As of the July, 2022, release via CMS

OSWEGO HOSPITAL

CMS id: 330218
110 W SIXTH ST, OSWEGO NY 13126. County: OSWEGO
System: --
CBSA: Syracuse, NY

The 164-bed, acute-care hospital had $-26,121,899 in net service to patients*, with a total profit margin of 1.08991% in fiscal year 2021, the latest year available.
It spent 0.90% of its operating expenses on uncompensated care and reported $2,439,952 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	124 118	124 118	124 119.5	124 118	124 119
Total beds Median	164 162	164 162	164 162	164 162	164 163.5
FTEs Median	878.30 788.06	890.10 793.42	919.25 806.03	862.60 787.61	881.82 804.34

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	104,077,682 150,932,746	99,568,628 158,950,878	104,455,203 168,696,998	103,193,986 163,454,693	117,223,440 186,589,412
Operating expenses Median	114,765,489 149,311,209	120,957,205 156,110,414	132,909,445 164,890,568	133,457,250 166,516,854	143,345,339 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,687,807 -964,173	-21,388,577 -643,601.5	-28,454,242 -116,254	-30,263,264 -5,025,862	-26,121,899 -1,284,564
NS2P margin ? Median	-10.27% -0.62	-21.48% -0.29	-27.24% 0.18	-29.33% -5.07	-22.28% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OSWEGO HOSPITAL 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	13,891,957 5,089,215	20,433,449 4,572,541	23,311,204 5,268,134	31,824,689 13,092,619	27,701,455 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	11,500 249,496
⊳ Line 7: Investments ? ⊳ Median	1,012,905 299,524	1,492,691 188,688.5	986,607 370,813	1,157,514 309,361.5	1,218,692 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	5,583	4,990	2	3	0
⊳ Line 11: Rebates and refunds of expenses	387,780	476,832	486,406	745,663	823,474
⊳ Line 12: Parking lot receipts	6,127	5,415	4,440	4,943	4,575
⊳ 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	515,449	759,779	683,693	565,243	472,282
⊳ Line 18: Revenue from sale of medical records and abstracts	18,562	11,682	13,565	10,033	9,366
⊳ 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	821,985	930,197	1,003,212	1,008,817	996,320
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	11,123,566	16,751,863	20,133,279	28,332,473	24,165,246
Total income ? Median	3,204,150 6,586,430	-955,128 6,767,106	-5,143,038 8,419,950	1,561,425 8,094,175	1,579,556 15,162,888
Non-operating expenses Median	0 146,289.5	151 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	3,204,150 6,043,842	-955,279 5,845,112	-5,143,038 7,606,259	1,561,425 7,283,041	1,579,556 14,957,241
Net margin Median	2.71608% 4.62%	-0.79605% 4.42%	-4.02534% 5.16%	1.15645% 5.2%	1.08991% 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 OSWEGO HOSPITAL 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	13,256,484 23,241,334	13,259,676 23,709,545	13,578,153 24,248,380	11,906,724 22,858,541	12,835,373 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	12,017,059 21,577,146	11,978,327 22,041,594	12,045,183 22,722,063	10,786,540 21,570,441	11,482,774 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	1,239,425 1,845,420	1,281,349 1,757,392	1,532,970 1,738,842	1,120,184 1,510,463	1,352,599 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	6,418,646 11,160,864	6,420,171 11,987,345	7,111,179 12,926,866	5,689,513 11,884,480	5,478,798 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	6,418,646 10,918,923	6,420,171 11,706,976	7,111,179 12,615,917	5,689,513 11,458,116	5,478,798 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	299,799 594,888	224,260 595,761	222,540 577,894	186,227 542,168	243,713 549,667
Outlier Median	291,054 582,572	123,199 538,116	14,444 212,434	3,189 126,559	14,585 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,712 3,662,910	1,266,311 3,730,911	821,038 4,081,319	2,400,220 4,643,908	2,439,952 4,389,147
Charity care Median	701,279 2,654,636	384,456 2,940,659	382,234 3,380,215	316,332 3,488,738	254,273 3,233,405
Uncompensated care (UCC) Median	2,492,109 5,147,790	1,051,315 5,337,617	1,970,248 5,711,082	1,972,885 5,923,418	1,282,977 5,508,107
UCC as a % of operating expenses Median	2.17% 3.24	0.87% 3.12	1.48% 3.21	1.48% 3.3	0.90% 2.86
Total shortfall/UCC Median	2,495,821 9,489,989	2,317,626 9,424,297	2,791,286 10,120,158	4,373,105 11,171,337	3,722,929 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	55,106,122 52,142,039	58,776,624 54,485,252	62,357,274 57,395,589	64,368,156 58,830,919	69,560,776 61,722,907
Salaries as a % of operating expenses Median	48.02 36.68	48.59 36.56	46.92 36.37	48.23 35.93	48.53 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	2,313,862 1,449,244	1,766,527 1,475,986	2,124,912 1,563,078	1,374,233 1,721,954	2,798,125 2,991,828
Contract hours, direct-care Median	43,726.00 22,725	35,650.00 23,018.5	41,375.00 24,503.48	27,202.00 25,026.5	39,201.00 33,786
Contract wages, direct-care Median	52.92 64.67	49.55 64.53	51.36 65.06	50.52 68.97	71.38 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.