As of the July, 2022, release via CMS

UNIVER.OF CINCINNATI MED CENTER LLC

CMS id: 360003
234 GOODMAN STREET, CINCINNATI OH 45219. County: HAMILTON
System: UC HEALTH
CBSA: Cincinnati, OH-KY-IN

The 558-bed, acute-care hospital had $-45,778,838 in net service to patients*, with a total profit margin of 7.55418% in fiscal year 2021, the latest year available.
It spent 2.55% of its operating expenses on uncompensated care and reported $52,398,437 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	324 118	328 118	366 119.5	369 118	369 119
Total beds Median	519 162	519 162	555 162	558 162	558 163.5
FTEs Median	4,705.00 788.06	4,466.00 793.42	4,519.00 806.03	4,619.00 787.61	4,626.00 804.34

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	905,935,671 150,932,746	930,558,385 158,950,878	957,884,585 168,696,998	969,041,417 163,454,693	1,095,503,002 186,589,412
Operating expenses Median	914,822,849 149,311,209	951,635,213 156,110,414	970,796,068 164,890,568	1,038,231,668 166,516,854	1,141,281,840 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,887,178 -964,173	-21,076,828 -643,601.5	-12,911,483 -116,254	-69,190,251 -5,025,862	-45,778,838 -1,284,564
NS2P margin ? Median	-0.98% -0.62	-2.26% -0.29	-1.35% 0.18	-7.14% -5.07	-4.18% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVER.OF CINCINNATI MED CENTER LLC 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	26,878,092 5,089,215	33,802,070 4,572,541	56,981,299 5,268,134	85,802,648 13,092,619	139,038,295 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	35	35	36	33	150
⊳ 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	-325	325	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,972,590	2,991,214	3,018,656	3,332,864	3,342,802
⊳ 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	80,737	67,792	88,101	185,935	184,971
⊳ 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	305,996
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	357,831	351,808	-23,773	454,365	435,831
⊳ 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	23,466,899	30,391,221	53,898,604	81,829,126	134,768,545
Total income ? Median	17,990,914 6,586,430	12,725,242 6,767,106	44,069,816 8,419,950	16,612,397 8,094,175	93,259,457 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	17,990,914 6,043,842	12,725,242 5,845,112	44,069,816 7,606,259	16,612,397 7,283,041	93,259,457 14,957,241
Net margin Median	1.92867% 4.62%	1.31955% 4.42%	4.34243% 5.16%	1.57487% 5.2%	7.55418% 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 UNIVER.OF CINCINNATI MED CENTER LLC 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	138,534,237 23,241,334	141,972,953 23,709,545	143,645,662 24,248,380	141,852,906 22,858,541	141,859,288 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	135,245,265 21,577,146	139,818,357 22,041,594	140,996,982 22,722,063	139,686,843 21,570,441	139,694,497 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	3,288,972 1,845,420	2,154,596 1,757,392	2,648,680 1,738,842	2,166,063 1,510,463	2,164,791 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	51,628,502 11,160,864	53,419,376 11,987,345	59,455,822 12,926,866	54,164,577 11,884,480	57,753,265 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	51,628,502 10,918,923	53,419,376 11,706,976	59,455,822 12,615,917	54,164,577 11,458,116	57,753,265 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	31,596,796 3,284,314	32,189,556 3,250,551	31,649,433 3,386,837	31,695,040 3,360,806	30,675,738 3,508,953
Disproportionate-share hospital (DSH) Median	4,953,736 594,888	4,701,182 595,761	4,388,648 577,894	4,523,836 542,168	4,043,113 549,667
Outlier Median	7,025,525 582,572	7,933,581 538,116	6,572,646 212,434	1,954,420 126,559	2,022,100 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,262,412 3,662,910	13,671,513 3,730,911	52,290,418 4,081,319	54,923,792 4,643,908	52,398,437 4,389,147
Charity care Median	16,151,491 2,654,636	13,690,785 2,940,659	16,294,413 3,380,215	20,168,518 3,488,738	17,216,152 3,233,405
Uncompensated care (UCC) Median	23,120,999 5,147,790	20,552,923 5,337,617	26,712,829 5,711,082	31,323,632 5,923,418	29,047,382 5,508,107
UCC as a % of operating expenses Median	2.53% 3.24	2.16% 3.12	2.75% 3.21	3.02% 3.3	2.55% 2.86
Total shortfall/UCC Median	38,383,411 9,489,989	34,224,436 9,424,297	79,003,247 10,120,158	86,247,424 11,171,337	81,445,819 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	280,395,923 52,142,039	273,397,111 54,485,252	291,523,199 57,395,589	308,917,893 58,830,919	325,881,807 61,722,907
Salaries as a % of operating expenses Median	30.65 36.68	28.73 36.56	30.06 36.37	29.77 35.93	28.60 35.24
Intern, resident salaries* Median	37,487,395 2,598,592	39,001,009 2,686,824	40,298,090 2,753,773	42,109,177 2,937,156	43,858,431 2,909,848
Contract intern, resident salaries* Median	1,584,237 1,251,927	1,721,802 1,186,494	1,683,975 1,204,885	1,698,850 1,279,653	1,844,301 1,469,317
Contract adjusted salaries, direct-care Median	4,541,413 1,449,244	7,467,567 1,475,986	9,046,580 1,563,078	11,770,619 1,721,954	19,420,086 2,991,828
Contract hours, direct-care Median	103,313.93 22,725	158,318.48 23,018.5	176,608.30 24,503.48	201,687.25 25,026.5	239,124.00 33,786
Contract wages, direct-care Median	43.96 64.67	47.17 64.53	51.22 65.06	58.36 68.97	81.21 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.