As of the July, 2022, release via CMS

BENEDICTINE HOSPITAL

CMS id: 330224
105 MARYS AVENUE, KINGSTON NY 12401. County: ULSTER
System: --
CBSA: Kingston, NY

The 149-bed, acute-care hospital had $-31,225,366 in net service to patients*, with a total profit margin of 2.56602% in fiscal year 2021, the latest year available.
It spent 1.82% of its operating expenses on uncompensated care and reported $13,261,594 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	40 118	40 118	40 119.5	129 118	129 119
Total beds Median	105 162	105 162	105 162	149 162	149 163.5
FTEs Median	391.30 788.06	395.50 793.42	371.40 806.03	375.30 787.61	790.50 804.34

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	43,636,525 150,932,746	44,786,603 158,950,878	47,500,883 168,696,998	47,037,719 163,454,693	130,428,007 186,589,412
Operating expenses Median	62,362,818 149,311,209	63,808,835 156,110,414	67,168,905 164,890,568	85,292,826 166,516,854	161,653,373 180,120,888
Net income from service 2 patients (NS2P) ? Median	-18,726,293 -964,173	-19,022,232 -643,601.5	-19,668,022 -116,254	-38,255,107 -5,025,862	-31,225,366 -1,284,564
NS2P margin ? Median	-42.91% -0.62	-42.47% -0.29	-41.41% 0.18	-81.33% -5.07	-23.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BENEDICTINE 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	12,807,832 5,089,215	13,482,308 4,572,541	27,921,632 5,268,134	44,873,659 13,092,619	34,492,191 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	8,000 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	40,073	0	0	0	395,588
⊳ Line 11: Rebates and refunds of expenses	27,458	4,009	28,114	107,296	320,624
⊳ 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	188,451	176,820	178,770	148,797	327,070
⊳ 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	1,176	958	-1,000	0	10
⊳ Line 18: Revenue from sale of medical records and abstracts	1,127	854	934	1,310	3,772
⊳ 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	6,113	2,395	100	0	56,623
⊳ Line 22: Rental of hospital space	91,131	144,498	200,057	683,151	947,922
⊳ Line 23: Gov appropriations ? ⊳ Median	8,791,794 1,017,693	9,563,454 983,261.5	23,544,388 1,173,286	36,235,485 1,987,202	25,735,153 1,597,664
⊳ Sum Line 24	3,660,509	3,581,320	3,970,269	7,697,620	6,705,429
Total income ? Median	-5,918,461 6,586,430	-5,539,924 6,767,106	8,253,610 8,419,950	6,618,552 8,094,175	3,266,825 15,162,888
Non-operating expenses Median	-20,575 146,289.5	-2,763,160 164,857	-218,043 89,880.5	3,320,258 106,761	-965,062 31,473.5
Net income Median	-5,897,886 6,043,842	-2,776,764 5,845,112	8,471,653 7,606,259	3,298,294 7,283,041	4,231,887 14,957,241
Net margin Median	-10.44903% 4.62%	-4.76543% 4.42%	11.23226% 5.16%	3.58856% 5.2%	2.56602% 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 BENEDICTINE 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	10,339,198 23,241,334	10,611,151 23,709,545	8,200,835 24,248,380	10,024,319 22,858,541	33,038,733 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	5,764,165 21,577,146	4,632,067 22,041,594	4,691,881 22,722,063	9,074,334 21,570,441	33,038,733 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	2,566,782 1,845,420	3,946,203 1,757,392	2,018,462 1,738,842	622,446 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,008,251 3,535,627	2,032,881 3,746,588	1,490,492 3,782,288	327,539 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	4,804,006 11,160,864	4,949,134 11,987,345	7,218,900 12,926,866	11,381,604 11,884,480	19,042,802 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	4,804,006 10,918,923	4,949,134 11,706,976	7,218,900 12,615,917	11,381,604 11,458,116	19,042,802 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	104,020 3,284,314	90,023 3,250,551	69,785 3,386,837	2,324,673 3,360,806	3,813,224 3,508,953
Disproportionate-share hospital (DSH) Median	431,911 594,888	328,875 595,761	378,937 577,894	252,776 542,168	593,376 549,667
Outlier Median	3,163,952 582,572	1,799,139 538,116	449,251 212,434	90,618 126,559	90,326 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,062,115 3,662,910	10,606,745 3,730,911	10,506,831 4,081,319	10,154,761 4,643,908	13,261,594 4,389,147
Charity care Median	101,587 2,654,636	66,872 2,940,659	129,585 3,380,215	656,642 3,488,738	2,794,396 3,233,405
Uncompensated care (UCC) Median	1,251,728 5,147,790	797,253 5,337,617	840,169 5,711,082	2,210,575 5,923,418	2,940,315 5,508,107
UCC as a % of operating expenses Median	2.01% 3.24	1.25% 3.12	1.25% 3.21	2.59% 3.3	1.82% 2.86
Total shortfall/UCC Median	12,313,843 9,489,989	11,403,998 9,424,297	11,347,000 10,120,158	12,365,336 11,171,337	16,201,909 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	24,192,486 52,142,039	25,634,332 54,485,252	24,933,494 57,395,589	33,260,946 58,830,919	67,992,306 61,722,907
Salaries as a % of operating expenses Median	38.79 36.68	40.17 36.56	37.12 36.37	39.00 35.93	42.06 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	73,570 2,937,156	348,753 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	344,945 1,279,653	1,557,149 1,469,317
Contract adjusted salaries, direct-care Median	2,152,593 1,449,244	681,917 1,475,986	644,166 1,563,078	509,338 1,721,954	2,319,759 2,991,828
Contract hours, direct-care Median	33,064.56 22,725	8,449.00 23,018.5	7,995.75 24,503.48	12,148.00 25,026.5	44,456.00 33,786
Contract wages, direct-care Median	65.10 64.67	80.71 64.53	80.56 65.06	41.93 68.97	52.18 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.