As of the July, 2022, release via CMS

NICHOLAS H. NOYES MEMORIAL HOSPITAL

CMS id: 330238
111 CLARA BARTON STREET, DANSVILLE NY 11437. County: LIVINGSTON
System: --
CBSA: Rochester, NY

The 67-bed, acute-care hospital had $-1,631,034 in net service to patients*, with a total profit margin of 4.97262% in fiscal year 2021, the latest year available.
It spent 1.54% of its operating expenses on uncompensated care and reported $162,212 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	182	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	67 118	67 118	67 119.5	67 118	59 119
Total beds Median	67 162	67 162	67 162	67 162	67 163.5
FTEs Median	431.40 788.06	436.50 793.42	449.20 806.03	411.80 787.61	442.12 804.34

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	53,952,911 150,932,746	57,626,845 158,950,878	58,232,720 168,696,998	24,078,030 163,454,693	63,506,772 186,589,412
Operating expenses Median	57,387,406 149,311,209	59,587,191 156,110,414	61,898,993 164,890,568	29,873,474 166,516,854	65,137,806 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,434,495 -964,173	-1,960,346 -643,601.5	-3,666,273 -116,254	-5,795,444 -5,025,862	-1,631,034 -1,284,564
NS2P margin ? Median	-6.37% -0.62	-3.40% -0.29	-6.30% 0.18	-24.07% -5.07	-2.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NICHOLAS H. NOYES MEMORIAL 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	2,432,936 5,089,215	2,007,308 4,572,541	3,163,032 5,268,134	5,818,651 13,092,619	4,785,790 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	20,589 224,999	34,304 199,009	56,623 206,870.5	10,395 194,343	17,846 249,496
⊳ Line 7: Investments ? ⊳ Median	28,317 299,524	35,579 188,688.5	39,012 370,813	15,036 309,361.5	1,209,926 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	11,365	9,047	134,471	18,370	43,047
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ 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	196,952	194,451	189,383	76,960	171,226
⊳ 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	13,890	7,258	6,504	3,247	5,356
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	173,893	169,669	180,191	31,955	87,374
⊳ Line 21: Rental of vending machines	13,559	8,208	3,246	1,158	3,018
⊳ Line 22: Rental of hospital space	110,593	159,956	162,236	79,205	173,313
⊳ Line 23: Gov appropriations ? ⊳ Median	883,583 1,017,693	652,509 983,261.5	766,464 1,173,286	376,435 1,987,202	506,591 1,597,664
⊳ Sum Line 24	980,195	736,327	1,624,902	5,205,890	2,568,093
Total income ? Median	-1,001,559 6,586,430	46,962 6,767,106	-503,241 8,419,950	23,207 8,094,175	3,154,756 15,162,888
Non-operating expenses Median	-1,795,278 146,289.5	-3,601,460 164,857	389,800 89,880.5	572,564 106,761	-241,175 31,473.5
Net income Median	793,719 6,043,842	3,648,422 5,845,112	-893,041 7,606,259	-549,357 7,283,041	3,395,931 14,957,241
Net margin Median	1.40766% 4.62%	6.11801% 4.42%	-1.45456% 5.16%	-1.83752% 5.2%	4.97262% 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 NICHOLAS H. NOYES MEMORIAL 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	5,475,252 23,241,334	5,786,708 23,709,545	5,633,228 24,248,380	2,053,896 22,858,541	6,395,214 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	5,475,252 21,577,146	5,786,708 22,041,594	5,633,228 22,722,063	2,053,896 21,570,441	6,395,214 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	4,976,300 11,160,864	5,385,521 11,987,345	5,474,564 12,926,866	2,026,933 11,884,480	4,890,898 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	4,976,300 10,918,923	5,385,521 11,706,976	5,474,564 12,615,917	2,026,933 11,458,116	4,890,898 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	126,318 594,888	138,148 595,761	132,284 577,894	47,160 542,168	127,884 549,667
Outlier Median	33,861 582,572	11,492 538,116	1,192 212,434	0 126,559	12,839 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,021 3,662,910	42,319 3,730,911	278,989 4,081,319	435,921 4,643,908	162,212 4,389,147
Charity care Median	1,048,825 2,654,636	1,016,265 2,940,659	1,234,879 3,380,215	566,446 3,488,738	598,940 3,233,405
Uncompensated care (UCC) Median	3,733,724 5,147,790	1,425,437 5,337,617	1,523,038 5,711,082	596,849 5,923,418	1,000,498 5,508,107
UCC as a % of operating expenses Median	6.51% 3.24	2.39% 3.12	2.46% 3.21	2.00% 3.3	1.54% 2.86
Total shortfall/UCC Median	3,754,745 9,489,989	1,467,756 9,424,297	1,802,027 10,120,158	1,032,770 11,171,337	1,162,710 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	26,898,924 52,142,039	27,862,231 54,485,252	29,695,358 57,395,589	14,128,526 58,830,919	30,501,411 61,722,907
Salaries as a % of operating expenses Median	46.87 36.68	46.76 36.56	47.97 36.37	47.29 35.93	46.83 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	987,527 1,449,244	1,872,691 1,475,986	1,584,511 1,563,078	563,693 1,721,954	0 2,991,828
Contract hours, direct-care Median	23,697.00 22,725	34,902.00 23,018.5	31,432.00 24,503.48	11,308.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	41.67 64.67	53.66 64.53	50.41 65.06	49.85 68.97	0.00 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.