As of the July, 2022, release via CMS

UCI MEDICAL CENTER

CMS id: 050348
101 THE CITY DRIVE SOUTH, ORANGE CA 92868. County: ORANGE
System: THE REGENTS OF THE UNIVERSITY OF CAL
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 414-bed, acute-care hospital had $-94,988,313 in net service to patients*, with a total profit margin of 8.89306% in fiscal year 2021, the latest year available.
It spent 2.07% 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	240 118	242 118	242 119.5	247 118	253 119
Total beds Median	415 162	417 162	414 162	407 162	414 163.5
FTEs Median	4,813.16 788.06	4,743.82 793.42	4,526.01 806.03	9,781.07 787.61	5,376.31 804.34

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	1,109,819,112 150,932,746	1,181,610,419 158,950,878	1,246,310,610 168,696,998	1,303,862,717 163,454,693	1,469,859,922 186,589,412
Operating expenses Median	1,074,192,102 149,311,209	1,096,354,642 156,110,414	1,284,314,232 164,890,568	1,510,053,614 166,516,854	1,564,848,235 180,120,888
Net income from service 2 patients (NS2P) ? Median	35,627,010 -964,173	85,255,777 -643,601.5	-38,003,622 -116,254	-206,190,897 -5,025,862	-94,988,313 -1,284,564
NS2P margin ? Median	3.21% -0.62	7.22% -0.29	-3.05% 0.18	-15.81% -5.07	-6.46% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UCI 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	38,533,112 5,089,215	68,770,701 4,572,541	133,631,024 5,268,134	168,870,524 13,092,619	274,443,882 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	3,620,622 299,524	5,573,211 188,688.5	9,059,271 370,813	9,483,962 309,361.5	30,416,134 375,329
⊳ 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	2,638,991	2,554,782	4,596,350	3,484,701	4,211,595
⊳ Line 12: Parking lot receipts	3,990,998	4,692,636	4,948,729	3,808,984	3,567,151
⊳ 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	1,359,550	26,712,351	70,830,811	55,074,174	64,878,918
⊳ Line 18: Revenue from sale of medical records and abstracts	56,269	45,362	52,573	6,738	40,782
⊳ 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	32,727,286
⊳ Line 23: Gov appropriations ? ⊳ Median	2,397,576 1,017,693	1,801,314 983,261.5	2,678,812 1,173,286	1,074,974 1,987,202	2,346,776 1,597,664
⊳ Sum Line 24	24,469,106	27,391,045	41,464,478	95,936,991	136,255,240
Total income ? Median	74,160,122 6,586,430	154,026,478 6,767,106	95,627,402 8,419,950	-37,320,373 8,094,175	179,455,569 15,162,888
Non-operating expenses Median	26,571,619 146,289.5	0 164,857	30,564,122 89,880.5	19,221,327 106,761	24,333,533 31,473.5
Net income Median	47,588,503 6,043,842	154,026,478 5,845,112	65,063,280 7,606,259	-56,541,700 7,283,041	155,122,036 14,957,241
Net margin Median	4.14407% 4.62%	12.31836% 4.42%	4.71493% 5.16%	-3.83924% 5.2%	8.89306% 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 UCI 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	118,219,464 23,241,334	122,554,070 23,709,545	134,261,147 24,248,380	135,852,745 22,858,541	160,481,815 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	113,618,971 21,577,146	118,839,952 22,041,594	128,887,795 22,722,063	130,720,134 21,570,441	155,174,996 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	1,814,398 1,845,420	1,296,843 1,757,392	1,440,136 1,738,842	1,650,012 1,510,463	1,362,023 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,786,095 3,535,627	2,417,275 3,746,588	3,933,216 3,782,288	3,482,599 3,865,578	3,944,796 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	88,759,174 11,160,864	92,534,105 11,987,345	98,169,455 12,926,866	104,016,164 11,884,480	110,754,964 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	88,759,174 10,918,923	92,534,105 11,706,976	98,169,455 12,615,917	104,016,164 11,458,116	110,754,964 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	22,883,994 3,284,314	23,938,932 3,250,551	28,078,644 3,386,837	29,816,334 3,360,806	35,197,715 3,508,953
Disproportionate-share hospital (DSH) Median	5,820,243 594,888	6,197,968 595,761	6,365,771 577,894	6,328,497 542,168	7,366,008 549,667
Outlier Median	9,408,934 582,572	9,412,822 538,116	9,528,449 212,434	3,700,724 126,559	4,096,306 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	167,389,228 4,643,908	0 4,389,147
Charity care Median	17,831,486 2,654,636	7,369,554 2,940,659	18,617,870 3,380,215	28,320,967 3,488,738	26,205,832 3,233,405
Uncompensated care (UCC) Median	23,494,752 5,147,790	25,533,420 5,337,617	27,475,142 5,711,082	36,972,040 5,923,418	32,468,042 5,508,107
UCC as a % of operating expenses Median	2.19% 3.24	2.33% 3.12	2.14% 3.21	2.45% 3.3	2.07% 2.86
Total shortfall/UCC Median	23,494,752 9,489,989	25,533,420 9,424,297	27,475,142 10,120,158	204,361,268 11,171,337	32,468,042 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	398,992,032 52,142,039	375,742,678 54,485,252	432,025,289 57,395,589	496,797,811 58,830,919	509,400,671 61,722,907
Salaries as a % of operating expenses Median	37.42 36.68	36.66 36.56	38.29 36.37	38.48 35.93	35.22 35.24
Intern, resident salaries* Median	17,516,999 2,598,592	18,678,401 2,686,824	19,773,472 2,753,773	28,692,222 2,937,156	29,328,901 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	5,406,383 1,449,244	8,120,014 1,475,986	9,317,825 1,563,078	0 1,721,954	21,254,713 2,991,828
Contract hours, direct-care Median	81,523.00 22,725	107,605.00 23,018.5	118,233.00 24,503.48	0.00 25,026.5	309,950.00 33,786
Contract wages, direct-care Median	66.32 64.67	75.46 64.53	78.81 65.06	0.00 68.97	68.57 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.