As of the July, 2022, release via CMS

EINSTEIN MEDICAL CENTER MONTGOMERY

CMS id: 390329
559 WEST GERMANTOWN PIKE, EAST NORRITON PA 19403. County: MONTGOMERY
System: ALBERT EINSTEIN HEALTHCARE NETWORK
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 175-bed, acute-care hospital had $-22,621,550 in net service to patients*, with a total profit margin of 9.66127% in fiscal year 2021, the latest year available.
It spent 1.24% of its operating expenses on uncompensated care and reported $269,551 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	139 118	139 118	139 119.5	140 118	140 119
Total beds Median	170 162	170 162	170 162	171 162	175 163.5
FTEs Median	1,139.59 788.06	1,139.70 793.42	1,178.71 806.03	1,230.65 787.61	1,273.33 804.34

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	212,226,939 150,932,746	227,678,001 158,950,878	242,660,509 168,696,998	238,269,016 163,454,693	249,589,619 186,589,412
Operating expenses Median	216,220,332 149,311,209	223,864,390 156,110,414	238,018,553 164,890,568	252,738,266 166,516,854	272,211,169 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,993,393 -964,173	3,813,611 -643,601.5	4,641,956 -116,254	-14,469,250 -5,025,862	-22,621,550 -1,284,564
NS2P margin ? Median	-1.88% -0.62	1.68% -0.29	1.91% 0.18	-6.07% -5.07	-9.06% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EINSTEIN MEDICAL CENTER MONTGOMERY 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	8,343,205 5,089,215	10,532,408 4,572,541	7,971,449 5,268,134	20,597,927 13,092,619	51,733,151 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,420,671 224,999	276,166 199,009	1,246,236 206,870.5	137,827 194,343	478,595 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	13,371 188,688.5	207,348 370,813	-145,807 309,361.5	608,890 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	166,440	92,156	70,315	229,359	266,826
⊳ 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	958,228	994,709	1,096,030	919,928	830,473
⊳ 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	87,353	114,548	106,538	129,800	146,803
⊳ Line 18: Revenue from sale of medical records and abstracts	16,967	15,921	14,884	19,802	16,211
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,305,583	1,370,063	1,569,700	1,735,670	1,734,736
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	4,601	4,269	4,655	3,818	1,932
⊳ Line 22: Rental of hospital space	1,391,169	1,425,627	1,446,292	1,386,599	1,576,840
⊳ 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	1,992,193	6,225,578	2,209,451	16,180,931	46,071,845
Total income ? Median	4,349,812 6,586,430	14,346,019 6,767,106	12,613,405 8,419,950	6,128,677 8,094,175	29,111,601 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	4,349,812 6,043,842	14,346,019 5,845,112	12,613,405 7,606,259	6,128,677 7,283,041	29,111,601 14,957,241
Net margin Median	1.97208% 4.62%	6.02241% 4.42%	5.03264% 5.16%	2.36750% 5.2%	9.66127% 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 EINSTEIN MEDICAL CENTER MONTGOMERY 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	31,112,188 23,241,334	31,473,401 23,709,545	34,623,325 24,248,380	35,908,127 22,858,541	42,167,732 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	31,112,188 21,577,146	31,473,401 22,041,594	34,623,325 22,722,063	35,908,127 21,570,441	42,167,732 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	19,654,841 11,160,864	19,188,198 11,987,345	21,087,172 12,926,866	20,285,433 11,884,480	23,291,550 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	16,620,161 10,918,923	16,424,972 11,706,976	18,302,473 12,615,917	17,623,748 11,458,116	20,494,672 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,034,680 1,282,808	2,763,226 1,407,728	2,784,699 1,341,512	2,661,685 1,407,046	2,796,878 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	130,506 3,284,314	64,150 3,250,551	129,847 3,386,837	1,455,952 3,360,806	5,420,618 3,508,953
Disproportionate-share hospital (DSH) Median	973,349 594,888	813,540 595,761	894,572 577,894	905,001 542,168	936,589 549,667
Outlier Median	725,730 582,572	442,334 538,116	287,774 212,434	179,948 126,559	149,046 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,904,342 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	269,551 4,389,147
Charity care Median	3,509 2,654,636	29,942 2,940,659	2,243 3,380,215	28,332 3,488,738	222,738 3,233,405
Uncompensated care (UCC) Median	3,108,652 5,147,790	3,135,317 5,337,617	1,894,941 5,711,082	3,485,428 5,923,418	3,365,288 5,508,107
UCC as a % of operating expenses Median	1.44% 3.24	1.40% 3.12	0.80% 3.21	1.38% 3.3	1.24% 2.86
Total shortfall/UCC Median	5,012,994 9,489,989	3,135,317 9,424,297	1,894,941 10,120,158	3,485,428 11,171,337	3,634,839 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	75,330,939 52,142,039	78,293,876 54,485,252	84,337,407 57,395,589	90,257,672 58,830,919	96,108,792 61,722,907
Salaries as a % of operating expenses Median	34.84 36.68	34.97 36.56	35.43 36.37	35.71 35.93	35.31 35.24
Intern, resident salaries* Median	0 2,598,592	149,990 2,686,824	271,094 2,753,773	983,353 2,937,156	2,965,230 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	409,035 1,449,244	269,963 1,475,986	155,615 1,563,078	175,283 1,721,954	185,975 2,991,828
Contract hours, direct-care Median	5,111.28 22,725	4,280.50 23,018.5	3,171.92 24,503.48	4,925.75 25,026.5	4,003.93 33,786
Contract wages, direct-care Median	80.03 64.67	63.07 64.53	49.06 65.06	35.59 68.97	46.45 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.