As of the July, 2022, release via CMS

UNIVERSITY HOSPITAL AT SYRACUSE

CMS id: 330241
750 E. ADAMS STREET, SYRACUSE NY 13210. County: ONONDAGA
System: --
CBSA: Syracuse, NY

The 752-bed, acute-care hospital had $-170,358,318 in net service to patients*, with a total profit margin of 4.11575% in fiscal year 2021, the latest year available.
It spent 0.43% of its operating expenses on uncompensated care and reported $136,574,700 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	547 118	547 118	511 119.5	525 118	525 119
Total beds Median	735 162	735 162	734 162	752 162	752 163.5
FTEs Median	5,481.05 788.06	5,749.69 793.42	5,978.46 806.03	6,170.70 787.61	6,281.53 804.34

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	890,211,336 150,932,746	1,015,253,282 158,950,878	1,106,347,973 168,696,998	1,087,041,643 163,454,693	1,217,232,611 186,589,412
Operating expenses Median	1,035,694,438 149,311,209	1,117,580,582 156,110,414	1,224,165,483 164,890,568	1,425,745,851 166,516,854	1,387,590,929 180,120,888
Net income from service 2 patients (NS2P) ? Median	-145,483,102 -964,173	-102,327,300 -643,601.5	-117,817,510 -116,254	-338,704,208 -5,025,862	-170,358,318 -1,284,564
NS2P margin ? Median	-16.34% -0.62	-10.08% -0.29	-10.65% 0.18	-31.16% -5.07	-14.00% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY HOSPITAL AT SYRACUSE 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	121,402,301 5,089,215	158,545,364 4,572,541	170,019,068 5,268,134	338,184,107 13,092,619	229,919,424 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	679,411	1,023,599	926,284	917,675	590,042
⊳ Line 11: Rebates and refunds of expenses	555,058	642,072	686,749	268,492	424,052
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	355,714	438,781	579,377	626,766	672,825
⊳ 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	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	1,930,331 1,017,693	29,815,630 983,261.5	3,680,289 1,173,286	7,345,459 1,987,202	589,275 1,597,664
⊳ Sum Line 24	117,881,787	126,625,282	164,146,369	329,025,715	227,643,230
Total income ? Median	-24,080,801 6,586,430	56,218,064 6,767,106	52,201,558 8,419,950	-520,101 8,094,175	59,561,106 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	-24,080,801 6,043,842	56,218,064 5,845,112	52,201,558 7,606,259	-520,101 7,283,041	59,561,106 14,957,241
Net margin Median	-2.38043% 4.62%	4.78941% 4.42%	4.08985% 5.16%	-0.03649% 5.2%	4.11575% 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 HOSPITAL AT SYRACUSE 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	147,817,566 23,241,334	158,726,243 23,709,545	160,937,938 24,248,380	160,610,302 22,858,541	154,050,241 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	135,549,101 21,577,146	147,112,515 22,041,594	147,719,020 22,722,063	146,388,807 21,570,441	142,020,857 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	1,645,597 1,845,420	1,429,015 1,757,392	2,786,402 1,738,842	2,700,040 1,510,463	2,462,699 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	8,828,490 3,535,627	8,767,496 3,746,588	8,891,006 3,782,288	9,671,627 3,865,578	8,807,344 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	1,794,378 1,203,033	1,417,217 1,215,295	1,541,510 1,313,657	1,849,828 1,365,298	759,341 1,179,746
All outpatient revenue Median Click here to show/hide details	48,234,355 11,160,864	48,215,482 11,987,345	52,429,625 12,926,866	51,243,240 11,884,480	55,455,627 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	48,234,355 10,918,923	48,215,482 11,706,976	52,429,625 12,615,917	51,243,240 11,458,116	55,455,627 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	26,089,715 3,284,314	27,855,734 3,250,551	27,470,174 3,386,837	28,199,202 3,360,806	27,529,342 3,508,953
Disproportionate-share hospital (DSH) Median	3,698,800 594,888	4,261,416 595,761	4,148,615 577,894	3,832,786 542,168	3,743,386 549,667
Outlier Median	17,675,180 582,572	15,477,369 538,116	3,021,416 212,434	2,842,642 126,559	3,768,809 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,180,949 3,662,910	15,764,345 3,730,911	81,078,898 4,081,319	33,553,090 4,643,908	136,574,700 4,389,147
Charity care Median	3,415,576 2,654,636	2,610,098 2,940,659	2,758,684 3,380,215	2,727,065 3,488,738	2,251,137 3,233,405
Uncompensated care (UCC) Median	26,400,188 5,147,790	14,672,890 5,337,617	8,294,385 5,711,082	6,792,889 5,923,418	5,979,667 5,508,107
UCC as a % of operating expenses Median	2.55% 3.24	1.31% 3.12	0.68% 3.21	0.48% 3.3	0.43% 2.86
Total shortfall/UCC Median	29,581,137 9,489,989	30,437,235 9,424,297	89,373,283 10,120,158	40,345,979 11,171,337	142,554,367 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	364,727,144 52,142,039	392,153,362 54,485,252	414,835,038 57,395,589	447,895,250 58,830,919	474,527,031 61,722,907
Salaries as a % of operating expenses Median	35.22 36.68	35.09 36.56	33.89 36.37	31.41 35.93	34.20 35.24
Intern, resident salaries* Median	23,024,868 2,598,592	23,993,743 2,686,824	25,732,837 2,753,773	28,915,266 2,937,156	31,082,693 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	22,058,566 1,449,244	34,737,609 1,475,986	36,395,041 1,563,078	48,376,782 1,721,954	46,189,963 2,991,828
Contract hours, direct-care Median	521,399.00 22,725	609,268.00 23,018.5	575,664.00 24,503.48	599,944.00 25,026.5	502,657.00 33,786
Contract wages, direct-care Median	42.31 64.67	57.02 64.53	63.22 65.06	80.64 68.97	91.89 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.