As of the July, 2022, release via CMS

THE UNITY HOSPITAL OF ROCHESTER

CMS id: 330226
1555 LONG POND ROAD, ROCHESTER NY 14626. County: MONROE
System: ROCHESTER REGIONAL HEALTH
CBSA: Rochester, NY

The 468-bed, acute-care hospital had $-52,921,722 in net service to patients*, with a total profit margin of 1.46492% in fiscal year 2021, the latest year available.
It spent 1.03% of its operating expenses on uncompensated care and reported $12,101,082 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	forprofit	nfp	forprofit
Acute beds Median	256 118	269 118	266 119.5	266 118	266 119
Total beds Median	468 162	468 162	468 162	588 162	468 163.5
FTEs Median	3,648.10 788.06	3,838.91 793.42	3,801.30 806.03	3,751.00 787.61	3,526.25 804.34

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	473,201,754 150,932,746	493,551,797 158,950,878	509,177,394 168,696,998	484,541,196 163,454,693	552,456,220 186,589,412
Operating expenses Median	494,274,602 149,311,209	515,256,486 156,110,414	531,729,599 164,890,568	552,781,344 166,516,854	605,377,942 180,120,888
Net income from service 2 patients (NS2P) ? Median	-21,072,848 -964,173	-21,704,689 -643,601.5	-22,552,205 -116,254	-68,240,148 -5,025,862	-52,921,722 -1,284,564
NS2P margin ? Median	-4.45% -0.62	-4.40% -0.29	-4.43% 0.18	-14.08% -5.07	-9.58% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE UNITY HOSPITAL OF ROCHESTER 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	21,552,720 5,089,215	26,813,065 4,572,541	33,242,037 5,268,134	71,382,286 13,092,619	61,513,404 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	410,793 299,524	971,850 188,688.5	1,776,684 370,813	988,829 309,361.5	747,067 375,329
⊳ 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	819,988	1,627,742	1,813,745	2,553,833	2,483,094
⊳ 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	1,620,883	1,481,438	1,419,785	620,739	781,402
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	93,649	30,657	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	694,371	564,198	500,758	465,846	433,524
⊳ Line 23: Gov appropriations ? ⊳ Median	3,485,983 1,017,693	5,544,460 983,261.5	5,277,306 1,173,286	5,013,133 1,987,202	4,586,285 1,597,664
⊳ Sum Line 24	14,427,053	16,592,720	22,453,759	61,739,906	52,482,032
Total income ? Median	479,872 6,586,430	5,108,376 6,767,106	10,689,832 8,419,950	3,142,138 8,094,175	8,591,682 15,162,888
Non-operating expenses Median	-5,955 146,289.5	4,672,504 164,857	6,411,363 89,880.5	2,925,636 106,761	-402,475 31,473.5
Net income Median	485,827 6,043,842	435,872 5,845,112	4,278,469 7,606,259	216,502 7,283,041	8,994,157 14,957,241
Net margin Median	0.09820% 4.62%	0.08376% 4.42%	0.78878% 5.16%	0.03894% 5.2%	1.46492% 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 THE UNITY HOSPITAL OF ROCHESTER 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	43,728,984 23,241,334	47,240,524 23,709,545	47,497,439 24,248,380	46,166,140 22,858,541	46,954,440 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	39,060,988 21,577,146	42,801,231 22,041,594	42,652,120 22,722,063	40,963,307 21,570,441	42,535,121 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	1,338,487 1,845,420	1,177,994 1,757,392	1,238,299 1,738,842	1,388,774 1,510,463	907,439 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,572,370 3,535,627	1,761,834 3,746,588	1,978,618 3,782,288	2,147,641 3,865,578	1,907,331 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	1,757,139 1,203,033	1,499,465 1,215,295	1,628,402 1,313,657	1,666,418 1,365,298	1,604,549 1,179,746
All outpatient revenue Median Click here to show/hide details	24,589,370 11,160,864	25,177,379 11,987,345	24,710,974 12,926,866	16,911,699 11,884,480	19,937,808 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	22,018,046 10,918,923	22,065,296 11,706,976	22,509,406 12,615,917	16,911,699 11,458,116	19,937,808 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,571,324 1,282,808	3,112,083 1,407,728	2,201,568 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	4,397,333 3,284,314	4,951,328 3,250,551	4,948,480 3,386,837	5,239,067 3,360,806	5,532,111 3,508,953
Disproportionate-share hospital (DSH) Median	842,180 594,888	779,717 595,761	789,570 577,894	674,574 542,168	599,071 549,667
Outlier Median	1,487,303 582,572	1,637,448 538,116	475,051 212,434	337,019 126,559	365,651 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,696,016 3,662,910	4,067,203 3,730,911	0 4,081,319	8,964,897 4,643,908	12,101,082 4,389,147
Charity care Median	4,838,880 2,654,636	9,137,207 2,940,659	10,836,039 3,380,215	6,642,211 3,488,738	4,340,448 3,233,405
Uncompensated care (UCC) Median	8,506,000 5,147,790	10,331,059 5,337,617	11,917,594 5,711,082	8,213,727 5,923,418	6,226,690 5,508,107
UCC as a % of operating expenses Median	1.72% 3.24	2.01% 3.12	2.24% 3.21	1.49% 3.3	1.03% 2.86
Total shortfall/UCC Median	12,202,016 9,489,989	14,398,262 9,424,297	11,917,594 10,120,158	17,178,624 11,171,337	18,327,772 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	239,195,943 52,142,039	248,660,130 54,485,252	262,422,739 57,395,589	264,681,474 58,830,919	267,164,911 61,722,907
Salaries as a % of operating expenses Median	49.20 36.68	49.14 36.56	50.24 36.37	48.74 35.93	44.92 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	222,474 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	876,742 1,449,244	1,231,723 1,475,986	2,385,414 1,563,078	5,259,514 1,721,954	17,011,170 2,991,828
Contract hours, direct-care Median	18,050.00 22,725	20,039.97 23,018.5	36,966.00 24,503.48	82,303.00 25,026.5	162,651.00 33,786
Contract wages, direct-care Median	48.57 64.67	61.46 64.53	64.53 65.06	63.90 68.97	104.59 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.