As of the July, 2022, release via CMS

CANTON-POTSDAM HOSPITAL

CMS id: 330197
50 LEROY STREET, POTSDAM NY 13676. County: ST. LAWRENCE
System: ROCHESTER REGIONAL HEALTH
CBSA: Ogdensburg-Massena, NY

The 94-bed, acute-care hospital had $-11,904,072 in net service to patients*, with a total profit margin of 6.07921% in fiscal year 2021, the latest year available.
It spent 0.85% of its operating expenses on uncompensated care and reported $11,209,091 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	88 118	88 118	88 119.5	88 118	88 119
Total beds Median	94 162	94 162	94 162	94 162	94 163.5
FTEs Median	1,062.70 788.06	1,099.21 793.42	1,103.00 806.03	1,044.40 787.61	1,124.20 804.34

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	174,384,903 150,932,746	180,830,050 158,950,878	192,318,391 168,696,998	176,537,403 163,454,693	214,189,277 186,589,412
Operating expenses Median	181,391,437 149,311,209	192,089,627 156,110,414	205,837,284 164,890,568	209,254,623 166,516,854	226,093,349 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,006,534 -964,173	-11,259,577 -643,601.5	-13,518,893 -116,254	-32,717,220 -5,025,862	-11,904,072 -1,284,564
NS2P margin ? Median	-4.02% -0.62	-6.23% -0.29	-7.03% 0.18	-18.53% -5.07	-5.56% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CANTON-POTSDAM 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	17,528,021 5,089,215	22,847,591 4,572,541	28,216,244 5,268,134	41,514,846 13,092,619	24,378,504 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	149,081 299,524	250,732 188,688.5	727,143 370,813	198,663 309,361.5	137,323 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	69,078	85,887	97,237	165,248	157,511
⊳ Line 11: Rebates and refunds of expenses	77,516	65,087	223,925	115,314	234,779
⊳ 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	453,241	426,628	414,629	382,226	372,773
⊳ 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	29,281	59,260	28,050	24,380	20,813
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	13,703	0	4,181
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	1,172,157 1,017,693	858,666 983,261.5	1,959,535 1,173,286	2,101,779 1,987,202	722,463 1,597,664
⊳ Sum Line 24	15,577,667	21,101,331	24,752,022	38,527,236	22,728,661
Total income ? Median	10,521,487 6,586,430	11,588,014 6,767,106	14,697,351 8,419,950	8,797,626 8,094,175	12,474,432 15,162,888
Non-operating expenses Median	-302,893 146,289.5	-358,592 164,857	-1,284,216 89,880.5	-383,289 106,761	-2,028,600 31,473.5
Net income Median	10,824,380 6,043,842	11,946,606 5,845,112	15,981,567 7,606,259	9,180,915 7,283,041	14,503,032 14,957,241
Net margin Median	5.64026% 4.62%	5.86545% 4.42%	7.24674% 5.16%	4.21042% 5.2%	6.07921% 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 CANTON-POTSDAM 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	15,813,286 23,241,334	17,444,204 23,709,545	14,830,778 24,248,380	14,337,717 22,858,541	14,844,618 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	15,813,286 21,577,146	17,444,204 22,041,594	14,830,778 22,722,063	14,337,717 21,570,441	14,844,618 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	18,530,623 11,160,864	20,771,431 11,987,345	20,524,324 12,926,866	16,740,288 11,884,480	18,770,496 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	18,530,623 10,918,923	20,771,431 11,706,976	20,524,324 12,615,917	16,740,288 11,458,116	18,770,496 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	349,423 594,888	389,808 595,761	324,486 577,894	315,156 542,168	317,414 549,667
Outlier Median	147,282 582,572	216,807 538,116	7,820 212,434	5,019 126,559	9,552 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,548,957 3,662,910	9,892,131 3,730,911	9,844,134 4,081,319	6,341,174 4,643,908	11,209,091 4,389,147
Charity care Median	614,244 2,654,636	425,595 2,940,659	573,327 3,380,215	655,412 3,488,738	319,761 3,233,405
Uncompensated care (UCC) Median	1,685,240 5,147,790	650,915 5,337,617	2,410,936 5,711,082	2,562,061 5,923,418	1,924,892 5,508,107
UCC as a % of operating expenses Median	0.93% 3.24	0.34% 3.12	1.17% 3.21	1.22% 3.3	0.85% 2.86
Total shortfall/UCC Median	11,234,197 9,489,989	10,543,046 9,424,297	12,255,070 10,120,158	8,903,235 11,171,337	13,133,983 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	93,769,286 52,142,039	100,269,576 54,485,252	102,953,327 57,395,589	103,909,253 58,830,919	109,565,480 61,722,907
Salaries as a % of operating expenses Median	51.69 36.68	52.20 36.56	50.02 36.37	49.66 35.93	48.46 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	1,560,677 1,449,244	1,528,907 1,475,986	0 1,563,078	2,103,765 1,721,954	2,108,530 2,991,828
Contract hours, direct-care Median	33,817.83 22,725	31,687.00 23,018.5	0.00 24,503.48	40,978.00 25,026.5	32,324.00 33,786
Contract wages, direct-care Median	46.15 64.67	48.25 64.53	0.00 65.06	51.34 68.97	65.23 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.