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21st Congressional District  |  Elise Stefanik

New York’s Hospitals and Health Systems Improve the Economy and Community

Economic and Community Benefits

Economic activity


The economic activity generated by hospitals through jobs and the purchase of goods and services makes up 9.6% of the state’s entire gross domestic product.[1]

Jobs generated


Hospitals and health systems are often the largest employers in communities, generate many more jobs and are top 10 private sector employers in every region of New York.[2]

Tax dollars generated


New York hospitals generate significant tax dollars and stimulate the economies of local communities and the whole state.[3]

Payroll expenditures


New York hospitals’ #1 investment is in their people, including direct salary and benefits to their employees.[4]

Community benefits and investments


Adhering to their charitable mission, hospitals cover the cost of care provided to people in need; subsidize care and services to low-income, elderly and under-served communities; and continuously invest in many community health initiatives.[5]

Patients Served

provided care


People treated in the
emergency room


People admitted
to hospitals




Hospitals serve patients in their communities 24/7, 365 days a year.[4]

Patients covered by Medicare and Medicaid

In this district, Medicare and Medicaid patients make up:

  • 73% of all people admitted to hospitals
  • 62% of all outpatients provided care

54% of patient service revenue in this district comes from Medicare and Medicaid. This is a result of the large volume of services being reimbursed by Medicare and Medicaid, which do not cover the cost of care, driving significant underpayment from these public insurance programs.[4]

District Hospitals

This report includes data from the following:

  • Adirondack Medical Center
  • Bassett Medical Center
  • Canton-Potsdam Hospital
  • Carthage Area Hospital
  • Claxton-Hepburn Medical Center
  • Clifton-Fine Hospital
  • Cobleskill Regional Hospital
  • Glens Falls Hospital
  • Gouverneur Hospital
  • Lewis County General Hospital
  • Little Falls Hospital
  • Massena Hospital
  • Nathan Littauer Hospital
  • River Hospital
  • St. Mary's Healthcare - Amsterdam Memorial Campus
  • St. Mary's Healthcare - St. Mary's Hospital
  • The UVM Health Network - Alice Hyde Medical Center
  • The UVM Health Network - Champlain Valley Physicians Hospital
  • The UVM Health Network - Elizabethtown Community Hospital
  • The UVM Health Network - Elizabethtown Community Hospital, Ticonderoga Campus

Data sources:

  • [1] Data are mainly from 2022 New York state hospital cost reports and the 2021 RIMS II multipliers. The New York State GDP is from the Bureau of Economic Analysis.
  • [2] Data are mainly from 2022 New York state hospital cost reports and the 2021 RIMS II multipliers. Private sector employment information is from the NYS DOL.
  • [3] Data are mainly from 2022 New York state hospital cost reports and state/federal tax tables.
  • [4] Data are mainly from 2022 New York state hospital cost reports.
  • [5] Data are from 2021 IRS form 990 Schedule H, reported by hospitals. This figure does not include the billions more in community benefit provided by New York’s 21 public hospitals, which are exempt from this IRS reporting.

Due to its inherent safety-net role, this public hospital is exempt from reporting community benefit and investment activity to the federal government. As a result, millions of dollars for these commitments are not included in the data shown.