As of the July, 2022, release via CMS

SBH HEALTH SYSTEM

CMS id: 330399
4422 THIRD AVENUE, BRONX NY 10457. County: BRONX
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 332-bed, acute-care hospital had $-136,608,584 in net service to patients*, with a total profit margin of -8.09911% in fiscal year 2021, the latest year available.
It spent 9.19% of its operating expenses on uncompensated care and reported $19,396,436 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	242 118	242 118	242 119.5	242 118	242 119
Total beds Median	332 162	332 162	332 162	332 162	332 163.5
FTEs Median	2,518.80 788.06	2,444.40 793.42	2,431.14 806.03	2,448.61 787.61	2,479.90 804.34

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	310,721,597 150,932,746	315,444,878 158,950,878	328,997,098 168,696,998	324,920,329 163,454,693	342,034,251 186,589,412
Operating expenses Median	400,318,810 149,311,209	411,164,710 156,110,414	418,380,017 164,890,568	442,221,479 166,516,854	478,642,835 180,120,888
Net income from service 2 patients (NS2P) ? Median	-89,597,213 -964,173	-95,719,832 -643,601.5	-89,382,919 -116,254	-117,301,150 -5,025,862	-136,608,584 -1,284,564
NS2P margin ? Median	-28.84% -0.62	-30.34% -0.29	-27.17% 0.18	-36.10% -5.07	-39.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SBH HEALTH SYSTEM 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	71,742,897 5,089,215	76,749,077 4,572,541	83,170,850 5,268,134	141,620,306 13,092,619	99,566,489 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	707,312 224,999	512,864 199,009	650,222 206,870.5	2,061,881 194,343	772,321 249,496
⊳ Line 7: Investments ? ⊳ Median	79,857 299,524	201,463 188,688.5	79,405 370,813	54,309 309,361.5	116,583 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	479,658	1,165,888	1,118,366	1,454,725	1,167,504
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	163,748	1,584,058	1,868,347	1,450,301	1,995,543
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	470,520	724,756	817,207	472,143	632,194
⊳ 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	34,228	31,930	28,629	18,346	19,638
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	-85,946	490	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,169,474	1,169,474	1,149,828	1,149,828	1,149,828
⊳ Line 23: Gov appropriations ? ⊳ Median	11,798,178 1,017,693	11,156,310 983,261.5	33,519,286 1,173,286	40,725,212 1,987,202	15,912,266 1,597,664
⊳ Sum Line 24	56,925,868	60,201,844	43,939,560	94,233,561	77,800,612
Total income ? Median	-17,854,316 6,586,430	-18,970,755 6,767,106	-6,212,069 8,419,950	24,319,156 8,094,175	-37,042,095 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-1,276,375 31,473.5
Net income Median	-17,854,316 6,043,842	-18,970,755 5,845,112	-6,212,069 7,606,259	24,319,156 7,283,041	-35,765,720 14,957,241
Net margin Median	-4.66823% 4.62%	-4.83709% 4.42%	-1.50717% 5.16%	5.21266% 5.2%	-8.09911% 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 SBH HEALTH SYSTEM 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	52,398,069 23,241,334	58,409,612 23,709,545	59,594,287 24,248,380	61,123,877 22,858,541	62,702,988 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	50,310,412 21,577,146	56,443,182 22,041,594	58,075,555 22,722,063	59,503,532 21,570,441	61,096,783 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	2,087,657 1,845,420	1,966,430 1,757,392	1,518,732 1,738,842	1,620,345 1,510,463	1,606,205 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	7,392,148 11,160,864	7,289,582 11,987,345	7,551,572 12,926,866	5,966,986 11,884,480	6,525,415 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	7,392,148 10,918,923	7,289,582 11,706,976	7,551,572 12,615,917	5,966,986 11,458,116	6,525,415 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	18,251,635 3,284,314	19,761,972 3,250,551	20,300,292 3,386,837	21,212,226 3,360,806	21,471,892 3,508,953
Disproportionate-share hospital (DSH) Median	1,898,760 594,888	2,894,550 595,761	2,596,132 577,894	2,546,452 542,168	2,192,838 549,667
Outlier Median	180,948 582,572	578,608 538,116	119,729 212,434	144,535 126,559	111,907 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	11,682,339 3,730,911	12,695,809 4,081,319	25,878,946 4,643,908	19,396,436 4,389,147
Charity care Median	25,057,196 2,654,636	42,990,734 2,940,659	10,669,543 3,380,215	15,788,970 3,488,738	21,284,493 3,233,405
Uncompensated care (UCC) Median	27,217,906 5,147,790	51,902,503 5,337,617	35,606,512 5,711,082	47,788,631 5,923,418	43,972,017 5,508,107
UCC as a % of operating expenses Median	6.80% 3.24	12.62% 3.12	8.51% 3.21	10.81% 3.3	9.19% 2.86
Total shortfall/UCC Median	27,217,906 9,489,989	63,584,842 9,424,297	48,302,321 10,120,158	73,667,577 11,171,337	63,368,453 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	198,471,144 52,142,039	205,861,028 54,485,252	210,846,779 57,395,589	223,178,285 58,830,919	231,515,344 61,722,907
Salaries as a % of operating expenses Median	49.58 36.68	50.07 36.56	50.40 36.37	50.47 35.93	48.37 35.24
Intern, resident salaries* Median	18,664,958 2,598,592	19,534,091 2,686,824	20,205,119 2,753,773	21,293,687 2,937,156	21,885,041 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	2,166,224 1,449,244	1,732,955 1,475,986	0 1,563,078	4,478,101 1,721,954	6,652,922 2,991,828
Contract hours, direct-care Median	72,485.00 22,725	57,987.00 23,018.5	0.00 24,503.48	56,053.00 25,026.5	64,913.48 33,786
Contract wages, direct-care Median	29.89 64.67	29.89 64.53	0.00 65.06	79.89 68.97	102.49 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.