As of the July, 2022, release via CMS

UCSD MEDICAL CENTER

CMS id: 050025
200 W. ARBOR DRIVE, SAN DIEGO CA 92103. County: SAN DIEGO
System: UNIVERSITY OF CALIFORNIA
CBSA: San Diego-Chula Vista-Carlsbad, CA

The 751-bed, acute-care hospital had $-78,496,986 in net service to patients*, with a total profit margin of 3.82099% in fiscal year 2021, the latest year available.
It spent 1.16% of its operating expenses on uncompensated care and reported $106,504,665 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	464 118	513 118	513 119.5	513 118	544 119
Total beds Median	654 162	701 162	701 162	717 162	751 163.5
FTEs Median	6,963.25 788.06	1,165.13 793.42	7,821.45 806.03	6,988.87 787.61	8,619.00 804.34

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	1,599,825,691 150,932,746	1,842,794,494 158,950,878	1,960,273,937 168,696,998	2,208,234,284 163,454,693	2,476,193,001 186,589,412
Operating expenses Median	1,692,181,093 149,311,209	1,851,297,018 156,110,414	2,196,120,745 164,890,568	2,512,713,948 166,516,854	2,554,689,987 180,120,888
Net income from service 2 patients (NS2P) ? Median	-92,355,402 -964,173	-8,502,524 -643,601.5	-235,846,808 -116,254	-304,479,664 -5,025,862	-78,496,986 -1,284,564
NS2P margin ? Median	-5.77% -0.62	-0.46% -0.29	-12.03% 0.18	-13.79% -5.07	-3.17% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UCSD 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	101,702,843 5,089,215	108,585,959 4,572,541	118,978,429 5,268,134	240,022,515 13,092,619	181,051,632 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	7,238,320	7,183,007	8,439,150	9,035,306	9,215,006
⊳ 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	5,046,364	5,392,308	5,517,391	4,634,827	3,145,628
⊳ 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	508,209	393,126	404,808	330,057	333,994
⊳ 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	88,909,950	95,617,518	104,617,080	226,022,325	168,357,004
Total income ? Median	9,347,441 6,586,430	100,083,435 6,767,106	-116,868,379 8,419,950	-64,457,149 8,094,175	102,554,646 15,162,888
Non-operating expenses Median	241,246 146,289.5	578,392 164,857	331,507 89,880.5	504,916 106,761	1,021,644 31,473.5
Net income Median	9,106,195 6,043,842	99,505,043 5,845,112	-117,199,886 7,606,259	-64,962,065 7,283,041	101,533,002 14,957,241
Net margin Median	0.53518% 4.62%	5.09921% 4.42%	-5.63664% 5.16%	-2.65340% 5.2%	3.82099% 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 UCSD 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	214,157,765 23,241,334	226,993,748 23,709,545	256,157,399 24,248,380	271,718,306 22,858,541	305,477,851 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	208,558,038 21,577,146	222,366,876 22,041,594	251,086,674 22,722,063	267,758,812 21,570,441	301,933,214 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	5,599,727 1,845,420	4,626,872 1,757,392	5,070,725 1,738,842	3,959,494 1,510,463	3,544,637 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	119,062,170 11,160,864	122,497,627 11,987,345	148,611,305 12,926,866	156,627,363 11,884,480	181,026,025 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	119,062,170 10,918,923	122,497,627 11,706,976	148,611,305 12,615,917	156,627,363 11,458,116	181,026,025 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	32,225,867 3,284,314	33,851,158 3,250,551	37,231,249 3,386,837	41,553,957 3,360,806	42,897,094 3,508,953
Disproportionate-share hospital (DSH) Median	8,462,131 594,888	9,544,335 595,761	8,980,193 577,894	9,088,546 542,168	9,452,732 549,667
Outlier Median	27,973,590 582,572	30,948,446 538,116	36,872,549 212,434	7,678,869 126,559	8,762,220 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	71,060,246 3,662,910	106,636,779 3,730,911	125,227,703 4,081,319	99,118,747 4,643,908	106,504,665 4,389,147
Charity care Median	11,575,448 2,654,636	19,887,708 2,940,659	20,303,538 3,380,215	23,282,697 3,488,738	18,343,821 3,233,405
Uncompensated care (UCC) Median	35,632,126 5,147,790	90,929,485 5,337,617	66,363,358 5,711,082	53,032,783 5,923,418	29,726,150 5,508,107
UCC as a % of operating expenses Median	2.11% 3.24	4.91% 3.12	3.02% 3.21	2.11% 3.3	1.16% 2.86
Total shortfall/UCC Median	106,692,372 9,489,989	197,566,264 9,424,297	191,591,061 10,120,158	152,151,530 11,171,337	136,230,815 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	612,855,912 52,142,039	666,875,317 54,485,252	726,658,358 57,395,589	821,324,606 58,830,919	883,091,318 61,722,907
Salaries as a % of operating expenses Median	36.22 36.68	36.02 36.56	33.09 36.37	32.69 35.93	34.57 35.24
Intern, resident salaries* Median	37,700,554 2,598,592	39,174,738 2,686,824	41,417,372 2,753,773	42,887,402 2,937,156	45,478,506 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	31,226,457 1,449,244	22,172,952 1,475,986	36,260,423 1,563,078	26,857,428 1,721,954	39,309,123 2,991,828
Contract hours, direct-care Median	357,648.00 22,725	308,788.00 23,018.5	496,500.00 24,503.48	371,782.00 25,026.5	431,563.93 33,786
Contract wages, direct-care Median	87.31 64.67	71.81 64.53	73.03 65.06	72.24 68.97	91.09 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.