As of the July, 2022, release via CMS

MONONGAHELA VALLEY HOSPITAL INC.

CMS id: 390147
1163 COUNTRY CLUB RD ROUTE 88, MONONGAHELA PA 15063. County: WASHINGTON
System: --
CBSA: Pittsburgh, PA

The 158-bed, acute-care hospital had $-9,627,813 in net service to patients*, with a total profit margin of 7.09873% in fiscal year 2021, the latest year available.
It spent 1.86% of its operating expenses on uncompensated care and reported $4,008,969 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	135 118	116 118	116 119.5	102 118	107 119
Total beds Median	186 162	167 162	167 162	153 162	158 163.5
FTEs Median	961.86 788.06	950.10 793.42	940.25 806.03	866.84 787.61	808.41 804.34

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	131,269,038 150,932,746	129,071,536 158,950,878	125,640,522 168,696,998	111,482,806 163,454,693	119,834,051 186,589,412
Operating expenses Median	134,243,758 149,311,209	134,079,677 156,110,414	130,521,125 164,890,568	130,097,793 166,516,854	129,461,864 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,974,720 -964,173	-5,008,141 -643,601.5	-4,880,603 -116,254	-18,614,987 -5,025,862	-9,627,813 -1,284,564
NS2P margin ? Median	-2.27% -0.62	-3.88% -0.29	-3.88% 0.18	-16.70% -5.07	-8.03% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MONONGAHELA VALLEY HOSPITAL INC. 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	6,017,986 5,089,215	7,064,448 4,572,541	7,156,726 5,268,134	6,301,059 13,092,619	19,480,325 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	77,707 224,999	15,125 199,009	100 206,870.5	2,293,741 194,343	1,699,104 249,496
⊳ Line 7: Investments ? ⊳ Median	1,214,783 299,524	1,273,367 188,688.5	1,884,512 370,813	495,557 309,361.5	5,026,948 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	54,895	54,178	43,96--	48,467	3--,895
⊳ Line 10: Purchase discounts	37,103	26,089	24,935	17,363	15,484
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	110,519	98,828	92,068	78,451	75,707
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	519,171	509,773	525,561	472,688	366,798
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	76,945	88,696	77,079	77,429	72,923
⊳ 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	0	0	0	0	1,224,069
⊳ 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	3,908,444	4,975,262	4,491,808	2,804,254	10,954,445
Total income ? Median	3,043,266 6,586,430	2,056,307 6,767,106	2,276,123 8,419,950	-12,313,928 8,094,175	9,852,512 15,162,888
Non-operating expenses Median	10,281 146,289.5	96,767 164,857	1,293 89,880.5	19,490 106,761	-37,038 31,473.5
Net income Median	3,032,985 6,043,842	1,959,540 5,845,112	2,274,830 7,606,259	-12,333,418 7,283,041	9,889,550 14,957,241
Net margin Median	2.20923% 4.62%	1.43940% 4.42%	1.71301% 5.16%	-10.47123% 5.2%	7.09873% 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 MONONGAHELA VALLEY HOSPITAL INC. 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	15,884,053 23,241,334	15,931,204 23,709,545	14,617,142 24,248,380	13,057,549 22,858,541	13,409,143 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	12,630,871 21,577,146	12,647,209 22,041,594	11,686,356 22,722,063	10,050,372 21,570,441	11,363,230 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	741,460 1,845,420	702,998 1,757,392	557,511 1,738,842	594,115 1,510,463	454,801 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,511,722 3,535,627	2,580,997 3,746,588	2,373,275 3,782,288	2,413,062 3,865,578	1,591,112 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	8,461,814 11,160,864	7,752,252 11,987,345	7,040,667 12,926,866	7,035,659 11,884,480	6,324,093 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	8,461,814 10,918,923	7,752,252 11,706,976	7,040,667 12,615,917	7,035,659 11,458,116	6,324,093 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	140,137 594,888	128,627 595,761	111,448 577,894	122,799 542,168	138,342 549,667
Outlier Median	180,511 582,572	124,271 538,116	248,678 212,434	171,117 126,559	108,299 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	130,428 3,662,910	2,543,735 3,730,911	3,282,449 4,081,319	2,799,613 4,643,908	4,008,969 4,389,147
Charity care Median	1,226,207 2,654,636	1,870,298 2,940,659	2,654,741 3,380,215	2,871,252 3,488,738	1,274,670 3,233,405
Uncompensated care (UCC) Median	2,052,520 5,147,790	3,126,291 5,337,617	3,563,656 5,711,082	3,807,672 5,923,418	2,408,037 5,508,107
UCC as a % of operating expenses Median	1.53% 3.24	2.33% 3.12	2.73% 3.21	2.93% 3.3	1.86% 2.86
Total shortfall/UCC Median	2,182,948 9,489,989	5,670,026 9,424,297	6,846,105 10,120,158	6,607,285 11,171,337	6,417,006 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	49,854,059 52,142,039	50,991,081 54,485,252	50,878,996 57,395,589	48,628,679 58,830,919	45,548,461 61,722,907
Salaries as a % of operating expenses Median	37.14 36.68	38.03 36.56	38.98 36.37	37.38 35.93	35.18 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	488,953 1,449,244	522,236 1,475,986	253,094 1,563,078	238,593 1,721,954	282,567 2,991,828
Contract hours, direct-care Median	6,245.00 22,725	6,547.00 23,018.5	5,966.00 24,503.48	5,276.00 25,026.5	5,939.00 33,786
Contract wages, direct-care Median	78.30 64.67	79.77 64.53	42.42 65.06	45.22 68.97	47.58 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.