As of the July, 2022, release via CMS

WESTCHESTER MEDICAL CENTER

CMS id: 330234
WESTCHESTER MEDICAL CENTER, VALHALLA NY 10595. County: WESTCHESTER
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 895-bed, acute-care hospital had $-236,096,477 in net service to patients*, with a total profit margin of 0.98030% in fiscal year 2020, the latest year available.
It spent 1.48% of its operating expenses on uncompensated care and reported $64,007,445 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	--
Ownership	gov	gov	gov	gov	--
Acute beds Median	550 118	550 118	550 119.5	560 118	-- 119
Total beds Median	885 162	885 162	885 162	895 162	-- 163.5
FTEs Median	3,928.55 788.06	3,783.57 793.42	4,172.52 806.03	4,121.10 787.61	-- 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	1,159,170,947 150,932,746	1,233,480,843 158,950,878	1,289,050,226 168,696,998	1,172,457,145 163,454,693	-- 186,589,412
Operating expenses Median	1,169,275,655 149,311,209	1,255,459,134 156,110,414	1,309,627,691 164,890,568	1,408,553,622 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,104,708 -964,173	-21,978,291 -643,601.5	-20,577,465 -116,254	-236,096,477 -5,025,862	-- -1,284,564
NS2P margin ? Median	-0.87% -0.62	-1.78% -0.29	-1.60% 0.18	-20.14% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WESTCHESTER MEDICAL CENTER 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	-10,114,117 5,089,215	72,614,379 4,572,541	74,435,027 5,268,134	250,041,258 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	142 224,999	4,208 199,009	1,485,223 206,870.5	2,287,049 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	1,955,883 299,524	2,866,017 188,688.5	1,777,876 370,813	1,823,451 309,361.5	-- 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	--
⊳ Line 11: Rebates and refunds of expenses	0	0	33,800	42,926	--
⊳ Line 12: Parking lot receipts	3,335,260	3,316,816	3,768,652	2,682,781	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	275,499	2,180,654	2,689,734	1,440,237	--
⊳ Line 15: Revenue from rental of living quarters	488,279	500,553	532,142	562,751	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	3,748	3,934	65,132	43,709	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	15,161	107,112	123,734	103,409	--
⊳ Line 22: Rental of hospital space	6,561,424	7,446,127	9,172,135	10,304,269	--
⊳ Line 23: Gov appropriations ? ⊳ Median	31,227,768 1,017,693	34,041,642 983,261.5	34,101,459 1,173,286	28,978,479 1,987,202	-- 1,597,664
⊳ Sum Line 24	-53,977,281	22,147,316	20,685,140	201,772,197	--
Total income ? Median	-20,218,825 6,586,430	50,636,088 6,767,106	53,857,562 8,419,950	13,944,781 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	-20,218,825 6,043,842	50,636,088 5,845,112	53,857,562 7,606,259	13,944,781 7,283,041	-- 14,957,241
Net margin Median	-1.75960% 4.62%	3.87691% 4.42%	3.94999% 5.16%	0.98030% 5.2%	--% 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 WESTCHESTER MEDICAL CENTER 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	222,134,131 23,241,334	221,386,020 23,709,545	208,313,286 24,248,380	197,923,425 22,858,541	-- 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	205,317,764 21,577,146	204,833,105 22,041,594	195,313,178 22,722,063	182,278,183 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	11,392,036 1,845,420	11,599,128 1,757,392	9,461,086 1,738,842	9,566,399 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,424,331 3,535,627	4,953,787 3,746,588	3,539,022 3,782,288	6,078,843 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	38,540,520 11,160,864	38,287,659 11,987,345	39,848,996 12,926,866	35,060,079 11,884,480	-- 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	34,917,799 10,918,923	35,739,403 11,706,976	37,166,211 12,615,917	33,319,277 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,622,721 1,282,808	2,548,256 1,407,728	2,682,785 1,341,512	1,740,802 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	28,850,002 3,284,314	30,322,790 3,250,551	29,985,182 3,386,837	29,235,975 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	5,971,346 594,888	6,499,989 595,761	6,453,055 577,894	6,723,702 542,168	-- 549,667
Outlier Median	59,220,739 582,572	50,887,048 538,116	6,661,233 212,434	5,554,560 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	20,733,823 3,662,910	74,233,542 3,730,911	41,044,281 4,081,319	64,007,445 4,643,908	-- 4,389,147
Charity care Median	15,518,395 2,654,636	21,396,780 2,940,659	17,743,676 3,380,215	11,895,251 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	20,479,390 5,147,790	24,411,058 5,337,617	21,629,572 5,711,082	20,904,924 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	1.75% 3.24	1.94% 3.12	1.65% 3.21	1.48% 3.3	--% 2.86
Total shortfall/UCC Median	41,213,213 9,489,989	98,644,600 9,424,297	62,673,853 10,120,158	84,912,369 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	376,508,690 52,142,039	375,067,189 54,485,252	406,115,179 57,395,589	420,886,386 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	32.20 36.68	29.87 36.56	31.01 36.37	29.88 35.93	-- 35.24
Intern, resident salaries* Median	26,984,554 2,598,592	27,852,392 2,686,824	29,668,444 2,753,773	30,586,254 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	49,246,718 1,449,244	51,178,380 1,475,986	50,832,574 1,563,078	25,018,386 1,721,954	-- 2,991,828
Contract hours, direct-care Median	1,340,437.00 22,725	1,477,295.00 23,018.5	1,313,062.00 24,503.48	587,328.00 25,026.5	-- 33,786
Contract wages, direct-care Median	36.74 64.67	34.64 64.53	38.71 65.06	42.60 68.97	-- 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.