As of the July, 2022, release via CMS

MEADVILLE MEDICAL CENTER

CMS id: 390113
1034 GROVE STREET, MEADVILLE PA 16335. County: CRAWFORD
System: MEADVILLE MEDICAL CENTER
CBSA: Meadville, PA

The 232-bed, acute-care hospital had $168,069 in net service to patients*, with a total profit margin of 12.23763% in fiscal year 2021, the latest year available.
It spent 1.47% of its operating expenses on uncompensated care and reported $1,645,212 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	164 118	161 118	133 119.5	147 118	147 119
Total beds Median	219 162	216 162	216 162	232 162	232 163.5
FTEs Median	1,294.93 788.06	1,263.05 793.42	1,247.01 806.03	1,150.24 787.61	1,206.34 804.34

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	186,862,117 150,932,746	192,130,454 158,950,878	198,427,784 168,696,998	186,761,755 163,454,693	213,752,811 186,589,412
Operating expenses Median	190,512,251 149,311,209	197,874,986 156,110,414	202,202,725 164,890,568	196,330,769 166,516,854	213,584,742 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,650,134 -964,173	-5,744,532 -643,601.5	-3,774,941 -116,254	-9,569,014 -5,025,862	168,069 -1,284,564
NS2P margin ? Median	-1.95% -0.62	-2.99% -0.29	-1.90% 0.18	-5.12% -5.07	0.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEADVILLE MEDICAL CENTER 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	4,926,813 5,089,215	7,901,632 4,572,541	10,328,381 5,268,134	21,620,405 13,092,619	29,632,905 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	225,566 224,999	276,078 199,009	162,193 206,870.5	196,429 194,343	225,612 249,496
⊳ Line 7: Investments ? ⊳ Median	23,385 299,524	3,015,553 188,688.5	4,326,108 370,813	2,393,680 309,361.5	7,118,932 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	11,102	9,928	11,802	13,711	16,030
⊳ 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	546,265	548,822	627,564	534,740	454,304
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	684	14,697	440	179	413
⊳ 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	47,873	50,126	52,551	43,951	107,723
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,772,564	1,637,888	1,675,683	1,820,248	1,619,738
⊳ 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	2,299,374	2,348,540	3,472,040	16,617,467	20,090,153
Total income ? Median	1,276,679 6,586,430	2,157,100 6,767,106	6,553,440 8,419,950	12,051,391 8,094,175	29,800,974 15,162,888
Non-operating expenses Median	4,876,645 146,289.5	0 164,857	0 89,880.5	7,279,565 106,761	16,339 31,473.5
Net income Median	-3,599,966 6,043,842	2,157,100 5,845,112	6,553,440 7,606,259	4,771,826 7,283,041	29,784,635 14,957,241
Net margin Median	-1.87705% 4.62%	1.07838% 4.42%	3.13928% 5.16%	2.28994% 5.2%	12.23763% 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 MEADVILLE MEDICAL CENTER 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	24,877,176 23,241,334	23,766,400 23,709,545	22,703,708 24,248,380	22,025,960 22,858,541	20,444,256 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	21,901,873 21,577,146	20,698,270 22,041,594	19,008,408 22,722,063	18,475,330 21,570,441	18,452,734 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	526,365 1,738,842	646,623 1,510,463	505,565 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,224,434 3,535,627	1,434,870 3,746,588	1,496,623 3,782,288	1,152,090 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	1,750,869 1,203,033	1,633,260 1,215,295	1,672,312 1,313,657	1,751,917 1,365,298	1,485,957 1,179,746
All outpatient revenue Median Click here to show/hide details	21,165,380 11,160,864	24,836,323 11,987,345	26,102,373 12,926,866	25,720,133 11,884,480	27,030,262 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	20,411,364 10,918,923	24,096,977 11,706,976	25,434,363 12,615,917	25,720,133 11,458,116	27,030,262 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	754,016 618,038	739,346 697,279	668,010 690,232	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	1,337,699 3,284,314	1,206,044 3,250,551	1,113,673 3,386,837	1,315,048 3,360,806	1,333,358 3,508,953
Disproportionate-share hospital (DSH) Median	679,140 594,888	731,729 595,761	492,002 577,894	397,096 542,168	357,051 549,667
Outlier Median	699,670 582,572	892,384 538,116	635,156 212,434	202,277 126,559	23,789 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	4,848,311 3,730,911	2,214,556 4,081,319	0 4,643,908	1,645,212 4,389,147
Charity care Median	533,455 2,654,636	497,874 2,940,659	1,313,846 3,380,215	1,147,122 3,488,738	1,237,687 3,233,405
Uncompensated care (UCC) Median	3,536,769 5,147,790	3,957,953 5,337,617	4,408,938 5,711,082	4,661,739 5,923,418	3,140,957 5,508,107
UCC as a % of operating expenses Median	1.86% 3.24	2.00% 3.12	2.18% 3.21	2.37% 3.3	1.47% 2.86
Total shortfall/UCC Median	3,536,769 9,489,989	8,806,264 9,424,297	6,623,494 10,120,158	4,661,739 11,171,337	4,786,169 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	73,584,875 52,142,039	78,401,617 54,485,252	79,986,670 57,395,589	76,310,710 58,830,919	85,274,937 61,722,907
Salaries as a % of operating expenses Median	38.62 36.68	39.62 36.56	39.56 36.37	38.87 35.93	39.93 35.24
Intern, resident salaries* Median	425,502 2,598,592	540,517 2,686,824	587,389 2,753,773	658,532 2,937,156	773,632 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	2,050,303 1,449,244	942,503 1,475,986	998,747 1,563,078	1,363,560 1,721,954	0 2,991,828
Contract hours, direct-care Median	25,287.00 22,725	16,456.48 23,018.5	17,689.00 24,503.48	17,814.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	81.08 64.67	57.27 64.53	56.46 65.06	76.54 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.