As of the July, 2022, release via CMS

HARLEM HOSPITAL CENTER

CMS id: 330240
506 LENOX AVENUE, NEW YORK NY 10037. County: NEW YORK
System: NYC HEALTH & HOSPITALS CORPORATION
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 268-bed, acute-care hospital had $-100,959,409 in net service to patients*, with a total profit margin of 3.33088% in fiscal year 2021, the latest year available.
It spent 11.11% of its operating expenses on uncompensated care and reported $69,682,038 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	gov	gov	gov	gov	gov
Acute beds Median	181 118	188 118	190 119.5	190 118	176 119
Total beds Median	282 162	282 162	282 162	282 162	268 163.5
FTEs Median	2,530.76 788.06	2,339.70 793.42	2,322.00 806.03	2,383.87 787.61	2,155.00 804.34

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	347,917,406 150,932,746	427,415,468 158,950,878	407,651,399 168,696,998	439,801,349 163,454,693	506,679,234 186,589,412
Operating expenses Median	471,376,148 149,311,209	501,617,738 156,110,414	512,802,187 164,890,568	567,579,058 166,516,854	607,638,643 180,120,888
Net income from service 2 patients (NS2P) ? Median	-123,458,742 -964,173	-74,202,270 -643,601.5	-105,150,788 -116,254	-127,777,709 -5,025,862	-100,959,409 -1,284,564
NS2P margin ? Median	-35.49% -0.62	-17.36% -0.29	-25.79% 0.18	-29.05% -5.07	-19.93% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HARLEM HOSPITAL 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	54,136,469 5,089,215	66,100,110 4,572,541	101,867,035 5,268,134	128,815,355 13,092,619	121,896,491 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	2,152,412 194,343	226,200 249,496
⊳ Line 7: Investments ? ⊳ Median	194,092 299,524	197,047 188,688.5	199,892 370,813	202,919 309,361.5	114,562 375,329
⊳ 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	0	60,785	12,877	0	0
⊳ Line 12: Parking lot receipts	22	66	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	0	0	0	0	0
⊳ 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	6,228	8,778	11,845	12,486	13,054
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	405,032	139,648	185,811	21,877
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	9,015	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	1,422
⊳ Line 22: Rental of hospital space	83,926	21,936	840,798	395,303	188,121
⊳ Line 23: Gov appropriations ? ⊳ Median	9,637,135 1,017,693	12,159,916 983,261.5	20,818,377 1,173,286	12,168,003 1,987,202	82,418,570 1,597,664
⊳ Sum Line 24	44,215,066	53,237,535	79,843,598	113,698,421	38,912,685
Total income ? Median	-69,322,273 6,586,430	-8,102,160 6,767,106	-3,283,753 8,419,950	1,037,646 8,094,175	20,937,082 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	-69,322,273 6,043,842	-8,102,160 5,845,112	-3,283,753 7,606,259	1,037,646 7,283,041	20,937,082 14,957,241
Net margin Median	-17.24204% 4.62%	-1.64172% 4.42%	-0.64448% 5.16%	0.18249% 5.2%	3.33088% 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 HARLEM HOSPITAL 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	38,706,991 23,241,334	39,424,656 23,709,545	39,643,005 24,248,380	50,717,044 22,858,541	56,601,009 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	35,563,669 21,577,146	36,581,056 22,041,594	36,052,269 22,722,063	48,082,900 21,570,441	51,859,107 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	2,326,343 1,845,420	2,748,124 1,757,392	3,589,130 1,738,842	2,634,144 1,510,463	4,741,902 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	816,979 3,535,627	95,476 3,746,588	1,606 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	4,025,120 11,160,864	4,297,557 11,987,345	6,583,282 12,926,866	8,098,436 11,884,480	8,402,577 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	4,025,120 10,918,923	4,297,557 11,706,976	6,583,282 12,615,917	8,098,436 11,458,116	8,402,577 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	13,503,483 3,284,314	13,832,822 3,250,551	14,437,254 3,386,837	15,694,430 3,360,806	16,722,635 3,508,953
Disproportionate-share hospital (DSH) Median	1,455,465 594,888	1,454,165 595,761	1,390,525 577,894	1,492,092 542,168	1,547,496 549,667
Outlier Median	1,349,902 582,572	2,165,225 538,116	2,617,595 212,434	1,488,791 126,559	4,047,834 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	27,030,493 3,662,910	2,607,619 3,730,911	759,496 4,081,319	44,261,745 4,643,908	69,682,038 4,389,147
Charity care Median	22,831,280 2,654,636	19,604,347 2,940,659	23,405,294 3,380,215	27,498,357 3,488,738	40,540,772 3,233,405
Uncompensated care (UCC) Median	54,368,764 5,147,790	53,504,176 5,337,617	54,676,546 5,711,082	40,620,449 5,923,418	67,490,597 5,508,107
UCC as a % of operating expenses Median	11.53% 3.24	10.67% 3.12	10.66% 3.21	7.16% 3.3	11.11% 2.86
Total shortfall/UCC Median	81,399,257 9,489,989	56,111,795 9,424,297	55,436,042 10,120,158	84,882,194 11,171,337	137,172,635 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	168,350,438 52,142,039	188,975,053 54,485,252	177,352,573 57,395,589	176,553,468 58,830,919	189,414,314 61,722,907
Salaries as a % of operating expenses Median	35.71 36.68	37.67 36.56	34.58 36.37	31.11 35.93	31.17 35.24
Intern, resident salaries* Median	14,161,162 2,598,592	14,434,680 2,686,824	14,376,941 2,753,773	15,189,355 2,937,156	15,996,833 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	15,996,833 1,469,317
Contract adjusted salaries, direct-care Median	15,991,878 1,449,244	16,740,854 1,475,986	12,655,669 1,563,078	14,211,614 1,721,954	50,048,412 2,991,828
Contract hours, direct-care Median	338,078.00 22,725	356,725.00 23,018.5	255,081.00 24,503.48	232,687.00 25,026.5	422,092.00 33,786
Contract wages, direct-care Median	47.30 64.67	46.93 64.53	49.61 65.06	61.08 68.97	118.57 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.