As of the July, 2022, release via CMS

ST. ELIZABETH MEDICAL CENTER

CMS id: 330245
2209 GENESEE STREET, UTICA NY 13501. County: ONEIDA
System: --
CBSA: Utica-Rome, NY

The 201-bed, acute-care hospital had $-8,376,907 in net service to patients*, with a total profit margin of -0.81238% in fiscal year 2021, the latest year available.
It spent 1.51% of its operating expenses on uncompensated care and reported $7,578,151 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	119 118	119 118	119 119.5	119 118	119 119
Total beds Median	201 162	201 162	201 162	201 162	201 163.5
FTEs Median	1,687.79 788.06	1,647.80 793.42	1,608.20 806.03	1,526.00 787.61	1,131.80 804.34

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	203,747,212 150,932,746	204,044,353 158,950,878	201,037,816 168,696,998	185,055,690 163,454,693	203,419,005 186,589,412
Operating expenses Median	214,495,211 149,311,209	216,458,391 156,110,414	216,666,424 164,890,568	209,092,418 166,516,854	211,795,912 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,747,999 -964,173	-12,414,038 -643,601.5	-15,628,608 -116,254	-24,036,728 -5,025,862	-8,376,907 -1,284,564
NS2P margin ? Median	-5.28% -0.62	-6.08% -0.29	-7.77% 0.18	-12.99% -5.07	-4.12% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. ELIZABETH 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	9,636,912 5,089,215	13,969,208 4,572,541	9,653,693 5,268,134	17,347,386 13,092,619	8,810,474 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	289,946 224,999	295,138 199,009	11,426 206,870.5	81,770 194,343	86,176 249,496
⊳ Line 7: Investments ? ⊳ Median	459,699 299,524	422,670 188,688.5	418,978 370,813	412,149 309,361.5	549,889 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	67	--	--	--
⊳ Line 10: Purchase discounts	404,083	337,516	345,581	312,749	404,762
⊳ 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	983,782	1,004,832	1,013,551	665,062	593,899
⊳ 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	62,650
⊳ 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	86,466	130,773	74,522	62,410	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,831,776	2,005,593	2,103,811	1,757,600	1,641,021
⊳ 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	432,797	438,181	744,798	745,884	757,164
⊳ Line 23: Gov appropriations ? ⊳ Median	277,025 1,017,693	176,042 983,261.5	3,351,157 1,173,286	7,757,138 1,987,202	2,625,970 1,597,664
⊳ Sum Line 24	4,871,338	9,158,396	1,589,869	5,552,624	2,088,943
Total income ? Median	-1,111,087 6,586,430	1,555,170 6,767,106	-5,974,915 8,419,950	-6,689,342 8,094,175	433,567 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-2,130,922 89,880.5	2,144,970 106,761	2,157,667 31,473.5
Net income Median	-1,111,087 6,043,842	1,555,170 5,845,112	-3,843,993 7,606,259	-8,834,312 7,283,041	-1,724,100 14,957,241
Net margin Median	-0.52070% 4.62%	0.71334% 4.42%	-1.82447% 5.16%	-4.36471% 5.2%	-0.81238% 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 ST. ELIZABETH 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	43,119,155 23,241,334	42,594,156 23,709,545	46,132,048 24,248,380	39,186,884 22,858,541	42,216,856 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	42,106,620 21,577,146	41,515,113 22,041,594	45,032,245 22,722,063	38,063,872 21,570,441	41,400,073 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	1,012,535 1,845,420	1,079,043 1,757,392	1,099,803 1,738,842	1,123,012 1,510,463	816,783 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	15,614,773 11,160,864	17,354,734 11,987,345	14,290,793 12,926,866	13,839,136 11,884,480	14,877,441 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	15,614,773 10,918,923	17,354,734 11,706,976	14,290,793 12,615,917	13,839,136 11,458,116	14,877,441 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	4,007,580 3,284,314	4,140,811 3,250,551	4,449,076 3,386,837	3,821,810 3,360,806	3,969,196 3,508,953
Disproportionate-share hospital (DSH) Median	547,672 594,888	418,210 595,761	457,949 577,894	486,623 542,168	479,052 549,667
Outlier Median	1,031,613 582,572	1,164,188 538,116	275,084 212,434	159,771 126,559	325,400 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,910,419 3,662,910	5,538,613 3,730,911	6,710,129 4,081,319	7,714,773 4,643,908	7,578,151 4,389,147
Charity care Median	1,380,197 2,654,636	892,416 2,940,659	712,223 3,380,215	486,865 3,488,738	730,463 3,233,405
Uncompensated care (UCC) Median	4,124,960 5,147,790	3,940,395 5,337,617	3,036,667 5,711,082	697,912 5,923,418	3,194,803 5,508,107
UCC as a % of operating expenses Median	1.92% 3.24	1.82% 3.12	1.40% 3.21	0.33% 3.3	1.51% 2.86
Total shortfall/UCC Median	9,035,379 9,489,989	9,479,008 9,424,297	9,746,796 10,120,158	8,412,685 11,171,337	10,772,954 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	104,411,366 52,142,039	104,336,586 54,485,252	106,174,953 57,395,589	95,860,622 58,830,919	96,213,359 61,722,907
Salaries as a % of operating expenses Median	48.68 36.68	48.20 36.56	49.00 36.37	45.85 35.93	45.43 35.24
Intern, resident salaries* Median	1,683,735 2,598,592	1,883,347 2,686,824	1,441,498 2,753,773	1,524,954 2,937,156	1,706,156 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,519,789 1,449,244	1,767,823 1,475,986	2,036,644 1,563,078	2,290,334 1,721,954	6,416,837 2,991,828
Contract hours, direct-care Median	18,724.00 22,725	21,656.00 23,018.5	28,611.00 24,503.48	29,824.00 25,026.5	52,805.00 33,786
Contract wages, direct-care Median	81.17 64.67	81.63 64.53	71.18 65.06	76.79 68.97	121.52 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.