As of the July, 2022, release via CMS

GEISINGER WYOMING VALLEY MED CTR

CMS id: 390270
1000 EAST MOUNTAIN DRIVE, WILKES BARRE PA 18702. County: LUZERNE
System: GEISINGER SYSTEM SERVICES
CBSA: Scranton--Wilkes-Barre, PA

The 300-bed, acute-care hospital had $80,257,300 in net service to patients*, with a total profit margin of 25.10891% in fiscal year 2021, the latest year available.
It spent 2.82% of its operating expenses on uncompensated care and reported $23,945,599 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	192 118	194 118	228 119.5	228 118	228 119
Total beds Median	283 162	286 162	320 162	300 162	300 163.5
FTEs Median	1,849.98 788.06	2,048.43 793.42	2,301.54 806.03	2,916.65 787.61	2,951.84 804.34

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	517,783,875 150,932,746	560,235,939 158,950,878	629,704,361 168,696,998	628,175,369 163,454,693	664,843,804 186,589,412
Operating expenses Median	463,613,701 149,311,209	480,418,526 156,110,414	521,375,974 164,890,568	536,520,324 166,516,854	584,586,504 180,120,888
Net income from service 2 patients (NS2P) ? Median	54,170,174 -964,173	79,817,413 -643,601.5	108,328,387 -116,254	91,655,045 -5,025,862	80,257,300 -1,284,564
NS2P margin ? Median	10.46% -0.62	14.25% -0.29	17.20% 0.18	14.59% -5.07	12.07% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GEISINGER WYOMING VALLEY MED CTR 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	11,396,700 5,089,215	11,901,713 4,572,541	17,519,628 5,268,134	28,387,117 13,092,619	115,746,553 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	318,884 206,870.5	160,348 194,343	116,863 249,496
⊳ Line 7: Investments ? ⊳ Median	10,610,480 299,524	5,447,796 188,688.5	10,427,087 370,813	9,573,107 309,361.5	52,430,848 375,329
⊳ 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	95,474	188	4,446
⊳ 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	0	1,619,532	1,444,391	1,210,113
⊳ Line 15: Revenue from rental of living quarters	0	0	10,750	10,150	9,050
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	6,037	3,648	12,674
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	1,020,936
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	12,204	10,180	35,971
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	51,614	30,542	19,037
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	267,433	0	224,784	162,451	156,490
⊳ Line 21: Rental of vending machines	0	0	61,134	58,058	41,876
⊳ Line 22: Rental of hospital space	0	0	195,511	212,419	220,120
⊳ 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	518,787	6,453,917	4,496,617	16,721,635	60,468,129
Total income ? Median	65,566,874 6,586,430	91,719,126 6,767,106	125,848,015 8,419,950	120,042,162 8,094,175	196,003,853 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	6,125 31,473.5
Net income Median	65,566,874 6,043,842	91,719,126 5,845,112	125,848,015 7,606,259	120,042,162 7,283,041	195,997,728 14,957,241
Net margin Median	12.39026% 4.62%	16.03095% 4.42%	19.44428% 5.16%	18.28343% 5.2%	25.10891% 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 GEISINGER WYOMING VALLEY MED CTR 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	66,498,221 23,241,334	70,121,713 23,709,545	73,728,136 24,248,380	77,241,027 22,858,541	82,318,265 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	60,827,140 21,577,146	65,429,282 22,041,594	72,574,197 22,722,063	77,241,027 21,570,441	82,318,265 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	5,671,081 3,535,627	4,692,431 3,746,588	1,153,939 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	48,712,062 11,160,864	54,750,779 11,987,345	60,327,692 12,926,866	60,713,205 11,884,480	64,836,377 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	48,712,062 10,918,923	54,750,779 11,706,976	60,327,692 12,615,917	60,713,205 11,458,116	64,836,377 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	6,552,447 3,284,314	6,743,269 3,250,551	6,858,149 3,386,837	6,933,220 3,360,806	8,404,954 3,508,953
Disproportionate-share hospital (DSH) Median	1,589,167 594,888	1,698,851 595,761	2,093,617 577,894	2,205,064 542,168	2,447,422 549,667
Outlier Median	2,099,191 582,572	2,170,010 538,116	1,761,156 212,434	332,026 126,559	158,137 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	26,975,290 3,662,910	22,224,358 3,730,911	31,489,270 4,081,319	24,556,898 4,643,908	23,945,599 4,389,147
Charity care Median	16,178,244 2,654,636	9,038,494 2,940,659	12,619,474 3,380,215	13,970,185 3,488,738	14,120,689 3,233,405
Uncompensated care (UCC) Median	18,030,764 5,147,790	11,915,778 5,337,617	15,887,022 5,711,082	16,053,003 5,923,418	16,512,817 5,508,107
UCC as a % of operating expenses Median	3.89% 3.24	2.48% 3.12	3.05% 3.21	2.99% 3.3	2.82% 2.86
Total shortfall/UCC Median	45,006,054 9,489,989	34,140,136 9,424,297	47,376,292 10,120,158	40,609,901 11,171,337	40,458,416 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	118,197,607 52,142,039	120,498,742 54,485,252	142,006,240 57,395,589	140,284,141 58,830,919	145,549,571 61,722,907
Salaries as a % of operating expenses Median	25.49 36.68	25.08 36.56	27.24 36.37	26.15 35.93	24.90 35.24
Intern, resident salaries* Median	3,516,654 2,598,592	2,595,357 2,686,824	2,672,927 2,753,773	2,712,861 2,937,156	3,474,289 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	580,632 1,469,317
Contract adjusted salaries, direct-care Median	5,665,806 1,449,244	11,031,154 1,475,986	8,062,432 1,563,078	8,932,077 1,721,954	13,016,603 2,991,828
Contract hours, direct-care Median	68,812.86 22,725	141,332.75 23,018.5	117,404.00 24,503.48	131,236.75 25,026.5	137,221.55 33,786
Contract wages, direct-care Median	82.34 64.67	78.05 64.53	68.67 65.06	68.06 68.97	94.86 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.