New York holds more CMS one-star hospitals than any state, the most in the nation.
Despite the undesirable distinction, most of them appear to be profitable, according to data from Sage Transparency, which was launched by the Employers' Forum of Indiana. New York City-based Montefiore Medical Center tops the list. Kings County Hospital Center, also in New York City, sits at the other end of the spectrum with a negative 161 percent relative profitability.
The database lists a hospital's total facility cost (the average amount paid for its services, weighted by volume of claims, as a percentage of what Medicare would have paid) and its breakeven point, shown as the average amount a hospital needs to be paid for its services, as a percentage of what Medicare would pay, to end up with no profit and no loss.
The difference between the two figures — what the hospital is paid versus its breakeven price — represents its relative profitability.
Note: Total facility cost is based on 2018-2020 data. Breakeven points were determined by the National Academy for State Health Policy through an analysis of each hospital's 2019 Medicare Cost Reports. As newer data becomes available, these figures will be updated.
|
Hospital |
Total facility cost* |
Breakeven point* |
Relative profitability* |
|---|---|---|---|
|
364% |
8% |
356% |
|
376% |
40% |
336% |
|
274% |
13% |
261% |
|
355% |
141% |
214% |
|
295% |
81% |
214% |
|
344% |
133% |
211% |
|
324% |
132% |
192% |
|
257% |
101% |
156% |
|
269% |
130% |
139% |
|
150% |
12% |
138% |
|
257% |
129% |
128% |
|
145% |
23% |
122% |
|
227% |
108% |
119% |
|
180% |
65% |
115% |
|
275% |
169% |
106% |
|
248% |
151% |
97% |
|
182% |
86% |
96% |
|
153% |
64% |
89% |
|
101% |
18% |
83% |
|
113% |
50% |
63% |
|
112% |
77% |
35% |
|
128% |
97% |
31% |
|
151% |
130% |
21% |
|
123% |
173% |
-50% |
|
81% |
242% |
-161% |
|
Lincoln Medical & Mental Health Center (New York City) |
Incomplete data |
||
|
Elmhurst Hospital Center |
Incomplete data |
||
|
NYCHealth + Hospitals/Coney Island (New York City) |
Incomplete data |
||
|
Wyckoff Heights Medical Center (New York City) |
Incomplete data |
||
|
Massena Hospital |
Incomplete data |
||
|
Harlem Hospital Center (New York City) |
Incomplete data |
||
|
SUNY/Downstate University Hospital of Brooklyn (New York City) |
Incomplete data |
||
|
St. John's Episcopal Hospital at South Shore (New York City) |
Incomplete data |
||
|
St. Barnabas Hospital (New York City) |
Incomplete data |
||
*as a percent of what Medicare would reimburse for the hospital's cumulative service output