As of the July, 2022, release via CMS

YORK HOSPITAL

CMS id: 390046
1001 SOUTH GEORGE STREET, YORK PA 17405. County: YORK
System: WELLSPAN HEALTH
CBSA: York-Hanover, PA

The 596-bed, acute-care hospital had $195,050,548 in net service to patients*, with a total profit margin of 30.42684% in fiscal year 2021, the latest year available.
It spent 1.49% of its operating expenses on uncompensated care and reported $46,143,066 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	439 118	438 118	418 119.5	430 118	429 119
Total beds Median	580 162	585 162	585 162	597 162	596 163.5
FTEs Median	4,165.25 788.06	4,204.81 793.42	4,124.47 806.03	4,106.46 787.61	4,162.37 804.34

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	1,022,999,861 150,932,746	1,051,770,455 158,950,878	1,147,476,780 168,696,998	1,128,619,391 163,454,693	1,345,334,232 186,589,412
Operating expenses Median	907,578,943 149,311,209	954,450,034 156,110,414	1,015,744,144 164,890,568	1,068,092,102 166,516,854	1,150,283,684 180,120,888
Net income from service 2 patients (NS2P) ? Median	115,420,918 -964,173	97,320,421 -643,601.5	131,732,636 -116,254	60,527,289 -5,025,862	195,050,548 -1,284,564
NS2P margin ? Median	11.28% -0.62	9.25% -0.29	11.48% 0.18	5.36% -5.07	14.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for YORK 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	115,323,933 5,089,215	85,013,084 4,572,541	61,374,717 5,268,134	60,143,760 13,092,619	308,009,736 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	41,154 224,999	32,284 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	83,266,800 299,524	52,468,007 188,688.5	14,178,394 370,813	11,608,085 309,361.5	7,871,721 375,329
⊳ 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	1,550	1,265	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	2,838,078	2,833,540	0	0	0
⊳ 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.)	1,151,256	1,536,525	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	141,061	139,103	0	0	0
⊳ Line 22: Rental of hospital space	519,541	385,914	0	0	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	27,364,493	27,616,446	47,196,323	48,535,675	300,138,015
Total income ? Median	230,744,851 6,586,430	182,333,505 6,767,106	193,107,353 8,419,950	120,671,049 8,094,175	503,060,284 15,162,888
Non-operating expenses Median	670,426 146,289.5	1,112,218 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	230,074,425 6,043,842	181,221,287 5,845,112	193,107,353 7,606,259	120,671,049 7,283,041	503,060,284 14,957,241
Net margin Median	20.21169% 4.62%	15.94158% 4.42%	15.97445% 5.16%	10.15097% 5.2%	30.42684% 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 YORK 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	138,579,226 23,241,334	133,447,425 23,709,545	135,619,643 24,248,380	124,667,203 22,858,541	145,945,625 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	133,570,190 21,577,146	128,206,238 22,041,594	131,730,697 22,722,063	121,980,677 21,570,441	142,600,527 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	5,009,036 1,845,420	5,241,187 1,757,392	3,888,946 1,738,842	2,686,526 1,510,463	3,345,098 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	53,423,674 11,160,864	51,633,389 11,987,345	54,024,798 12,926,866	53,126,780 11,884,480	51,278,065 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	53,423,674 10,918,923	51,633,389 11,706,976	54,024,798 12,615,917	53,126,780 11,458,116	51,278,065 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	18,086,017 3,284,314	16,768,729 3,250,551	17,772,702 3,386,837	17,936,803 3,360,806	20,938,997 3,508,953
Disproportionate-share hospital (DSH) Median	2,472,981 594,888	2,280,553 595,761	2,230,618 577,894	2,277,869 542,168	2,594,883 549,667
Outlier Median	7,085,459 582,572	8,767,875 538,116	9,739,265 212,434	1,677,529 126,559	1,256,655 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	31,205,327 3,662,910	35,411,773 3,730,911	32,186,206 4,081,319	42,819,190 4,643,908	46,143,066 4,389,147
Charity care Median	625,421 2,654,636	1,976,665 2,940,659	4,901,658 3,380,215	4,995,426 3,488,738	4,885,826 3,233,405
Uncompensated care (UCC) Median	9,933,988 5,147,790	15,922,568 5,337,617	17,899,070 5,711,082	19,367,675 5,923,418	17,140,205 5,508,107
UCC as a % of operating expenses Median	1.09% 3.24	1.67% 3.12	1.76% 3.21	1.81% 3.3	1.49% 2.86
Total shortfall/UCC Median	41,139,315 9,489,989	51,334,341 9,424,297	50,085,276 10,120,158	62,186,865 11,171,337	63,283,271 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	253,992,006 52,142,039	263,945,627 54,485,252	265,419,357 57,395,589	280,481,592 58,830,919	302,444,746 61,722,907
Salaries as a % of operating expenses Median	27.99 36.68	27.65 36.56	26.13 36.37	26.26 35.93	26.29 35.24
Intern, resident salaries* Median	8,993,591 2,598,592	9,376,279 2,686,824	10,010,061 2,753,773	10,465,511 2,937,156	11,173,521 2,909,848
Contract intern, resident salaries* Median	81,190 1,251,927	95,117 1,186,494	91,121 1,204,885	117,080 1,279,653	100,273 1,469,317
Contract adjusted salaries, direct-care Median	1,616,611 1,449,244	3,143,320 1,475,986	1,955,538 1,563,078	6,184,333 1,721,954	26,743,955 2,991,828
Contract hours, direct-care Median	22,411.00 22,725	44,465.00 23,018.5	30,153.00 24,503.48	89,496.68 25,026.5	219,136.00 33,786
Contract wages, direct-care Median	72.13 64.67	70.69 64.53	64.85 65.06	69.10 68.97	122.04 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.