As of the July, 2022, release via CMS

GEISINGER LEWISTOWN HOSPITAL

CMS id: 390048
400 HIGHLAND AVENUE, LEWISTOWN PA 17044. County: MIFFLIN
System: GEISINGER SYSTEM SERVICES
CBSA: Lewistown, PA

The 133-bed, acute-care hospital had $16,127,476 in net service to patients*, with a total profit margin of 14.00347% in fiscal year 2021, the latest year available.
It spent 3.75% of its operating expenses on uncompensated care and reported $3,800,987 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	99 118	99 118	99 119.5	109 118	109 119
Total beds Median	123 162	123 162	123 162	133 162	133 163.5
FTEs Median	716.26 788.06	719.88 793.42	697.79 806.03	776.36 787.61	833.68 804.34

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	121,054,008 150,932,746	125,834,672 158,950,878	127,744,439 168,696,998	124,130,614 163,454,693	151,867,510 186,589,412
Operating expenses Median	106,283,911 149,311,209	111,066,634 156,110,414	115,132,104 164,890,568	120,746,779 166,516,854	135,740,034 180,120,888
Net income from service 2 patients (NS2P) ? Median	14,770,097 -964,173	14,768,038 -643,601.5	12,612,335 -116,254	3,383,835 -5,025,862	16,127,476 -1,284,564
NS2P margin ? Median	12.20% -0.62	11.74% -0.29	9.87% 0.18	2.73% -5.07	10.62% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GEISINGER LEWISTOWN 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	4,082,708 5,089,215	2,459,384 4,572,541	2,788,639 5,268,134	10,841,646 13,092,619	7,560,732 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	94,353 224,999	74,858 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	2,072,881 299,524	234,099 188,688.5	720,773 370,813	-77,163 309,361.5	4,943,197 375,329
⊳ 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	463,724	429,943	505	508	604
⊳ 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	1,721	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	495,303	488,660	622,007	762,809	753,051
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	91,849	94,374	0	417,602	376,375
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	24,045	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	861,156	1,113,405	1,445,354	9,737,890	1,487,505
Total income ? Median	18,852,805 6,586,430	17,227,422 6,767,106	15,400,974 8,419,950	14,225,481 8,094,175	23,688,208 15,162,888
Non-operating expenses Median	677,344 146,289.5	992,821 164,857	961,571 89,880.5	917,826 106,761	1,362,721 31,473.5
Net income Median	18,175,461 6,043,842	16,234,601 5,845,112	14,439,403 7,606,259	13,307,655 7,283,041	22,325,487 14,957,241
Net margin Median	14.52448% 4.62%	12.65421% 4.42%	11.06187% 5.16%	9.85955% 5.2%	14.00347% 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 LEWISTOWN 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	13,518,283 23,241,334	14,003,236 23,709,545	12,655,972 24,248,380	12,518,106 22,858,541	16,652,954 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	12,669,495 21,577,146	12,886,959 22,041,594	11,429,762 22,722,063	11,595,294 21,570,441	15,686,910 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	848,788 1,845,420	1,116,277 1,757,392	1,226,210 1,738,842	922,812 1,510,463	966,044 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	12,729,895 11,160,864	13,278,994 11,987,345	14,398,744 12,926,866	13,181,105 11,884,480	13,356,132 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	12,729,895 10,918,923	13,278,994 11,706,976	14,398,744 12,615,917	13,181,105 11,458,116	13,356,132 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	12,439 3,284,314	48,362 3,250,551	457,002 3,386,837	927,564 3,360,806	1,579,145 3,508,953
Disproportionate-share hospital (DSH) Median	204,575 594,888	242,361 595,761	235,896 577,894	271,997 542,168	252,622 549,667
Outlier Median	419,116 582,572	235,889 538,116	335,141 212,434	219,056 126,559	49,611 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,674,740 3,662,910	5,174,115 3,730,911	8,051,896 4,081,319	2,733,974 4,643,908	3,800,987 4,389,147
Charity care Median	1,630,891 2,654,636	2,373,258 2,940,659	4,000,267 3,380,215	5,119,229 3,488,738	4,457,327 3,233,405
Uncompensated care (UCC) Median	2,411,673 5,147,790	3,685,110 5,337,617	4,935,270 5,711,082	5,675,976 5,923,418	5,086,176 5,508,107
UCC as a % of operating expenses Median	2.27% 3.24	3.32% 3.12	4.29% 3.21	4.70% 3.3	3.75% 2.86
Total shortfall/UCC Median	5,086,413 9,489,989	8,859,225 9,424,297	12,987,166 10,120,158	8,409,950 11,171,337	8,887,163 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	39,148,547 52,142,039	40,874,892 54,485,252	40,189,347 57,395,589	39,251,895 58,830,919	41,788,496 61,722,907
Salaries as a % of operating expenses Median	36.60 36.68	36.48 36.56	34.62 36.37	32.26 35.93	30.48 35.24
Intern, resident salaries* Median	0 2,598,592	6,698 2,686,824	285,633 2,753,773	500,872 2,937,156	735,767 2,909,848
Contract intern, resident salaries* Median	58,613 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	1,516,887 1,449,244	1,627,164 1,475,986	663,259 1,563,078	763,254 1,721,954	1,807,506 2,991,828
Contract hours, direct-care Median	22,458.50 22,725	24,912.41 23,018.5	12,522.00 24,503.48	14,210.48 25,026.5	26,209.58 33,786
Contract wages, direct-care Median	67.54 64.67	65.32 64.53	52.97 65.06	53.71 68.97	68.96 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.