As of the July, 2022, release via CMS

NYC HEALTH+HOSPITAL/KINGS COUNTY

CMS id: 330202
451 CLARKSON AVENUE, BROOKLYN NY 11203. County: KINGS
System: NYC HEALTH + HOSPITALS
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 634-bed, acute-care hospital had $-200,889,121 in net service to patients*, with a total profit margin of 6.22255% in fiscal year 2021, the latest year available.
It spent 10.98% of its operating expenses on uncompensated care and reported $311,984,700 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	329 118	329 118	329 119.5	329 118	329 119
Total beds Median	634 162	634 162	634 162	634 162	634 163.5
FTEs Median	4,696.00 788.06	4,756.80 793.42	3,677.75 806.03	4,909.90 787.61	5,245.00 804.34

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	693,841,682 150,932,746	660,676,559 158,950,878	750,739,125 168,696,998	859,175,125 163,454,693	980,880,099 186,589,412
Operating expenses Median	851,316,638 149,311,209	923,666,546 156,110,414	959,247,437 164,890,568	1,015,637,667 166,516,854	1,181,769,220 180,120,888
Net income from service 2 patients (NS2P) ? Median	-157,474,956 -964,173	-262,989,987 -643,601.5	-208,508,312 -116,254	-156,462,542 -5,025,862	-200,889,121 -1,284,564
NS2P margin ? Median	-22.70% -0.62	-39.81% -0.29	-27.77% 0.18	-18.21% -5.07	-20.48% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NYC HEALTH+HOSPITAL/KINGS COUNTY 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	107,757,610 5,089,215	103,316,823 4,572,541	188,465,511 5,268,134	181,319,711 13,092,619	279,304,718 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	2,349,941 194,343	452,544 249,496
⊳ 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	2,820	171	83	1,041	16,184
⊳ 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	5,202	2,500	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	81,533	36,557	31,785	65,029	56,777
⊳ 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	0	0	0
⊳ Line 22: Rental of hospital space	123,995	12,561	5,687	8,375	22,445
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	19,917,571 983,261.5	32,047,770 1,173,286	13,908,901 1,987,202	204,185,894 1,597,664
⊳ Sum Line 24	107,544,060	83,347,463	156,380,186	164,986,424	74,570,874
Total income ? Median	-49,717,346 6,586,430	-159,673,164 6,767,106	-20,042,801 8,419,950	24,857,169 8,094,175	78,415,597 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	-49,717,346 6,043,842	-159,673,164 5,845,112	-20,042,801 7,606,259	24,857,169 7,283,041	78,415,597 14,957,241
Net margin Median	-6.20227% 4.62%	-20.89981% 4.42%	-2.13402% 5.16%	2.38898% 5.2%	6.22255% 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/KINGS COUNTY 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	70,757,740 23,241,334	70,444,802 23,709,545	73,197,906 24,248,380	103,417,069 22,858,541	111,995,273 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	61,517,069 21,577,146	62,000,810 22,041,594	65,846,372 22,722,063	96,601,226 21,570,441	102,866,554 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	7,179,457 1,845,420	6,227,657 1,757,392	6,233,638 1,738,842	6,018,152 1,510,463	6,338,867 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,061,214 3,535,627	2,216,335 3,746,588	1,117,896 3,782,288	797,691 3,865,578	2,789,852 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	14,577,453 11,160,864	17,072,649 11,987,345	19,148,291 12,926,866	24,688,603 11,884,480	30,522,900 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	14,577,453 10,918,923	17,072,649 11,706,976	19,148,291 12,615,917	24,688,603 11,458,116	30,522,900 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	16,025,426 3,284,314	16,854,812 3,250,551	17,650,632 3,386,837	19,831,020 3,360,806	19,407,407 3,508,953
Disproportionate-share hospital (DSH) Median	2,388,030 594,888	2,175,718 595,761	2,039,263 577,894	1,779,754 542,168	2,177,613 549,667
Outlier Median	3,184,492 582,572	2,387,352 538,116	2,898,139 212,434	2,365,979 126,559	3,651,513 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	169,132,870 3,662,910	221,240,755 3,730,911	154,087,320 4,081,319	117,461,659 4,643,908	311,984,700 4,389,147
Charity care Median	95,566,888 2,654,636	84,126,133 2,940,659	58,511,588 3,380,215	53,147,935 3,488,738	76,641,146 3,233,405
Uncompensated care (UCC) Median	189,023,584 5,147,790	175,289,703 5,337,617	162,178,097 5,711,082	133,924,685 5,923,418	129,730,807 5,508,107
UCC as a % of operating expenses Median	22.20% 3.24	18.98% 3.12	16.91% 3.21	13.19% 3.3	10.98% 2.86
Total shortfall/UCC Median	358,156,454 9,489,989	396,530,458 9,424,297	316,265,417 10,120,158	251,386,344 11,171,337	441,715,507 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	392,983,733 52,142,039	424,050,324 54,485,252	414,649,575 57,395,589	414,155,519 58,830,919	471,930,598 61,722,907
Salaries as a % of operating expenses Median	46.16 36.68	45.91 36.56	43.23 36.37	40.78 35.93	39.93 35.24
Intern, resident salaries* Median	28,912,758 2,598,592	29,823,564 2,686,824	31,657,016 2,753,773	33,849,731 2,937,156	35,942,128 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	7,940,423 1,449,244	18,116,884 1,475,986	13,716,065 1,563,078	6,590,909 1,721,954	0 2,991,828
Contract hours, direct-care Median	198,055.00 22,725	394,826.00 23,018.5	292,338.00 24,503.48	67,061.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	40.09 64.67	45.89 64.53	46.92 65.06	98.28 68.97	0.00 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.