As of the July, 2022, release via CMS

NYU LANGONE HOSPITALS

CMS id: 330214
550 FIRST AVENUE, NEW YORK NY 10016. County: NEW YORK
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 1,675-bed, acute-care hospital had $-315,366,120 in net service to patients*, with a total profit margin of 13.57043% in fiscal year 2021, the latest year available.
It spent 1.27% of its operating expenses on uncompensated care and reported $247,050,649 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	775 118	741 118	1,166 119.5	1,139 118	1201 119
Total beds Median	1,044 162	1,127 162	1,629 162	1,639 162	1,675 163.5
FTEs Median	15,172.80 788.06	15,976.42 793.42	16,599.80 806.03	21,691.07 787.61	21,146.51 804.34

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	3,827,435,300 150,932,746	4,101,296,000 158,950,878	4,644,076,000 168,696,998	5,674,123,738 163,454,693	6,273,707,636 186,589,412
Operating expenses Median	3,881,359,402 149,311,209	4,358,450,898 156,110,414	4,816,289,140 164,890,568	6,444,113,234 166,516,854	6,589,073,756 180,120,888
Net income from service 2 patients (NS2P) ? Median	-53,924,102 -964,173	-257,154,898 -643,601.5	-172,213,140 -116,254	-769,989,496 -5,025,862	-315,366,120 -1,284,564
NS2P margin ? Median	-1.41% -0.62	-6.27% -0.29	-3.71% 0.18	-13.57% -5.07	-5.03% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NYU LANGONE HOSPITALS 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	302,180,384 5,089,215	347,209,796 4,572,541	550,629,491 5,268,134	1,101,479,542 13,092,619	888,675,056 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	6,450,668 224,999	7,928,528 199,009	4,115,184 206,870.5	44,675,456 194,343	8,696,075 249,496
⊳ Line 7: Investments ? ⊳ Median	58,842,535 299,524	66,685,772 188,688.5	68,179,108 370,813	94,417,813 309,361.5	54,644,710 375,329
⊳ 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	5,247,515	4,813,745	5,343,380	1,383,048	0
⊳ Line 12: Parking lot receipts	2,704,991	4,296,566	4,722,915	5,395,599	6,624,266
⊳ Line 13: Revenue from laundry and linen service	0	0	0	201	764
⊳ Line 14: Revenue from meals sold to emplyees and guests	9,016,907	11,170,736	10,303,289	9,889,273	8,240,805
⊳ Line 15: Revenue from rental of living quarters	3,011,241	4,036,477	1,283,865	6,156,944	4,867,788
⊳ Line 16: Revenue from sale of medical and surgical supplies	-24,753	-24,753	-30,525	-24,753	30,000
⊳ Line 17: Revenue from sale of drugs to other than patients	11,308,191	53,554,244	122,790,236	238,017,114	353,900,470
⊳ Line 18: Revenue from sale of medical records and abstracts	776,236	829,057	1,008,714	2,642,330	1,086,676
⊳ 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	95,435	56,597	70,814	61,954	71,546
⊳ Line 22: Rental of hospital space	14,823,814	17,210,195	10,495,394	13,025,902	10,463,724
⊳ Line 23: Gov appropriations ? ⊳ Median	56,962,935 1,017,693	62,473,809 983,261.5	59,062,724 1,173,286	76,463,762 1,987,202	257,713,839 1,597,664
⊳ Sum Line 24	132,959,345	114,172,057	263,279,765	609,369,307	182,332,611
Total income ? Median	248,256,282 6,586,430	90,054,898 6,767,106	378,416,351 8,419,950	331,490,046 8,094,175	573,308,936 15,162,888
Non-operating expenses Median	-109,520,718 146,289.5	-225,038,102 164,857	178,341,351 89,880.5	-6,686,954 106,761	-398,657,064 31,473.5
Net income Median	357,777,000 6,043,842	315,093,000 5,845,112	200,075,000 7,606,259	338,177,000 7,283,041	971,966,000 14,957,241
Net margin Median	8.66369% 4.62%	7.08312% 4.42%	3.85152% 5.16%	4.99110% 5.2%	13.57043% 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 NYU LANGONE HOSPITALS 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	483,461,708 23,241,334	482,156,813 23,709,545	545,736,581 24,248,380	775,963,913 22,858,541	896,661,831 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	451,251,254 21,577,146	453,291,613 22,041,594	516,119,378 22,722,063	741,008,905 21,570,441	851,842,463 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	5,767,794 1,845,420	4,410,371 1,757,392	4,895,615 1,738,842	4,472,406 1,510,463	5,611,720 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	26,442,660 3,535,627	24,454,829 3,746,588	24,721,588 3,782,288	30,482,602 3,865,578	39,207,648 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	206,197,191 11,160,864	218,622,597 11,987,345	249,062,661 12,926,866	340,207,513 11,884,480	384,328,173 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	206,197,191 10,918,923	218,622,597 11,706,976	247,883,150 12,615,917	328,523,971 11,458,116	371,852,151 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	1,179,511 1,341,512	11,683,542 1,407,046	12,476,022 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	138,837,703 3,284,314	142,181,446 3,250,551	151,564,550 3,386,837	203,226,972 3,360,806	221,986,983 3,508,953
Disproportionate-share hospital (DSH) Median	12,020,309 594,888	12,351,912 595,761	13,649,374 577,894	18,173,942 542,168	20,075,774 549,667
Outlier Median	53,786,683 582,572	39,553,716 538,116	48,630,415 212,434	25,569,086 126,559	36,227,941 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	122,024,307 3,662,910	160,317,591 3,730,911	189,430,552 4,081,319	262,304,001 4,643,908	247,050,649 4,389,147
Charity care Median	28,273,706 2,654,636	69,882,302 2,940,659	74,945,435 3,380,215	78,569,751 3,488,738	81,331,544 3,233,405
Uncompensated care (UCC) Median	34,311,550 5,147,790	71,365,996 5,337,617	76,841,546 5,711,082	82,123,364 5,923,418	84,005,699 5,508,107
UCC as a % of operating expenses Median	0.88% 3.24	1.64% 3.12	1.60% 3.21	1.27% 3.3	1.27% 2.86
Total shortfall/UCC Median	156,335,857 9,489,989	231,683,587 9,424,297	266,272,098 10,120,158	344,427,365 11,171,337	331,056,348 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	1,341,983,183 52,142,039	1,461,067,920 54,485,252	1,577,426,628 57,395,589	2,045,293,134 58,830,919	2,147,992,042 61,722,907
Salaries as a % of operating expenses Median	34.58 36.68	33.52 36.56	32.75 36.37	31.74 35.93	32.60 35.24
Intern, resident salaries* Median	76,402,012 2,598,592	79,286,150 2,686,824	80,829,221 2,753,773	105,176,667 2,937,156	106,608,148 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	113,349 1,204,885	1,268,330 1,279,653	648,619 1,469,317
Contract adjusted salaries, direct-care Median	2,648,607 1,449,244	3,640,230 1,475,986	232,932 1,563,078	55,557,196 1,721,954	23,880,139 2,991,828
Contract hours, direct-care Median	31,698.00 22,725	45,975.00 23,018.5	2,610.00 24,503.48	422,724.00 25,026.5	151,168.00 33,786
Contract wages, direct-care Median	83.56 64.67	79.18 64.53	89.25 65.06	131.43 68.97	157.97 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.