As of the July, 2022, release via CMS

JAMES LAWRENCE KERNAN HOSPITAL

CMS id: 210058
2200 KERNAN DRIVE, BALTIMORE MD 21207. County: BALTIMORE
System: UNIVERSITY OF MARYLAND MEDICAL CENTE
CBSA: Baltimore-Columbia-Towson, MD

The 136-bed, acute-care hospital had $1,513,240 in net service to patients*, with a total profit margin of 13.49190% 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	138 118	137 118	137 119.5	136 118	136 119
Total beds Median	138 162	137 162	137 162	136 162	136 163.5
FTEs Median	550.00 788.06	585.12 793.42	573.79 806.03	540.17 787.61	524.44 804.34

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	107,840,390 150,932,746	110,469,816 158,950,878	109,644,319 168,696,998	102,355,520 163,454,693	113,034,196 186,589,412
Operating expenses Median	107,004,943 149,311,209	109,449,502 156,110,414	109,259,575 164,890,568	107,543,373 166,516,854	111,520,956 180,120,888
Net income from service 2 patients (NS2P) ? Median	835,447 -964,173	1,020,314 -643,601.5	384,744 -116,254	-5,187,853 -5,025,862	1,513,240 -1,284,564
NS2P margin ? Median	0.77% -0.62	0.92% -0.29	0.35% 0.18	-5.07% -5.07	1.34% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JAMES LAWRENCE KERNAN HOSPITAL 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	6,463,592 5,089,215	5,255,649 4,572,541	4,519,348 5,268,134	11,197,120 13,092,619	15,998,747 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	55,193 249,496
⊳ Line 7: Investments ? ⊳ Median	3,861,462 299,524	2,502,566 188,688.5	2,469,786 370,813	477,976 309,361.5	8,815,969 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,416	1,802	1,315	564	589
⊳ 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	333,120	295,356	295,356	290,328	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	0	121,795	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,247	1,880	1,502	1,501	822
⊳ 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	2,982	2,428	3,660	2,237
⊳ Line 22: Rental of hospital space	33,536	27,153	8,400	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	2,230,811	2,302,115	1,740,561	10,423,091	7,123,937
Total income ? Median	7,299,039 6,586,430	6,275,963 6,767,106	4,904,092 8,419,950	6,009,267 8,094,175	17,511,987 15,162,888
Non-operating expenses Median	511,656 146,289.5	235,963 164,857	216,092 89,880.5	77,267 106,761	102,987 31,473.5
Net income Median	6,787,383 6,043,842	6,040,000 5,845,112	4,688,000 7,606,259	5,932,000 7,283,041	17,409,000 14,957,241
Net margin Median	5.93801% 4.62%	5.21925% 4.42%	4.10639% 5.16%	5.22401% 5.2%	13.49190% 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 JAMES LAWRENCE KERNAN HOSPITAL 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	25,321,437 23,241,334	27,810,153 23,709,545	26,062,809 24,248,380	23,429,569 22,858,541	24,476,311 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	25,321,437 21,577,146	27,810,153 22,041,594	26,062,809 22,722,063	23,429,569 21,570,441	24,476,311 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	8,122,590 11,160,864	8,866,053 11,987,345	10,012,670 12,926,866	8,066,498 11,884,480	8,898,666 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	8,122,590 10,918,923	8,866,053 11,706,976	10,012,670 12,615,917	8,066,498 11,458,116	8,898,666 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	144,705 3,284,314	169,682 3,250,551	162,922 3,386,837	147,295 3,360,806	151,512 3,508,953
Disproportionate-share hospital (DSH) Median	793,646 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	3,234 582,572	761 538,116	0 212,434	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	1,864,184 2,654,636	27,297 2,940,659	1,017,014 3,380,215	1,158,917 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	7,441,060 5,147,790	2,714,289 5,337,617	2,664,131 5,711,082	2,556,315 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	6.95% 3.24	2.48% 3.12	2.44% 3.21	2.38% 3.3	0.00% 2.86
Total shortfall/UCC Median	7,441,060 9,489,989	2,714,289 9,424,297	2,664,131 10,120,158	2,556,315 11,171,337	0 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	37,595,701 52,142,039	39,863,875 54,485,252	40,915,612 57,395,589	40,293,818 58,830,919	42,438,416 61,722,907
Salaries as a % of operating expenses Median	35.05 36.68	36.42 36.56	37.45 36.37	37.47 35.93	38.05 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	1,108,966 1,251,927	1,141,789 1,186,494	1,126,902 1,204,885	1,070,918 1,279,653	1,022,267 1,469,317
Contract adjusted salaries, direct-care Median	6,291,064 1,449,244	6,697,866 1,475,986	4,452,788 1,563,078	3,557,199 1,721,954	3,421,225 2,991,828
Contract hours, direct-care Median	185,738.00 22,725	165,625.00 23,018.5	127,425.00 24,503.48	90,468.82 25,026.5	80,888.00 33,786
Contract wages, direct-care Median	33.87 64.67	40.44 64.53	34.94 65.06	39.32 68.97	42.30 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.