As of the July, 2022, release via CMS

LANKENAU MEDICAL CENTER

CMS id: 390195
100 LANCASTER AVE., WYNEWOOD PA 19096. County: MONTGOMERY
System: MAIN LINE HEALTH INC.
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 370-bed, acute-care hospital had $-40,514,672 in net service to patients*, with a total profit margin of 8.31184% in fiscal year 2021, the latest year available.
It spent 1.20% of its operating expenses on uncompensated care and reported $16,894,476 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	290 118	302 118	302 119.5	302 118	302 119
Total beds Median	380 162	370 162	370 162	370 162	370 163.5
FTEs Median	1,793.73 788.06	1,726.98 793.42	1,736.81 806.03	1,969.89 787.61	2,006.62 804.34

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	480,635,094 150,932,746	495,966,255 158,950,878	507,861,792 168,696,998	501,986,780 163,454,693	562,412,725 186,589,412
Operating expenses Median	517,173,012 149,311,209	516,611,670 156,110,414	534,791,400 164,890,568	577,555,123 166,516,854	602,927,397 180,120,888
Net income from service 2 patients (NS2P) ? Median	-36,537,918 -964,173	-20,645,415 -643,601.5	-26,929,608 -116,254	-75,568,343 -5,025,862	-40,514,672 -1,284,564
NS2P margin ? Median	-7.60% -0.62	-4.16% -0.29	-5.30% 0.18	-15.05% -5.07	-7.20% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LANKENAU 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	32,862,484 5,089,215	34,756,451 4,572,541	36,884,561 5,268,134	70,837,850 13,092,619	95,172,052 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	435,249 224,999	490,232 199,009	589,790 206,870.5	430,646 194,343	216,412 249,496
⊳ Line 7: Investments ? ⊳ Median	1,687,605 299,524	2,171,192 188,688.5	2,794,038 370,813	2,156,643 309,361.5	1,229,042 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	89,258	76,560	41,220	52,088	50,992
⊳ Line 11: Rebates and refunds of expenses	14,842,980	13,620,161	13,015,534	11,005,565	12,237,399
⊳ Line 12: Parking lot receipts	1,619,856	1,298,477	1,554,299	1,205,237	3,570
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,060,976	3,147,132	3,084,699	2,362,852	1,751,263
⊳ 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	11,126,560	11,730,488	11,809,437	11,817,914	12,257,906
⊳ 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	--	2,222,209	3,995,544	41,806,905	67,425,468
Total income ? Median	-3,675,434 6,586,430	14,111,036 6,767,106	9,954,953 8,419,950	-4,730,493 8,094,175	54,657,380 15,162,888
Non-operating expenses Median	-2,293,614 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-1,381,820 6,043,842	14,111,036 5,845,112	9,954,953 7,606,259	-4,730,493 7,283,041	54,657,380 14,957,241
Net margin Median	-0.26910% 4.62%	2.65883% 4.42%	1.82745% 5.16%	-0.82582% 5.2%	8.31184% 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 LANKENAU 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	106,156,855 23,241,334	110,145,049 23,709,545	106,589,774 24,248,380	110,065,880 22,858,541	118,638,718 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	104,309,315 21,577,146	107,564,385 22,041,594	106,589,774 22,722,063	110,065,880 21,570,441	118,638,718 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	1,847,540 1,203,033	2,580,664 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	33,636,404 11,160,864	33,381,600 11,987,345	34,209,580 12,926,866	33,835,036 11,884,480	36,145,753 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	33,636,404 10,918,923	33,381,600 11,706,976	34,209,580 12,615,917	33,835,036 11,458,116	36,145,753 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	13,810,056 3,284,314	13,944,051 3,250,551	13,754,310 3,386,837	15,679,007 3,360,806	18,137,045 3,508,953
Disproportionate-share hospital (DSH) Median	1,403,213 594,888	1,626,031 595,761	1,743,738 577,894	1,933,274 542,168	2,154,175 549,667
Outlier Median	3,862,807 582,572	3,556,053 538,116	3,337,969 212,434	413,774 126,559	525,314 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,930,046 3,662,910	4,589,827 3,730,911	8,843,635 4,081,319	15,931,765 4,643,908	16,894,476 4,389,147
Charity care Median	4,830,184 2,654,636	4,343,351 2,940,659	2,872,650 3,380,215	4,669,274 3,488,738	4,634,449 3,233,405
Uncompensated care (UCC) Median	8,008,615 5,147,790	7,132,428 5,337,617	5,714,456 5,711,082	8,030,232 5,923,418	7,225,983 5,508,107
UCC as a % of operating expenses Median	1.55% 3.24	1.38% 3.12	1.07% 3.21	1.39% 3.3	1.20% 2.86
Total shortfall/UCC Median	14,938,661 9,489,989	11,722,255 9,424,297	14,558,091 10,120,158	23,961,997 11,171,337	24,120,459 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	146,382,119 52,142,039	141,687,554 54,485,252	145,704,405 57,395,589	161,618,854 58,830,919	170,976,050 61,722,907
Salaries as a % of operating expenses Median	28.48 36.68	27.43 36.56	27.25 36.37	27.98 35.93	28.36 35.24
Intern, resident salaries* Median	8,288,614 2,598,592	8,589,385 2,686,824	8,719,725 2,753,773	10,632,278 2,937,156	10,714,990 2,909,848
Contract intern, resident salaries* Median	624,073 1,251,927	731,883 1,186,494	596,138 1,204,885	936,092 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,601,425 1,449,244	1,356,334 1,475,986	2,180,309 1,563,078	1,923,374 1,721,954	706,765 2,991,828
Contract hours, direct-care Median	81,028.00 22,725	24,148.00 23,018.5	40,600.00 24,503.48	32,783.00 25,026.5	10,700.00 33,786
Contract wages, direct-care Median	32.11 64.67	56.17 64.53	53.70 65.06	58.67 68.97	66.05 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.