As of the July, 2022, release via CMS

CLAXTON HEPBURN MEDICAL CENTER

CMS id: 330211
214 KING STREET, OGDENSBURG NY 13669. County: ST. LAWRENCE
System: --
CBSA: Ogdensburg-Massena, NY

The 66-bed, acute-care hospital had $-18,416,628 in net service to patients*, with a total profit margin of -8.01099% in fiscal year 2021, the latest year available.
It spent 0.98% of its operating expenses on uncompensated care and reported $9,623,965 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	77 118	77 118	29 119.5	29 118	29 119
Total beds Median	130 162	130 162	81 162	66 162	66 163.5
FTEs Median	629.90 788.06	647.10 793.42	695.70 806.03	682.34 787.61	646.60 804.34

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	93,210,257 150,932,746	91,107,155 158,950,878	95,070,878 168,696,998	89,931,748 163,454,693	99,960,616 186,589,412
Operating expenses Median	92,169,351 149,311,209	96,019,249 156,110,414	98,400,991 164,890,568	99,446,682 166,516,854	118,377,244 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,040,906 -964,173	-4,912,094 -643,601.5	-3,330,113 -116,254	-9,514,934 -5,025,862	-18,416,628 -1,284,564
NS2P margin ? Median	1.12% -0.62	-5.39% -0.29	-3.50% 0.18	-10.58% -5.07	-18.42% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CLAXTON HEPBURN MEDICAL 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	900,188 5,089,215	-208,875 4,572,541	-1,724,188 5,268,134	3,650,469 13,092,619	9,636,790 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	222,711 249,496
⊳ Line 7: Investments ? ⊳ Median	294,318 299,524	261,215 188,688.5	175,018 370,813	0 309,361.5	135,602 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	116	-261	-2,708	8,269
⊳ Line 11: Rebates and refunds of expenses	319	0	0	0	32,917
⊳ 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	382,465	383,631	402,851	246,071	207,772
⊳ Line 15: Revenue from rental of living quarters	206,521	197,971	150,530	97,727	71,190
⊳ 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	11,239	7,921	7,704	8,220	6,890
⊳ 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	232,618	0
⊳ Line 21: Rental of vending machines	0	0	0	0	6,005
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	335,468 1,597,664
⊳ Sum Line 24	5,326	-1,059,729	-2,460,030	3,068,541	8,609,966
Total income ? Median	1,941,094 6,586,430	-5,120,969 6,767,106	-5,054,301 8,419,950	-5,864,465 8,094,175	-8,779,838 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-2 89,880.5	0 106,761	0 31,473.5
Net income Median	1,941,094 6,043,842	-5,120,969 5,845,112	-5,054,299 7,606,259	-5,864,465 7,283,041	-8,779,838 14,957,241
Net margin Median	2.06257% 4.62%	-5.63374% 4.42%	-5.41455% 5.16%	-6.26664% 5.2%	-8.01099% 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 CLAXTON HEPBURN MEDICAL 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	12,160,332 23,241,334	13,218,129 23,709,545	9,407,315 24,248,380	9,580,131 22,858,541	9,213,053 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	9,574,162 21,577,146	10,468,798 22,041,594	7,311,251 22,722,063	7,480,993 21,570,441	7,794,492 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	2,586,170 1,845,420	2,749,331 1,757,392	2,096,064 1,738,842	2,099,138 1,510,463	1,418,561 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	14,101,130 11,160,864	14,086,066 11,987,345	13,894,719 12,926,866	13,404,881 11,884,480	16,560,123 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	14,101,130 10,918,923	14,086,066 11,706,976	13,894,719 12,615,917	13,404,881 11,458,116	16,127,448 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	432,675 670,558
⊳ 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	145,268 594,888	148,287 595,761	143,998 577,894	145,685 542,168	149,583 549,667
Outlier Median	147,327 582,572	200,370 538,116	13,135 212,434	19,414 126,559	46,954 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,688,982 3,662,910	5,614,248 3,730,911	2,963,443 4,081,319	6,807,529 4,643,908	9,623,965 4,389,147
Charity care Median	941,884 2,654,636	459,670 2,940,659	246,112 3,380,215	388,296 3,488,738	261,341 3,233,405
Uncompensated care (UCC) Median	1,906,607 5,147,790	1,730,457 5,337,617	1,538,285 5,711,082	1,694,124 5,923,418	1,157,490 5,508,107
UCC as a % of operating expenses Median	2.07% 3.24	1.80% 3.12	1.56% 3.21	1.70% 3.3	0.98% 2.86
Total shortfall/UCC Median	7,595,589 9,489,989	7,344,705 9,424,297	4,501,728 10,120,158	8,501,653 11,171,337	10,781,455 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	40,167,550 52,142,039	41,542,631 54,485,252	42,817,324 57,395,589	39,253,451 58,830,919	41,273,086 61,722,907
Salaries as a % of operating expenses Median	43.58 36.68	43.26 36.56	43.51 36.37	39.33 35.93	35.03 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	1,846,945 1,449,244	1,129,467 1,475,986	0 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	15,425.00 22,725	14,513.00 23,018.5	0.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	119.74 64.67	77.82 64.53	0.00 65.06	0.00 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.