As of the July, 2022, release via CMS

METROPOLITAN HOSPITAL CENTER

CMS id: 330199
1901 FIRST AVENUE, NEW YORK NY 10029. County: NEW YORK
System: NYC HEALTH & HOSPITAL
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 338-bed, acute-care hospital had $-160,822,027 in net service to patients*, with a total profit margin of -2.37826% in fiscal year 2021, the latest year available.
It spent 14.22% of its operating expenses on uncompensated care and reported $154,454,674 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	158 118	158 118	158 119.5	158 118	158 119
Total beds Median	338 162	338 162	338 162	338 162	338 163.5
FTEs Median	1,938.09 788.06	1,888.20 793.42	1,876.50 806.03	1,982.20 787.61	1,890.92 804.34

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	271,130,298 150,932,746	258,447,913 158,950,878	285,617,685 168,696,998	315,442,523 163,454,693	388,902,204 186,589,412
Operating expenses Median	376,703,367 149,311,209	398,089,520 156,110,414	384,463,495 164,890,568	499,033,603 166,516,854	549,724,231 180,120,888
Net income from service 2 patients (NS2P) ? Median	-105,573,069 -964,173	-139,641,607 -643,601.5	-98,845,810 -116,254	-183,591,080 -5,025,862	-160,822,027 -1,284,564
NS2P margin ? Median	-38.94% -0.62	-54.03% -0.29	-34.61% 0.18	-58.20% -5.07	-41.35% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for METROPOLITAN HOSPITAL CENTER 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	36,227,405 5,089,215	46,072,425 4,572,541	74,292,582 5,268,134	86,764,560 13,092,619	148,051,880 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	59,528 199,009	0 206,870.5	1,020,644 194,343	208,761 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	61,489 370,813	62,493 309,361.5	35,344 375,329
⊳ 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	10,000	10,000	7,500	7,500	10,000
⊳ 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	20,424	4,073	17,018	7,516	7,237
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	75
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	15	0
⊳ Line 21: Rental of vending machines	0	0	0	0	226,316
⊳ Line 22: Rental of hospital space	624,436	602,786	715,649	500,501	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	8,439,913 1,173,286	6,261,567 1,987,202	116,531,051 1,597,664
⊳ Sum Line 24	35,572,545	45,396,038	65,051,013	78,904,324	31,033,096
Total income ? Median	-69,345,664 6,586,430	-93,569,182 6,767,106	-24,553,228 8,419,950	-96,826,520 8,094,175	-12,770,147 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	-69,345,664 6,043,842	-93,569,182 5,845,112	-24,553,228 7,606,259	-96,826,520 7,283,041	-12,770,147 14,957,241
Net margin Median	-22.56188% 4.62%	-30.72674% 4.42%	-6.82204% 5.16%	-24.07380% 5.2%	-2.37826% 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 METROPOLITAN HOSPITAL CENTER 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	26,022,044 23,241,334	25,785,553 23,709,545	23,276,675 24,248,380	33,131,376 22,858,541	41,167,754 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	21,631,297 21,577,146	20,498,999 22,041,594	19,385,963 22,722,063	28,788,624 21,570,441	32,163,258 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	3,234,367 1,845,420	3,267,886 1,757,392	2,670,608 1,738,842	3,133,646 1,510,463	6,213,090 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,156,380 3,535,627	2,018,668 3,746,588	1,220,104 3,782,288	1,209,106 3,865,578	2,791,406 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	4,534,212 11,160,864	5,337,234 11,987,345	7,436,330 12,926,866	9,440,486 11,884,480	9,235,770 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	4,534,212 10,918,923	5,337,234 11,706,976	7,436,330 12,615,917	9,440,486 11,458,116	9,235,770 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	7,516,245 3,284,314	7,488,749 3,250,551	8,624,508 3,386,837	10,839,036 3,360,806	10,908,648 3,508,953
Disproportionate-share hospital (DSH) Median	983,359 594,888	775,609 595,761	625,058 577,894	903,326 542,168	755,753 549,667
Outlier Median	1,191,764 582,572	1,551,109 538,116	1,380,738 212,434	1,469,904 126,559	4,317,381 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	63,210,387 3,662,910	118,461,473 3,730,911	71,778,276 4,081,319	73,663,267 4,643,908	154,454,674 4,389,147
Charity care Median	46,388,016 2,654,636	43,322,756 2,940,659	39,092,691 3,380,215	38,631,462 3,488,738	58,677,281 3,233,405
Uncompensated care (UCC) Median	75,390,011 5,147,790	69,323,367 5,337,617	61,961,564 5,711,082	59,716,495 5,923,418	78,150,448 5,508,107
UCC as a % of operating expenses Median	20.01% 3.24	17.41% 3.12	16.12% 3.21	11.97% 3.3	14.22% 2.86
Total shortfall/UCC Median	138,600,398 9,489,989	187,784,840 9,424,297	133,739,840 10,120,158	133,379,762 11,171,337	232,605,122 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	144,214,270 52,142,039	158,098,952 54,485,252	150,306,645 57,395,589	152,560,486 58,830,919	169,478,015 61,722,907
Salaries as a % of operating expenses Median	38.28 36.68	39.71 36.56	39.10 36.37	30.57 35.93	30.83 35.24
Intern, resident salaries* Median	13,979,589 2,598,592	14,555,908 2,686,824	14,938,608 2,753,773	16,366,999 2,937,156	17,251,118 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	624,636 1,186,494	788,409 1,204,885	790,049 1,279,653	790,049 1,469,317
Contract adjusted salaries, direct-care Median	13,313,960 1,449,244	15,603,889 1,475,986	12,832,255 1,563,078	14,995,772 1,721,954	33,396,219 2,991,828
Contract hours, direct-care Median	350,918.00 22,725	307,263.00 23,018.5	271,879.00 24,503.48	280,074.00 25,026.5	450,833.00 33,786
Contract wages, direct-care Median	37.94 64.67	50.78 64.53	47.20 65.06	53.54 68.97	74.08 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.