As of the July, 2022, release via CMS

ST. CATHERINE OF SIENA MEDICAL CENTE

CMS id: 330401
50 ROUTE 25A, SMITHTOWN NY 11787. County: SUFFOLK
System: CHSLI
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 536-bed, acute-care hospital had $-16,723,965 in net service to patients*, with a total profit margin of -3.28974% in fiscal year 2021, the latest year available.
It spent 2.14% of its operating expenses on uncompensated care and reported $6,797,919 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	224 118	224 118	224 119.5	224 118	224 119
Total beds Median	546 162	546 162	546 162	536 162	536 163.5
FTEs Median	1,548.11 788.06	1,570.80 793.42	1,575.84 806.03	1,484.05 787.61	1,428.50 804.34

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	242,981,473 150,932,746	253,212,214 158,950,878	259,579,968 168,696,998	232,926,938 163,454,693	263,145,318 186,589,412
Operating expenses Median	253,833,251 149,311,209	267,002,804 156,110,414	274,277,997 164,890,568	279,532,869 166,516,854	279,869,283 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,851,778 -964,173	-13,790,590 -643,601.5	-14,698,029 -116,254	-46,605,931 -5,025,862	-16,723,965 -1,284,564
NS2P margin ? Median	-4.47% -0.62	-5.45% -0.29	-5.66% 0.18	-20.01% -5.07	-6.36% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. CATHERINE OF SIENA MEDICAL CENTE 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	4,341,135 5,089,215	16,645,807 4,572,541	4,622,240 5,268,134	49,158,942 13,092,619	7,757,580 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	11,704 224,999	4,037 199,009	4,071 206,870.5	300 194,343	400 249,496
⊳ Line 7: Investments ? ⊳ Median	452,953 299,524	772,300 188,688.5	692,230 370,813	311,000 309,361.5	104,100 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	22,065	16,770	15,330	14,700	5,900
⊳ Line 11: Rebates and refunds of expenses	0	0	2,624	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	47,801	45,813	47,676	58,600	44,500
⊳ 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	9,277	10,319	11,847	5,300	7,300
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	103,200	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	16,200	-7,600
⊳ Line 21: Rental of vending machines	8,434	3,581	8,984	1,500	2,600
⊳ Line 22: Rental of hospital space	713,341	1,122,450	1,072,551	708,600	1,055,700
⊳ Line 23: Gov appropriations ? ⊳ Median	22,555 1,017,693	175,200 983,261.5	126,555 1,173,286	44,561,168 1,987,202	163,312 1,597,664
⊳ Sum Line 24	3,053,005	14,495,337	2,537,172	3,481,574	6,381,368
Total income ? Median	-6,510,643 6,586,430	2,855,217 6,767,106	-10,075,789 8,419,950	2,553,011 8,094,175	-8,966,385 15,162,888
Non-operating expenses Median	88,356 146,289.5	211,217 164,857	-323,789 89,880.5	-140,989 106,761	-54,385 31,473.5
Net income Median	-6,598,999 6,043,842	2,644,000 5,845,112	-9,752,000 7,606,259	2,694,000 7,283,041	-8,912,000 14,957,241
Net margin Median	-2.66817% 4.62%	0.97977% 4.42%	-3.69111% 5.16%	0.95503% 5.2%	-3.28974% 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 ST. CATHERINE OF SIENA MEDICAL CENTE 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	68,615,713 23,241,334	74,713,846 23,709,545	78,679,990 24,248,380	70,681,192 22,858,541	66,349,148 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	45,842,281 21,577,146	52,008,337 22,041,594	54,009,127 22,722,063	52,420,882 21,570,441	52,339,417 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	5,487,438 1,845,420	4,595,560 1,757,392	5,427,671 1,738,842	3,929,032 1,510,463	3,281,228 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	17,285,994 1,203,033	18,109,949 1,215,295	19,243,192 1,313,657	14,331,278 1,365,298	10,728,503 1,179,746
All outpatient revenue Median Click here to show/hide details	14,845,841 11,160,864	15,314,127 11,987,345	15,003,220 12,926,866	12,312,054 11,884,480	15,523,745 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	14,845,841 10,918,923	15,314,127 11,706,976	15,003,220 12,615,917	12,312,054 11,458,116	15,523,745 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	310,894 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	1,128,593 582,572	585,795 538,116	125,887 212,434	146,588 126,559	161,821 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	530,666 3,662,910	945,784 3,730,911	5,089,696 4,081,319	12,041,697 4,643,908	6,797,919 4,389,147
Charity care Median	4,162,317 2,654,636	2,932,240 2,940,659	2,767,446 3,380,215	4,245,172 3,488,738	3,245,935 3,233,405
Uncompensated care (UCC) Median	5,124,362 5,147,790	3,847,083 5,337,617	3,756,661 5,711,082	8,023,848 5,923,418	5,999,755 5,508,107
UCC as a % of operating expenses Median	2.02% 3.24	1.44% 3.12	1.37% 3.21	2.87% 3.3	2.14% 2.86
Total shortfall/UCC Median	5,655,028 9,489,989	4,792,867 9,424,297	8,846,357 10,120,158	20,065,545 11,171,337	12,797,674 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	122,177,356 52,142,039	128,747,956 54,485,252	129,926,732 57,395,589	131,195,690 58,830,919	125,442,346 61,722,907
Salaries as a % of operating expenses Median	48.13 36.68	48.22 36.56	47.37 36.37	46.93 35.93	44.82 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 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	1,225,936 1,449,244	340,035 1,475,986	0 1,563,078	1,224,727 1,721,954	1,410,632 2,991,828
Contract hours, direct-care Median	16,476.00 22,725	4,912.00 23,018.5	0.00 24,503.48	11,971.00 25,026.5	10,584.00 33,786
Contract wages, direct-care Median	74.41 64.67	69.23 64.53	0.00 65.06	102.31 68.97	133.28 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.