As of the July, 2022, release via CMS

SHARON REGIONAL HEALTH SYSTEM

CMS id: 390211
740 EAST STATE STREET, SHARON PA 16146. County: MERCER
System: STEWARD HEALTH CARE SYSTEM LLC
CBSA: Youngstown-Warren-Boardman, OH-PA

The 213-bed, acute-care hospital had $-14,433,868 in net service to patients*, with a total profit margin of -7.51606% in fiscal year 2021, the latest year available.
It spent 2.05% of its operating expenses on uncompensated care and reported $7,034,811 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	304	365	365	366	365
Ownership	nfp	forprofit	forprofit	forprofit	forprofit
Acute beds Median	168 118	174 118	174 119.5	153 118	154 119
Total beds Median	246 162	252 162	233 162	212 162	213 163.5
FTEs Median	898.02 788.06	896.88 793.42	932.19 806.03	908.72 787.61	813.38 804.34

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	104,551,049 150,932,746	128,403,311 158,950,878	153,443,850 168,696,998	123,033,991 163,454,693	131,898,676 186,589,412
Operating expenses Median	115,494,239 149,311,209	139,729,162 156,110,414	147,703,969 164,890,568	143,798,381 166,516,854	146,332,544 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,943,190 -964,173	-11,325,851 -643,601.5	5,739,881 -116,254	-20,764,390 -5,025,862	-14,433,868 -1,284,564
NS2P margin ? Median	-10.47% -0.62	-8.82% -0.29	3.74% 0.18	-16.88% -5.07	-10.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SHARON REGIONAL HEALTH SYSTEM 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	516,767 5,089,215	1,638,069 4,572,541	2,079,418 5,268,134	4,556,861 13,092,619	4,204,293 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	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	400,315	566,550	748,909	754,669
⊳ 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	0	440,794	479,003	379,374	258,093
⊳ 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	3,987	1,618	567	1,016
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	647,457	817,417	558,499	707,157
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	11,217	6,831	14,038	27,864
⊳ Line 22: Rental of hospital space	0	31,566	26,173	132,106	229,012
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	25,759 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	516,767	76,974	181,826	2,723,368	2,226,482
Total income ? Median	-10,426,423 6,586,430	-9,687,782 6,767,106	7,819,299 8,419,950	-16,207,529 8,094,175	-10,229,575 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	-10,426,423 6,043,842	-9,687,782 5,845,112	7,819,299 7,606,259	-16,207,529 7,283,041	-10,229,575 14,957,241
Net margin Median	-9.92352% 4.62%	-7.44977% 4.42%	5.02774% 5.16%	-12.70274% 5.2%	-7.51606% 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 SHARON REGIONAL HEALTH SYSTEM 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	21,109,071 23,241,334	23,822,746 23,709,545	20,517,086 24,248,380	18,754,508 22,858,541	18,091,330 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	18,177,749 21,577,146	21,019,669 22,041,594	18,494,067 22,722,063	16,745,752 21,570,441	16,145,127 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	1,843,123 3,535,627	903,432 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	1,088,199 1,203,033	1,899,645 1,215,295	2,023,019 1,313,657	2,008,756 1,365,298	1,946,203 1,179,746
All outpatient revenue Median Click here to show/hide details	10,266,693 11,160,864	11,117,349 11,987,345	12,942,704 12,926,866	11,975,410 11,884,480	10,284,594 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	10,150,257 10,918,923	11,043,079 11,706,976	12,836,390 12,615,917	11,875,965 11,458,116	10,194,596 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	116,436 618,038	74,270 697,279	106,314 690,232	99,445 684,010	89,998 670,558
⊳ 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	536,439 594,888	786,374 595,761	430,920 577,894	415,550 542,168	729,658 549,667
Outlier Median	766,170 582,572	792,901 538,116	332,682 212,434	35,196 126,559	33,169 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,729,967 3,662,910	1,977,041 3,730,911	3,935,649 4,081,319	5,687,156 4,643,908	7,034,811 4,389,147
Charity care Median	18,836 2,654,636	337,565 2,940,659	545,576 3,380,215	480,074 3,488,738	449,296 3,233,405
Uncompensated care (UCC) Median	1,313,094 5,147,790	675,209 5,337,617	2,001,399 5,711,082	1,728,864 5,923,418	2,997,871 5,508,107
UCC as a % of operating expenses Median	1.14% 3.24	0.48% 3.12	1.36% 3.21	1.20% 3.3	2.05% 2.86
Total shortfall/UCC Median	6,043,061 9,489,989	2,652,250 9,424,297	5,937,048 10,120,158	7,416,020 11,171,337	10,032,682 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	38,413,355 52,142,039	45,814,799 54,485,252	50,190,658 57,395,589	48,774,977 58,830,919	45,963,502 61,722,907
Salaries as a % of operating expenses Median	33.26 36.68	32.91 36.56	34.12 36.37	34.02 35.93	31.50 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	628,753 1,449,244	0 1,475,986	188,044 1,563,078	224,837 1,721,954	6,201,682 2,991,828
Contract hours, direct-care Median	8,782.38 22,725	0.00 23,018.5	2,634.00 24,503.48	3,099.00 25,026.5	51,460.00 33,786
Contract wages, direct-care Median	71.59 64.67	0.00 64.53	71.39 65.06	72.55 68.97	120.51 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.