As of the July, 2022, release via CMS

ROBERT PACKER HOSPITAL

CMS id: 390079
GUTHRIE SQUARE, SAYRE PA 18840. County: BRADFORD
System: THE GUTHRIE CLINIC
CBSA: Sayre, PA

The 334-bed, acute-care hospital had $12,534,948 in net service to patients*, with a total profit margin of 24.92192% in fiscal year 2021, the latest year available.
It spent 1.28% of its operating expenses on uncompensated care and reported $1,304,222 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	212 118	212 118	212 119.5	229 118	228 119
Total beds Median	250 162	250 162	250 162	267 162	334 163.5
FTEs Median	1,415.00 788.06	1,372.09 793.42	1,338.82 806.03	1,293.00 787.61	1,339.39 804.34

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	297,244,976 150,932,746	329,175,126 158,950,878	356,006,829 168,696,998	352,560,567 163,454,693	392,130,666 186,589,412
Operating expenses Median	290,976,869 149,311,209	308,939,303 156,110,414	338,655,644 164,890,568	353,063,069 166,516,854	379,595,718 180,120,888
Net income from service 2 patients (NS2P) ? Median	6,268,107 -964,173	20,235,823 -643,601.5	17,351,185 -116,254	-502,502 -5,025,862	12,534,948 -1,284,564
NS2P margin ? Median	2.11% -0.62	6.15% -0.29	4.87% 0.18	-0.14% -5.07	3.20% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ROBERT PACKER 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	63,062,061 5,089,215	44,329,692 4,572,541	36,464,638 5,268,134	46,455,944 13,092,619	117,027,511 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	828,387 224,999	1,210,176 199,009	796,056 206,870.5	978,075 194,343	166,909 249,496
⊳ Line 7: Investments ? ⊳ Median	46,928,617 299,524	30,977,166 188,688.5	22,349,798 370,813	17,265,234 309,361.5	30,500,049 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	28,146	14,273	9,519	35,512	65,357
⊳ Line 11: Rebates and refunds of expenses	0	0	150	0	0
⊳ Line 12: Parking lot receipts	0	0	0	166,908	170,245
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,511,777	1,390,163	1,424,082	1,591,508	902,529
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	81,455
⊳ 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	59,227	57,203	58,131	63,533	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.)	355,256	309,595	295,341	259,743	560,864
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	254,495	266,943	348,391	545,888	236,285
⊳ Line 21: Rental of vending machines	76,220	64,400	57,149	48,142	0
⊳ Line 22: Rental of hospital space	2,047,981	2,065,795	2,122,556	2,189,326	2,455,250
⊳ 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	10,971,955	7,973,978	9,003,465	23,312,075	81,888,568
Total income ? Median	69,330,168 6,586,430	64,565,515 6,767,106	53,815,823 8,419,950	45,953,442 8,094,175	129,562,459 15,162,888
Non-operating expenses Median	2,075,205 146,289.5	1,050,484 164,857	1,021,757 89,880.5	327,902 106,761	2,670,453 31,473.5
Net income Median	67,254,963 6,043,842	63,515,031 5,845,112	52,794,066 7,606,259	45,625,540 7,283,041	126,892,006 14,957,241
Net margin Median	18.66601% 4.62%	17.00514% 4.42%	13.45170% 5.16%	11.43450% 5.2%	24.92192% 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 ROBERT PACKER 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	60,401,523 23,241,334	65,982,511 23,709,545	67,043,916 24,248,380	57,063,712 22,858,541	61,403,860 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	60,401,523 21,577,146	65,982,511 22,041,594	67,043,916 22,722,063	57,063,712 21,570,441	61,020,785 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	383,075 1,179,746
All outpatient revenue Median Click here to show/hide details	33,646,735 11,160,864	36,604,860 11,987,345	37,340,673 12,926,866	34,866,617 11,884,480	38,132,039 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	33,646,735 10,918,923	36,604,860 11,706,976	37,340,673 12,615,917	34,866,617 11,458,116	38,132,039 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	8,833,588 3,284,314	9,486,837 3,250,551	9,300,906 3,386,837	8,744,528 3,360,806	9,469,914 3,508,953
Disproportionate-share hospital (DSH) Median	1,068,023 594,888	957,522 595,761	1,004,624 577,894	826,370 542,168	869,302 549,667
Outlier Median	1,126,085 582,572	936,128 538,116	844,534 212,434	168,382 126,559	130,306 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,611,377 3,662,910	8,330,363 3,730,911	5,082,386 4,081,319	6,525,337 4,643,908	1,304,222 4,389,147
Charity care Median	1,521,579 2,654,636	967,457 2,940,659	1,889,904 3,380,215	2,480,601 3,488,738	1,632,013 3,233,405
Uncompensated care (UCC) Median	7,542,179 5,147,790	6,672,920 5,337,617	8,152,136 5,711,082	7,527,113 5,923,418	4,858,884 5,508,107
UCC as a % of operating expenses Median	2.59% 3.24	2.16% 3.12	2.41% 3.21	2.13% 3.3	1.28% 2.86
Total shortfall/UCC Median	15,153,556 9,489,989	15,003,283 9,424,297	13,234,522 10,120,158	14,052,450 11,171,337	6,163,106 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	84,680,482 52,142,039	83,992,839 54,485,252	85,218,461 57,395,589	84,391,736 58,830,919	91,390,999 61,722,907
Salaries as a % of operating expenses Median	29.10 36.68	27.19 36.56	25.16 36.37	23.90 35.93	24.08 35.24
Intern, resident salaries* Median	4,248,550 2,598,592	4,378,670 2,686,824	4,311,180 2,753,773	5,237,276 2,937,156	6,652,191 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	1,358,457 1,449,244	6,886,710 1,475,986	12,839,724 1,563,078	12,350,173 1,721,954	0 2,991,828
Contract hours, direct-care Median	14,723.00 22,725	79,926.00 23,018.5	173,306.00 24,503.48	172,722.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	92.27 64.67	86.16 64.53	74.09 65.06	71.50 68.97	0.00 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.