As of the July, 2022, release via CMS

UNIVERSITY OF MARYLAND MED SYS

CMS id: 210002
22 SOUTH GREENE STREET, BALTIMORE MD 21201. County: BALTIMORE
System: UNIVERSITY OF MARYLAND MEDICAL SYSTE
CBSA: Baltimore-Columbia-Towson, MD

The 846-bed, acute-care hospital had $-477,193,848 in net service to patients*, with a total profit margin of 10.60964% in fiscal year 2021, the latest year available.
It spent 0.00% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	455 118	472 118	482 119.5	499 118	499 119
Total beds Median	802 162	819 162	829 162	846 162	846 163.5
FTEs Median	6,972.98 788.06	7,093.21 793.42	7,367.19 806.03	7,227.32 787.61	7,198.44 804.34

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	1,402,944,549 150,932,746	1,460,597,672 158,950,878	1,557,286,133 168,696,998	1,580,175,580 163,454,693	1,748,343,703 186,589,412
Operating expenses Median	1,485,042,152 149,311,209	1,552,479,481 156,110,414	1,843,867,462 164,890,568	1,886,759,935 166,516,854	2,225,537,551 180,120,888
Net income from service 2 patients (NS2P) ? Median	-82,097,603 -964,173	-91,881,809 -643,601.5	-286,581,329 -116,254	-306,584,355 -5,025,862	-477,193,848 -1,284,564
NS2P margin ? Median	-5.85% -0.62	-6.29% -0.29	-18.40% 0.18	-19.40% -5.07	-27.29% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY OF MARYLAND MED SYS 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	143,835,557 5,089,215	145,534,546 4,572,541	301,073,956 5,268,134	359,213,163 13,092,619	551,255,955 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	21,271,201 299,524	16,251,691 188,688.5	13,876,015 370,813	8,472,546 309,361.5	3,210,414 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	17,440	48,563	42,193	40,409	84,600
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	1,916,173	1,985,060	2,277,410	2,076,152	1,818,149
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,719,381	3,796,512	3,548,685	3,230,446	363,776
⊳ 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	84,549,741	80,552,385	99,721,377	127,509,961	141,802,932
⊳ Line 18: Revenue from sale of medical records and abstracts	697,891	605,882	532,034	186,969	866,674
⊳ 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	216,847	227,377	224,859	154,131	143,677
⊳ Line 22: Rental of hospital space	616,323	652,967	717,658	673,806	667,083
⊳ 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	30,830,560	41,414,109	180,133,725	216,868,743	402,298,650
Total income ? Median	61,737,954 6,586,430	53,652,737 6,767,106	14,492,627 8,419,950	52,628,808 8,094,175	74,062,107 15,162,888
Non-operating expenses Median	-61,363,732 146,289.5	-49,397,263 164,857	-5,330,373 89,880.5	17,747,808 106,761	-169,917,142 31,473.5
Net income Median	123,101,686 6,043,842	103,050,000 5,845,112	19,823,000 7,606,259	34,881,000 7,283,041	243,979,249 14,957,241
Net margin Median	7.95858% 4.62%	6.41603% 4.42%	1.06669% 5.16%	1.79856% 5.2%	10.60964% 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 OF MARYLAND MED SYS 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	332,014,844 23,241,334	359,494,788 23,709,545	337,701,139 24,248,380	370,244,985 22,858,541	403,158,051 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	332,014,844 21,577,146	359,494,788 22,041,594	337,701,139 22,722,063	370,244,985 21,570,441	403,158,051 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	119,709,511 11,160,864	124,387,384 11,987,345	158,170,344 12,926,866	159,793,935 11,884,480	160,288,616 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	119,709,511 10,918,923	124,387,384 11,706,976	158,170,344 12,615,917	159,793,935 11,458,116	160,288,616 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	51,889,069 3,284,314	60,056,682 3,250,551	56,922,930 3,386,837	61,644,886 3,360,806	65,825,460 3,508,953
Disproportionate-share hospital (DSH) Median	15,797,786 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	233,546 582,572	111,090 538,116	45,963 212,434	0 126,559	0 139,139

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	14,667,251 2,654,636	983,509 2,940,659	12,065,614 3,380,215	12,578,329 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	70,985,576 5,147,790	26,444,585 5,337,617	36,334,253 5,711,082	36,623,841 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	4.78% 3.24	1.70% 3.12	1.97% 3.21	1.94% 3.3	0.00% 2.86
Total shortfall/UCC Median	70,985,576 9,489,989	26,444,585 9,424,297	36,334,253 10,120,158	36,623,841 11,171,337	0 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	596,899,157 52,142,039	618,329,753 54,485,252	673,804,732 57,395,589	702,516,199 58,830,919	778,697,404 61,722,907
Salaries as a % of operating expenses Median	40.19 36.68	39.83 36.56	36.54 36.37	37.23 35.93	34.99 35.24
Intern, resident salaries* Median	33,474,733 2,598,592	34,274,507 2,686,824	34,261,003 2,753,773	35,592,449 2,937,156	35,503,905 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	7,371,170 1,449,244	5,726,685 1,475,986	6,140,001 1,563,078	5,965,201 1,721,954	31,619,675 2,991,828
Contract hours, direct-care Median	101,422.00 22,725	96,520.00 23,018.5	98,768.00 24,503.48	81,114.00 25,026.5	240,426.58 33,786
Contract wages, direct-care Median	72.68 64.67	59.33 64.53	62.17 65.06	73.54 68.97	131.51 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.