As of the July, 2022, release via CMS

ST CHARLES HOSPITAL

CMS id: 330246
200 BELLE TERRE ROAD, PORT JEFFERESON NY 11777. County: SUFFOLK
System: CATHOLIC HEALTH SERVICES OF LONG ISL
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 243-bed, acute-care hospital had $10,132,375 in net service to patients*, with a total profit margin of 6.98916% in fiscal year 2021, the latest year available.
It spent 2.14% of its operating expenses on uncompensated care and reported $20,615,679 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	145 118	145 118	145 119.5	145 118	145 119
Total beds Median	243 162	243 162	243 162	243 162	243 163.5
FTEs Median	1,269.50 788.06	1,326.61 793.42	1,313.16 806.03	1,232.69 787.61	1,223.30 804.34

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	209,845,578 150,932,746	224,877,191 158,950,878	221,858,036 168,696,998	208,349,477 163,454,693	240,096,518 186,589,412
Operating expenses Median	216,791,110 149,311,209	235,484,500 156,110,414	239,446,879 164,890,568	232,037,757 166,516,854	229,964,143 180,120,888
Net income from service 2 patients (NS2P) ? Median	-6,945,532 -964,173	-10,607,309 -643,601.5	-17,588,843 -116,254	-23,688,280 -5,025,862	10,132,375 -1,284,564
NS2P margin ? Median	-3.31% -0.62	-4.72% -0.29	-7.93% 0.18	-11.37% -5.07	4.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST CHARLES 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	5,766,074 5,089,215	5,394,590 4,572,541	5,448,703 5,268,134	29,651,814 13,092,619	6,399,500 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	414 224,999	1,307 199,009	1,047 206,870.5	1,100 194,343	200 249,496
⊳ Line 7: Investments ? ⊳ Median	83,300 299,524	54,400 188,688.5	150,300 370,813	132,500 309,361.5	116,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	14,284	13,780	11,284	11,300	13,500
⊳ 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	253,609	264,864	262,255	221,400	233,600
⊳ 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	35,975	10,000	6,600
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	367,729	114,400	166,700
⊳ Line 18: Revenue from sale of medical records and abstracts	5,924	7,729	3,334	5,100	4,100
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	21,200	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	547,166	558,565	585,178	380,700	387,400
⊳ Line 21: Rental of vending machines	0	0	12,039	0	0
⊳ Line 22: Rental of hospital space	970,374	1,093,981	1,101,556	1,136,000	1,567,600
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	131,680 983,261.5	90,319 1,173,286	25,002,810 1,987,202	559,979 1,597,664
⊳ Sum Line 24	3,891,003	3,268,284	2,806,487	2,636,504	3,343,821
Total income ? Median	-1,179,458 6,586,430	-5,212,719 6,767,106	-12,140,140 8,419,950	5,963,534 8,094,175	16,531,875 15,162,888
Non-operating expenses Median	-62,458 146,289.5	-3,087,719 164,857	78,860 89,880.5	-81,466 106,761	-696,125 31,473.5
Net income Median	-1,117,000 6,043,842	-2,125,000 5,845,112	-12,219,000 7,606,259	6,045,000 7,283,041	17,228,000 14,957,241
Net margin Median	-0.51806% 4.62%	-0.92282% 4.42%	-5.37556% 5.16%	2.53990% 5.2%	6.98916% 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 CHARLES 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	40,380,864 23,241,334	43,510,330 23,709,545	42,915,363 24,248,380	41,232,102 22,858,541	44,558,201 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	26,715,469 21,577,146	29,265,103 22,041,594	28,447,239 22,722,063	26,248,266 21,570,441	27,180,487 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	13,665,395 3,535,627	14,245,227 3,746,588	14,468,124 3,782,288	14,983,836 3,865,578	17,377,714 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	8,655,568 11,160,864	10,317,082 11,987,345	11,253,783 12,926,866	10,419,516 11,884,480	13,517,062 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	8,655,568 10,918,923	10,317,082 11,706,976	11,253,783 12,615,917	10,419,516 11,458,116	13,517,062 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	555,200 3,284,314	651,602 3,250,551	672,196 3,386,837	513,193 3,360,806	522,981 3,508,953
Disproportionate-share hospital (DSH) Median	818,653 594,888	972,899 595,761	1,181,365 577,894	1,458,657 542,168	1,848,888 549,667
Outlier Median	527,866 582,572	664,628 538,116	153,348 212,434	83,702 126,559	294,766 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	13,381,099 3,662,910	16,495,542 3,730,911	17,401,047 4,081,319	20,026,731 4,643,908	20,615,679 4,389,147
Charity care Median	4,244,612 2,654,636	3,123,332 2,940,659	1,911,322 3,380,215	3,900,362 3,488,738	2,835,856 3,233,405
Uncompensated care (UCC) Median	4,533,875 5,147,790	4,059,776 5,337,617	2,920,365 5,711,082	7,594,890 5,923,418	4,916,747 5,508,107
UCC as a % of operating expenses Median	2.09% 3.24	1.72% 3.12	1.22% 3.21	3.27% 3.3	2.14% 2.86
Total shortfall/UCC Median	17,914,974 9,489,989	20,555,318 9,424,297	20,321,412 10,120,158	27,621,621 11,171,337	25,532,426 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	100,021,547 52,142,039	107,767,924 54,485,252	106,756,700 57,395,589	108,398,048 58,830,919	106,411,135 61,722,907
Salaries as a % of operating expenses Median	46.14 36.68	45.76 36.56	44.58 36.37	46.72 35.93	46.27 35.24
Intern, resident salaries* Median	631,832 2,598,592	665,449 2,686,824	663,991 2,753,773	691,996 2,937,156	729,337 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	44,837 1,449,244	237,835 1,475,986	265,140 1,563,078	923,819 1,721,954	707,368 2,991,828
Contract hours, direct-care Median	671.00 22,725	3,875.00 23,018.5	3,509.00 24,503.48	6,733.00 25,026.5	4,674.00 33,786
Contract wages, direct-care Median	66.82 64.67	61.38 64.53	75.56 65.06	137.21 68.97	151.34 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.