LeadingAge New York  and the Greater New York Hospital Association (GNYHA) are requesting certain financial and operational information to educate local, state, and federal lawmakers on the historical and projected financial and operational challenges that New York State nursing homes are facing. GNYHA and LANY will not publish or disseminate your nursing home or system-identifiable information and will use only aggregated data in our education and advocacy efforts. 

Member nursing homes are asked to complete and submit the survey by December 7th. 
Organizations that are members of both associations need to only complete the survey once.
If you have questions, please contact Darius Kirstein.

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* 1. Respondent Contact Information

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* 2. Are you reporting on behalf of an independent nursing home or a system?

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* 3. Please enter the name of the facility or system

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* 4. For consistent results across nursing homes, we are asking that all results, where identified, be reported on a CALENDAR YEAR basis. If you cannot report on a calendar year basis, please indicate the timeframe that you're reporting on here.

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* 5. Please enter your total operating revenue (calendar year reporting preferred as previously noted)

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* 6. What is your facility's anticipated change in operating revenue from 2022 to 2023?

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* 7. Please enter your total operating expenses (calendar year reporting preferred as previously noted)

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* 8. What is your facility's anticipated change in operating expenses from 2022 to 2023?

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* 9. Please identify any one-time, non-recurring, Federal/state funding received (COVID-related or not, e.g. FEMA, Provider Relief funding, VAPAP) (Calendar year reporting preferred as previously noted)

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* 10. Please indicate your facility's anticipated change in any one-time, non-recurring, Federal/State funding received (COVID-related or not, e.g. FEMA, Provider Relief funding, VAPAP) from 2022 to 2023?

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* 11. What are your days cash on hand (cash + cash equivalents) - INCLUDING any one-time, non-recurring, COVID-related Federal / state funding support (i.e. FEMA or Provider Relief funding)

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* 12. What are your days cash on hand (cash + cash equivalents) - EXCLUDING any one-time, non-recurring, COVID-related Federal / state funding support (i.e. FEMA or Provider Relief funding)

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* 13. Based on financial projections, do you believe you may be at risk for defaulting on your debt covenants at any point between now and the end of 2023?

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* 14. Have financial circumstances since 2020 required you to delay or cancel planned capital projects?

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* 15. What are your total labor expenses (salary + fringe)? (Calendar year reporting preferred as previously noted)

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* 16. What is the anticipated change in your facility's labor expenses (salary + fringe) from 2022 to 2023?

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* 17. What are your total labor expenses for all EMPLOYED staff? (Calendar year reporting preferred as previously noted)

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* 18. What is the anticipated change in your facility's total labor expenses for all EMPLOYED staff from 2022 to 2023?

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* 19. What are your total labor expenses for EMPLOYED nursing staff? (Calendar year reporting preferred as previously noted)

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* 20. What is the anticipated change in your facility's total labor expenses for all EMPLOYED nursing staff from 2022 to 2023?

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* 21. What are your total labor expenses for all CONTRACTED staff? (Calendar year reporting preferred as previously noted)

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* 22. What is the anticipated change in your facility's total labor expenses for all CONTRACTED staff from 2022 to 2023?

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* 23. What are your total labor expenses for CONTRACTED nursing staff? (Calendar year reporting preferred as previously noted)

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* 24. What is the anticipated change in your facility's total labor expenses for CONTRACTED nursing staff from 2022 to 2023?

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* 25. What are your total non-labor operating expenses? (Calendar year reporting preferred as previously noted)

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* 26. What is the anticipated change in your facility's total non-labor operating expenses from 2022 to 2023?

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* 27. For each of the reasons listed below, please indicate the significance of each in contributing to your organization's financial stress.

  Minimal Moderate Significant Not Applicable
Inadequate Medicaid rates
Staffing costs
Limited admissions/closed units due to staffing changes
Depressed demand for services
Less favorable payer mix than pre-pandemic
Medicare Advantage payment reductions
Continuing unreimbursed costs related to COVID

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* 28. Please enter your nursing home's Medicaid Case Mix Index (CMI) for the following periods: 

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* 29. Does your facility currently have additional bed capacity that would otherwise be used if not for extenuating circumstances like staffing challenges or lower than normal nursing home services demand?

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* 30. For each of the reasons listed below, please indicate what level of impact each has had on your nursing home's ability to open up additional bed capacity.

  No impact at all Slight impact Moderate impact Strong impact Very strong impact
Decreased staffing levels (e.g., inability to recruit and/or retain, staff callouts)
Lower demand for nursing home services
Other financial challenges

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* 31. Please provide any additional comments that you feel are important for us to know related to your nursing home’s current and future financial situation.

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