As of the July, 2022, release via CMS

WESTMORELAND REGIONAL HOSPITAL

CMS id: 390145
532 WEST PITTSBURGH STREET, GREENSBURG PA 15601. County: WESTMORELAND
System: EXCELA HEALTH
CBSA: Pittsburgh, PA

The 309-bed, acute-care hospital had $24,552,381 in net service to patients*, with a total profit margin of 19.52371% in fiscal year 2021, the latest year available.
It spent 2.22% of its operating expenses on uncompensated care and reported $6,577,066 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	206 118	206 118	206 119.5	243 118	243 119
Total beds Median	270 162	272 162	272 162	309 162	309 163.5
FTEs Median	1,619.20 788.06	1,673.00 793.42	1,658.22 806.03	1,480.18 787.61	1,396.43 804.34

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	255,429,743 150,932,746	257,322,165 158,950,878	257,696,714 168,696,998	251,181,832 163,454,693	290,866,959 186,589,412
Operating expenses Median	236,502,536 149,311,209	240,452,388 156,110,414	248,694,088 164,890,568	251,043,266 166,516,854	266,314,578 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,927,207 -964,173	16,869,777 -643,601.5	9,002,626 -116,254	138,566 -5,025,862	24,552,381 -1,284,564
NS2P margin ? Median	7.41% -0.62	6.56% -0.29	3.49% 0.18	0.06% -5.07	8.44% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WESTMORELAND REGIONAL 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	20,634,052 5,089,215	3,009,336 4,572,541	11,204,545 5,268,134	16,015,347 13,092,619	40,056,056 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	100,816 224,999	303 199,009	129 206,870.5	100,000 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	10,846,608 299,524	2,118,690 188,688.5	2,432,650 370,813	3,180,827 309,361.5	2,251,328 375,329
⊳ 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	105,733	0	97,914	0	985
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	884,071	985,929	1,031,196	904,853	707,691
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	1,221	0	363,789	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	1,146,059	525,572	590,854	603,401	789,625
⊳ Line 18: Revenue from sale of medical records and abstracts	18,371	15,001	23,700	1,096,074	1,116,014
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	580,135	0	903,665	819,853
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	18,318	17,183	20,684	19,141	18,096
⊳ Line 22: Rental of hospital space	869,195	1,010,122	1,010,600	1,062,451	1,246,530
⊳ Line 23: Gov appropriations ? ⊳ Median	964,055 1,017,693	607,774 983,261.5	390,046 1,173,286	467,912 1,987,202	418,246 1,597,664
⊳ Sum Line 24	5,679,605	-2,851,373	5,242,983	7,677,023	32,687,688
Total income ? Median	39,561,259 6,586,430	19,879,113 6,767,106	20,207,171 8,419,950	16,153,913 8,094,175	64,608,437 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	39,561,259 6,043,842	19,879,113 5,845,112	20,207,171 7,606,259	16,153,913 7,283,041	64,608,437 14,957,241
Net margin Median	14.33048% 4.62%	7.63608% 4.42%	7.51472% 5.16%	6.04569% 5.2%	19.52371% 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 WESTMORELAND REGIONAL 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	28,689,209 23,241,334	27,624,716 23,709,545	28,067,514 24,248,380	27,293,683 22,858,541	28,841,520 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	26,561,989 21,577,146	25,771,394 22,041,594	26,194,711 22,722,063	25,438,239 21,570,441	26,524,195 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	2,127,220 3,535,627	1,853,322 3,746,588	1,872,803 3,782,288	1,855,444 3,865,578	2,317,325 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	9,456,775 11,160,864	9,825,817 11,987,345	10,463,400 12,926,866	9,463,326 11,884,480	9,708,879 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	9,456,775 10,918,923	9,825,817 11,706,976	10,463,400 12,615,917	9,463,326 11,458,116	9,708,879 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	452,564 594,888	432,200 595,761	428,706 577,894	453,236 542,168	327,262 549,667
Outlier Median	658,439 582,572	316,792 538,116	341,276 212,434	78,126 126,559	112,828 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,358,342 3,662,910	6,536,178 3,730,911	6,886,548 4,081,319	9,082,737 4,643,908	6,577,066 4,389,147
Charity care Median	1,844,710 2,654,636	2,267,308 2,940,659	1,812,228 3,380,215	1,563,386 3,488,738	1,975,456 3,233,405
Uncompensated care (UCC) Median	3,725,321 5,147,790	5,077,366 5,337,617	4,679,873 5,711,082	5,523,792 5,923,418	5,902,257 5,508,107
UCC as a % of operating expenses Median	1.58% 3.24	2.11% 3.12	1.88% 3.21	2.20% 3.3	2.22% 2.86
Total shortfall/UCC Median	12,083,663 9,489,989	11,613,544 9,424,297	11,566,421 10,120,158	14,606,529 11,171,337	12,479,323 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	88,385,151 52,142,039	89,837,766 54,485,252	92,604,089 57,395,589	87,817,367 58,830,919	85,860,096 61,722,907
Salaries as a % of operating expenses Median	37.37 36.68	37.36 36.56	37.24 36.37	34.98 35.93	32.24 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	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	627,386 1,449,244	2,036,524 1,475,986	2,652,983 1,563,078	614,784 1,721,954	2,007,429 2,991,828
Contract hours, direct-care Median	7,226.00 22,725	31,817.00 23,018.5	41,709.00 24,503.48	8,159.00 25,026.5	22,556.00 33,786
Contract wages, direct-care Median	86.82 64.67	64.01 64.53	63.61 65.06	75.35 68.97	89.00 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.