As of the July, 2022, release via CMS

WILLIAMSPORT HOSPITAL & MEDICAL CTR

CMS id: 390045
700 HIGH STREET, WILLIAMSPORT PA 17701. County: LYCOMING
System: SUSQUEHANNA HEALTH SYSTEM
CBSA: Williamsport, PA

The 255-bed, acute-care hospital had $-25,791,194 in net service to patients*, with a total profit margin of 1.08522% in fiscal year 2021, the latest year available.
It spent 0.98% of its operating expenses on uncompensated care and reported $16,849,890 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	168 118	168 118	199 119.5	199 118	199 119
Total beds Median	224 162	224 162	255 162	255 162	255 163.5
FTEs Median	1,194.75 788.06	1,522.67 793.42	1,546.54 806.03	1,595.06 787.61	1,977.99 804.34

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	288,817,560 150,932,746	294,014,873 158,950,878	360,963,784 168,696,998	406,015,739 163,454,693	456,325,537 186,589,412
Operating expenses Median	291,229,145 149,311,209	311,826,925 156,110,414	368,469,922 164,890,568	385,188,293 166,516,854	482,116,731 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,411,585 -964,173	-17,812,052 -643,601.5	-7,506,138 -116,254	20,827,446 -5,025,862	-25,791,194 -1,284,564
NS2P margin ? Median	-0.83% -0.62	-6.06% -0.29	-2.08% 0.18	5.13% -5.07	-5.65% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WILLIAMSPORT HOSPITAL & MEDICAL CTR 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	38,807,924 5,089,215	41,158,608 4,572,541	50,220,529 5,268,134	37,856,938 13,092,619	35,574,597 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	8,822 224,999	11,956 199,009	9,624 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	2,221,820 299,524	119,505 188,688.5	65,493 370,813	40,647 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	61,421	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	1,398,123	1,046,959	1,229,161	1,040,624	1,237,232
⊳ 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	25,177	1,386	9,878	760	260
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	64,443	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	59,972	64,947	99,023	4,272	20,169
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	586,741	727,830	87,652	91,818	0
⊳ 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	34,381,405	39,186,025	48,719,698	36,678,817	34,316,936
Total income ? Median	36,396,339 6,586,430	23,346,556 6,767,106	42,714,391 8,419,950	58,684,384 8,094,175	9,783,403 15,162,888
Non-operating expenses Median	1,924,237 146,289.5	1,893,174 164,857	1,343,113 89,880.5	1,080,605 106,761	4,445,226 31,473.5
Net income Median	34,472,102 6,043,842	21,453,382 5,845,112	41,371,278 7,606,259	57,603,779 7,283,041	5,338,177 14,957,241
Net margin Median	10.52180% 4.62%	6.40068% 4.42%	10.06149% 5.16%	12.97755% 5.2%	1.08522% 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 WILLIAMSPORT HOSPITAL & MEDICAL CTR 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	56,872,852 23,241,334	56,053,849 23,709,545	55,568,740 24,248,380	52,925,169 22,858,541	58,415,790 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	50,610,717 21,577,146	49,152,309 22,041,594	48,704,880 22,722,063	46,885,318 21,570,441	53,673,770 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	6,262,135 3,535,627	6,901,540 3,746,588	6,863,860 3,782,288	6,039,851 3,865,578	4,742,020 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	15,745,470 11,160,864	16,997,626 11,987,345	27,059,639 12,926,866	35,303,006 11,884,480	32,893,852 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	15,745,470 10,918,923	16,997,626 11,706,976	27,059,639 12,615,917	35,303,006 11,458,116	32,893,852 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	2,841,115 3,284,314	3,125,188 3,250,551	3,109,402 3,386,837	2,981,102 3,360,806	3,193,375 3,508,953
Disproportionate-share hospital (DSH) Median	756,122 594,888	750,084 595,761	834,846 577,894	849,991 542,168	890,370 549,667
Outlier Median	2,378,573 582,572	2,135,259 538,116	2,396,547 212,434	957,030 126,559	1,120,678 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,045,800 3,662,910	8,089,371 3,730,911	18,794,710 4,081,319	17,248,317 4,643,908	16,849,890 4,389,147
Charity care Median	227,539 2,654,636	764,621 2,940,659	1,709,782 3,380,215	2,786,759 3,488,738	2,007,610 3,233,405
Uncompensated care (UCC) Median	3,797,102 5,147,790	5,120,604 5,337,617	6,165,103 5,711,082	6,285,668 5,923,418	4,737,994 5,508,107
UCC as a % of operating expenses Median	1.30% 3.24	1.64% 3.12	1.67% 3.21	1.63% 3.3	0.98% 2.86
Total shortfall/UCC Median	11,842,902 9,489,989	13,209,975 9,424,297	24,959,813 10,120,158	23,533,985 11,171,337	21,587,884 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	83,772,873 52,142,039	85,462,774 54,485,252	99,573,293 57,395,589	108,751,944 58,830,919	118,848,447 61,722,907
Salaries as a % of operating expenses Median	28.77 36.68	27.41 36.56	27.02 36.37	28.23 35.93	24.65 35.24
Intern, resident salaries* Median	2,511,858 2,598,592	2,607,691 2,686,824	732,157 2,753,773	144,027 2,937,156	145,280 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	1,519,638 1,204,885	1,617,477 1,279,653	1,666,551 1,469,317
Contract adjusted salaries, direct-care Median	1,012,108 1,449,244	5,681,376 1,475,986	7,328,041 1,563,078	5,365,858 1,721,954	5,004,284 2,991,828
Contract hours, direct-care Median	15,874.00 22,725	100,081.00 23,018.5	137,185.00 24,503.48	93,006.00 25,026.5	86,981.00 33,786
Contract wages, direct-care Median	63.76 64.67	56.77 64.53	53.42 65.06	57.69 68.97	57.53 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.