As of the July, 2022, release via CMS

ALTOONA REGIONAL HEALTH SYSTEM

CMS id: 390073
620 HOWARD AVENUE, ALTOONA PA 16601. County: BLAIR
System: UPMC HEALTH SYSTEM
CBSA: Altoona, PA

The 368-bed, acute-care hospital had $25,758,105 in net service to patients*, with a total profit margin of 5.89401% in fiscal year 2021, the latest year available.
It spent 1.38% of its operating expenses on uncompensated care and reported $246,309 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	302 118	325 118	303 119.5	320 118	327 119
Total beds Median	343 162	366 162	344 162	361 162	368 163.5
FTEs Median	2,090.08 788.06	2,144.85 793.42	2,022.00 806.03	2,005.00 787.61	1,994.00 804.34

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	425,318,683 150,932,746	464,984,634 158,950,878	475,440,337 168,696,998	515,776,424 163,454,693	537,851,045 186,589,412
Operating expenses Median	387,224,441 149,311,209	435,607,745 156,110,414	446,294,611 164,890,568	491,550,070 166,516,854	512,092,940 180,120,888
Net income from service 2 patients (NS2P) ? Median	38,094,242 -964,173	29,376,889 -643,601.5	29,145,726 -116,254	24,226,354 -5,025,862	25,758,105 -1,284,564
NS2P margin ? Median	8.96% -0.62	6.32% -0.29	6.13% 0.18	4.70% -5.07	4.79% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ALTOONA REGIONAL HEALTH SYSTEM 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	5,265,067 5,089,215	7,023,848 4,572,541	8,716,086 5,268,134	15,108,089 13,092,619	6,315,090 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	142,417 224,999	119,609 199,009	16,528 206,870.5	38,379 194,343	130,107 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	81,766 309,361.5	35,413 375,329
⊳ 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	465,986	526,187	462,369	353,205	225,682
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,025,379	1,436,194	1,791,407	1,696,600	1,546,784
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	21,004	14,969	3,456	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	3,485	47,109
⊳ Line 18: Revenue from sale of medical records and abstracts	7,057	11,690	10,738	8,241	9,010
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	12,985	7,450	7,350	42,220	24,690
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	18,980	24,928	34,183	28,237	6,189
⊳ Line 22: Rental of hospital space	581,395	1,740,119	2,282,446	2,302,339	2,169,218
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	374,751 1,987,202	345,285 1,597,664
⊳ Sum Line 24	2,989,864	3,142,702	4,107,609	10,178,866	1,775,603
Total income ? Median	43,359,309 6,586,430	36,400,737 6,767,106	37,861,812 8,419,950	39,334,443 8,094,175	32,073,195 15,162,888
Non-operating expenses Median	1,116 146,289.5	-3,404 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	43,358,193 6,043,842	36,404,141 5,845,112	37,861,812 7,606,259	39,334,443 7,283,041	32,073,195 14,957,241
Net margin Median	10.06963% 4.62%	7.71260% 4.42%	7.82016% 5.16%	7.40923% 5.2%	5.89401% 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 ALTOONA REGIONAL HEALTH SYSTEM 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	68,432,602 23,241,334	67,510,319 23,709,545	67,653,984 24,248,380	62,785,753 22,858,541	62,608,778 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	68,432,602 21,577,146	67,510,319 22,041,594	67,653,984 22,722,063	62,785,753 21,570,441	62,608,778 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	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	28,667,841 11,160,864	39,718,662 11,987,345	37,858,397 12,926,866	34,672,713 11,884,480	32,612,967 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	28,667,841 10,918,923	39,718,662 11,706,976	37,858,397 12,615,917	34,672,713 11,458,116	32,612,967 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	3,934,778 3,284,314	3,968,585 3,250,551	3,945,114 3,386,837	3,677,629 3,360,806	3,640,028 3,508,953
Disproportionate-share hospital (DSH) Median	1,660,813 594,888	1,804,124 595,761	1,755,699 577,894	1,717,693 542,168	1,577,663 549,667
Outlier Median	2,395,668 582,572	589,128 538,116	467,586 212,434	72,298 126,559	53,186 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,598,263 3,662,910	8,309,448 3,730,911	2,340,299 4,081,319	862,664 4,643,908	246,309 4,389,147
Charity care Median	4,539,013 2,654,636	4,193,858 2,940,659	5,278,607 3,380,215	4,811,382 3,488,738	4,091,693 3,233,405
Uncompensated care (UCC) Median	8,432,300 5,147,790	7,811,746 5,337,617	8,882,774 5,711,082	7,985,647 5,923,418	7,057,250 5,508,107
UCC as a % of operating expenses Median	2.18% 3.24	1.79% 3.12	1.99% 3.21	1.62% 3.3	1.38% 2.86
Total shortfall/UCC Median	15,030,563 9,489,989	16,121,194 9,424,297	11,223,073 10,120,158	8,848,311 11,171,337	7,303,559 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	134,947,380 52,142,039	138,292,006 54,485,252	142,415,561 57,395,589	148,638,940 58,830,919	162,695,361 61,722,907
Salaries as a % of operating expenses Median	34.85 36.68	31.75 36.56	31.91 36.37	30.24 35.93	31.77 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	2,285,084 1,251,927	2,016,184 1,186,494	2,210,058 1,204,885	2,118,687 1,279,653	2,161,452 1,469,317
Contract adjusted salaries, direct-care Median	3,183,439 1,449,244	2,447,738 1,475,986	6,435,031 1,563,078	11,313,234 1,721,954	12,763,008 2,991,828
Contract hours, direct-care Median	78,551.00 22,725	63,312.00 23,018.5	124,157.00 24,503.48	190,141.00 25,026.5	182,060.00 33,786
Contract wages, direct-care Median	40.53 64.67	38.66 64.53	51.83 65.06	59.50 68.97	70.10 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.