As of the July, 2022, release via CMS

PUNXSUTAWNEY AREA HOSPITAL

CMS id: 390199
81 HILLCREST DRIVE, PUNXSUTAWNEY PA 15767. County: JEFFERSON
System: --
CBSA: Rural Pennsylvania

The 46-bed, acute-care hospital had $-11,143,681 in net service to patients*, with a total profit margin of 15.39845% in fiscal year 2021, the latest year available.
It spent 1.46% of its operating expenses on uncompensated care and reported $516,333 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	39 118	39 118	39 119.5	39 118	39 119
Total beds Median	44 162	44 162	44 162	44 162	46 163.5
FTEs Median	318.09 788.06	307.41 793.42	293.62 806.03	283.49 787.61	278.25 804.34

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	33,896,335 150,932,746	33,634,362 158,950,878	33,866,340 168,696,998	34,689,372 163,454,693	33,680,062 186,589,412
Operating expenses Median	33,803,648 149,311,209	34,814,931 156,110,414	35,522,622 164,890,568	37,512,507 166,516,854	44,823,743 180,120,888
Net income from service 2 patients (NS2P) ? Median	92,687 -964,173	-1,180,569 -643,601.5	-1,656,282 -116,254	-2,823,135 -5,025,862	-11,143,681 -1,284,564
NS2P margin ? Median	0.27% -0.62	-3.51% -0.29	-4.89% 0.18	-8.14% -5.07	-33.09% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PUNXSUTAWNEY AREA 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	1,540,654 5,089,215	1,326,825 4,572,541	3,691,875 5,268,134	5,144,616 13,092,619	19,302,114 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	83,447 224,999	80,857 199,009	69,511 206,870.5	177,088 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	97,095 299,524	47,191 188,688.5	363,125 370,813	850,317 309,361.5	0 375,329
⊳ 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	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	159,383	0	0	0	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	348	36	1,061	1,197	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	322,700	339,389	340,083	343,631	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	877,681	859,352	2,918,095	3,772,383	19,302,114
Total income ? Median	1,633,341 6,586,430	146,256 6,767,106	2,035,593 8,419,950	2,321,481 8,094,175	8,158,433 15,162,888
Non-operating expenses Median	1,707,958 146,289.5	-339,528 164,857	981,232 89,880.5	959,312 106,761	0 31,473.5
Net income Median	-74,617 6,043,842	485,784 5,845,112	1,054,361 7,606,259	1,362,169 7,283,041	8,158,433 14,957,241
Net margin Median	-0.21056% 4.62%	1.38950% 4.42%	2.80727% 5.16%	3.41961% 5.2%	15.39845% 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 PUNXSUTAWNEY AREA 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	4,186,922 23,241,334	3,701,339 23,709,545	3,240,389 24,248,380	3,272,790 22,858,541	3,018,021 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	4,186,922 21,577,146	3,701,339 22,041,594	3,240,389 22,722,063	3,272,790 21,570,441	3,018,021 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	4,252,884 11,160,864	4,030,791 11,987,345	3,848,426 12,926,866	3,608,156 11,884,480	4,835,159 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	3,043,354 10,918,923	3,015,702 11,706,976	2,848,993 12,615,917	2,783,365 11,458,116	3,845,614 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,209,530 1,282,808	1,015,089 1,407,728	999,433 1,341,512	824,791 1,407,046	989,545 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	68,566 594,888	57,755 595,761	44,421 577,894	65,448 542,168	59,547 549,667
Outlier Median	11,563 582,572	0 538,116	16,694 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,715,468 3,662,910	1,362,660 3,730,911	1,529,562 4,081,319	593,818 4,643,908	516,333 4,389,147
Charity care Median	470,110 2,654,636	430,586 2,940,659	531,964 3,380,215	423,734 3,488,738	369,998 3,233,405
Uncompensated care (UCC) Median	723,302 5,147,790	736,417 5,337,617	815,157 5,711,082	890,141 5,923,418	655,988 5,508,107
UCC as a % of operating expenses Median	2.14% 3.24	2.12% 3.12	2.29% 3.21	2.37% 3.3	1.46% 2.86
Total shortfall/UCC Median	2,438,770 9,489,989	2,099,077 9,424,297	2,344,719 10,120,158	1,483,959 11,171,337	1,172,321 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	18,103,357 52,142,039	20,355,235 54,485,252	19,343,740 57,395,589	20,984,267 58,830,919	22,830,267 61,722,907
Salaries as a % of operating expenses Median	53.55 36.68	58.47 36.56	54.45 36.37	55.94 35.93	50.93 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	276,780 1,449,244	455,448 1,475,986	245,311 1,563,078	448,229 1,721,954	710,649 2,991,828
Contract hours, direct-care Median	4,018.90 22,725	6,908.51 23,018.5	3,767.60 24,503.48	7,795.50 25,026.5	9,575.30 33,786
Contract wages, direct-care Median	68.87 64.67	65.93 64.53	65.11 65.06	57.50 68.97	74.22 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.