As of the July, 2022, release via CMS

STRONG MEMORIAL HOSPITAL

CMS id: 330285
135 CORPORATE WOODS SUITE 380, ROCHESTER NY 14623. County: MONROE
System: --
CBSA: Rochester, NY

The 874-bed, acute-care hospital had $222,518,168 in net service to patients*, with a total profit margin of 11.98040% in fiscal year 2021, the latest year available.
It spent 1.31% of its operating expenses on uncompensated care and reported $96,599,324 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	499 118	498 118	512 119.5	524 118	515 119
Total beds Median	823 162	830 162	852 162	874 162	874 163.5
FTEs Median	10,029.30 788.06	10,640.80 793.42	11,306.30 806.03	11,476.00 787.61	11,747.40 804.34

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	1,718,209,229 150,932,746	1,936,245,333 158,950,878	2,190,645,254 168,696,998	2,285,740,645 163,454,693	2,702,464,192 186,589,412
Operating expenses Median	1,649,138,924 149,311,209	1,867,896,572 156,110,414	2,082,908,097 164,890,568	2,264,617,023 166,516,854	2,479,946,024 180,120,888
Net income from service 2 patients (NS2P) ? Median	69,070,305 -964,173	68,348,761 -643,601.5	107,737,157 -116,254	21,123,622 -5,025,862	222,518,168 -1,284,564
NS2P margin ? Median	4.02% -0.62	3.53% -0.29	4.92% 0.18	0.92% -5.07	8.23% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STRONG 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	36,893,776 5,089,215	43,387,999 4,572,541	36,275,068 5,268,134	92,467,254 13,092,619	124,302,035 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	836,061 224,999	852,085 199,009	463,687 206,870.5	431,257 194,343	284,009 249,496
⊳ Line 7: Investments ? ⊳ Median	13,599,870 299,524	14,500,589 188,688.5	23,992,248 370,813	21,548,521 309,361.5	16,663,388 375,329
⊳ 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	2,668,800	3,047,378	3,727,965	3,562,087	5,051,969
⊳ Line 12: Parking lot receipts	1,673,948	1,698,091	1,340,014	296,788	-218,162
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	4,817,461	4,433,752	4,399,024	3,668,730	2,971,216
⊳ 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	84,110	118,670	206,453	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	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	2,588,509	2,407,014	1,644,376	1,191,408	86,952
⊳ Line 23: Gov appropriations ? ⊳ Median	5,424,942 1,017,693	6,464,718 983,261.5	3,516,552 1,173,286	1,263,875 1,987,202	914,910 1,597,664
⊳ Sum Line 24	5,200,075	9,865,702	-3,015,251	60,504,588	98,547,753
Total income ? Median	105,964,081 6,586,430	111,736,760 6,767,106	144,012,225 8,419,950	113,590,876 8,094,175	346,820,203 15,162,888
Non-operating expenses Median	41,259,732 146,289.5	43,389,643 164,857	62,115,914 89,880.5	81,766,850 106,761	8,162,405 31,473.5
Net income Median	64,704,349 6,043,842	68,347,117 5,845,112	81,896,311 7,606,259	31,824,026 7,283,041	338,657,798 14,957,241
Net margin Median	3.68664% 4.62%	3.45251% 4.42%	3.67756% 5.16%	1.33815% 5.2%	11.98040% 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 STRONG 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	177,723,184 23,241,334	197,410,098 23,709,545	202,122,606 24,248,380	201,811,545 22,858,541	233,886,237 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	171,633,891 21,577,146	191,364,724 22,041,594	196,407,850 22,722,063	196,440,561 21,570,441	227,877,593 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	4,202,359 1,845,420	4,057,784 1,757,392	3,995,935 1,738,842	3,584,819 1,510,463	4,083,217 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,886,934 3,535,627	1,987,590 3,746,588	1,718,821 3,782,288	1,786,165 3,865,578	1,925,427 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	90,090,614 11,160,864	103,936,028 11,987,345	116,159,822 12,926,866	109,401,401 11,884,480	115,234,740 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	90,090,614 10,918,923	103,936,028 11,706,976	116,159,822 12,615,917	109,401,401 11,458,116	115,234,740 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	42,506,299 3,284,314	48,167,478 3,250,551	48,790,968 3,386,837	49,049,462 3,360,806	54,980,909 3,508,953
Disproportionate-share hospital (DSH) Median	3,856,699 594,888	4,292,902 595,761	4,101,558 577,894	4,141,890 542,168	4,460,953 549,667
Outlier Median	11,151,868 582,572	11,494,680 538,116	9,102,816 212,434	1,849,200 126,559	1,831,669 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	33,902,922 3,662,910	54,111,369 3,730,911	45,689,971 4,081,319	121,054,517 4,643,908	96,599,324 4,389,147
Charity care Median	21,100,674 2,654,636	23,354,741 2,940,659	22,229,491 3,380,215	26,071,880 3,488,738	20,480,488 3,233,405
Uncompensated care (UCC) Median	34,795,636 5,147,790	34,129,336 5,337,617	33,609,345 5,711,082	35,014,189 5,923,418	32,455,236 5,508,107
UCC as a % of operating expenses Median	2.11% 3.24	1.83% 3.12	1.61% 3.21	1.55% 3.3	1.31% 2.86
Total shortfall/UCC Median	68,698,558 9,489,989	88,240,705 9,424,297	79,299,316 10,120,158	156,068,706 11,171,337	129,054,560 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	669,122,495 52,142,039	729,291,404 54,485,252	800,411,092 57,395,589	844,503,767 58,830,919	887,188,390 61,722,907
Salaries as a % of operating expenses Median	40.46 36.68	38.80 36.56	38.44 36.37	37.04 35.93	35.99 35.24
Intern, resident salaries* Median	34,036,630 2,598,592	35,427,050 2,686,824	36,659,695 2,753,773	37,908,240 2,937,156	40,611,585 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	306,577 1,449,244	395,605 1,475,986	1,872,078 1,563,078	2,963,308 1,721,954	8,006,912 2,991,828
Contract hours, direct-care Median	4,733.00 22,725	6,146.00 23,018.5	27,353.00 24,503.48	40,544.00 25,026.5	71,536.00 33,786
Contract wages, direct-care Median	64.77 64.67	64.37 64.53	68.44 65.06	73.09 68.97	111.93 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.