As of the July, 2022, release via CMS

THE CHAMBERSBURG HOSPITAL

CMS id: 390151
112 NORTH 7TH ST., CHAMBERSBURG PA 17201. County: FRANKLIN
System: WELLSPAN HEALTH
CBSA: Chambersburg-Waynesboro, PA

The 285-bed, acute-care hospital had $25,316,559 in net service to patients*, with a total profit margin of 26.78016% in fiscal year 2021, the latest year available.
It spent 2.93% of its operating expenses on uncompensated care and reported $17,237,015 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	199 118	199 118	211 119.5	211 118	211 119
Total beds Median	271 162	273 162	285 162	285 162	285 163.5
FTEs Median	1,684.54 788.06	1,759.54 793.42	1,756.56 806.03	1,746.34 787.61	1,645.26 804.34

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	341,756,443 150,932,746	348,389,895 158,950,878	344,373,249 168,696,998	323,684,745 163,454,693	390,406,619 186,589,412
Operating expenses Median	298,915,216 149,311,209	305,879,143 156,110,414	298,397,321 164,890,568	303,216,600 166,516,854	365,090,060 180,120,888
Net income from service 2 patients (NS2P) ? Median	42,841,227 -964,173	42,510,752 -643,601.5	45,975,928 -116,254	20,468,145 -5,025,862	25,316,559 -1,284,564
NS2P margin ? Median	12.54% -0.62	12.20% -0.29	13.35% 0.18	6.32% -5.07	6.48% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE CHAMBERSBURG 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	32,457,391 5,089,215	17,594,290 4,572,541	-998,524 5,268,134	3,421,179 13,092,619	108,215,121 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	352,057 224,999	445,341 199,009	562,816 206,870.5	924,482 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	2,882,436 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	39,968	39,244	25,171	3,903	0
⊳ 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	253,196	283,266	294,060	264,066	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	489,173	497,760	425,945	413,394	0
⊳ 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	0	0	0	0	0
⊳ 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	0
⊳ 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	31,320,520	16,325,942	-2,306,595	1,815,242	105,332,685
Total income ? Median	75,298,618 6,586,430	60,105,042 6,767,106	44,977,404 8,419,950	23,889,324 8,094,175	133,531,680 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	75,298,618 6,043,842	60,105,042 5,845,112	44,977,404 7,606,259	23,889,324 7,283,041	133,531,680 14,957,241
Net margin Median	20.12182% 4.62%	16.42285% 4.42%	13.09864% 5.16%	7.30324% 5.2%	26.78016% 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 THE CHAMBERSBURG 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	58,196,159 23,241,334	61,822,517 23,709,545	57,177,130 24,248,380	54,782,328 22,858,541	61,445,405 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	51,781,001 21,577,146	55,798,816 22,041,594	52,298,310 22,722,063	49,139,758 21,570,441	55,387,538 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	2,269,038 1,845,420	2,273,142 1,757,392	2,136,689 1,738,842	1,813,743 1,510,463	1,883,812 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,146,120 3,535,627	3,750,559 3,746,588	2,742,131 3,782,288	3,828,827 3,865,578	4,174,055 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	26,784,805 11,160,864	28,391,028 11,987,345	30,102,411 12,926,866	27,443,624 11,884,480	28,241,719 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	26,784,805 10,918,923	28,391,028 11,706,976	30,102,411 12,615,917	27,443,624 11,458,116	28,241,719 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	168,428 3,284,314	151,235 3,250,551	155,434 3,386,837	145,986 3,360,806	156,978 3,508,953
Disproportionate-share hospital (DSH) Median	1,086,002 594,888	905,413 595,761	837,462 577,894	735,085 542,168	711,409 549,667
Outlier Median	1,282,234 582,572	1,657,931 538,116	1,200,596 212,434	825,180 126,559	1,781,775 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	16,516,519 3,662,910	20,366,508 3,730,911	25,472,506 4,081,319	26,739,084 4,643,908	17,237,015 4,389,147
Charity care Median	1,338,753 2,654,636	4,254,096 2,940,659	5,386,254 3,380,215	3,691,494 3,488,738	4,522,846 3,233,405
Uncompensated care (UCC) Median	7,498,247 5,147,790	11,824,652 5,337,617	15,016,951 5,711,082	13,285,154 5,923,418	10,711,268 5,508,107
UCC as a % of operating expenses Median	2.51% 3.24	3.87% 3.12	5.03% 3.21	4.38% 3.3	2.93% 2.86
Total shortfall/UCC Median	24,014,766 9,489,989	32,191,160 9,424,297	40,489,457 10,120,158	40,024,238 11,171,337	27,948,283 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	115,532,914 52,142,039	121,499,235 54,485,252	125,421,908 57,395,589	129,679,488 58,830,919	126,898,472 61,722,907
Salaries as a % of operating expenses Median	38.65 36.68	39.72 36.56	42.03 36.37	42.77 35.93	34.76 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	99,354 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	88,487 1,251,927	87,190 1,186,494	99,354 1,204,885	107,223 1,279,653	100,273 1,469,317
Contract adjusted salaries, direct-care Median	7,254,488 1,449,244	7,468,761 1,475,986	2,463,258 1,563,078	4,135,414 1,721,954	3,590,874 2,991,828
Contract hours, direct-care Median	90,496.46 22,725	93,008.36 23,018.5	33,235.31 24,503.48	43,176.00 25,026.5	27,153.00 33,786
Contract wages, direct-care Median	80.16 64.67	80.30 64.53	74.12 65.06	95.78 68.97	132.25 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.