As of the July, 2022, release via CMS

GEISINGER MEDICAL CENTER

CMS id: 390006
100 NORTH ACADEMY AVENUE, DANVILLE PA 17822. County: MONTOUR
System: NAME: GEISINGER SYSTEM SERVICES
CBSA: Bloomsburg-Berwick, PA

The 554-bed, acute-care hospital had $104,662,176 in net service to patients*, with a total profit margin of 17.64780% in fiscal year 2021, the latest year available.
It spent 2.04% of its operating expenses on uncompensated care and reported $32,265,594 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	367 118	379 118	349 119.5	368 118	368 119
Total beds Median	559 162	574 162	555 162	550 162	554 163.5
FTEs Median	4,810.18 788.06	5,226.00 793.42	5,574.93 806.03	6,858.47 787.61	6,917.82 804.34

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	1,154,583,196 150,932,746	1,199,188,177 158,950,878	1,268,837,505 168,696,998	1,219,459,839 163,454,693	1,381,788,500 186,589,412
Operating expenses Median	1,049,561,354 149,311,209	1,096,395,105 156,110,414	1,148,243,612 164,890,568	1,205,239,590 166,516,854	1,277,126,324 180,120,888
Net income from service 2 patients (NS2P) ? Median	105,021,842 -964,173	102,793,072 -643,601.5	120,593,893 -116,254	14,220,249 -5,025,862	104,662,176 -1,284,564
NS2P margin ? Median	9.10% -0.62	8.57% -0.29	9.50% 0.18	1.17% -5.07	7.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GEISINGER 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	56,932,111 5,089,215	65,663,036 4,572,541	67,013,759 5,268,134	106,510,042 13,092,619	207,551,805 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	135,000 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	4,984,750 188,688.5	11,700,457 370,813	6,859,635 309,361.5	102,656,066 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	62,272	99,082	161,809	138,653
⊳ Line 15: Revenue from rental of living quarters	0	0	0	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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	28,990	47,480	47,905	112,158	96,579
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	5,162,365	4,103,362
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	418,353	740,535	787,425	1,038,173	1,286,460
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	56,484,768	59,827,999	54,378,890	93,040,902	99,270,685
Total income ? Median	161,953,953 6,586,430	168,456,108 6,767,106	187,607,652 8,419,950	120,730,291 8,094,175	312,213,981 15,162,888
Non-operating expenses Median	0 146,289.5	21,727,504 164,857	27,385,970 89,880.5	28,919,126 106,761	31,730,342 31,473.5
Net income Median	161,953,953 6,043,842	146,728,604 5,845,112	160,221,682 7,606,259	91,811,165 7,283,041	280,483,639 14,957,241
Net margin Median	13.36788% 4.62%	11.60046% 4.42%	11.99398% 5.16%	6.92408% 5.2%	17.64780% 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 GEISINGER 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	149,975,814 23,241,334	150,595,309 23,709,545	159,830,123 24,248,380	163,809,316 22,858,541	165,521,706 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	148,304,338 21,577,146	148,570,158 22,041,594	158,538,321 22,722,063	162,188,262 21,570,441	163,991,305 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	1,210,790 1,845,420	1,916,923 1,757,392	1,291,802 1,738,842	1,621,054 1,510,463	1,530,401 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	460,686 1,203,033	108,228 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	90,608,783 11,160,864	90,867,442 11,987,345	96,506,857 12,926,866	100,039,664 11,884,480	103,618,213 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	90,608,783 10,918,923	90,867,442 11,706,976	96,506,857 12,615,917	100,039,664 11,458,116	103,618,213 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	36,247,699 3,284,314	36,858,975 3,250,551	39,663,934 3,386,837	40,646,940 3,360,806	41,073,764 3,508,953
Disproportionate-share hospital (DSH) Median	3,417,684 594,888	3,386,718 595,761	3,599,442 577,894	3,677,488 542,168	3,330,059 549,667
Outlier Median	8,225,936 582,572	5,622,493 538,116	4,295,695 212,434	1,438,523 126,559	1,114,550 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	32,543,345 3,662,910	21,007,218 3,730,911	26,303,362 4,081,319	29,151,326 4,643,908	32,265,594 4,389,147
Charity care Median	27,561,855 2,654,636	8,850,048 2,940,659	18,763,937 3,380,215	24,158,618 3,488,738	23,019,639 3,233,405
Uncompensated care (UCC) Median	31,104,701 5,147,790	14,084,707 5,337,617	24,459,990 5,711,082	26,097,974 5,923,418	26,105,713 5,508,107
UCC as a % of operating expenses Median	2.96% 3.24	1.28% 3.12	2.13% 3.21	2.17% 3.3	2.04% 2.86
Total shortfall/UCC Median	63,648,046 9,489,989	35,091,925 9,424,297	50,763,352 10,120,158	55,249,300 11,171,337	58,371,307 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	291,735,131 52,142,039	306,737,833 54,485,252	323,947,276 57,395,589	335,435,090 58,830,919	345,055,617 61,722,907
Salaries as a % of operating expenses Median	27.36 36.68	27.43 36.56	27.56 36.37	27.29 35.93	26.53 35.24
Intern, resident salaries* Median	25,197,226 2,598,592	25,186,322 2,686,824	25,235,157 2,753,773	26,017,312 2,937,156	26,577,012 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	143,472 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	13,243,482 1,449,244	22,528,262 1,475,986	17,516,180 1,563,078	26,797,403 1,721,954	39,686,212 2,991,828
Contract hours, direct-care Median	148,932.84 22,725	324,881.99 23,018.5	262,351.28 24,503.48	398,921.89 25,026.5	441,606.74 33,786
Contract wages, direct-care Median	88.92 64.67	69.34 64.53	66.77 65.06	67.17 68.97	89.87 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.