As of the July, 2022, release via CMS

THE WASHINGTON HOSPITAL

CMS id: 390042
155 WILSON AVENUE, WASHINGTON PA 15301. County: WASHINGTON
System: --
CBSA: Pittsburgh, PA

The 251-bed, acute-care hospital had $-10,661,118 in net service to patients*, with a total profit margin of 16.81068% in fiscal year 2021, the latest year available.
It spent 1.46% of its operating expenses on uncompensated care and reported $856,531 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	188 118	188 118	188 119.5	188 118	188 119
Total beds Median	251 162	251 162	251 162	251 162	251 163.5
FTEs Median	1,585.26 788.06	1,570.37 793.42	1,522.60 806.03	1,449.12 787.61	1,408.70 804.34

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	238,065,745 150,932,746	231,265,274 158,950,878	229,887,625 168,696,998	225,534,922 163,454,693	226,945,505 186,589,412
Operating expenses Median	242,367,378 149,311,209	241,103,141 156,110,414	235,784,558 164,890,568	231,315,813 166,516,854	237,606,623 180,120,888
Net income from service 2 patients (NS2P) ? Median	-4,301,633 -964,173	-9,837,867 -643,601.5	-5,896,933 -116,254	-5,780,891 -5,025,862	-10,661,118 -1,284,564
NS2P margin ? Median	-1.81% -0.62	-4.25% -0.29	-2.57% 0.18	-2.56% -5.07	-4.70% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE WASHINGTON HOSPITAL 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	32,173,094 5,089,215	27,422,659 4,572,541	26,849,212 5,268,134	28,519,225 13,092,619	58,676,040 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	9,903,548 299,524	7,119,832 188,688.5	6,598,199 370,813	3,660,487 309,361.5	22,315,498 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	1	--	--
⊳ Line 10: Purchase discounts	951,734	1,197,305	2,289,513	2,198,196	2,542,161
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	779,611	743,671	710,837	652,426	599,508
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,700,794	1,615,815	1,593,110	1,391,937	1,156,762
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	17	173	43	56	0
⊳ Line 17: Revenue from sale of drugs to other than patients	1,975,816	1,647,218	1,399,421	1,589,780	1,695,408
⊳ Line 18: Revenue from sale of medical records and abstracts	120,817	58,934	49,145	49,145	43,487
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	814,245	857,295	696,959	696,959	563,506
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	16,387	13,684	15,079	15,079	8,245
⊳ Line 22: Rental of hospital space	3,106,914	3,285,841	3,399,193	3,420,397	3,597,223
⊳ 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	12,803,211	10,882,891	10,097,712	14,844,763	26,154,242
Total income ? Median	27,871,461 6,586,430	17,584,792 6,767,106	20,952,279 8,419,950	22,738,334 8,094,175	48,014,922 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	1,519,721 106,761	0 31,473.5
Net income Median	27,871,461 6,043,842	17,584,792 5,845,112	20,952,279 7,606,259	21,218,613 7,283,041	48,014,922 14,957,241
Net margin Median	10.31364% 4.62%	6.79769% 4.42%	8.16099% 5.16%	8.35200% 5.2%	16.81068% 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 THE WASHINGTON HOSPITAL 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	27,748,768 23,241,334	26,296,842 23,709,545	27,254,366 24,248,380	23,001,599 22,858,541	23,654,185 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	26,071,681 21,577,146	24,699,369 22,041,594	25,340,464 22,722,063	20,837,961 21,570,441	22,811,913 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	656,787 1,845,420	636,412 1,757,392	896,776 1,738,842	1,092,868 1,510,463	657,111 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,020,300 3,535,627	961,061 3,746,588	1,017,126 3,782,288	1,070,770 3,865,578	185,161 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	10,314,537 11,160,864	11,682,215 11,987,345	12,525,873 12,926,866	11,610,787 11,884,480	10,987,909 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	10,314,537 10,918,923	11,682,215 11,706,976	12,525,873 12,615,917	11,610,787 11,458,116	10,987,909 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	2,350,092 3,284,314	2,214,568 3,250,551	2,130,118 3,386,837	1,689,577 3,360,806	2,036,387 3,508,953
Disproportionate-share hospital (DSH) Median	365,823 594,888	314,142 595,761	323,941 577,894	302,334 542,168	252,796 549,667
Outlier Median	868,424 582,572	722,083 538,116	439,436 212,434	253,205 126,559	124,908 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,275,609 3,662,910	1,665,951 3,730,911	525,700 4,081,319	1,578,151 4,643,908	856,531 4,389,147
Charity care Median	976,473 2,654,636	1,143,905 2,940,659	385,428 3,380,215	639,390 3,488,738	435,739 3,233,405
Uncompensated care (UCC) Median	10,125,249 5,147,790	9,658,252 5,337,617	3,072,859 5,711,082	4,289,947 5,923,418	3,457,297 5,508,107
UCC as a % of operating expenses Median	4.18% 3.24	4.01% 3.12	1.30% 3.21	1.85% 3.3	1.46% 2.86
Total shortfall/UCC Median	11,400,858 9,489,989	11,324,203 9,424,297	3,598,559 10,120,158	5,868,098 11,171,337	4,313,828 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	97,934,803 52,142,039	97,893,616 54,485,252	96,255,808 57,395,589	93,152,035 58,830,919	94,587,319 61,722,907
Salaries as a % of operating expenses Median	41.60 36.68	41.81 36.56	40.70 36.37	39.82 35.93	39.37 35.24
Intern, resident salaries* Median	1,195,877 2,598,592	1,196,087 2,686,824	1,255,558 2,753,773	1,358,423 2,937,156	1,321,612 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,145,187 1,449,244	1,025,197 1,475,986	863,776 1,563,078	933,989 1,721,954	1,052,888 2,991,828
Contract hours, direct-care Median	8,594.50 22,725	7,606.50 23,018.5	7,348.10 24,503.48	7,227.00 25,026.5	7,566.40 33,786
Contract wages, direct-care Median	133.25 64.67	134.78 64.53	117.55 65.06	129.24 68.97	139.15 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.