As of the July, 2022, release via CMS

STONY BROOK UNIVERSITY HOSPITAL

CMS id: 330393
NICOLLS ROAD, STONY BROOK NY 11794. County: SUFFOLK
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 788-bed, acute-care hospital had $-125,020,180 in net service to patients*, with a total profit margin of -3.31339% in fiscal year 2021, the latest year available.
It spent 0.71% of its operating expenses on uncompensated care and reported $28,715,273 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	gov	gov	gov	gov	gov
Acute beds Median	475 118	525 118	578 119.5	578 118	578 119
Total beds Median	642 162	695 162	788 162	788 162	788 163.5
FTEs Median	6,963.82 788.06	7,740.32 793.42	8,399.27 806.03	8,672.48 787.61	8,852.70 804.34

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	1,262,111,626 150,932,746	1,464,029,130 158,950,878	1,630,577,775 168,696,998	1,570,077,917 163,454,693	1,781,612,704 186,589,412
Operating expenses Median	1,343,001,608 149,311,209	1,657,379,473 156,110,414	1,739,844,808 164,890,568	1,885,026,235 166,516,854	1,906,632,884 180,120,888
Net income from service 2 patients (NS2P) ? Median	-80,889,982 -964,173	-193,350,343 -643,601.5	-109,267,033 -116,254	-314,948,318 -5,025,862	-125,020,180 -1,284,564
NS2P margin ? Median	-6.41% -0.62	-13.21% -0.29	-6.70% 0.18	-20.06% -5.07	-7.02% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STONY BROOK UNIVERSITY 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	36,643,820 5,089,215	53,983,447 4,572,541	36,440,311 5,268,134	197,936,444 13,092,619	35,055,743 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,132,968 224,999	652,204 199,009	5,585,434 206,870.5	2,680,962 194,343	2,033,558 249,496
⊳ Line 7: Investments ? ⊳ Median	7 299,524	143,968 188,688.5	1,051,017 370,813	256,978 309,361.5	166,714 375,329
⊳ 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	115,119	906,997	444,637	225,429	906,281
⊳ Line 12: Parking lot receipts	380,414	435,345	428,186	128,915	58,222
⊳ 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	783	0	36	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	8,000	11,500	6,907	238	77
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	41,981	70,658	76,053
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	5,078,988	6,600,867	6,054,097	6,042,553	3,820,538
⊳ Line 23: Gov appropriations ? ⊳ Median	2,372,800 1,017,693	35,557,419 983,261.5	3,157,480 1,173,286	7,384,224 1,987,202	3,042,745 1,597,664
⊳ Sum Line 24	26,554,741	9,648,539	19,659,564	181,146,487	24,951,555
Total income ? Median	-44,246,162 6,586,430	-139,366,896 6,767,106	-72,826,722 8,419,950	-117,011,874 8,094,175	-89,964,437 15,162,888
Non-operating expenses Median	-56,996,343 146,289.5	-158,600,971 164,857	-89,166,927 89,880.5	-1,539,175 106,761	-29,771,044 31,473.5
Net income Median	12,750,181 6,043,842	19,234,075 5,845,112	16,340,205 7,606,259	-115,472,699 7,283,041	-60,193,393 14,957,241
Net margin Median	0.98172% 4.62%	1.26706% 4.42%	0.98021% 5.16%	-6.53121% 5.2%	-3.31339% 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 STONY BROOK UNIVERSITY 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	282,910,637 23,241,334	323,777,292 23,709,545	333,744,812 24,248,380	316,298,689 22,858,541	373,205,675 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	278,557,088 21,577,146	316,331,727 22,041,594	326,090,718 22,722,063	310,646,779 21,570,441	367,274,203 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	4,353,549 1,845,420	7,445,565 1,757,392	7,654,094 1,738,842	5,651,910 1,510,463	5,931,472 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	75,776,589 11,160,864	90,445,442 11,987,345	97,729,303 12,926,866	90,671,321 11,884,480	108,898,645 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	75,776,589 10,918,923	90,445,442 11,706,976	97,729,303 12,615,917	90,671,321 11,458,116	108,898,645 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	79,526,911 3,284,314	87,085,346 3,250,551	88,850,621 3,386,837	81,516,523 3,360,806	94,082,441 3,508,953
Disproportionate-share hospital (DSH) Median	5,079,834 594,888	5,627,975 595,761	5,902,021 577,894	5,905,870 542,168	5,981,821 549,667
Outlier Median	14,450,387 582,572	20,877,547 538,116	3,936,133 212,434	3,374,224 126,559	6,232,538 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	28,715,273 4,389,147
Charity care Median	12,369,712 2,654,636	11,151,006 2,940,659	10,549,969 3,380,215	8,989,388 3,488,738	8,840,556 3,233,405
Uncompensated care (UCC) Median	101,939,252 5,147,790	55,486,864 5,337,617	27,448,841 5,711,082	37,962,041 5,923,418	13,480,761 5,508,107
UCC as a % of operating expenses Median	7.59% 3.24	3.35% 3.12	1.58% 3.21	2.01% 3.3	0.71% 2.86
Total shortfall/UCC Median	101,939,252 9,489,989	55,486,864 9,424,297	27,448,841 10,120,158	37,962,041 11,171,337	42,196,034 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	540,269,626 52,142,039	613,673,549 54,485,252	671,953,354 57,395,589	727,517,210 58,830,919	772,137,266 61,722,907
Salaries as a % of operating expenses Median	40.23 36.68	37.03 36.56	38.62 36.37	38.59 35.93	40.50 35.24
Intern, resident salaries* Median	40,303,310 2,598,592	44,427,405 2,686,824	47,644,317 2,753,773	52,268,673 2,937,156	53,233,556 2,909,848
Contract intern, resident salaries* Median	383,471 1,251,927	234,182 1,186,494	322,940 1,204,885	404,602 1,279,653	329,189 1,469,317
Contract adjusted salaries, direct-care Median	2,151,517 1,449,244	4,597,642 1,475,986	8,121,032 1,563,078	9,474,360 1,721,954	9,221,331 2,991,828
Contract hours, direct-care Median	28,473.00 22,725	54,279.00 23,018.5	78,984.00 24,503.48	82,835.00 25,026.5	109,289.00 33,786
Contract wages, direct-care Median	75.56 64.67	84.70 64.53	102.82 65.06	114.38 68.97	84.38 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.