39.50 36.56	38.92 36.37	31.92 35.93	26.26 35.24
Intern, resident salaries* Median	10,401,045 2,598,592	10,563,346 2,686,824	10,601,746 2,753,773	11,708,572 2,937,156	11,978,818 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	1,054,697 1,449,244	1,342,213 1,475,986	0 1,563,078	2,186,423 1,721,954	17,651,573 2,991,828
Contract hours, direct-care Median	30,620.00 22,725	42,864.00 23,018.5	0.00 24,503.48	17,045.00 25,026.5	127,332.00 33,786
Contract wages, direct-care Median	34.44 64.67	31.31 64.53	0.00 65.06	128.27 68.97	138.63 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.