As of the July, 2022, release via CMS

UAMS MEDICAL CENTER

CMS id: 040016
4301 WEST MARKHAM, LITTLE ROCK AR 72205. County: PULASKI
System: --
CBSA: Little Rock-North Little Rock-Conway, AR

The 482-bed, acute-care hospital had $71,868,286 in net service to patients*, with a total profit margin of 10.37231% in fiscal year 2021, the latest year available.
It spent 2.46% of its operating expenses on uncompensated care and reported $0 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	392 118	378 118	389 119.5	392 118	366 119
Total beds Median	508 162	494 162	505 162	508 162	482 163.5
FTEs Median	4,202.00 788.06	4,184.40 793.42	4,078.40 806.03	4,188.60 787.61	4,211.00 804.34

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	811,397,758 150,932,746	836,746,767 158,950,878	785,544,046 168,696,998	881,799,111 163,454,693	973,997,303 186,589,412
Operating expenses Median	786,555,901 149,311,209	789,121,141 156,110,414	794,832,957 164,890,568	841,351,682 166,516,854	902,129,017 180,120,888
Net income from service 2 patients (NS2P) ? Median	24,841,857 -964,173	47,625,626 -643,601.5	-9,288,911 -116,254	40,447,429 -5,025,862	71,868,286 -1,284,564
NS2P margin ? Median	3.06% -0.62	5.69% -0.29	-1.18% 0.18	4.59% -5.07	7.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UAMS MEDICAL CENTER 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	466,596 5,089,215	400,564 4,572,541	92,044,921 5,268,134	16,339,372 13,092,619	32,532,047 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	334,057	335,105	391,983	310,842	136,290
⊳ 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	132,539	65,459	91,652,938	16,028,530	32,395,757
Total income ? Median	25,308,453 6,586,430	48,026,190 6,767,106	82,756,010 8,419,950	56,786,801 8,094,175	104,400,333 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	25,308,453 6,043,842	48,026,190 5,845,112	82,756,010 7,606,259	56,786,801 7,283,041	104,400,333 14,957,241
Net margin Median	3.11733% 4.62%	5.73689% 4.42%	9.42993% 5.16%	6.32272% 5.2%	10.37231% 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 UAMS MEDICAL CENTER 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	125,397,394 23,241,334	136,926,136 23,709,545	131,651,385 24,248,380	126,807,905 22,858,541	128,494,381 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	125,397,394 21,577,146	136,926,136 22,041,594	131,651,385 22,722,063	126,807,905 21,570,441	128,494,381 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	86,676,775 11,160,864	86,889,327 11,987,345	90,034,179 12,926,866	88,451,208 11,884,480	92,206,121 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	86,676,775 10,918,923	86,889,327 11,706,976	90,034,179 12,615,917	88,451,208 11,458,116	92,206,121 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	24,413,811 3,284,314	26,625,163 3,250,551	25,446,965 3,386,837	25,401,478 3,360,806	25,160,378 3,508,953
Disproportionate-share hospital (DSH) Median	5,804,551 594,888	5,826,299 595,761	5,629,582 577,894	5,869,685 542,168	5,627,692 549,667
Outlier Median	9,000,399 582,572	8,282,108 538,116	8,066,142 212,434	277,054 126,559	404,257 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	10,755,782 2,654,636	9,457,009 2,940,659	12,007,958 3,380,215	11,438,655 3,488,738	10,406,499 3,233,405
Uncompensated care (UCC) Median	19,095,579 5,147,790	20,160,707 5,337,617	20,699,197 5,711,082	27,949,324 5,923,418	22,225,425 5,508,107
UCC as a % of operating expenses Median	2.43% 3.24	2.55% 3.12	2.60% 3.21	3.32% 3.3	2.46% 2.86
Total shortfall/UCC Median	19,095,579 9,489,989	20,160,707 9,424,297	20,699,197 10,120,158	27,949,324 11,171,337	22,225,425 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	240,630,665 52,142,039	253,645,606 54,485,252	251,845,488 57,395,589	277,429,215 58,830,919	277,681,953 61,722,907
Salaries as a % of operating expenses Median	38.02 36.68	38.62 36.56	37.81 36.37	38.71 35.93	36.12 35.24
Intern, resident salaries* Median	275,120 2,598,592	347,471 2,686,824	315,445 2,753,773	324,715 2,937,156	291,079 2,909,848
Contract intern, resident salaries* Median	17,953,683 1,251,927	19,004,684 1,186,494	19,621,814 1,204,885	20,687,207 1,279,653	20,593,946 1,469,317
Contract adjusted salaries, direct-care Median	19,044,150 1,449,244	23,778,857 1,475,986	20,422,537 1,563,078	0 1,721,954	22,298,785 2,991,828
Contract hours, direct-care Median	613,483.56 22,725	740,389.00 23,018.5	684,322.00 24,503.48	0.00 25,026.5	721,549.00 33,786
Contract wages, direct-care Median	31.04 64.67	32.12 64.53	29.84 65.06	0.00 68.97	30.90 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.