As of the July, 2022, release via CMS

UH CLEVELAND MEDICAL CENTER

CMS id: 360137
11100 EUCLID AVENUE, CLEVELAND OH 44106. County: CUYAHOGA
System: UNIVERSITY HOSPITALS HEALTH SYSTEM
CBSA: Cleveland-Elyria, OH

The 703-bed, acute-care hospital had $77,772,132 in net service to patients*, with a total profit margin of 10.47061% in fiscal year 2021, the latest year available.
It spent 2.07% of its operating expenses on uncompensated care and reported $94,745,874 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	508 118	515 118	502 119.5	529 118	529 119
Total beds Median	690 162	691 162	676 162	703 162	703 163.5
FTEs Median	7,495.54 788.06	7,300.76 793.42	7,632.09 806.03	7,634.96 787.61	7,671.66 804.34

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	1,695,760,058 150,932,746	1,830,019,561 158,950,878	1,907,223,330 168,696,998	1,963,342,037 163,454,693	2,240,719,360 186,589,412
Operating expenses Median	1,588,779,424 149,311,209	1,725,448,982 156,110,414	1,847,180,255 164,890,568	1,973,142,966 166,516,854	2,162,947,228 180,120,888
Net income from service 2 patients (NS2P) ? Median	106,980,634 -964,173	104,570,579 -643,601.5	60,043,075 -116,254	-9,800,929 -5,025,862	77,772,132 -1,284,564
NS2P margin ? Median	6.31% -0.62	5.71% -0.29	3.15% 0.18	-0.50% -5.07	3.47% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UH CLEVELAND 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	120,999,262 5,089,215	123,993,825 4,572,541	146,068,463 5,268,134	232,681,062 13,092,619	175,188,000 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	151,666 224,999	-24,067 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,090 299,524	845 188,688.5	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	7,838,543	8,165,304	8,455,705	5,194,243	-9,708
⊳ Line 13: Revenue from laundry and linen service	183	121	32	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,352	4,050	4,882	3,563	699
⊳ 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	5,931,783	5,786,048	3,790,039	8,367,603	11,848,710
⊳ 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	1,559,749	1,622,439	1,830,757	1,713,999	1,959,804
⊳ 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	105,507,896	108,439,085	131,987,048	217,401,654	161,388,495
Total income ? Median	227,979,896 6,586,430	228,564,404 6,767,106	206,111,538 8,419,950	222,880,133 8,094,175	252,960,132 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	227,979,896 6,043,842	228,564,404 5,845,112	206,111,538 7,606,259	222,880,133 7,283,041	252,960,132 14,957,241
Net margin Median	12.54871% 4.62%	11.69718% 4.42%	10.03810% 5.16%	10.14926% 5.2%	10.47061% 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 UH CLEVELAND 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	194,192,819 23,241,334	183,155,404 23,709,545	178,364,330 24,248,380	172,149,118 22,858,541	189,174,880 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	190,265,061 21,577,146	180,183,287 22,041,594	175,820,319 22,722,063	169,392,373 21,570,441	186,384,226 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	2,255,135 1,845,420	1,788,011 1,757,392	1,544,082 1,738,842	1,379,760 1,510,463	1,365,218 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	1,672,623 1,203,033	1,184,106 1,215,295	999,929 1,313,657	1,376,985 1,365,298	1,425,436 1,179,746
All outpatient revenue Median Click here to show/hide details	102,878,268 11,160,864	98,883,232 11,987,345	100,086,950 12,926,866	90,721,250 11,884,480	102,268,053 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	87,071,805 10,918,923	84,654,519 11,706,976	87,396,822 12,615,917	82,422,511 11,458,116	89,820,508 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	15,806,463 1,282,808	14,228,713 1,407,728	12,690,128 1,341,512	8,298,739 1,407,046	12,447,545 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	43,951,919 3,284,314	41,663,912 3,250,551	40,573,888 3,386,837	39,230,928 3,360,806	43,171,359 3,508,953
Disproportionate-share hospital (DSH) Median	4,756,703 594,888	4,124,479 595,761	3,802,790 577,894	3,663,929 542,168	3,610,945 549,667
Outlier Median	11,602,735 582,572	7,327,940 538,116	2,009,810 212,434	2,406,003 126,559	2,117,044 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	23,381,309 3,662,910	38,076,403 3,730,911	68,184,863 4,081,319	88,653,435 4,643,908	94,745,874 4,389,147
Charity care Median	26,639,219 2,654,636	15,495,901 2,940,659	13,337,998 3,380,215	33,563,084 3,488,738	39,454,591 3,233,405
Uncompensated care (UCC) Median	32,234,511 5,147,790	18,099,940 5,337,617	20,774,153 5,711,082	38,545,330 5,923,418	44,669,912 5,508,107
UCC as a % of operating expenses Median	2.03% 3.24	1.05% 3.12	1.12% 3.21	1.95% 3.3	2.07% 2.86
Total shortfall/UCC Median	55,615,820 9,489,989	56,176,343 9,424,297	88,959,016 10,120,158	127,198,765 11,171,337	139,415,786 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	531,286,400 52,142,039	543,836,509 54,485,252	557,999,224 57,395,589	565,180,736 58,830,919	598,372,174 61,722,907
Salaries as a % of operating expenses Median	33.44 36.68	31.52 36.56	30.21 36.37	28.64 35.93	27.66 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 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	2,799,998 1,449,244	2,024,208 1,475,986	2,115,840 1,563,078	1,608,550 1,721,954	6,436,960 2,991,828
Contract hours, direct-care Median	52,123.00 22,725	38,754.00 23,018.5	38,479.44 24,503.48	25,844.00 25,026.5	76,102.85 33,786
Contract wages, direct-care Median	53.72 64.67	52.23 64.53	54.99 65.06	62.24 68.97	84.58 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.