As of the July, 2022, release via CMS

THE OHIO STATE UNIVERSITY HOSPITAL

CMS id: 360085
660 ACKERMAN ROAD - 4TH FLOOR, COLUMBUS OH 43202. County: FRANKLIN
System: --
CBSA: Columbus, OH

The 1,170-bed, acute-care hospital had $-119,135,809 in net service to patients*, with a total profit margin of 5.26670% in fiscal year 2021, the latest year available.
It spent 1.67% 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	gov	gov	gov	gov	gov
Acute beds Median	770 118	858 118	885 119.5	882 118	929 119
Total beds Median	1,009 162	1,089 162	1,133 162	1,130 162	1,170 163.5
FTEs Median	8,585.93 788.06	9,924.26 793.42	9,973.22 806.03	10,064.98 787.61	12,826.05 804.34

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	1,796,816,147 150,932,746	1,943,404,796 158,950,878	2,067,797,882 168,696,998	2,104,014,725 163,454,693	2,196,385,250 186,589,412
Operating expenses Median	1,848,745,543 149,311,209	1,956,367,891 156,110,414	2,104,422,111 164,890,568	2,182,794,271 166,516,854	2,315,521,059 180,120,888
Net income from service 2 patients (NS2P) ? Median	-51,929,396 -964,173	-12,963,095 -643,601.5	-36,624,229 -116,254	-78,779,546 -5,025,862	-119,135,809 -1,284,564
NS2P margin ? Median	-2.89% -0.62	-0.67% -0.29	-1.77% 0.18	-3.74% -5.07	-5.42% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE OHIO STATE UNIVERSITY HOSPITAL 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	50,256,325 5,089,215	48,808,514 4,572,541	32,356,874 5,268,134	81,354,483 13,092,619	247,106,672 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	22,336,788 299,524	16,090,728 188,688.5	-290,842 370,813	20,431,697 309,361.5	89,270,065 375,329
⊳ 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	-80,092,256
⊳ 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	6,147,201
⊳ 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	26,239,459
⊳ 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	213,533	213,533	0
⊳ Line 22: Rental of hospital space	0	0	0	0	12,828,614
⊳ 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	27,919,537	32,717,786	32,434,183	60,709,253	192,713,589
Total income ? Median	-1,673,071 6,586,430	35,845,419 6,767,106	-4,267,355 8,419,950	2,574,937 8,094,175	127,970,863 15,162,888
Non-operating expenses Median	-8,839,222 146,289.5	386,418 164,857	273,857 89,880.5	332,344 106,761	-720,503 31,473.5
Net income Median	7,166,151 6,043,842	35,459,001 5,845,112	-4,541,212 7,606,259	2,242,593 7,283,041	128,691,366 14,957,241
Net margin Median	0.38797% 4.62%	1.77988% 4.42%	-0.21623% 5.16%	0.10262% 5.2%	5.26670% 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 THE OHIO STATE UNIVERSITY HOSPITAL 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	236,282,360 23,241,334	241,237,814 23,709,545	246,819,605 24,248,380	229,206,582 22,858,541	249,384,584 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	225,368,601 21,577,146	230,383,140 22,041,594	236,172,663 22,722,063	218,301,234 21,570,441	239,111,825 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	2,145,892 1,845,420	2,604,745 1,757,392	2,990,192 1,738,842	3,111,974 1,510,463	3,482,701 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	8,767,867 3,535,627	8,249,929 3,746,588	7,656,750 3,782,288	7,793,374 3,865,578	6,790,058 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	58,516,649 11,160,864	59,750,836 11,987,345	65,615,909 12,926,866	55,241,619 11,884,480	62,445,642 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	58,516,649 10,918,923	59,750,836 11,706,976	65,615,909 12,615,917	55,241,619 11,458,116	62,445,642 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	31,991,085 3,284,314	31,725,251 3,250,551	32,733,916 3,386,837	31,017,791 3,360,806	33,755,862 3,508,953
Disproportionate-share hospital (DSH) Median	7,947,352 594,888	8,283,426 595,761	7,842,795 577,894	7,772,902 542,168	7,835,771 549,667
Outlier Median	16,358,994 582,572	14,386,066 538,116	15,957,654 212,434	1,123,715 126,559	1,382,861 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	7,715,759 4,643,908	0 4,389,147
Charity care Median	28,968,680 2,654,636	31,520,245 2,940,659	34,487,938 3,380,215	34,801,572 3,488,738	31,399,551 3,233,405
Uncompensated care (UCC) Median	35,925,304 5,147,790	38,406,247 5,337,617	42,769,072 5,711,082	44,364,342 5,923,418	38,568,732 5,508,107
UCC as a % of operating expenses Median	1.94% 3.24	1.96% 3.12	2.03% 3.21	2.03% 3.3	1.67% 2.86
Total shortfall/UCC Median	35,925,304 9,489,989	38,406,247 9,424,297	42,769,072 10,120,158	52,080,101 11,171,337	38,568,732 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	561,834,725 52,142,039	599,479,649 54,485,252	651,077,741 57,395,589	687,141,631 58,830,919	715,293,843 61,722,907
Salaries as a % of operating expenses Median	30.58 36.68	30.73 36.56	31.05 36.37	31.69 35.93	30.71 35.24
Intern, resident salaries* Median	366,113 2,598,592	404,867 2,686,824	362,282 2,753,773	446,452 2,937,156	485,182 2,909,848
Contract intern, resident salaries* Median	33,967,554 1,251,927	35,026,239 1,186,494	34,405,780 1,204,885	36,866,548 1,279,653	35,299,067 1,469,317
Contract adjusted salaries, direct-care Median	45,559,771 1,449,244	47,098,672 1,475,986	43,818,138 1,563,078	45,211,698 1,721,954	46,098,482 2,991,828
Contract hours, direct-care Median	1,094,697.67 22,725	1,156,052.00 23,018.5	1,086,527.00 24,503.48	1,127,299.00 25,026.5	1,146,117.92 33,786
Contract wages, direct-care Median	41.62 64.67	40.74 64.53	40.33 65.06	40.11 68.97	40.22 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.