As of the July, 2022, release via CMS

GOOD SAMARITAN HOSPITAL

CMS id: 330286
1000 MONTAUK HIGHWAY, WEST ISLIP NY 11795. County: SUFFOLK
System: CATHOLIC HEALTH SERVICES OF LONG ISL
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 437-bed, acute-care hospital had $-31,487,355 in net service to patients*, with a total profit margin of 3.55205% in fiscal year 2021, the latest year available.
It spent 3.75% of its operating expenses on uncompensated care and reported $51,647,173 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	373 118	373 118	373 119.5	363 118	363 119
Total beds Median	437 162	437 162	437 162	437 162	437 163.5
FTEs Median	3,081.48 788.06	3,151.88 793.42	3,153.13 806.03	3,117.04 787.61	3,044.20 804.34

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	583,477,459 150,932,746	614,273,456 158,950,878	643,178,007 168,696,998	633,127,209 163,454,693	735,110,422 186,589,412
Operating expenses Median	579,504,930 149,311,209	627,178,379 156,110,414	684,450,535 164,890,568	743,316,897 166,516,854	766,597,777 180,120,888
Net income from service 2 patients (NS2P) ? Median	3,972,529 -964,173	-12,904,923 -643,601.5	-41,272,528 -116,254	-110,189,688 -5,025,862	-31,487,355 -1,284,564
NS2P margin ? Median	0.68% -0.62	-2.10% -0.29	-6.42% 0.18	-17.40% -5.07	-4.28% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GOOD SAMARITAN 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	41,422,431 5,089,215	54,682,528 4,572,541	70,135,287 5,268,134	112,449,679 13,092,619	55,615,987 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,000 224,999	0 199,009	0 206,870.5	2,000 194,343	2,000 249,496
⊳ Line 7: Investments ? ⊳ Median	1,686,994 299,524	2,515,880 188,688.5	16,020,157 370,813	1,663,000 309,361.5	3,946,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	19,982	19,812	17,562	15,000	27,000
⊳ 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	471,777	485,625	497,046	411,000	501,000
⊳ 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	11,012	3,180	54	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	895	2,087	655	1,000	5,000
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,136,025	1,104,793	1,160,389	716,000	677,000
⊳ Line 21: Rental of vending machines	58,717	24,908	52,222	12,000	18,000
⊳ Line 22: Rental of hospital space	1,846,675	2,100,755	2,214,540	2,714,000	2,991,000
⊳ Line 23: Gov appropriations ? ⊳ Median	2,069,549 1,017,693	3,193,439 983,261.5	2,842,492 1,173,286	1,987,202 1,987,202	538,515 1,597,664
⊳ Sum Line 24	34,118,805	45,232,049	47,330,170	104,928,477	46,910,472
Total income ? Median	45,394,960 6,586,430	41,777,605 6,767,106	28,862,759 8,419,950	2,259,991 8,094,175	24,128,632 15,162,888
Non-operating expenses Median	-9,809,040 146,289.5	-74,882,395 164,857	-27,300,241 89,880.5	-9,850,009 106,761	-3,958,368 31,473.5
Net income Median	55,204,000 6,043,842	116,660,000 5,845,112	56,163,000 7,606,259	12,110,000 7,283,041	28,087,000 14,957,241
Net margin Median	8.83406% 4.62%	17.43911% 4.42%	7.87354% 5.16%	1.62425% 5.2%	3.55205% 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 GOOD SAMARITAN 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	105,384,331 23,241,334	108,208,668 23,709,545	116,867,059 24,248,380	116,817,053 22,858,541	117,883,740 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	105,384,331 21,577,146	108,208,668 22,041,594	116,867,059 22,722,063	116,817,053 21,570,441	117,883,740 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	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	38,368,613 11,160,864	45,939,751 11,987,345	50,640,243 12,926,866	48,695,318 11,884,480	55,826,036 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	38,368,613 10,918,923	45,939,751 11,706,976	50,640,243 12,615,917	48,695,318 11,458,116	55,826,036 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	7,452,046 3,284,314	6,547,396 3,250,551	6,620,494 3,386,837	6,543,271 3,360,806	6,933,453 3,508,953
Disproportionate-share hospital (DSH) Median	2,164,918 594,888	2,450,332 595,761	2,735,849 577,894	2,603,743 542,168	2,920,377 549,667
Outlier Median	4,754,062 582,572	3,147,769 538,116	367,760 212,434	458,602 126,559	397,831 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,795,714 3,662,910	22,776,765 3,730,911	23,221,927 4,081,319	56,505,356 4,643,908	51,647,173 4,389,147
Charity care Median	14,574,929 2,654,636	14,279,661 2,940,659	11,152,243 3,380,215	18,633,035 3,488,738	19,235,133 3,233,405
Uncompensated care (UCC) Median	15,359,133 5,147,790	16,874,103 5,337,617	13,797,413 5,711,082	26,421,093 5,923,418	28,729,140 5,508,107
UCC as a % of operating expenses Median	2.65% 3.24	2.69% 3.12	2.02% 3.21	3.55% 3.3	3.75% 2.86
Total shortfall/UCC Median	27,154,847 9,489,989	39,650,868 9,424,297	37,019,340 10,120,158	82,926,449 11,171,337	80,376,313 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	261,448,667 52,142,039	274,716,965 54,485,252	280,037,396 57,395,589	303,196,888 58,830,919	293,564,703 61,722,907
Salaries as a % of operating expenses Median	45.12 36.68	43.80 36.56	40.91 36.37	40.79 35.93	38.29 35.24
Intern, resident salaries* Median	5,877,380 2,598,592	6,691,857 2,686,824	7,142,412 2,753,773	7,624,588 2,937,156	7,784,793 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	5,212,830 1,449,244	2,996,180 1,475,986	0 1,563,078	6,827,391 1,721,954	9,512,313 2,991,828
Contract hours, direct-care Median	67,993.00 22,725	38,014.00 23,018.5	0.00 24,503.48	65,128.00 25,026.5	53,990.00 33,786
Contract wages, direct-care Median	76.67 64.67	78.82 64.53	0.00 65.06	104.83 68.97	176.19 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.