As of the July, 2022, release via CMS

LATROBE AREA HOSPITAL

CMS id: 390219
ONE MELLON WAY, LATROBE PA 15650. County: WESTMORELAND
System: EXCELA HEALTH
CBSA: Pittsburgh, PA

The 115-bed, acute-care hospital had $16,030,600 in net service to patients*, with a total profit margin of 29.98144% in fiscal year 2021, the latest year available.
It spent 2.12% of its operating expenses on uncompensated care and reported $1,276,300 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	102 118	106 118	111 119.5	104 118	104 119
Total beds Median	113 162	117 162	122 162	115 162	115 163.5
FTEs Median	907.50 788.06	917.00 793.42	901.84 806.03	758.00 787.61	763.31 804.34

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	138,755,474 150,932,746	138,540,485 158,950,878	140,426,651 168,696,998	127,601,515 163,454,693	147,171,986 186,589,412
Operating expenses Median	125,230,600 149,311,209	128,317,927 156,110,414	134,473,715 164,890,568	128,750,338 166,516,854	131,141,386 180,120,888
Net income from service 2 patients (NS2P) ? Median	13,524,874 -964,173	10,222,558 -643,601.5	5,952,936 -116,254	-1,148,823 -5,025,862	16,030,600 -1,284,564
NS2P margin ? Median	9.75% -0.62	7.38% -0.29	4.24% 0.18	-0.90% -5.07	10.89% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LATROBE 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	17,489,075 5,089,215	5,175,378 4,572,541	12,223,445 5,268,134	12,147,009 13,092,619	40,123,201 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	5,000 224,999	2,478 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	12,270,109 299,524	7,255,003 188,688.5	2,107,922 370,813	3,496,397 309,361.5	28,029,340 375,329
⊳ 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	55,107	0	0	0	854
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	526,396	605,273	677,210	541,443	398,831
⊳ 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	13,168	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	709,141	268,578	239,821	267,123	376,993
⊳ Line 18: Revenue from sale of medical records and abstracts	1,067	933	0	1,675	2,331
⊳ 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	4,385	10,582	10,567
⊳ Line 22: Rental of hospital space	3,036,191	3,711,921	3,786,642	3,846,579	3,756,861
⊳ Line 23: Gov appropriations ? ⊳ Median	67,602 1,017,693	36,334 983,261.5	55,495 1,173,286	168,066 1,987,202	181,347 1,597,664
⊳ Sum Line 24	818,462	-6,705,142	5,338,802	3,815,144	7,366,077
Total income ? Median	31,013,949 6,586,430	15,397,936 6,767,106	18,176,381 8,419,950	10,998,186 8,094,175	56,153,801 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	31,013,949 6,043,842	15,397,936 5,845,112	18,176,381 7,606,259	10,998,186 7,283,041	56,153,801 14,957,241
Net margin Median	19.84962% 4.62%	10.71415% 4.42%	11.90722% 5.16%	7.86998% 5.2%	29.98144% 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 LATROBE 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	14,410,796 23,241,334	14,695,663 23,709,545	14,427,026 24,248,380	14,754,525 22,858,541	15,017,229 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	14,410,796 21,577,146	14,695,663 22,041,594	14,427,026 22,722,063	14,754,525 21,570,441	15,017,229 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	6,219,038 11,160,864	6,439,684 11,987,345	6,845,764 12,926,866	6,020,480 11,884,480	6,435,390 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	6,219,038 10,918,923	6,439,684 11,706,976	6,845,764 12,615,917	6,020,480 11,458,116	6,435,390 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	2,244,591 3,284,314	2,264,468 3,250,551	2,191,230 3,386,837	2,294,867 3,360,806	2,299,712 3,508,953
Disproportionate-share hospital (DSH) Median	194,376 594,888	161,336 595,761	141,547 577,894	182,009 542,168	129,577 549,667
Outlier Median	140,676 582,572	31,710 538,116	56,716 212,434	5,122 126,559	13,673 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,393,868 3,662,910	2,467,107 3,730,911	2,877,189 4,081,319	3,200,288 4,643,908	1,276,300 4,389,147
Charity care Median	958,933 2,654,636	1,279,834 2,940,659	1,112,218 3,380,215	1,027,798 3,488,738	743,707 3,233,405
Uncompensated care (UCC) Median	1,999,732 5,147,790	2,657,411 5,337,617	2,699,527 5,711,082	3,117,308 5,923,418	2,782,029 5,508,107
UCC as a % of operating expenses Median	1.60% 3.24	2.07% 3.12	2.01% 3.21	2.42% 3.3	2.12% 2.86
Total shortfall/UCC Median	5,393,600 9,489,989	5,124,518 9,424,297	5,576,716 10,120,158	6,317,596 11,171,337	4,058,329 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	48,017,858 52,142,039	47,769,385 54,485,252	48,787,601 57,395,589	43,921,909 58,830,919	43,453,015 61,722,907
Salaries as a % of operating expenses Median	38.34 36.68	37.23 36.56	36.28 36.37	34.11 35.93	33.13 35.24
Intern, resident salaries* Median	1,426,131 2,598,592	1,533,389 2,686,824	1,434,386 2,753,773	1,441,406 2,937,156	1,526,612 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	208,500 1,449,244	217,290 1,475,986	578,422 1,563,078	233,780 1,721,954	531,868 2,991,828
Contract hours, direct-care Median	1,737.00 22,725	2,327.00 23,018.5	7,054.00 24,503.48	2,841.00 25,026.5	6,178.00 33,786
Contract wages, direct-care Median	120.03 64.67	93.38 64.53	82.00 65.06	82.29 68.97	86.09 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.