As of the July, 2022, release via CMS

UNIVERSITY OF NORTH CAROLINA HOSP.

CMS id: 340061
101 MANNING DRIVE, CHAPEL HILL NC 27514. County: ORANGE
System: UNIVERSITY OF NORTH CAROLINA HEALTH
CBSA: Durham-Chapel Hill, NC

The 935-bed, acute-care hospital had $220,342,181 in net service to patients*, with a total profit margin of 18.54033% in fiscal year 2021, the latest year available.
It spent 4.44% of its operating expenses on uncompensated care and reported $1,682,229 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	651 118	663 118	676 119.5	682 118	677 119
Total beds Median	906 162	920 162	943 162	946 162	935 163.5
FTEs Median	9,328.27 788.06	9,778.30 793.42	9,469.42 806.03	8,976.28 787.61	8,767.04 804.34

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	1,728,597,641 150,932,746	1,846,906,307 158,950,878	2,034,110,234 168,696,998	2,062,880,244 163,454,693	2,361,574,427 186,589,412
Operating expenses Median	1,558,108,094 149,311,209	1,366,987,193 156,110,414	1,787,274,790 164,890,568	2,009,009,006 166,516,854	2,141,232,246 180,120,888
Net income from service 2 patients (NS2P) ? Median	170,489,547 -964,173	479,919,114 -643,601.5	246,835,444 -116,254	53,871,238 -5,025,862	220,342,181 -1,284,564
NS2P margin ? Median	9.86% -0.62	25.99% -0.29	12.13% 0.18	2.61% -5.07	9.33% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY OF NORTH CAROLINA HOSP. 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	110,081,894 5,089,215	128,284,395 4,572,541	103,037,040 5,268,134	103,478,983 13,092,619	425,004,736 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	0	0	0	0	0
⊳ 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	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	0	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	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	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	110,081,894	128,284,395	103,037,040	103,478,983	425,004,736
Total income ? Median	280,571,441 6,586,430	608,203,509 6,767,106	349,872,484 8,419,950	157,350,221 8,094,175	645,346,917 15,162,888
Non-operating expenses Median	185,239,000 146,289.5	182,599,322 164,857	120,791,748 89,880.5	92,951,166 106,761	128,706,083 31,473.5
Net income Median	95,332,441 6,043,842	425,604,187 5,845,112	229,080,736 7,606,259	64,399,055 7,283,041	516,640,834 14,957,241
Net margin Median	5.18483% 4.62%	21.54750% 4.42%	10.71900% 5.16%	2.97269% 5.2%	18.54033% 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 NORTH CAROLINA HOSP. 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	217,847,558 23,241,334	222,336,094 23,709,545	221,070,807 24,248,380	219,481,359 22,858,541	234,054,710 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	209,192,320 21,577,146	213,354,975 22,041,594	210,936,019 22,722,063	209,593,837 21,570,441	223,465,901 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	5,310,406 1,845,420	5,676,683 1,757,392	5,622,098 1,738,842	4,845,353 1,510,463	5,139,350 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,344,832 3,535,627	3,304,436 3,746,588	4,512,690 3,782,288	5,042,169 3,865,578	5,449,459 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	103,117,349 11,160,864	110,170,716 11,987,345	115,179,475 12,926,866	112,277,301 11,884,480	113,455,500 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	101,243,651 10,918,923	107,763,241 11,706,976	112,385,836 12,615,917	109,549,597 11,458,116	109,974,709 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,873,698 1,282,808	2,407,475 1,407,728	2,793,639 1,341,512	2,727,704 1,407,046	3,480,791 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	42,433,220 3,284,314	42,554,758 3,250,551	41,704,932 3,386,837	40,016,517 3,360,806	43,964,130 3,508,953
Disproportionate-share hospital (DSH) Median	5,702,270 594,888	5,330,831 595,761	5,471,631 577,894	5,191,079 542,168	5,280,456 549,667
Outlier Median	18,675,869 582,572	21,114,096 538,116	16,081,899 212,434	1,056,044 126,559	1,167,934 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,021,668 3,662,910	1,233,443 3,730,911	1,133,540 4,081,319	2,651,353 4,643,908	1,682,229 4,389,147
Charity care Median	36,911,103 2,654,636	62,201,136 2,940,659	73,481,809 3,380,215	74,037,990 3,488,738	63,208,884 3,233,405
Uncompensated care (UCC) Median	68,222,993 5,147,790	95,932,347 5,337,617	100,933,328 5,711,082	101,668,272 5,923,418	95,073,604 5,508,107
UCC as a % of operating expenses Median	4.38% 3.24	7.02% 3.12	5.65% 3.21	5.06% 3.3	4.44% 2.86
Total shortfall/UCC Median	69,244,661 9,489,989	97,165,790 9,424,297	102,066,868 10,120,158	104,319,625 11,171,337	96,755,833 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	495,939,362 52,142,039	528,336,293 54,485,252	570,300,245 57,395,589	601,720,616 58,830,919	622,832,465 61,722,907
Salaries as a % of operating expenses Median	38.63 36.68	37.72 36.56	36.42 36.37	35.62 35.93	33.48 35.24
Intern, resident salaries* Median	25,719,482 2,598,592	26,522,695 2,686,824	44,318,727 2,753,773	46,814,704 2,937,156	53,946,204 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	2,597,810 1,449,244	4,295,077 1,475,986	2,826,470 1,563,078	5,028,711 1,721,954	5,028,711 2,991,828
Contract hours, direct-care Median	43,094.00 22,725	65,034.10 23,018.5	39,189.00 24,503.48	68,884.00 25,026.5	68,884.00 33,786
Contract wages, direct-care Median	60.28 64.67	66.04 64.53	72.12 65.06	73.00 68.97	73.00 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.