As of the July, 2022, release via CMS

COMMUNITY MEDICAL CENTER

CMS id: 390001
1800 MULBERRY STREET, SCRANTON PA 18510. County: LACKAWANNA
System: GEISINGER SYSTEM SERVICES
CBSA: Scranton--Wilkes-Barre, PA

The 293-bed, acute-care hospital had $22,152,800 in net service to patients*, with a total profit margin of 11.89773% in fiscal year 2021, the latest year available.
It spent 2.07% of its operating expenses on uncompensated care and reported $15,503,067 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	231 118	237 118	237 119.5	243 118	251 119
Total beds Median	273 162	279 162	279 162	285 162	293 163.5
FTEs Median	1,504.87 788.06	1,509.74 793.42	1,576.64 806.03	1,580.42 787.61	1,606.86 804.34

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	257,547,469 150,932,746	290,113,162 158,950,878	304,541,522 168,696,998	332,643,756 163,454,693	388,495,017 186,589,412
Operating expenses Median	265,595,247 149,311,209	293,780,451 156,110,414	316,877,425 164,890,568	340,857,005 166,516,854	366,342,217 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,047,778 -964,173	-3,667,289 -643,601.5	-12,335,903 -116,254	-8,213,249 -5,025,862	22,152,800 -1,284,564
NS2P margin ? Median	-3.12% -0.62	-1.26% -0.29	-4.05% 0.18	-2.47% -5.07	5.70% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COMMUNITY MEDICAL CENTER 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	12,094,073 5,089,215	14,985,947 4,572,541	13,655,110 5,268,134	19,130,436 13,092,619	27,319,737 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	209,960 224,999	147,564 199,009	138,365 206,870.5	161,569 194,343	58,709 249,496
⊳ Line 7: Investments ? ⊳ Median	3,156,533 299,524	4,941,696 188,688.5	3,160,583 370,813	-515,784 309,361.5	21,773,012 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	8,183	8,442	300	2,344	0
⊳ Line 11: Rebates and refunds of expenses	0	0	76,714	2,302	71,589
⊳ Line 12: Parking lot receipts	124,045	121,388	127,110	130,355	128,362
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,022,857	990,225	944,871	857,845	667,415
⊳ Line 15: Revenue from rental of living quarters	0	0	1,545	0	0
⊳ 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	8,286	5,790	7,098	5,300	5,900
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	20,640	14,442	2,936	-1,135	14,156
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	119,866	147,511	152,398	112,544	0
⊳ Line 21: Rental of vending machines	46,175	99,840	56,355	52,092	34,938
⊳ Line 22: Rental of hospital space	0	0	429,319	480,725	457,724
⊳ Line 23: Gov appropriations ? ⊳ Median	65,905 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	7,215,000	8,415,885	8,490,407	17,776,201	4,095,554
Total income ? Median	4,046,295 6,586,430	11,318,658 6,767,106	1,319,207 8,419,950	10,917,187 8,094,175	49,472,537 15,162,888
Non-operating expenses Median	0 146,289.5	2 164,857	20,315 89,880.5	0 106,761	0 31,473.5
Net income Median	4,046,295 6,043,842	11,318,656 5,845,112	1,298,892 7,606,259	10,917,187 7,283,041	49,472,537 14,957,241
Net margin Median	1.50062% 4.62%	3.70983% 4.42%	0.40820% 5.16%	3.10346% 5.2%	11.89773% 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 COMMUNITY MEDICAL CENTER 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	47,444,294 23,241,334	50,909,165 23,709,545	51,978,930 24,248,380	55,464,969 22,858,541	61,516,245 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	46,100,110 21,577,146	49,487,987 22,041,594	50,317,187 22,722,063	54,206,883 21,570,441	60,569,158 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	1,344,184 1,845,420	1,421,178 1,757,392	1,661,743 1,738,842	1,258,086 1,510,463	947,087 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	21,831,848 11,160,864	27,061,173 11,987,345	28,584,874 12,926,866	29,102,843 11,884,480	30,531,938 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	21,831,848 10,918,923	27,061,173 11,706,976	28,584,874 12,615,917	29,102,843 11,458,116	30,531,938 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	3,300,700 3,284,314	4,042,583 3,250,551	4,945,476 3,386,837	5,700,446 3,360,806	5,622,144 3,508,953
Disproportionate-share hospital (DSH) Median	699,018 594,888	782,790 595,761	826,562 577,894	975,204 542,168	1,355,069 549,667
Outlier Median	1,717,148 582,572	1,485,362 538,116	1,291,971 212,434	303,549 126,559	244,083 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,006,795 3,662,910	17,858,442 3,730,911	20,515,160 4,081,319	17,073,039 4,643,908	15,503,067 4,389,147
Charity care Median	4,645,379 2,654,636	3,642,809 2,940,659	5,614,661 3,380,215	6,610,108 3,488,738	6,013,191 3,233,405
Uncompensated care (UCC) Median	5,893,907 5,147,790	5,873,192 5,337,617	7,717,700 5,711,082	8,553,193 5,923,418	7,569,313 5,508,107
UCC as a % of operating expenses Median	2.22% 3.24	2.00% 3.12	2.44% 3.21	2.51% 3.3	2.07% 2.86
Total shortfall/UCC Median	19,900,702 9,489,989	23,731,634 9,424,297	28,232,860 10,120,158	25,626,232 11,171,337	23,072,380 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	96,268,152 52,142,039	105,709,537 54,485,252	102,745,024 57,395,589	92,923,889 58,830,919	97,565,812 61,722,907
Salaries as a % of operating expenses Median	36.25 36.68	35.98 36.56	32.42 36.37	27.26 35.93	26.63 35.24
Intern, resident salaries* Median	711,901 2,598,592	793,970 2,686,824	798,571 2,753,773	858,944 2,937,156	854,320 2,909,848
Contract intern, resident salaries* Median	1,498,558 1,251,927	1,877,121 1,186,494	1,693,156 1,204,885	2,888,054 1,279,653	3,195,547 1,469,317
Contract adjusted salaries, direct-care Median	10,295,151 1,449,244	16,681,475 1,475,986	9,829,684 1,563,078	9,369,723 1,721,954	11,130,731 2,991,828
Contract hours, direct-care Median	127,586.78 22,725	208,917.00 23,018.5	140,533.25 24,503.48	144,777.06 25,026.5	115,847.08 33,786
Contract wages, direct-care Median	80.69 64.67	79.85 64.53	69.95 65.06	64.72 68.97	96.08 88.94

* in an approved program

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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.