As of the July, 2022, release via CMS

UC DAVIS MEDICAL CENTER

CMS id: 050599
2315 STOCKTON BLVD, SACRAMENTO CA 95817. County: SACRAMENTO
System: UNIV OF CALIFORNIA - OFFICE OF PRES
CBSA: Sacramento-Roseville-Folsom, CA

The 632-bed, acute-care hospital had $-108,948,032 in net service to patients*, with a total profit margin of 4.30004% in fiscal year 2021, the latest year available.
It spent 0.79% 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	429 118	429 118	441 119.5	441 118	456 119
Total beds Median	601 162	605 162	617 162	617 162	632 163.5
FTEs Median	8,167.43 788.06	8,278.76 793.42	8,448.07 806.03	8,847.00 787.61	9,074.25 804.34

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	2,109,024,267 150,932,746	2,172,615,324 158,950,878	2,276,798,500 168,696,998	2,412,137,971 163,454,693	2,683,028,902 186,589,412
Operating expenses Median	1,992,528,272 149,311,209	2,052,590,908 156,110,414	2,359,715,313 164,890,568	2,697,426,500 166,516,854	2,791,976,934 180,120,888
Net income from service 2 patients (NS2P) ? Median	116,495,995 -964,173	120,024,416 -643,601.5	-82,916,813 -116,254	-285,288,529 -5,025,862	-108,948,032 -1,284,564
NS2P margin ? Median	5.52% -0.62	5.52% -0.29	-3.64% 0.18	-11.83% -5.07	-4.06% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UC DAVIS 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	56,564,286 5,089,215	-40,039,419 4,572,541	77,317,165 5,268,134	198,362,414 13,092,619	234,493,283 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	622,007	107,269	826,625	460,092	1,482,931
⊳ Line 12: Parking lot receipts	0	8,874,215	8,963,117	8,359,906	9,045,240
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	5,397,859	6,078,589	6,325,516	5,803,636	4,531,505
⊳ 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	566,095	-20,618,907	398,133	58,099
⊳ 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	6,855,805 1,173,286	70,347,355 1,987,202	39,259,988 1,597,664
⊳ Sum Line 24	50,544,420	-55,665,587	74,965,009	112,993,292	180,115,520
Total income ? Median	173,060,281 6,586,430	79,984,997 6,767,106	-5,599,648 8,419,950	-86,926,115 8,094,175	125,545,251 15,162,888
Non-operating expenses Median	-117,352 146,289.5	-266,721 164,857	948,986 89,880.5	17,351,854 106,761	90,728 31,473.5
Net income Median	173,177,633 6,043,842	80,251,718 5,845,112	-6,548,634 7,606,259	-104,277,969 7,283,041	125,454,523 14,957,241
Net margin Median	7.99679% 4.62%	3.76314% 4.42%	-0.27818% 5.16%	-3.99456% 5.2%	4.30004% 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 UC DAVIS 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	284,788,219 23,241,334	303,873,814 23,709,545	293,088,088 24,248,380	300,506,575 22,858,541	329,145,096 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	280,695,722 21,577,146	298,110,437 22,041,594	286,299,831 22,722,063	295,317,147 21,570,441	322,107,671 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	4,092,497 3,535,627	5,763,377 3,746,588	6,788,257 3,782,288	5,189,428 3,865,578	7,037,425 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	134,501,281 11,160,864	150,646,103 11,987,345	160,321,888 12,926,866	171,498,850 11,884,480	188,839,961 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	133,122,148 10,918,923	149,126,597 11,706,976	158,728,071 12,615,917	169,677,288 11,458,116	187,023,092 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,379,133 1,282,808	1,519,506 1,407,728	1,593,817 1,341,512	1,821,562 1,407,046	1,816,869 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	58,813,928 3,284,314	61,761,565 3,250,551	60,889,787 3,386,837	62,151,316 3,360,806	64,801,699 3,508,953
Disproportionate-share hospital (DSH) Median	14,770,225 594,888	14,586,386 595,761	13,570,641 577,894	13,910,226 542,168	15,006,268 549,667
Outlier Median	28,032,464 582,572	28,991,553 538,116	30,429,337 212,434	8,104,359 126,559	10,841,063 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	104,807,402 3,662,910	109,910,470 3,730,911	75,595,619 4,081,319	90,537,200 4,643,908	0 4,389,147
Charity care Median	23,881,285 2,654,636	3,742,100 2,940,659	4,345,668 3,380,215	8,289,901 3,488,738	6,913,357 3,233,405
Uncompensated care (UCC) Median	44,388,480 5,147,790	8,043,997 5,337,617	18,936,533 5,711,082	25,005,390 5,923,418	22,176,879 5,508,107
UCC as a % of operating expenses Median	2.23% 3.24	0.39% 3.12	0.80% 3.21	0.93% 3.3	0.79% 2.86
Total shortfall/UCC Median	149,195,882 9,489,989	117,954,467 9,424,297	94,532,152 10,120,158	115,542,590 11,171,337	22,176,879 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	846,288,107 52,142,039	898,516,506 54,485,252	937,696,450 57,395,589	1,019,535,142 58,830,919	1,169,697,061 61,722,907
Salaries as a % of operating expenses Median	42.47 36.68	43.77 36.56	39.74 36.37	37.80 35.93	41.89 35.24
Intern, resident salaries* Median	22,196,368 2,598,592	23,053,548 2,686,824	24,349,311 2,753,773	25,031,688 2,937,156	48,886,740 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	7,491,497 1,449,244	5,816,379 1,475,986	601,090 1,563,078	8,872,327 1,721,954	27,944,001 2,991,828
Contract hours, direct-care Median	70,428.35 22,725	60,131.46 23,018.5	6,951.00 24,503.48	131,278.00 25,026.5	301,824.00 33,786
Contract wages, direct-care Median	106.37 64.67	96.73 64.53	86.48 65.06	67.58 68.97	92.58 88.94

* in an approved program

Return to top

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.