As of the July, 2022, release via CMS

USA HEALTH UNIVERSITY HOSPITAL

CMS id: 010087
2451 UNIVERSITY HOSPITAL DRIVE, MOBILE AL 36617. County: MOBILE
System: UNIV OF SOUTH ALABAMA HOSPITALS
CBSA: Mobile, AL

The 201-bed, acute-care hospital had $11,500,420 in net service to patients*, with a total profit margin of 13.23384% in fiscal year 2021, the latest year available.
It spent 8.59% of its operating expenses on uncompensated care and reported $25,469 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	gov	gov	gov	gov	gov
Acute beds Median	115 118	117 118	145 119.5	150 118	155 119
Total beds Median	148 162	149 162	183 162	191 162	201 163.5
FTEs Median	1,486.28 788.06	1,551.36 793.42	1,618.79 806.03	1,685.87 787.61	1,783.39 804.34

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	171,818,641 150,932,746	188,895,628 158,950,878	236,309,959 168,696,998	249,573,099 163,454,693	298,274,055 186,589,412
Operating expenses Median	205,527,728 149,311,209	272,559,278 156,110,414	245,884,002 164,890,568	241,740,055 166,516,854	286,773,635 180,120,888
Net income from service 2 patients (NS2P) ? Median	-33,709,087 -964,173	-83,663,650 -643,601.5	-9,574,043 -116,254	7,833,044 -5,025,862	11,500,420 -1,284,564
NS2P margin ? Median	-19.62% -0.62	-44.29% -0.29	-4.05% 0.18	3.14% -5.07	3.86% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for USA HEALTH UNIVERSITY 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	51,039,014 5,089,215	42,767,953 4,572,541	41,084,625 5,268,134	50,286,985 13,092,619	39,189,046 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	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	0	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	0	0	0	0	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	0	0	0	0	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	51,039,014	42,767,953	41,084,625	50,286,985	39,189,046
Total income ? Median	17,329,927 6,586,430	-40,895,697 6,767,106	31,510,582 8,419,950	58,120,029 8,094,175	50,689,466 15,162,888
Non-operating expenses Median	308,915 146,289.5	-36,329,119 164,857	9,314,308 89,880.5	14,054,613 106,761	6,030,124 31,473.5
Net income Median	17,021,012 6,043,842	-4,566,578 5,845,112	22,196,274 7,606,259	44,065,416 7,283,041	44,659,342 14,957,241
Net margin Median	7.63762% 4.62%	-1.97121% 4.42%	8.00170% 5.16%	14.69533% 5.2%	13.23384% 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 USA HEALTH UNIVERSITY 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	29,069,127 23,241,334	30,762,642 23,709,545	38,368,367 24,248,380	42,473,987 22,858,541	42,960,735 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	29,069,127 21,577,146	30,762,642 22,041,594	38,368,367 22,722,063	42,473,987 21,570,441	42,960,735 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	18,683,612 11,160,864	19,653,953 11,987,345	21,079,911 12,926,866	17,788,389 11,884,480	18,808,100 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	18,683,612 10,918,923	19,653,953 11,706,976	21,079,911 12,615,917	17,788,389 11,458,116	18,808,100 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	9,744,844 3,284,314	10,039,557 3,250,551	11,200,906 3,386,837	11,785,838 3,360,806	11,755,182 3,508,953
Disproportionate-share hospital (DSH) Median	1,031,102 594,888	901,803 595,761	1,054,423 577,894	903,860 542,168	845,742 549,667
Outlier Median	836,537 582,572	592,032 538,116	240,879 212,434	235,525 126,559	171,163 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,633,821 3,662,910	16,655,082 3,730,911	0 4,081,319	0 4,643,908	25,469 4,389,147
Charity care Median	1,810,055 2,654,636	25,121,503 2,940,659	6,966,688 3,380,215	4,743,423 3,488,738	5,472,103 3,233,405
Uncompensated care (UCC) Median	20,710,576 5,147,790	42,518,338 5,337,617	11,779,108 5,711,082	20,355,968 5,923,418	24,626,476 5,508,107
UCC as a % of operating expenses Median	10.08% 3.24	15.60% 3.12	4.79% 3.21	8.42% 3.3	8.59% 2.86
Total shortfall/UCC Median	22,344,397 9,489,989	59,173,420 9,424,297	11,779,108 10,120,158	20,355,968 11,171,337	24,651,945 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	91,219,323 52,142,039	90,179,586 54,485,252	101,980,435 57,395,589	101,544,807 58,830,919	119,475,721 61,722,907
Salaries as a % of operating expenses Median	43.76 36.68	39.72 36.56	40.65 36.37	36.46 35.93	40.31 35.24
Intern, resident salaries* Median	13,410,278 2,598,592	13,648,555 2,686,824	14,529,826 2,753,773	15,566,251 2,937,156	16,846,726 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	1,905,974 1,449,244	2,243,507 1,475,986	4,109,181 1,563,078	4,433,733 1,721,954	7,085,562 2,991,828
Contract hours, direct-care Median	33,354.53 22,725	39,266.28 23,018.5	76,578.84 24,503.48	85,103.90 25,026.5	111,250.25 33,786
Contract wages, direct-care Median	57.14 64.67	57.14 64.53	53.66 65.06	52.10 68.97	63.69 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.