As of the July, 2022, release via CMS

ALBERT EINSTEIN MEDICAL CENTER

CMS id: 390142
5501 OLD YORK ROAD, PHILADELPHIA PA 19141. County: PHILADELPHIA
System: ALBERT EINSTEIN HEALTHCARE NETWORK
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 685-bed, acute-care hospital had $-113,227,958 in net service to patients*, with a total profit margin of 5.63928% in fiscal year 2021, the latest year available.
It spent 1.21% of its operating expenses on uncompensated care and reported $0 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	336 118	336 118	336 119.5	336 118	336 119
Total beds Median	695 162	695 162	697 162	697 162	685 163.5
FTEs Median	4,396.97 788.06	4,478.48 793.42	4,436.35 806.03	4,431.29 787.61	4,383.39 804.34

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	752,990,300 150,932,746	772,969,943 158,950,878	774,029,252 168,696,998	756,347,788 163,454,693	774,303,586 186,589,412
Operating expenses Median	796,530,876 149,311,209	816,115,009 156,110,414	823,029,041 164,890,568	851,916,914 166,516,854	887,531,544 180,120,888
Net income from service 2 patients (NS2P) ? Median	-43,540,576 -964,173	-43,145,066 -643,601.5	-48,999,789 -116,254	-95,569,126 -5,025,862	-113,227,958 -1,284,564
NS2P margin ? Median	-5.78% -0.62	-5.58% -0.29	-6.33% 0.18	-12.64% -5.07	-14.62% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ALBERT EINSTEIN 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	47,387,034 5,089,215	54,451,936 4,572,541	58,391,157 5,268,134	111,379,932 13,092,619	166,269,466 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	16,218,265 224,999	15,569,302 199,009	18,308,219 206,870.5	18,150,593 194,343	16,686,948 249,496
⊳ Line 7: Investments ? ⊳ Median	257,146 299,524	1,085,434 188,688.5	3,030,359 370,813	3,595,288 309,361.5	18,705,159 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	637,095	832,392	1,208,936	1,805,466	1,488,025
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	955,958	910,335	995,243	964,450	903,744
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,577,519	3,445,623	3,496,171	3,193,438	2,888,161
⊳ Line 15: Revenue from rental of living quarters	0	200	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	337,274	169,948	393,445	171,299	378,199
⊳ 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	21,146	2,706	3,743	16,630	38,409
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	298,353	261,927	268,432	197,719	269,114
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	41,930	44,558	53,509	50,614	29,642
⊳ Line 22: Rental of hospital space	1,620,525	1,521,650	1,442,446	1,448,511	1,002,197
⊳ Line 23: Gov appropriations ? ⊳ Median	155,443 1,017,693	210,029 983,261.5	179,774 1,173,286	191,114 1,987,202	101,319 1,597,664
⊳ Sum Line 24	23,266,380	30,397,832	29,010,880	81,594,810	123,778,549
Total income ? Median	3,846,458 6,586,430	11,306,870 6,767,106	9,391,368 8,419,950	15,810,806 8,094,175	53,041,508 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	3,846,458 6,043,842	11,306,870 5,845,112	9,391,368 7,606,259	15,810,806 7,283,041	53,041,508 14,957,241
Net margin Median	0.48058% 4.62%	1.36652% 4.42%	1.12820% 5.16%	1.82209% 5.2%	5.63928% 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 ALBERT EINSTEIN 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	147,214,572 23,241,334	157,275,614 23,709,545	156,797,031 24,248,380	159,340,926 22,858,541	145,565,159 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	117,225,204 21,577,146	126,927,694 22,041,594	126,101,382 22,722,063	129,331,692 21,570,441	119,921,438 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	3,072,143 1,845,420	3,417,363 1,757,392	3,687,846 1,738,842	3,334,588 1,510,463	2,459,765 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	24,834,210 3,535,627	24,870,655 3,746,588	25,015,756 3,782,288	25,115,051 3,865,578	21,795,277 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	2,083,015 1,203,033	2,059,902 1,215,295	1,992,047 1,313,657	1,559,595 1,365,298	1,388,679 1,179,746
All outpatient revenue Median Click here to show/hide details	31,673,747 11,160,864	30,901,902 11,987,345	29,870,090 12,926,866	27,569,308 11,884,480	26,758,455 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	31,673,747 10,918,923	30,901,902 11,706,976	29,870,090 12,615,917	27,569,308 11,458,116	26,758,455 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	36,869,024 3,284,314	38,263,308 3,250,551	37,459,900 3,386,837	40,172,396 3,360,806	37,297,949 3,508,953
Disproportionate-share hospital (DSH) Median	4,200,420 594,888	4,484,148 595,761	4,700,874 577,894	4,510,660 542,168	4,074,740 549,667
Outlier Median	1,313,146 582,572	1,477,892 538,116	2,316,180 212,434	404,553 126,559	406,056 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	88,707 2,654,636	227,830 2,940,659	1,180,456 3,380,215	1,071,673 3,488,738	2,063,838 3,233,405
Uncompensated care (UCC) Median	14,653,261 5,147,790	12,855,885 5,337,617	8,391,733 5,711,082	12,426,497 5,923,418	10,755,963 5,508,107
UCC as a % of operating expenses Median	1.84% 3.24	1.58% 3.12	1.02% 3.21	1.46% 3.3	1.21% 2.86
Total shortfall/UCC Median	14,653,261 9,489,989	12,855,885 9,424,297	8,391,733 10,120,158	12,426,497 11,171,337	10,755,963 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	300,954,888 52,142,039	313,134,516 54,485,252	324,118,161 57,395,589	329,799,726 58,830,919	337,647,595 61,722,907
Salaries as a % of operating expenses Median	37.78 36.68	38.37 36.56	39.38 36.37	38.71 35.93	38.04 35.24
Intern, resident salaries* Median	23,722,011 2,598,592	24,226,134 2,686,824	24,594,366 2,753,773	26,008,771 2,937,156	27,127,203 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	7,489,115 1,449,244	2,567,325 1,475,986	2,452,205 1,563,078	3,615,021 1,721,954	6,638,640 2,991,828
Contract hours, direct-care Median	99,213.00 22,725	52,371.00 23,018.5	49,019.00 24,503.48	68,448.00 25,026.5	64,845.00 33,786
Contract wages, direct-care Median	75.49 64.67	49.02 64.53	50.03 65.06	52.81 68.97	102.38 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.