Astrelis
Urban PPS hospital · New York, NY

HOSPITAL FOR SPECIAL SURGERY

CCN 330270NEW YORK CountyVoluntary non-profit - PrivateUrban (USDA RUCC)158 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in New York, NY. It ran an operating loss of 27.0% in FY24 on $1303.2M of operating revenue. It held 338 days of cash on hand (93rd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -46.4% in FY20 to -27.0% in FY24. Including nonoperating items, the all-in result was positive at 8.8%.

Operating margin · FY24
-27.0%
0.5 pts vs FY23
vs Urban PPS hospitals6th pctl of 2,562 (FY24)
Days cash on hand · FY24
338d
all sources
59.1 days vs FY23
vs Urban PPS hospitals93rd pctl of 2,354 (FY24)
Total operating revenue · FY24
$1.30B
73.2 $M vs FY23
vs Urban PPS hospitals92nd pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+8.8%
0.6 pts vs FY23
vs Urban PPS hospitals61st pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at HOSPITAL FOR SPECIAL SURGERY is about $13.0M per year (1% of FY24 total operating revenue).

Where HOSPITAL FOR SPECIAL sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%HOSPITAL FOR -27.00688231794946%-20%0%+20%Urban PPS hospital median +2.027429837815152%HOSPITAL FOR -27.00688231794946%
One urban pps hospitalHOSPITAL FORUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
-27.0% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+8.8% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
338d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
4.28× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
59% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
56d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue1,121,2811,229,9181,303,166
Total operating revenue1,121,2811,229,9181,303,166
Total operating expenses1,449,8921,567,9841,655,110
Operating income(328,611)(338,066)(351,944)
Operating margin %-29.3%-27.5%-27.0%
Investment income10,68314,18329,478
Other non-operating, net388,248486,232481,360
Net income70,320162,349158,894
Net income %+4.6%+9.4%+8.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 158-bed hospital at 47% occupancy 65% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
47.2%
Verified fact2024
HCRIS WS S-3
Average daily census
74.85
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
158
Verified fact2024
HCRIS WS S-3
Annual discharges
7,805
Verified fact2024
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
65.3%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
4,694
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.0%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$20.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.162
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
11.9%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.92
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.621757
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-46.4%-32.5%-29.3%-27.5%-27.0%FY20FY21FY22FY23FY24
Days cash on hand
371 days321 days253 days279 days338 daysFY20FY21FY22FY23FY24

The county this hospital serves

NEW YORK County, NY · metro, 1M+ population
Median household income
$104.6K
vs $82.1K US · $59.7K rural median
Poverty rate
15.8%
vs 12.5% US · 14.3% rural median
Uninsured
4.3%
vs 8.6% US · 8.4% rural median
Age 65+
17.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.6% of county personal income is Medicare/Medicaid medical benefits; 8.0% arrives as government transfers (BEA, 2022).

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