As of the July, 2022, release via CMS

SARATOGA HOSPITAL

CMS id: 330222
211 CHURCH ST, SARATOGA SPRINGS NY 12866. County: SARATOGA
System: ALBANY MEDICAL CENTER
CBSA: Albany-Schenectady-Troy, NY

The 171-bed, acute-care hospital had $-18,203,568 in net service to patients*, with a total profit margin of 6.80612% in fiscal year 2021, the latest year available.
It spent 1.75% of its operating expenses on uncompensated care and reported $16,777,776 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	152 118	152 118	152 119.5	152 118	152 119
Total beds Median	171 162	171 162	171 162	171 162	171 163.5
FTEs Median	2,021.20 788.06	2,179.34 793.42	2,365.40 806.03	2,392.20 787.61	2,498.80 804.34

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	313,502,024 150,932,746	352,380,948 158,950,878	375,132,343 168,696,998	364,944,006 163,454,693	424,708,760 186,589,412
Operating expenses Median	305,385,649 149,311,209	348,347,651 156,110,414	376,276,014 164,890,568	395,648,492 166,516,854	442,912,328 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,116,375 -964,173	4,033,297 -643,601.5	-1,143,671 -116,254	-30,704,486 -5,025,862	-18,203,568 -1,284,564
NS2P margin ? Median	2.59% -0.62	1.14% -0.29	-0.30% 0.18	-8.41% -5.07	-4.29% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SARATOGA 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	23,706,944 5,089,215	24,762,186 4,572,541	32,035,647 5,268,134	44,241,926 13,092,619	50,550,249 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	707,695 224,999	76,836 199,009	216,986 206,870.5	653,608 194,343	10,671 249,496
⊳ Line 7: Investments ? ⊳ Median	7,641,154 299,524	1,286,335 188,688.5	14,674,190 370,813	13,173,686 309,361.5	22,031,299 375,329
⊳ 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	32,772	120,986	34,476	28,838	29,278
⊳ 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	1,327,530	1,374,856	1,396,811	1,088,925	1,034,819
⊳ 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	40,860	86,682	3,484	3,391	4,138
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ 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	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	0 1,597,664
⊳ Sum Line 24	13,956,933	21,816,491	15,709,700	29,293,478	27,440,044
Total income ? Median	31,823,319 6,586,430	28,795,483 6,767,106	30,891,976 8,419,950	13,537,440 8,094,175	32,346,681 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	31,823,319 6,043,842	28,795,483 5,845,112	30,891,976 7,606,259	13,537,440 7,283,041	32,346,681 14,957,241
Net margin Median	9.43727% 4.62%	7.63516% 4.42%	7.58703% 5.16%	3.30838% 5.2%	6.80612% 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 SARATOGA 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	29,020,265 23,241,334	31,186,407 23,709,545	33,125,272 24,248,380	26,857,232 22,858,541	30,077,883 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	29,020,265 21,577,146	31,186,407 22,041,594	33,125,272 22,722,063	26,857,232 21,570,441	30,077,883 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 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	25,363,749 11,160,864	29,838,847 11,987,345	30,240,427 12,926,866	31,512,975 11,884,480	34,743,914 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	25,363,749 10,918,923	29,838,847 11,706,976	30,240,427 12,615,917	31,512,975 11,458,116	34,743,914 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	33,743 3,360,806	54,920 3,508,953
Disproportionate-share hospital (DSH) Median	334,801 594,888	351,402 595,761	313,893 577,894	336,654 542,168	306,507 549,667
Outlier Median	1,215,304 582,572	1,533,973 538,116	116,801 212,434	97,677 126,559	120,741 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,865,827 3,662,910	10,949,623 3,730,911	15,748,306 4,081,319	13,960,714 4,643,908	16,777,776 4,389,147
Charity care Median	6,318,300 2,654,636	5,149,395 2,940,659	5,775,341 3,380,215	5,992,603 3,488,738	6,867,743 3,233,405
Uncompensated care (UCC) Median	7,560,469 5,147,790	6,065,741 5,337,617	6,756,834 5,711,082	7,098,753 5,923,418	7,742,447 5,508,107
UCC as a % of operating expenses Median	2.48% 3.24	1.74% 3.12	1.80% 3.21	1.79% 3.3	1.75% 2.86
Total shortfall/UCC Median	11,426,296 9,489,989	17,015,364 9,424,297	22,505,140 10,120,158	21,059,467 11,171,337	24,520,223 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	146,680,055 52,142,039	171,927,525 54,485,252	194,164,012 57,395,589	202,383,875 58,830,919	227,346,607 61,722,907
Salaries as a % of operating expenses Median	48.03 36.68	49.36 36.56	51.60 36.37	51.15 35.93	51.33 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	79,398 1,251,927	122,843 1,186,494	87,952 1,204,885	259,453 1,279,653	160,495 1,469,317
Contract adjusted salaries, direct-care Median	1,571,786 1,449,244	1,665,474 1,475,986	1,551,449 1,563,078	864,233 1,721,954	3,077,763 2,991,828
Contract hours, direct-care Median	20,569.14 22,725	26,890.00 23,018.5	18,770.81 24,503.48	11,096.85 25,026.5	33,180.00 33,786
Contract wages, direct-care Median	76.41 64.67	61.94 64.53	82.65 65.06	77.88 68.97	92.76 88.94

* in an approved program

Return to top

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.