As of the July, 2022, release via CMS

ROME MEMORIAL HOSPITAL INC.

CMS id: 330215
1500 NORTH JAMES STREET, ROME NY 13440. County: ONEIDA
System: --
CBSA: Utica-Rome, NY

The 171-bed, acute-care hospital had $-5,678,996 in net service to patients*, with a total profit margin of 6.23911% in fiscal year 2021, the latest year available.
It spent 1.20% of its operating expenses on uncompensated care and reported $7,195,306 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	69 118	69 118	69 119.5	69 118	69 119
Total beds Median	171 162	171 162	171 162	171 162	171 163.5
FTEs Median	791.29 788.06	775.40 793.42	749.06 806.03	617.25 787.61	623.74 804.34

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	76,085,043 150,932,746	76,214,565 158,950,878	77,253,032 168,696,998	72,531,589 163,454,693	86,934,847 186,589,412
Operating expenses Median	83,099,330 149,311,209	86,621,353 156,110,414	88,105,186 164,890,568	83,312,619 166,516,854	92,613,843 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,014,287 -964,173	-10,406,788 -643,601.5	-10,852,154 -116,254	-10,781,030 -5,025,862	-5,678,996 -1,284,564
NS2P margin ? Median	-9.22% -0.62	-13.65% -0.29	-14.05% 0.18	-14.86% -5.07	-6.53% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ROME MEMORIAL HOSPITAL INC. 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	3,857,124 5,089,215	3,321,330 4,572,541	5,448,180 5,268,134	24,497,635 13,092,619	11,873,991 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	201,829 299,524	-83,634 188,688.5	180,150 370,813	49,425 309,361.5	33,512 375,329
⊳ 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	24,593	36,687	45,194	54,337	7,540
⊳ 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	277,471	255,304	240,670	160,454	139,145
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	8,517	18,174	5,507	23,380	4,075
⊳ Line 17: Revenue from sale of drugs to other than patients	4,271	2,897	2,763	93	30,860
⊳ Line 18: Revenue from sale of medical records and abstracts	19,743	14,821	18,751	11,955	9,096
⊳ 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	30,101	57,785	58,707	58,678	37,453
⊳ Line 23: Gov appropriations ? ⊳ Median	1,991,306 1,017,693	2,188,774 983,261.5	3,936,788 1,173,286	10,697,057 1,987,202	5,507,107 1,597,664
⊳ Sum Line 24	1,299,293	830,522	959,650	13,442,256	6,105,203
Total income ? Median	-3,157,163 6,586,430	-7,085,458 6,767,106	-5,403,974 8,419,950	13,716,605 8,094,175	6,194,995 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	30,207 31,473.5
Net income Median	-3,157,163 6,043,842	-7,085,458 5,845,112	-5,403,974 7,606,259	13,716,605 7,283,041	6,164,788 14,957,241
Net margin Median	-3.94931% 4.62%	-8.90850% 4.42%	-6.53433% 5.16%	14.13657% 5.2%	6.23911% 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 ROME MEMORIAL HOSPITAL INC. 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	12,656,297 23,241,334	11,587,681 23,709,545	12,456,538 24,248,380	11,222,944 22,858,541	11,647,066 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	9,250,498 21,577,146	8,642,350 22,041,594	9,154,411 22,722,063	8,086,320 21,570,441	9,638,167 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	1,965,068 1,845,420	1,605,602 1,757,392	1,988,470 1,738,842	1,677,226 1,510,463	1,365,629 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	1,440,731 1,203,033	1,339,729 1,215,295	1,313,657 1,313,657	1,459,398 1,365,298	643,270 1,179,746
All outpatient revenue Median Click here to show/hide details	6,233,894 11,160,864	6,185,702 11,987,345	6,006,386 12,926,866	4,839,839 11,884,480	5,029,901 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	6,233,894 10,918,923	6,185,702 11,706,976	6,006,386 12,615,917	4,839,839 11,458,116	5,029,901 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	230,897 594,888	215,747 595,761	219,030 577,894	198,904 542,168	213,959 549,667
Outlier Median	123,113 582,572	107,023 538,116	8,469 212,434	72,021 126,559	411,888 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,666,259 3,662,910	3,176,797 3,730,911	4,087,349 4,081,319	4,541,892 4,643,908	7,195,306 4,389,147
Charity care Median	539,975 2,654,636	414,530 2,940,659	237,068 3,380,215	326,704 3,488,738	258,424 3,233,405
Uncompensated care (UCC) Median	1,897,192 5,147,790	1,772,303 5,337,617	1,369,418 5,711,082	2,166,061 5,923,418	1,107,999 5,508,107
UCC as a % of operating expenses Median	2.28% 3.24	2.05% 3.12	1.55% 3.21	2.60% 3.3	1.20% 2.86
Total shortfall/UCC Median	6,563,451 9,489,989	4,949,100 9,424,297	5,456,767 10,120,158	6,707,953 11,171,337	8,303,305 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	40,271,480 52,142,039	40,417,974 54,485,252	40,495,037 57,395,589	35,374,042 58,830,919	36,425,214 61,722,907
Salaries as a % of operating expenses Median	48.46 36.68	46.66 36.56	45.96 36.37	42.46 35.93	39.33 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	1,172,131 1,449,244	924,342 1,475,986	1,003,202 1,563,078	1,227,448 1,721,954	1,950,237 2,991,828
Contract hours, direct-care Median	13,925.00 22,725	13,134.00 23,018.5	14,188.00 24,503.48	13,027.00 25,026.5	16,697.00 33,786
Contract wages, direct-care Median	84.17 64.67	70.38 64.53	70.71 65.06	94.22 68.97	116.80 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.