As of the July, 2022, release via CMS

UHS HOSPITALS

CMS id: 330394
10 - 42 MITCHELL AVENUE, BINGHAMTON NY 13903. County: BROOME
System: --
CBSA: Binghamton, NY

The 474-bed, acute-care hospital had $-128,493,519 in net service to patients*, with a total profit margin of -0.26667% in fiscal year 2021, the latest year available.
It spent 1.26% of its operating expenses on uncompensated care and reported $32,944,670 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	314 118	322 118	319 119.5	314 118	314 119
Total beds Median	466 162	474 162	479 162	474 162	474 163.5
FTEs Median	4,051.70 788.06	4,197.50 793.42	4,223.90 806.03	4,075.10 787.61	4,040.50 804.34

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	589,087,264 150,932,746	625,123,469 158,950,878	672,999,301 168,696,998	638,343,155 163,454,693	677,522,812 186,589,412
Operating expenses Median	631,494,655 149,311,209	676,569,553 156,110,414	719,988,131 164,890,568	770,924,016 166,516,854	806,016,331 180,120,888
Net income from service 2 patients (NS2P) ? Median	-42,407,391 -964,173	-51,446,084 -643,601.5	-46,988,830 -116,254	-132,580,861 -5,025,862	-128,493,519 -1,284,564
NS2P margin ? Median	-7.20% -0.62	-8.23% -0.29	-6.98% 0.18	-20.77% -5.07	-18.97% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UHS HOSPITALS 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	63,992,119 5,089,215	70,114,632 4,572,541	70,142,909 5,268,134	112,818,139 13,092,619	126,349,814 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	2,625,674 299,524	3,317,433 188,688.5	6,028,993 370,813	4,976,468 309,361.5	15,932,386 375,329
⊳ 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	31,813,677	28,036,937	29,795,997	31,760,333	40,929,518
⊳ Line 12: Parking lot receipts	40,361	41,461	43,708	38,725	35,686
⊳ 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	7,095	4,333	3,432	4,034	7,054
⊳ 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	2,274,616	2,238,633	2,275,880	2,390,386	2,015,044
⊳ Line 23: Gov appropriations ? ⊳ Median	8,962,852 1,017,693	7,856,893 983,261.5	6,021,484 1,173,286	43,260,415 1,987,202	12,277,123 1,597,664
⊳ Sum Line 24	18,257,284	28,602,517	25,963,870	30,375,348	55,141,387
Total income ? Median	21,584,728 6,586,430	18,668,548 6,767,106	23,154,079 8,419,950	-19,762,722 8,094,175	-2,143,705 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	21,584,728 6,043,842	18,668,548 5,845,112	23,154,079 7,606,259	-19,762,722 7,283,041	-2,143,705 14,957,241
Net margin Median	3.30507% 4.62%	2.68520% 4.42%	3.11570% 5.16%	-2.63096% 5.2%	-0.26667% 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 UHS HOSPITALS 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	69,428,018 23,241,334	72,696,048 23,709,545	80,181,773 24,248,380	69,857,500 22,858,541	70,907,118 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	61,734,395 21,577,146	64,724,841 22,041,594	72,404,466 22,722,063	62,287,087 21,570,441	64,046,269 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	4,289,084 1,845,420	4,485,990 1,757,392	4,073,286 1,738,842	2,942,184 1,510,463	2,931,417 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,221,573 3,535,627	2,466,291 3,746,588	2,535,887 3,782,288	3,118,543 3,865,578	3,422,535 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	1,182,966 1,203,033	1,018,926 1,215,295	1,168,134 1,313,657	1,509,686 1,365,298	506,897 1,179,746
All outpatient revenue Median Click here to show/hide details	48,436,657 11,160,864	48,101,276 11,987,345	47,435,166 12,926,866	40,563,517 11,884,480	42,389,730 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	48,436,657 10,918,923	48,101,276 11,706,976	47,435,166 12,615,917	40,563,517 11,458,116	42,389,730 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	8,783,726 3,284,314	9,253,173 3,250,551	10,071,339 3,386,837	9,107,360 3,360,806	9,814,432 3,508,953
Disproportionate-share hospital (DSH) Median	2,004,544 594,888	1,987,584 595,761	1,983,462 577,894	1,681,772 542,168	1,559,013 549,667
Outlier Median	1,217,426 582,572	1,981,480 538,116	335,817 212,434	665,081 126,559	522,436 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,443,746 3,662,910	41,217,743 3,730,911	20,994,644 4,081,319	19,736,017 4,643,908	32,944,670 4,389,147
Charity care Median	6,494,776 2,654,636	4,302,757 2,940,659	4,534,538 3,380,215	4,836,472 3,488,738	5,979,377 3,233,405
Uncompensated care (UCC) Median	12,493,283 5,147,790	9,233,376 5,337,617	9,447,249 5,711,082	10,472,847 5,923,418	10,192,927 5,508,107
UCC as a % of operating expenses Median	1.98% 3.24	1.36% 3.12	1.31% 3.21	1.36% 3.3	1.26% 2.86
Total shortfall/UCC Median	34,937,029 9,489,989	50,451,119 9,424,297	30,441,893 10,120,158	30,208,864 11,171,337	43,137,597 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	232,452,280 52,142,039	244,874,188 54,485,252	252,432,664 57,395,589	261,532,506 58,830,919	272,970,243 61,722,907
Salaries as a % of operating expenses Median	36.81 36.68	36.19 36.56	35.19 36.37	33.92 35.93	33.87 35.24
Intern, resident salaries* Median	4,657,767 2,598,592	4,799,762 2,686,824	5,099,738 2,753,773	5,238,228 2,937,156	5,384,722 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	3,406,933 1,449,244	3,598,016 1,475,986	4,039,201 1,563,078	10,473,989 1,721,954	21,381,462 2,991,828
Contract hours, direct-care Median	42,295.00 22,725	43,018.00 23,018.5	46,856.80 24,503.48	100,057.48 25,026.5	112,004.00 33,786
Contract wages, direct-care Median	80.55 64.67	83.64 64.53	86.20 65.06	104.68 68.97	190.90 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.