As of the July, 2022, release via CMS

THE CHESTER COUNTY HOSPITAL

CMS id: 390179
701 E. MARSHALL STREET, WEST CHESTER PA 19380. County: CHESTER
System: UNIV OF PA HEALTH SYSTEM
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 312-bed, acute-care hospital had $-43,060,799 in net service to patients*, with a total profit margin of -3.37877% in fiscal year 2021, the latest year available.
It spent 1.26% of its operating expenses on uncompensated care and reported $12,675,400 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	222 118	216 118	216 119.5	219 118	274 119
Total beds Median	248 162	241 162	244 162	248 162	312 163.5
FTEs Median	1,616.15 788.06	1,571.35 793.42	1,620.42 806.03	1,723.19 787.61	1,864.47 804.34

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	347,694,000 150,932,746	328,877,000 158,950,878	356,220,000 168,696,998	350,432,000 163,454,693	382,098,965 186,589,412
Operating expenses Median	339,549,000 149,311,209	352,752,768 156,110,414	360,610,000 164,890,568	392,651,000 166,516,854	425,159,764 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,145,000 -964,173	-23,875,768 -643,601.5	-4,390,000 -116,254	-42,219,000 -5,025,862	-43,060,799 -1,284,564
NS2P margin ? Median	2.34% -0.62	-7.26% -0.29	-1.23% 0.18	-12.05% -5.07	-11.27% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE CHESTER COUNTY 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	19,990,000 5,089,215	12,328,000 4,572,541	7,757,000 5,268,134	20,722,000 13,092,619	29,165,123 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,930,000 224,999	686,000 199,009	281,000 206,870.5	276,199 194,343	191,641 249,496
⊳ Line 7: Investments ? ⊳ Median	-202,000 299,524	-210,000 188,688.5	-730,000 370,813	-1,511,330 309,361.5	-1,175,823 375,329
⊳ 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	264	243
⊳ Line 11: Rebates and refunds of expenses	236,000	201,000	392,000	466,515	239,866
⊳ 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	855,000	963,000	986,000	889,971	890,517
⊳ 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	1,050,000	317,000	680,000	4,362,650	5,100,613
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	87,000	64,000	46,000	53,094	42,922
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	381,000	398,000	400,000	377,582	265,999
⊳ Line 22: Rental of hospital space	35,000	1,000	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	14,618,000	9,908,000	5,702,000	15,807,055	23,609,145
Total income ? Median	28,135,000 6,586,430	-11,547,768 6,767,106	3,367,000 8,419,950	-21,497,000 8,094,175	-13,895,676 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	28,135,000 6,043,842	-11,547,768 5,845,112	3,367,000 7,606,259	-21,497,000 7,283,041	-13,895,676 14,957,241
Net margin Median	7.65195% 4.62%	-3.38441% 4.42%	0.92506% 5.16%	-5.79194% 5.2%	-3.37877% 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 CHESTER COUNTY 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	45,937,951 23,241,334	49,852,636 23,709,545	52,068,522 24,248,380	50,141,331 22,858,541	50,888,741 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	45,937,951 21,577,146	49,852,636 22,041,594	52,068,522 22,722,063	50,141,331 21,570,441	50,888,741 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	0 3,535,627	0 3,746,588	0 3,782,288	0 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	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	32,581,243 11,160,864	37,665,265 11,987,345	41,886,533 12,926,866	41,615,409 11,884,480	47,444,944 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	32,581,243 10,918,923	37,665,265 11,706,976	41,886,533 12,615,917	41,615,409 11,458,116	47,444,944 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	571,520 594,888	637,896 595,761	635,541 577,894	612,684 542,168	629,892 549,667
Outlier Median	1,382,023 582,572	1,067,244 538,116	1,112,137 212,434	185,751 126,559	169,182 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,114,258 3,662,910	6,309,374 3,730,911	11,528,896 4,081,319	10,119,037 4,643,908	12,675,400 4,389,147
Charity care Median	5,761,293 2,654,636	2,666,954 2,940,659	3,367,990 3,380,215	4,381,268 3,488,738	3,674,943 3,233,405
Uncompensated care (UCC) Median	9,323,906 5,147,790	4,689,097 5,337,617	5,561,892 5,711,082	6,695,614 5,923,418	5,362,264 5,508,107
UCC as a % of operating expenses Median	2.75% 3.24	1.33% 3.12	1.54% 3.21	1.71% 3.3	1.26% 2.86
Total shortfall/UCC Median	16,438,164 9,489,989	10,998,471 9,424,297	17,090,788 10,120,158	16,814,651 11,171,337	18,037,664 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	121,324,964 52,142,039	125,138,429 54,485,252	129,433,103 57,395,589	137,391,844 58,830,919	148,429,979 61,722,907
Salaries as a % of operating expenses Median	35.73 36.68	34.94 36.56	35.57 36.37	35.30 35.93	35.11 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	763,820 1,449,244	113,663 1,475,986	1,161,877 1,563,078	2,334,339 1,721,954	2,735,111 2,991,828
Contract hours, direct-care Median	9,513.00 22,725	2,325.00 23,018.5	18,458.00 24,503.48	34,611.00 25,026.5	31,345.00 33,786
Contract wages, direct-care Median	80.29 64.67	48.89 64.53	62.95 65.06	67.45 68.97	87.26 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.