As of the July, 2022, release via CMS

EPISCOPAL HEALTH SERVICES

CMS id: 330395
327 BEACH 19TH STREET, FAR ROCKAWAY NY 11691. County: QUEENS
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 209-bed, acute-care hospital had $-111,238,715 in net service to patients*, with a total profit margin of 9.39035% in fiscal year 2020, the latest year available.
It spent 1.80% of its operating expenses on uncompensated care and reported $31,305,700 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	150 118	150 118	150 119.5	150 118	-- 119
Total beds Median	213 162	209 162	209 162	209 162	-- 163.5
FTEs Median	1,259.80 788.06	1,543.10 793.42	1,589.20 806.03	1,591.70 787.61	-- 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	164,476,000 150,932,746	176,455,618 158,950,878	168,879,177 168,696,998	168,596,000 163,454,693	-- 186,589,412
Operating expenses Median	224,186,679 149,311,209	249,401,389 156,110,414	267,213,862 164,890,568	279,834,715 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-59,710,679 -964,173	-72,945,771 -643,601.5	-98,334,685 -116,254	-111,238,715 -5,025,862	-- -1,284,564
NS2P margin ? Median	-36.30% -0.62	-41.34% -0.29	-58.23% 0.18	-65.98% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EPISCOPAL HEALTH SERVICES 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	56,022,420 5,089,215	60,342,290 4,572,541	89,886,667 5,268,134	140,239,435 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	289,550 224,999	707 199,009	12,705 206,870.5	269,686 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	106,794 299,524	177,277 188,688.5	176,831 370,813	557,427 309,361.5	-- 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	36,091	68,835	0	--
⊳ Line 11: Rebates and refunds of expenses	11,358	0	0	569,241	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	769,774	833,663	717,083	650,852	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	102,021	125,002	96,617	61,338	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	158,715	0	--
⊳ Line 21: Rental of vending machines	9,221	10,041	9,529	5,858	--
⊳ Line 22: Rental of hospital space	140,130	135,315	109,312	62,804	--
⊳ Line 23: Gov appropriations ? ⊳ Median	49,101,786 1,017,693	53,125,142 983,261.5	74,618,424 1,173,286	125,175,558 1,987,202	-- 1,597,664
⊳ Sum Line 24	5,490,357	5,898,490	13,918,419	12,886,573	--
Total income ? Median	-3,688,259 6,586,430	-12,603,481 6,767,106	-8,448,018 8,419,950	29,000,720 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	-9,279,316 164,857	10,880 89,880.5	0 106,761	-- 31,473.5
Net income Median	-3,688,259 6,043,842	-3,324,165 5,845,112	-8,458,898 7,606,259	29,000,720 7,283,041	-- 14,957,241
Net margin Median	-1.67269% 4.62%	-1.40380% 4.42%	-3.26894% 5.16%	9.39035% 5.2%	--% 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 EPISCOPAL HEALTH SERVICES 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	65,641,570 23,241,334	68,982,418 23,709,545	67,886,127 24,248,380	70,971,917 22,858,541	-- 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	61,163,166 21,577,146	63,508,495 22,041,594	63,096,823 22,722,063	67,490,966 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	4,478,404 1,845,420	5,473,923 1,757,392	4,789,304 1,738,842	3,480,951 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	11,235,651 11,160,864	11,218,551 11,987,345	10,618,813 12,926,866	7,580,860 11,884,480	-- 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	11,235,651 10,918,923	11,218,551 11,706,976	10,618,813 12,615,917	7,580,860 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	28,275,257 3,284,314	29,457,270 3,250,551	29,486,150 3,386,837	31,274,296 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	2,425,044 594,888	2,382,710 595,761	2,362,386 577,894	2,535,422 542,168	-- 549,667
Outlier Median	2,130,185 582,572	2,095,946 538,116	784,849 212,434	642,573 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	888,739 3,662,910	27,875,666 3,730,911	32,880,151 4,081,319	31,305,700 4,643,908	-- 4,389,147
Charity care Median	6,660,054 2,654,636	2,499,609 2,940,659	1,949,782 3,380,215	2,464,636 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	8,748,411 5,147,790	5,037,179 5,337,617	4,433,662 5,711,082	5,027,242 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	3.90% 3.24	2.02% 3.12	1.66% 3.21	1.80% 3.3	--% 2.86
Total shortfall/UCC Median	9,637,150 9,489,989	32,912,845 9,424,297	37,313,813 10,120,158	36,332,942 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	115,296,227 52,142,039	126,954,648 54,485,252	135,730,499 57,395,589	148,297,582 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	51.43 36.68	50.90 36.56	50.79 36.37	52.99 35.93	-- 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	641,882 1,251,927	535,285 1,186,494	553,004 1,204,885	540,250 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	2,372,823 1,449,244	2,374,277 1,475,986	3,025,728 1,563,078	5,797,726 1,721,954	-- 2,991,828
Contract hours, direct-care Median	45,314.00 22,725	37,428.00 23,018.5	42,317.00 24,503.48	63,749.00 25,026.5	-- 33,786
Contract wages, direct-care Median	52.36 64.67	63.44 64.53	71.50 65.06	90.95 68.97	-- 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.