As of the July, 2022, release via CMS

AKRON GENERAL MEDICAL CENTER

CMS id: 360027
1 AKRON GENERAL AVE, AKRON OH 44307. County: SUMMIT
System: CLEVELAND CLINIC HEALTH SYSTEM
CBSA: Akron, OH

The 454-bed, acute-care hospital had $126,050,817 in net service to patients*, with a total profit margin of 24.18207% in fiscal year 2021, the latest year available.
It spent 2.41% of its operating expenses on uncompensated care and reported $5,786,105 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	311 118	315 118	334 119.5	333 118	333 119
Total beds Median	432 162	436 162	455 162	454 162	454 163.5
FTEs Median	3,554.73 788.06	3,618.88 793.42	3,598.54 806.03	3,538.13 787.61	3,520.30 804.34

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	588,398,982 150,932,746	608,889,666 158,950,878	623,550,425 168,696,998	639,977,613 163,454,693	766,878,091 186,589,412
Operating expenses Median	555,059,784 149,311,209	540,352,183 156,110,414	574,246,710 164,890,568	592,979,223 166,516,854	640,827,274 180,120,888
Net income from service 2 patients (NS2P) ? Median	33,339,198 -964,173	68,537,483 -643,601.5	49,303,715 -116,254	46,998,390 -5,025,862	126,050,817 -1,284,564
NS2P margin ? Median	5.67% -0.62	11.26% -0.29	7.91% 0.18	7.34% -5.07	16.44% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AKRON GENERAL 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	43,272,319 5,089,215	16,669,671 4,572,541	47,785,525 5,268,134	72,848,170 13,092,619	78,340,516 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	14,008,237 299,524	-6,769,136 188,688.5	26,184,188 370,813	39,806,805 309,361.5	43,602,580 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	10,111	16,498	10,914	10,579	10,655
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	1,164,512	1,001,282	852,574	578,072	630,660
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	40,487	2,250	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	7,413,127	8,009,162	6,205,018	-5	11,645
⊳ 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	218,697	220,820	180,100	214,020
⊳ 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	4,183,351	4,749,749	4,274,652	4,223,606
⊳ Line 23: Gov appropriations ? ⊳ Median	1,822,156 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	18,813,434	10,006,547	9,561,242	27,996,947	29,646,330
Total income ? Median	76,611,517 6,586,430	85,207,154 6,767,106	97,089,240 8,419,950	119,846,560 8,094,175	204,391,333 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	76,611,517 6,043,842	85,207,154 5,845,112	97,089,240 7,606,259	119,846,560 7,283,041	204,391,333 14,957,241
Net margin Median	12.12838% 4.62%	13.62095% 4.42%	14.46209% 5.16%	16.81288% 5.2%	24.18207% 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 AKRON GENERAL 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	81,830,161 23,241,334	81,376,833 23,709,545	75,608,784 24,248,380	73,729,116 22,858,541	81,488,953 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	79,706,151 21,577,146	79,556,316 22,041,594	74,129,156 22,722,063	72,054,720 21,570,441	79,840,747 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	2,124,010 1,845,420	1,820,517 1,757,392	1,479,628 1,738,842	1,674,396 1,510,463	1,648,206 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	37,668,506 11,160,864	39,347,186 11,987,345	43,944,597 12,926,866	44,397,926 11,884,480	47,622,690 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	37,668,506 10,918,923	39,347,186 11,706,976	43,944,597 12,615,917	44,397,926 11,458,116	47,622,690 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	13,633,430 3,284,314	13,684,607 3,250,551	12,858,000 3,386,837	13,037,415 3,360,806	14,696,017 3,508,953
Disproportionate-share hospital (DSH) Median	1,605,293 594,888	1,540,988 595,761	1,389,543 577,894	1,370,318 542,168	1,394,781 549,667
Outlier Median	1,714,399 582,572	1,360,279 538,116	517,839 212,434	406,906 126,559	116,449 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,681,967 3,662,910	13,893,410 3,730,911	18,363,181 4,081,319	10,651,941 4,643,908	5,786,105 4,389,147
Charity care Median	3,308,316 2,654,636	9,151,945 2,940,659	14,138,149 3,380,215	13,541,312 3,488,738	11,865,510 3,233,405
Uncompensated care (UCC) Median	12,904,685 5,147,790	13,600,196 5,337,617	17,933,546 5,711,082	17,241,113 5,923,418	15,439,331 5,508,107
UCC as a % of operating expenses Median	2.32% 3.24	2.52% 3.12	3.12% 3.21	2.91% 3.3	2.41% 2.86
Total shortfall/UCC Median	21,586,652 9,489,989	27,493,606 9,424,297	36,296,727 10,120,158	27,893,054 11,171,337	21,225,436 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	218,642,420 52,142,039	233,251,029 54,485,252	240,594,865 57,395,589	243,348,974 58,830,919	258,256,713 61,722,907
Salaries as a % of operating expenses Median	39.39 36.68	43.17 36.56	41.90 36.37	41.04 35.93	40.30 35.24
Intern, resident salaries* Median	8,592,214 2,598,592	9,141,275 2,686,824	8,931,631 2,753,773	9,916,545 2,937,156	10,333,019 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	0 1,449,244	0 1,475,986	0 1,563,078	28,129 1,721,954	2,070,659 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	907.00 25,026.5	20,337.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	31.01 68.97	101.82 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.