As of the July, 2022, release via CMS

NORTH CENTRAL BRONX

CMS id: 330385
3424 KOSSUTH AVENUE, BRONX NY 10461. County: BRONX
System: NEW YORK CITY HEALTH & HOSPITAL
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 200-bed, acute-care hospital had $-49,947,683 in net service to patients*, with a total profit margin of 14.96030% in fiscal year 2021, the latest year available.
It spent 11.54% of its operating expenses on uncompensated care and reported $74,782,045 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	241
Ownership	gov	gov	gov	gov	gov
Acute beds Median	98 118	98 118	98 119.5	98 118	98 119
Total beds Median	200 162	200 162	200 162	200 162	200 163.5
FTEs Median	1,141.90 788.06	1,101.60 793.42	1,124.90 806.03	1,205.10 787.61	869.70 804.34

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	173,133,712 150,932,746	211,027,568 158,950,878	189,920,697 168,696,998	233,350,707 163,454,693	188,221,670 186,589,412
Operating expenses Median	222,538,866 149,311,209	232,513,781 156,110,414	226,045,150 164,890,568	288,123,202 166,516,854	238,169,353 180,120,888
Net income from service 2 patients (NS2P) ? Median	-49,405,154 -964,173	-21,486,213 -643,601.5	-36,124,453 -116,254	-54,772,495 -5,025,862	-49,947,683 -1,284,564
NS2P margin ? Median	-28.54% -0.62	-10.18% -0.29	-19.02% 0.18	-23.47% -5.07	-26.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH CENTRAL BRONX 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	18,803,075 5,089,215	25,574,619 4,572,541	43,706,596 5,268,134	55,627,361 13,092,619	91,846,751 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	884,478 194,343	719 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	876	510	6,834	476	0
⊳ Line 12: Parking lot receipts	91,296	84,743	3,390	0	56,674
⊳ 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	510
⊳ 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	435	17,972	2,483	135	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	42,024
⊳ Line 21: Rental of vending machines	582	0	102	945	0
⊳ Line 22: Rental of hospital space	30,451	5,175	3,087	103,673	1,020
⊳ Line 23: Gov appropriations ? ⊳ Median	3,258,093 1,017,693	5,732,237 983,261.5	6,886,918 1,173,286	5,870,751 1,987,202	46,311,109 1,597,664
⊳ Sum Line 24	15,421,342	19,733,982	36,803,782	48,766,903	45,434,695
Total income ? Median	-30,602,079 6,586,430	4,088,406 6,767,106	7,582,143 8,419,950	854,866 8,094,175	41,899,068 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-30,602,079 6,043,842	4,088,406 5,845,112	7,582,143 7,606,259	854,866 7,283,041	41,899,068 14,957,241
Net margin Median	-15.94383% 4.62%	1.72797% 4.42%	3.24540% 5.16%	0.29582% 5.2%	14.96030% 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 NORTH CENTRAL BRONX 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	14,850,823 23,241,334	14,072,127 23,709,545	14,454,292 24,248,380	21,263,953 22,858,541	16,238,714 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	11,262,262 21,577,146	10,713,048 22,041,594	10,735,847 22,722,063	17,553,615 21,570,441	11,364,773 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	3,588,561 1,845,420	3,359,079 1,757,392	3,718,445 1,738,842	3,710,338 1,510,463	4,873,941 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	2,608,986 11,160,864	2,651,484 11,987,345	2,756,559 12,926,866	3,005,170 11,884,480	2,214,406 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	2,608,986 10,918,923	2,651,484 11,706,976	2,756,559 12,615,917	3,005,170 11,458,116	2,214,406 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	2,095,138 3,284,314	1,931,007 3,250,551	2,036,351 3,386,837	2,108,482 3,360,806	1,199,319 3,508,953
Disproportionate-share hospital (DSH) Median	669,931 594,888	628,870 595,761	575,099 577,894	670,373 542,168	380,023 549,667
Outlier Median	325,969 582,572	451,768 538,116	695,030 212,434	898,718 126,559	3,589,143 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	68,420,125 3,662,910	96,207,467 3,730,911	47,009,929 4,081,319	41,465,102 4,643,908	74,782,045 4,389,147
Charity care Median	20,990,258 2,654,636	20,574,232 2,940,659	15,074,389 3,380,215	14,944,681 3,488,738	14,613,562 3,233,405
Uncompensated care (UCC) Median	34,993,225 5,147,790	36,316,734 5,337,617	33,701,193 5,711,082	28,037,237 5,923,418	27,489,774 5,508,107
UCC as a % of operating expenses Median	15.72% 3.24	15.62% 3.12	14.91% 3.21	9.73% 3.3	11.54% 2.86
Total shortfall/UCC Median	103,413,350 9,489,989	132,524,201 9,424,297	80,711,122 10,120,158	69,502,339 11,171,337	102,271,819 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	81,789,612 52,142,039	94,857,398 54,485,252	89,279,379 57,395,589	93,105,545 58,830,919	70,417,725 61,722,907
Salaries as a % of operating expenses Median	36.75 36.68	40.80 36.56	39.50 36.37	32.31 35.93	29.57 35.24
Intern, resident salaries* Median	0 2,598,592	120,209 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	2,130,984 1,251,927	2,376,014 1,186,494	2,123,915 1,204,885	200,679 1,279,653	215,091 1,469,317
Contract adjusted salaries, direct-care Median	6,405,384 1,449,244	6,577,001 1,475,986	6,723,386 1,563,078	7,837,093 1,721,954	3,141,528 2,991,828
Contract hours, direct-care Median	142,697.00 22,725	177,630.00 23,018.5	163,665.00 24,503.48	115,578.00 25,026.5	44,458.00 33,786
Contract wages, direct-care Median	44.89 64.67	37.03 64.53	41.08 65.06	67.81 68.97	70.66 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.