As of the July, 2022, release via CMS

UPMC HAMOT

CMS id: 390063
201 STATE STREET, ERIE PA 16550. County: ERIE
System: UPMC HEALTH SYSTEM
CBSA: Erie, PA

The 456-bed, acute-care hospital had $25,310,408 in net service to patients*, with a total profit margin of 8.57137% in fiscal year 2021, the latest year available.
It spent 1.06% of its operating expenses on uncompensated care and reported $60,445 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	356 118	355 118	355 119.5	355 118	355 119
Total beds Median	422 162	421 162	421 162	421 162	456 163.5
FTEs Median	2,062.07 788.06	2,042.02 793.42	2,002.96 806.03	2,030.07 787.61	2,065.10 804.34

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	404,868,181 150,932,746	422,745,791 158,950,878	454,828,178 168,696,998	464,816,224 163,454,693	491,610,645 186,589,412
Operating expenses Median	411,232,363 149,311,209	416,013,767 156,110,414	431,485,426 164,890,568	455,185,899 166,516,854	466,300,237 180,120,888
Net income from service 2 patients (NS2P) ? Median	-6,364,182 -964,173	6,732,024 -643,601.5	23,342,752 -116,254	9,630,325 -5,025,862	25,310,408 -1,284,564
NS2P margin ? Median	-1.57% -0.62	1.59% -0.29	5.13% 0.18	2.07% -5.07	5.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UPMC HAMOT 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	17,414,677 5,089,215	15,386,909 4,572,541	5,257,595 5,268,134	22,104,300 13,092,619	18,404,896 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,167,001 224,999	72,322 199,009	147,432 206,870.5	282,272 194,343	86,646 249,496
⊳ Line 7: Investments ? ⊳ Median	6,535,972 299,524	1,150,338 188,688.5	-4,043,765 370,813	-2,556 309,361.5	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	172,724	165,451	140,630	343,020	350,155
⊳ Line 12: Parking lot receipts	869,515	1,000,029	979,321	863,184	880,382
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,888,623	1,898,966	1,989,577	1,812,718	1,342,774
⊳ 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	256	2,110	345	0	180
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	647,060	408,665	534,517	703,196	792,888
⊳ 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	1,945,212	2,010,248	2,386,858	4,987,355	5,446,905
⊳ Line 23: Gov appropriations ? ⊳ Median	257,433 1,017,693	154 983,261.5	0 1,173,286	-14,931 1,987,202	14,931 1,597,664
⊳ Sum Line 24	3,930,881	8,678,626	3,122,680	13,130,042	9,490,035
Total income ? Median	11,050,495 6,586,430	22,118,933 6,767,106	28,600,347 8,419,950	31,734,625 8,094,175	43,715,304 15,162,888
Non-operating expenses Median	0 146,289.5	1,018,420 164,857	1,100,495 89,880.5	0 106,761	0 31,473.5
Net income Median	11,050,495 6,043,842	21,100,513 5,845,112	27,499,852 7,606,259	31,734,625 7,283,041	43,715,304 14,957,241
Net margin Median	2.61685% 4.62%	4.81601% 4.42%	5.97711% 5.16%	6.51741% 5.2%	8.57137% 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 UPMC HAMOT 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	78,469,974 23,241,334	75,938,583 23,709,545	83,421,109 24,248,380	80,325,289 22,858,541	77,661,029 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	78,469,974 21,577,146	75,938,583 22,041,594	83,421,109 22,722,063	80,325,289 21,570,441	77,661,029 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	31,229,173 11,160,864	32,654,138 11,987,345	33,384,454 12,926,866	34,210,024 11,884,480	27,977,012 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	27,658,591 10,918,923	30,533,760 11,706,976	33,384,454 12,615,917	34,210,024 11,458,116	27,977,012 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,570,582 1,282,808	2,120,378 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	7,063,663 3,284,314	7,149,659 3,250,551	7,782,876 3,386,837	7,795,923 3,360,806	7,710,408 3,508,953
Disproportionate-share hospital (DSH) Median	2,180,255 594,888	2,237,616 595,761	2,383,609 577,894	2,308,819 542,168	2,183,262 549,667
Outlier Median	997,372 582,572	905,236 538,116	947,280 212,434	112,861 126,559	124,307 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	715,466 3,662,910	2,137 3,730,911	0 4,081,319	20,435 4,643,908	60,445 4,389,147
Charity care Median	4,331,521 2,654,636	4,275,191 2,940,659	4,535,892 3,380,215	4,470,304 3,488,738	3,001,448 3,233,405
Uncompensated care (UCC) Median	7,047,588 5,147,790	6,929,286 5,337,617	7,393,381 5,711,082	6,834,471 5,923,418	4,956,074 5,508,107
UCC as a % of operating expenses Median	1.71% 3.24	1.67% 3.12	1.71% 3.21	1.50% 3.3	1.06% 2.86
Total shortfall/UCC Median	7,763,054 9,489,989	6,931,423 9,424,297	7,393,381 10,120,158	6,854,906 11,171,337	5,016,519 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	108,624,521 52,142,039	107,609,026 54,485,252	108,995,205 57,395,589	115,905,023 58,830,919	120,507,184 61,722,907
Salaries as a % of operating expenses Median	26.47 36.68	25.87 36.56	25.26 36.37	25.53 35.93	25.90 35.24
Intern, resident salaries* Median	145,746 2,598,592	130,087 2,686,824	135,061 2,753,773	134,625 2,937,156	125,750 2,909,848
Contract intern, resident salaries* Median	3,665,614 1,251,927	3,806,632 1,186,494	3,788,308 1,204,885	3,987,160 1,279,653	3,962,439 1,469,317
Contract adjusted salaries, direct-care Median	5,724,081 1,449,244	4,354,209 1,475,986	4,241,340 1,563,078	5,254,918 1,721,954	5,564,555 2,991,828
Contract hours, direct-care Median	123,012.98 22,725	106,550.44 23,018.5	101,377.51 24,503.48	111,323.48 25,026.5	114,988.44 33,786
Contract wages, direct-care Median	46.53 64.67	40.87 64.53	41.84 65.06	47.20 68.97	48.39 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.