As of the July, 2022, release via CMS

HELEN HAYES HOSPITAL

CMS id: 330405
HELEN HAYES HOSPITAL, WEST HAVERSTRAW NY 10993. County: ROCKLAND
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 155-bed, acute-care hospital had $-46,271,059 in net service to patients*, with a total profit margin of 8.33375% in fiscal year 2021, the latest year available.
It spent 0.00% of its operating expenses on uncompensated care and reported $0 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	0 118	0 118	0 119.5	0 118	0 119
Total beds Median	155 162	155 162	155 162	155 162	155 163.5
FTEs Median	609.40 788.06	585.10 793.42	589.60 806.03	609.00 787.61	555.00 804.34

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	61,724,367 150,932,746	64,044,670 158,950,878	59,543,320 168,696,998	63,083,386 163,454,693	47,350,215 186,589,412
Operating expenses Median	90,408,950 149,311,209	96,113,175 156,110,414	89,862,033 164,890,568	87,300,378 166,516,854	93,621,274 180,120,888
Net income from service 2 patients (NS2P) ? Median	-28,684,583 -964,173	-32,068,505 -643,601.5	-30,318,713 -116,254	-24,216,992 -5,025,862	-46,271,059 -1,284,564
NS2P margin ? Median	-46.47% -0.62	-50.07% -0.29	-50.92% 0.18	-38.39% -5.07	-97.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HELEN HAYES 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	672,711 5,089,215	634,453 4,572,541	781,676 5,268,134	642,231 13,092,619	162,922 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	74,635 299,524	1,111 188,688.5	2,238 370,813	3,678 309,361.5	3 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	50,155	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	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	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	69,635	62,462	55,140	37,352	29,266
⊳ 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	36,619	25,967	22,174	23,978	20,070
⊳ 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	7,841	5,805	7,203	8,616	4,244
⊳ Line 22: Rental of hospital space	8,425	8,700	8,700	15,949	18,087
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	425,397	530,408	686,221	552,658	91,252
Total income ? Median	-28,011,872 6,586,430	-31,434,052 6,767,106	-29,537,037 8,419,950	-23,574,761 8,094,175	-46,108,137 15,162,888
Non-operating expenses Median	-24,261,166 146,289.5	-22,957,464 164,857	-25,981,155 89,880.5	-24,009,292 106,761	-50,067,765 31,473.5
Net income Median	-3,750,706 6,043,842	-8,476,588 5,845,112	-3,555,882 7,606,259	434,531 7,283,041	3,959,628 14,957,241
Net margin Median	-6.01103% 4.62%	-13.10560% 4.42%	-5.89454% 5.16%	0.68188% 5.2%	8.33375% 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 HELEN HAYES 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	25,839,403 23,241,334	24,288,501 23,709,545	23,415,352 24,248,380	22,150,217 22,858,541	17,702,990 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	159,808 21,577,146	65,396 22,041,594	126,592 22,722,063	57,523 21,570,441	20,833 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	20,489,756 3,535,627	18,306,783 3,746,588	16,301,726 3,782,288	15,599,019 3,865,578	17,682,157 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	5,189,839 1,203,033	5,916,322 1,215,295	6,987,034 1,313,657	6,493,675 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	1,384,305 11,160,864	1,458,383 11,987,345	1,046,174 12,926,866	683,391 11,884,480	121,360 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	1,384,305 10,918,923	1,458,383 11,706,976	1,046,174 12,615,917	683,391 11,458,116	121,360 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	37,122 3,284,314	73,631 3,250,551	137,156 3,386,837	61,231 3,360,806	21,065 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	640,807 582,572	596,385 538,116	932,037 212,434	970,243 126,559	2,277,472 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,394,912 3,662,910	1,252,670 3,730,911	3,110,012 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	0 2,654,636	0 2,940,659	0 3,380,215	0 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	0 5,147,790	1,493,061 5,337,617	0 5,711,082	406,166 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	0.00% 3.24	1.55% 3.12	0.00% 3.21	0.47% 3.3	0.00% 2.86
Total shortfall/UCC Median	2,394,912 9,489,989	2,745,731 9,424,297	3,110,012 10,120,158	406,166 11,171,337	0 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	36,530,163 52,142,039	35,969,312 54,485,252	35,743,680 57,395,589	36,979,992 58,830,919	33,861,750 61,722,907
Salaries as a % of operating expenses Median	40.41 36.68	37.42 36.56	39.78 36.37	42.36 35.93	36.17 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	223,529 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	0 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	0.00 68.97	0.00 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.