As of the July, 2022, release via CMS

ST. JOSEPH HOSPITAL

CMS id: 330332
4295 HEMPSTEAD TURNPIKE, BETHPAGE NY 11714. County: NASSAU
System: CATHOLIC HEALTH SRV OF LONG ISLAND
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 203-bed, acute-care hospital had $-753,413 in net service to patients*, with a total profit margin of 0.66173% in fiscal year 2021, the latest year available.
It spent 3.04% of its operating expenses on uncompensated care and reported $9,690,314 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	175 118	175 118	175 119.5	175 118	175 119
Total beds Median	203 162	203 162	203 162	203 162	203 163.5
FTEs Median	676.70 788.06	677.40 793.42	679.02 806.03	677.12 787.61	692.60 804.34

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	113,355,178 150,932,746	115,311,895 158,950,878	122,448,083 168,696,998	118,797,585 163,454,693	148,665,198 186,589,412
Operating expenses Median	124,035,622 149,311,209	129,716,397 156,110,414	134,567,614 164,890,568	142,960,088 166,516,854	149,418,611 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,680,444 -964,173	-14,404,502 -643,601.5	-12,119,531 -116,254	-24,162,503 -5,025,862	-753,413 -1,284,564
NS2P margin ? Median	-9.42% -0.62	-12.49% -0.29	-9.90% 0.18	-20.34% -5.07	-0.51% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPH 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	2,888,588 5,089,215	2,826,886 4,572,541	2,238,828 5,268,134	19,096,187 13,092,619	1,848,583 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	5,580 224,999	22,840 199,009	900 206,870.5	1,500 194,343	200 249,496
⊳ Line 7: Investments ? ⊳ Median	44,120 299,524	55,830 188,688.5	45,180 370,813	30,800 309,361.5	43,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,850	3,500	2,860	2,400	2,700
⊳ 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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	47,700	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	112,000	90,000	91,000	104,500	124,000
⊳ Line 21: Rental of vending machines	0	0	8,788	0	0
⊳ Line 22: Rental of hospital space	87,100	163,390	132,080	154,400	170,200
⊳ Line 23: Gov appropriations ? ⊳ Median	14,112 1,017,693	73,388 983,261.5	66,866 1,173,286	17,868,841 1,987,202	149,788 1,597,664
⊳ Sum Line 24	2,621,826	2,417,938	1,843,454	933,746	1,358,695
Total income ? Median	-7,791,856 6,586,430	-11,577,616 6,767,106	-9,880,703 8,419,950	-5,066,316 8,094,175	1,095,170 15,162,888
Non-operating expenses Median	3 146,289.5	-1,616 164,857	108,297 89,880.5	4,684 106,761	99,170 31,473.5
Net income Median	-7,791,859 6,043,842	-11,576,000 5,845,112	-9,989,000 7,606,259	-5,071,000 7,283,041	996,000 14,957,241
Net margin Median	-6.70303% 4.62%	-9.79865% 4.42%	-8.01127% 5.16%	-3.67747% 5.2%	0.66173% 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. JOSEPH 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	28,371,647 23,241,334	29,219,730 23,709,545	29,981,418 24,248,380	29,416,991 22,858,541	30,954,640 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	28,371,647 21,577,146	29,219,730 22,041,594	29,981,418 22,722,063	29,416,991 21,570,441	30,954,640 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	9,526,101 11,160,864	11,897,035 11,987,345	12,365,785 12,926,866	10,437,254 11,884,480	13,465,743 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	9,526,101 10,918,923	11,897,035 11,706,976	12,365,785 12,615,917	10,437,254 11,458,116	13,465,743 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	146,938 3,284,314	153,433 3,250,551	157,313 3,386,837	140,892 3,360,806	144,168 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	481,831 582,572	237,776 538,116	16,142 212,434	54,268 126,559	42,239 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,049,371 3,662,910	277,078 3,730,911	5,712,768 4,081,319	9,203,173 4,643,908	9,690,314 4,389,147
Charity care Median	3,628,175 2,654,636	3,433,301 2,940,659	3,035,049 3,380,215	3,413,904 3,488,738	2,672,273 3,233,405
Uncompensated care (UCC) Median	3,701,903 5,147,790	4,422,529 5,337,617	4,236,079 5,711,082	5,982,531 5,923,418	4,541,521 5,508,107
UCC as a % of operating expenses Median	2.98% 3.24	3.41% 3.12	3.15% 3.21	4.18% 3.3	3.04% 2.86
Total shortfall/UCC Median	7,751,274 9,489,989	4,699,607 9,424,297	9,948,847 10,120,158	15,185,704 11,171,337	14,231,835 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	54,621,362 52,142,039	56,398,663 54,485,252	57,395,589 57,395,589	62,441,874 58,830,919	62,645,753 61,722,907
Salaries as a % of operating expenses Median	44.04 36.68	43.48 36.56	42.65 36.37	43.68 35.93	41.93 35.24
Intern, resident salaries* Median	15,000 2,598,592	15,804 2,686,824	14,196 2,753,773	15,000 2,937,156	38,615 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	77,177 1,204,885	58,523 1,279,653	126,732 1,469,317
Contract adjusted salaries, direct-care Median	684,573 1,449,244	956,360 1,475,986	1,156,689 1,563,078	2,508,510 1,721,954	2,358,734 2,991,828
Contract hours, direct-care Median	10,681.00 22,725	10,411.00 23,018.5	15,085.00 24,503.48	21,661.00 25,026.5	17,847.00 33,786
Contract wages, direct-care Median	64.09 64.67	91.86 64.53	76.68 65.06	115.81 68.97	132.16 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.