As of the July, 2022, release via CMS

UH AHUJA MEDICAL CENTER

CMS id: 360359
3999 RICHMOND ROAD, BEACHWOOD OH 44122. County: CUYAHOGA
System: UNIVERSITY HOSPITALS
CBSA: Cleveland-Elyria, OH

The 150-bed, acute-care hospital had $33,709,455 in net service to patients*, with a total profit margin of 14.53783% in fiscal year 2021, the latest year available.
It spent 4.75% of its operating expenses on uncompensated care and reported $13,118,783 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	112 118	117 118	127 119.5	125 118	130 119
Total beds Median	128 162	137 162	147 162	145 162	150 163.5
FTEs Median	885.61 788.06	865.64 793.42	912.58 806.03	905.80 787.61	876.99 804.34

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	212,887,445 150,932,746	222,187,023 158,950,878	220,911,194 168,696,998	212,823,206 163,454,693	246,476,557 186,589,412
Operating expenses Median	181,646,468 149,311,209	185,864,010 156,110,414	195,468,178 164,890,568	198,992,339 166,516,854	212,767,102 180,120,888
Net income from service 2 patients (NS2P) ? Median	31,240,977 -964,173	36,323,013 -643,601.5	25,443,016 -116,254	13,830,867 -5,025,862	33,709,455 -1,284,564
NS2P margin ? Median	14.67% -0.62	16.35% -0.29	11.52% 0.18	6.50% -5.07	13.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UH AHUJA 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	1,252,411 5,089,215	1,332,686 4,572,541	1,529,253 5,268,134	12,702,780 13,092,619	2,484,013 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	628,362	746,121	845,901	631,214	707,275
⊳ 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	624,049	586,565	683,352	12,071,566	1,776,738
Total income ? Median	32,493,388 6,586,430	37,655,699 6,767,106	26,972,269 8,419,950	26,533,647 8,094,175	36,193,468 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	32,493,388 6,043,842	37,655,699 5,845,112	26,972,269 7,606,259	26,533,647 7,283,041	36,193,468 14,957,241
Net margin Median	15.17391% 4.62%	16.84670% 4.42%	12.12561% 5.16%	11.76523% 5.2%	14.53783% 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 AHUJA 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	28,616,654 23,241,334	29,010,643 23,709,545	27,840,987 24,248,380	28,882,137 22,858,541	30,940,244 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	28,616,654 21,577,146	29,010,643 22,041,594	27,840,987 22,722,063	28,882,137 21,570,441	30,940,244 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 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	13,019,281 11,160,864	14,561,620 11,987,345	15,115,834 12,926,866	13,474,859 11,884,480	16,850,760 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	13,019,281 10,918,923	14,561,620 11,706,976	15,115,834 12,615,917	13,474,859 11,458,116	16,850,760 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	43,342 3,284,314	38,282 3,250,551	39,079 3,386,837	38,466 3,360,806	27,178 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	186,043 542,168	259,039 549,667
Outlier Median	517,150 582,572	378,058 538,116	201,230 212,434	142,680 126,559	112,137 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,465,226 3,662,910	10,705,011 3,730,911	10,727,922 4,081,319	12,906,803 4,643,908	13,118,783 4,389,147
Charity care Median	6,793,331 2,654,636	8,039,621 2,940,659	4,224,197 3,380,215	6,428,401 3,488,738	8,984,393 3,233,405
Uncompensated care (UCC) Median	8,997,238 5,147,790	9,143,057 5,337,617	6,748,683 5,711,082	7,543,995 5,923,418	10,111,663 5,508,107
UCC as a % of operating expenses Median	4.95% 3.24	4.92% 3.12	3.45% 3.21	3.79% 3.3	4.75% 2.86
Total shortfall/UCC Median	19,462,464 9,489,989	19,848,068 9,424,297	17,476,605 10,120,158	20,450,798 11,171,337	23,230,446 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	53,011,820 52,142,039	53,268,686 54,485,252	56,772,438 57,395,589	57,920,388 58,830,919	60,142,738 61,722,907
Salaries as a % of operating expenses Median	29.18 36.68	28.66 36.56	29.04 36.37	29.11 35.93	28.27 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	366,260 1,251,927	305,919 1,186,494	257,238 1,204,885	361,901 1,279,653	482,967 1,469,317
Contract adjusted salaries, direct-care Median	1,044,970 1,449,244	1,814,372 1,475,986	2,946,066 1,563,078	557,286 1,721,954	2,049,969 2,991,828
Contract hours, direct-care Median	23,327.24 22,725	34,731.32 23,018.5	55,356.94 24,503.48	12,461.82 25,026.5	31,059.28 33,786
Contract wages, direct-care Median	44.80 64.67	52.24 64.53	53.22 65.06	44.72 68.97	66.00 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.