As of the July, 2022, release via CMS

UNIVERSITY HEALTH SERVICES INC.

CMS id: 110028
1350 WALTON WAY, AUGUSTA GA 30901. County: RICHMOND
System: --
CBSA: Augusta-Richmond County, GA-SC

The 482-bed, acute-care hospital had $-16,703,889 in net service to patients*, with a total profit margin of 9.97706% in fiscal year 2021, the latest year available.
It spent 6.30% of its operating expenses on uncompensated care and reported $1,270,908 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	nfp	nfp
Acute beds Median	406 118	417 118	438 119.5	442 118	275 119
Total beds Median	560 162	574 162	595 162	598 162	482 163.5
FTEs Median	2,661.60 788.06	2,620.91 793.42	2,673.40 806.03	2,593.95 787.61	2,415.61 804.34

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	490,281,633 150,932,746	515,055,284 158,950,878	525,774,157 168,696,998	467,799,975 163,454,693	482,658,164 186,589,412
Operating expenses Median	480,834,094 149,311,209	515,837,496 156,110,414	515,563,753 164,890,568	506,038,789 166,516,854	499,362,053 180,120,888
Net income from service 2 patients (NS2P) ? Median	9,447,539 -964,173	-782,212 -643,601.5	10,210,404 -116,254	-38,238,814 -5,025,862	-16,703,889 -1,284,564
NS2P margin ? Median	1.93% -0.62	-0.15% -0.29	1.94% 0.18	-8.17% -5.07	-3.46% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY HEALTH SERVICES INC. 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	75,840,082 5,089,215	54,302 4,572,541	88,156,688 5,268,134	29,147,729 13,092,619	74,649,732 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	104,193 224,999	28,534 199,009	2,281,371 206,870.5	2,268,372 194,343	1,606,801 249,496
⊳ Line 7: Investments ? ⊳ Median	47,909,480 299,524	-24,243,937 188,688.5	72,056,958 370,813	-33,137,791 309,361.5	58,966,177 375,329
⊳ 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	567,025	569,590	218,683	246,826	470,233
⊳ 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	5,607,793	5,364,377	6,300,616	0	-20,888
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	119,732	105,852	111,580	128,751	111,566
⊳ 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	2,749,944	2,666,769	3,223,184	3,032,194	2,948,059
⊳ 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	18,781,915	15,563,117	3,964,296	56,609,377	10,567,784
Total income ? Median	85,287,621 6,586,430	-727,910 6,767,106	98,367,092 8,419,950	-9,091,085 8,094,175	57,945,843 15,162,888
Non-operating expenses Median	30,571,539 146,289.5	32,763,528 164,857	2,997,908 89,880.5	1,926,168 106,761	2,342,909 31,473.5
Net income Median	54,716,082 6,043,842	-33,491,438 5,845,112	95,369,184 7,606,259	-11,017,253 7,283,041	55,602,934 14,957,241
Net margin Median	9.66507% 4.62%	-6.50181% 4.42%	15.53419% 5.16%	-2.21698% 5.2%	9.97706% 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 UNIVERSITY HEALTH SERVICES INC. 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	94,388,874 23,241,334	94,141,226 23,709,545	94,370,612 24,248,380	92,273,071 22,858,541	76,370,022 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	94,388,874 21,577,146	94,141,226 22,041,594	94,370,612 22,722,063	92,273,071 21,570,441	76,370,022 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	52,377,686 11,160,864	56,309,079 11,987,345	51,771,099 12,926,866	45,110,586 11,884,480	41,370,528 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	47,661,494 10,918,923	51,844,523 11,706,976	47,552,888 12,615,917	41,902,461 11,458,116	41,370,528 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,716,192 1,282,808	4,464,556 1,407,728	4,218,211 1,341,512	3,208,125 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	592,286 3,284,314	679,255 3,250,551	739,360 3,386,837	694,016 3,360,806	620,837 3,508,953
Disproportionate-share hospital (DSH) Median	2,547,832 594,888	2,278,777 595,761	2,220,268 577,894	1,865,053 542,168	1,298,932 549,667
Outlier Median	2,204,798 582,572	2,319,644 538,116	294,445 212,434	330,758 126,559	222,734 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,541,242 3,662,910	1,431,151 3,730,911	4,232,858 4,081,319	5,275,313 4,643,908	1,270,908 4,389,147
Charity care Median	21,549,772 2,654,636	25,088,753 2,940,659	29,439,469 3,380,215	29,537,311 3,488,738	23,334,330 3,233,405
Uncompensated care (UCC) Median	28,224,976 5,147,790	33,441,402 5,337,617	39,966,814 5,711,082	37,650,786 5,923,418	31,467,066 5,508,107
UCC as a % of operating expenses Median	5.87% 3.24	6.48% 3.12	7.75% 3.21	7.44% 3.3	6.30% 2.86
Total shortfall/UCC Median	29,766,218 9,489,989	34,872,553 9,424,297	44,199,672 10,120,158	42,926,099 11,171,337	32,737,974 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	160,868,340 52,142,039	167,056,598 54,485,252	172,531,389 57,395,589	175,306,178 58,830,919	171,611,443 61,722,907
Salaries as a % of operating expenses Median	33.83 36.68	33.12 36.56	33.46 36.37	34.64 35.93	34.37 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	395,746 1,251,927	540,070 1,186,494	691,582 1,204,885	804,708 1,279,653	741,890 1,469,317
Contract adjusted salaries, direct-care Median	7,417,465 1,449,244	7,477,324 1,475,986	8,766,485 1,563,078	14,103,549 1,721,954	17,410,071 2,991,828
Contract hours, direct-care Median	131,995.48 22,725	133,562.22 23,018.5	144,711.72 24,503.48	214,716.00 25,026.5	190,479.00 33,786
Contract wages, direct-care Median	56.19 64.67	55.98 64.53	60.58 65.06	65.68 68.97	91.40 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.