As of the July, 2022, release via CMS

UMASS MEMORIAL MEDICAL CENTER

CMS id: 220163
55 LAKE AVE. NORTH, WORCESTER MA 1655. County: WORCESTER
System: --
CBSA: Worcester, MA-CT

The 691-bed, acute-care hospital had $-333,718,868 in net service to patients*, with a total profit margin of 2.95320% in fiscal year 2021, the latest year available.
It spent 1.19% 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	445 118	461 118	472 119.5	518 118	514 119
Total beds Median	625 162	640 162	649 162	695 162	691 163.5
FTEs Median	6,465.40 788.06	6,520.94 793.42	6,694.62 806.03	6,947.58 787.61	7,132.01 804.34

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	1,448,289,589 150,932,746	1,442,649,404 158,950,878	1,536,530,379 168,696,998	1,570,770,244 163,454,693	1,782,615,224 186,589,412
Operating expenses Median	1,654,303,788 149,311,209	1,710,072,774 156,110,414	1,810,070,909 164,890,568	1,966,022,291 166,516,854	2,116,334,092 180,120,888
Net income from service 2 patients (NS2P) ? Median	-206,014,199 -964,173	-267,423,370 -643,601.5	-273,540,530 -116,254	-395,252,047 -5,025,862	-333,718,868 -1,284,564
NS2P margin ? Median	-14.22% -0.62	-18.54% -0.29	-17.80% 0.18	-25.16% -5.07	-18.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UMASS MEMORIAL 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	227,882,689 5,089,215	269,112,876 4,572,541	321,799,872 5,268,134	441,655,288 13,092,619	398,120,270 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	8,895,695 299,524	10,315,433 188,688.5	10,788,196 370,813	12,605,711 309,361.5	45,223,507 375,329
⊳ 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	0	0	0	0	0
⊳ Line 12: Parking lot receipts	3,696,853	3,599,446	3,644,946	2,625,376	2,663,194
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	5,501,594	5,509,331	5,514,674	4,410,361	4,240,022
⊳ 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	26,592	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	0	0	0	48,330
⊳ 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	162,161,682 1,017,693	174,665,086 983,261.5	173,042,110 1,173,286	165,660,815 1,987,202	184,462,962 1,597,664
⊳ Sum Line 24	47,600,273	75,023,580	128,809,946	256,353,025	161,482,255
Total income ? Median	21,868,490 6,586,430	1,689,506 6,767,106	48,259,342 8,419,950	46,403,241 8,094,175	64,401,402 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	21,868,490 6,043,842	1,689,506 5,845,112	48,259,342 7,606,259	46,403,241 7,283,041	64,401,402 14,957,241
Net margin Median	1.30467% 4.62%	0.09870% 4.42%	2.59692% 5.16%	2.30584% 5.2%	2.95320% 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 UMASS MEMORIAL 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	253,641,674 23,241,334	269,955,902 23,709,545	307,407,283 24,248,380	293,403,107 22,858,541	307,919,022 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	248,549,963 21,577,146	266,324,742 22,041,594	303,738,790 22,722,063	289,954,487 21,570,441	304,415,526 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	5,091,711 1,845,420	3,631,160 1,757,392	3,668,493 1,738,842	3,448,620 1,510,463	3,503,496 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	108,086,397 11,160,864	112,423,069 11,987,345	127,094,118 12,926,866	111,996,993 11,884,480	128,664,649 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	108,086,397 10,918,923	112,423,069 11,706,976	127,094,118 12,615,917	111,996,993 11,458,116	128,664,649 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	60,112,377 3,284,314	66,114,833 3,250,551	75,669,470 3,386,837	70,558,054 3,360,806	72,479,973 3,508,953
Disproportionate-share hospital (DSH) Median	6,863,036 594,888	7,687,316 595,761	7,794,316 577,894	7,715,263 542,168	7,408,806 549,667
Outlier Median	17,683,804 582,572	14,573,191 538,116	2,336,158 212,434	2,697,800 126,559	3,154,135 139,139

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	14,228,078 2,654,636	9,780,412 2,940,659	20,261,245 3,380,215	19,166,923 3,488,738	18,601,928 3,233,405
Uncompensated care (UCC) Median	24,235,440 5,147,790	18,806,685 5,337,617	31,139,121 5,711,082	33,371,496 5,923,418	25,283,323 5,508,107
UCC as a % of operating expenses Median	1.46% 3.24	1.10% 3.12	1.72% 3.21	1.70% 3.3	1.19% 2.86
Total shortfall/UCC Median	24,235,440 9,489,989	18,806,685 9,424,297	31,139,121 10,120,158	33,371,496 11,171,337	25,283,323 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	542,507,336 52,142,039	561,290,868 54,485,252	586,538,990 57,395,589	632,455,720 58,830,919	650,025,111 61,722,907
Salaries as a % of operating expenses Median	32.79 36.68	32.82 36.56	32.40 36.37	32.17 35.93	30.71 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	32,991,540 1,251,927	34,162,789 1,186,494	34,767,706 1,204,885	36,896,293 1,279,653	37,730,570 1,469,317
Contract adjusted salaries, direct-care Median	47,663,944 1,449,244	0 1,475,986	41,679,275 1,563,078	61,306,811 1,721,954	0 2,991,828
Contract hours, direct-care Median	1,312,249.00 22,725	0.00 23,018.5	1,220,619.00 24,503.48	1,423,216.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	36.32 64.67	0.00 64.53	34.15 65.06	43.08 68.97	0.00 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.