As of the July, 2022, release via CMS

PHELPS MEMORIAL HOSPITAL CENTER

CMS id: 330261
701 NORTH BROADWAY, SLEEPY HOLLOW NY 10591. County: WESTCHESTER
System: NORTHWELL HEALTHCARE INC
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 200-bed, acute-care hospital had $-32,577,917 in net service to patients*, with a total profit margin of 7.92216% in fiscal year 2021, the latest year available.
It spent 0.93% of its operating expenses on uncompensated care and reported $9,576,892 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	156 118	168 118	168 119.5	148 118	148 119
Total beds Median	208 162	220 162	220 162	200 162	200 163.5
FTEs Median	1,525.48 788.06	1,554.90 793.42	1,743.80 806.03	1,797.80 787.61	1,809.10 804.34

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	240,209,987 150,932,746	259,776,366 158,950,878	279,469,933 168,696,998	313,121,552 163,454,693	349,249,449 186,589,412
Operating expenses Median	260,110,825 149,311,209	271,142,676 156,110,414	332,834,027 164,890,568	360,200,879 166,516,854	381,827,366 180,120,888
Net income from service 2 patients (NS2P) ? Median	-19,900,838 -964,173	-11,366,310 -643,601.5	-53,364,094 -116,254	-47,079,327 -5,025,862	-32,577,917 -1,284,564
NS2P margin ? Median	-8.28% -0.62	-4.38% -0.29	-19.09% 0.18	-15.04% -5.07	-9.33% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PHELPS MEMORIAL 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	37,696,600 5,089,215	47,572,810 4,572,541	60,699,448 5,268,134	67,634,410 13,092,619	66,823,813 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	541,000 299,524	2,049,530 188,688.5	6,292,867 370,813	4,497,408 309,361.5	9,052,975 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	1,737	615	3--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ 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	780,111	721,080	848,815	727,770	699,728
⊳ 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	2,270,120	3,030,856	6,498,869	7,934,477	8,156,761
⊳ Line 18: Revenue from sale of medical records and abstracts	0	98,538	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	315,751	330,650	338,656	208,073	266,799
⊳ Line 21: Rental of vending machines	14,644	3,099	4,035	1,087	490
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	885,466 1,017,693	734,954 983,261.5	701,315 1,173,286	738,564 1,987,202	923,037 1,597,664
⊳ Sum Line 24	32,773,771	40,458,862	45,879,023	53,395,698	47,589,672
Total income ? Median	17,795,762 6,586,430	36,206,500 6,767,106	7,335,354 8,419,950	20,555,083 8,094,175	34,245,896 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	1,283,896 31,473.5
Net income Median	17,795,762 6,043,842	36,206,500 5,845,112	7,335,354 7,606,259	20,555,083 7,283,041	32,962,000 14,957,241
Net margin Median	6.40350% 4.62%	11.78025% 4.42%	2.15638% 5.16%	5.39849% 5.2%	7.92216% 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 PHELPS MEMORIAL 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	41,130,878 23,241,334	45,309,890 23,709,545	47,356,426 24,248,380	49,264,889 22,858,541	47,968,400 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	36,510,282 21,577,146	39,375,662 22,041,594	40,181,982 22,722,063	43,599,054 21,570,441	42,748,831 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	2,538,369 1,845,420	2,830,032 1,757,392	2,243,720 1,738,842	1,612,455 1,510,463	2,248,881 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,082,227 3,535,627	3,104,196 3,746,588	4,930,724 3,782,288	4,053,380 3,865,578	2,970,688 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	19,072,447 11,160,864	22,658,081 11,987,345	24,337,660 12,926,866	22,004,177 11,884,480	29,024,871 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	19,072,447 10,918,923	22,658,081 11,706,976	24,337,660 12,615,917	22,004,177 11,458,116	29,024,871 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	3,809,401 3,284,314	4,431,672 3,250,551	4,595,222 3,386,837	5,242,288 3,360,806	5,838,896 3,508,953
Disproportionate-share hospital (DSH) Median	1,522,413 594,888	1,656,680 595,761	1,102,942 577,894	1,569,432 542,168	1,410,828 549,667
Outlier Median	1,629,072 582,572	1,737,873 538,116	745,304 212,434	320,869 126,559	573,508 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,390,723 3,662,910	0 3,730,911	5,123,421 4,081,319	8,140,814 4,643,908	9,576,892 4,389,147
Charity care Median	3,079,568 2,654,636	1,008,242 2,940,659	2,140,454 3,380,215	1,918,599 3,488,738	2,017,372 3,233,405
Uncompensated care (UCC) Median	4,316,239 5,147,790	1,865,958 5,337,617	3,877,733 5,711,082	3,830,733 5,923,418	3,537,536 5,508,107
UCC as a % of operating expenses Median	1.66% 3.24	0.69% 3.12	1.17% 3.21	1.06% 3.3	0.93% 2.86
Total shortfall/UCC Median	5,706,962 9,489,989	1,865,958 9,424,297	9,001,154 10,120,158	11,971,547 11,171,337	13,114,428 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	147,076,103 52,142,039	152,083,933 54,485,252	172,350,855 57,395,589	193,189,959 58,830,919	194,622,581 61,722,907
Salaries as a % of operating expenses Median	56.54 36.68	56.09 36.56	51.78 36.37	53.63 35.93	50.97 35.24
Intern, resident salaries* Median	1,893,711 2,598,592	2,146,519 2,686,824	2,502,435 2,753,773	2,655,584 2,937,156	2,656,973 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	256,461 1,449,244	931,577 1,475,986	0 1,563,078	1,192,003 1,721,954	1,899,535 2,991,828
Contract hours, direct-care Median	3,300.00 22,725	12,572.00 23,018.5	0.00 24,503.48	20,676.00 25,026.5	16,512.00 33,786
Contract wages, direct-care Median	77.72 64.67	74.10 64.53	0.00 65.06	57.65 68.97	115.04 88.94

* in an approved program

Return to top

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.