As of the July, 2022, release via CMS

HOSPITAL OF THE UNIV OF PENNA

CMS id: 390111
3400 SPRUCE STREET, PHILADELPHIA PA 19104. County: PHILADELPHIA
System: UNIV OF PA HEALTH SYSTEM
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 839-bed, acute-care hospital had $-163,104,874 in net service to patients*, with a total profit margin of 17.77737% in fiscal year 2021, the latest year available.
It spent 0.65% of its operating expenses on uncompensated care and reported $21,032,014 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	575 118	588 118	587 119.5	587 118	615 119
Total beds Median	764 162	780 162	806 162	807 162	839 163.5
FTEs Median	7,179.55 788.06	7,359.77 793.42	8,016.80 806.03	8,289.19 787.61	8,559.90 804.34

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	2,319,593,000 150,932,746	2,448,160,000 158,950,878	2,643,131,133 168,696,998	2,454,906,000 163,454,693	2,851,500,619 186,589,412
Operating expenses Median	2,264,860,000 149,311,209	2,440,259,001 156,110,414	2,620,651,780 164,890,568	2,696,028,871 166,516,854	3,014,605,493 180,120,888
Net income from service 2 patients (NS2P) ? Median	54,733,000 -964,173	7,900,999 -643,601.5	22,479,353 -116,254	-241,122,871 -5,025,862	-163,104,874 -1,284,564
NS2P margin ? Median	2.36% -0.62	0.32% -0.29	0.85% 0.18	-9.82% -5.07	-5.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOSPITAL OF THE UNIV OF PENNA 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	240,404,000 5,089,215	334,895,001 4,572,541	334,893,999 5,268,134	545,414,000 13,092,619	814,893,355 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	400,822 224,999	558,077 199,009	558,077 206,870.5	809,352 194,343	337,363 249,496
⊳ Line 7: Investments ? ⊳ Median	85,530,512 299,524	117,815,087 188,688.5	117,815,087 370,813	67,003,986 309,361.5	322,898,619 375,329
⊳ 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	35,081	0	0	0	0
⊳ Line 12: Parking lot receipts	0	519,263	519,263	457,193	481,714
⊳ 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	3,669,952
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	512,110	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	112,381,163	173,662,637	173,662,637	351,483,992	391,326,918
⊳ Line 18: Revenue from sale of medical records and abstracts	0	83,702	83,702	-925,288	-5,817,840
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,537,924	2,283,481	2,283,481	125,358	71,593
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	100,708	0	0	0	0
⊳ Line 22: Rental of hospital space	14,436,815	20,475,985	20,475,985	21,672,906	25,298,272
⊳ 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	25,468,865	19,496,769	19,495,767	104,786,501	76,626,764
Total income ? Median	295,137,000 6,586,430	342,796,000 6,767,106	357,373,352 8,419,950	304,291,129 8,094,175	651,788,481 15,162,888
Non-operating expenses Median	22,357,000 146,289.5	0 164,857	14,352 89,880.5	0 106,761	0 31,473.5
Net income Median	272,780,000 6,043,842	342,796,000 5,845,112	357,359,000 7,606,259	304,291,129 7,283,041	651,788,481 14,957,241
Net margin Median	10.65548% 4.62%	12.31726% 4.42%	11.99987% 5.16%	10.14196% 5.2%	17.77737% 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 HOSPITAL OF THE UNIV OF PENNA 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	295,574,883 23,241,334	314,472,642 23,709,545	320,917,007 24,248,380	313,153,970 22,858,541	335,624,576 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	284,189,691 21,577,146	298,175,982 22,041,594	305,002,966 22,722,063	297,617,142 21,570,441	319,911,922 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	11,385,192 3,535,627	16,296,660 3,746,588	15,914,041 3,782,288	15,536,828 3,865,578	15,712,654 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	183,115,642 11,160,864	205,087,682 11,987,345	227,289,609 12,926,866	220,141,398 11,884,480	210,575,223 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	183,115,642 10,918,923	205,087,682 11,706,976	227,289,609 12,615,917	220,141,398 11,458,116	210,575,223 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	85,420,321 3,284,314	86,484,036 3,250,551	86,198,414 3,386,837	89,746,969 3,360,806	92,099,242 3,508,953
Disproportionate-share hospital (DSH) Median	4,482,402 594,888	4,900,901 595,761	5,174,783 577,894	4,535,860 542,168	4,897,950 549,667
Outlier Median	29,155,818 582,572	39,962,873 538,116	39,138,183 212,434	9,241,067 126,559	8,777,102 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	13,281,124 3,662,910	16,085,338 3,730,911	12,717,202 4,081,319	12,872,553 4,643,908	21,032,014 4,389,147
Charity care Median	11,457,482 2,654,636	5,908,173 2,940,659	12,688,742 3,380,215	21,788,187 3,488,738	14,225,825 3,233,405
Uncompensated care (UCC) Median	20,813,333 5,147,790	13,275,517 5,337,617	22,246,797 5,711,082	31,217,504 5,923,418	19,733,531 5,508,107
UCC as a % of operating expenses Median	0.92% 3.24	0.54% 3.12	0.85% 3.21	1.16% 3.3	0.65% 2.86
Total shortfall/UCC Median	34,094,457 9,489,989	29,360,855 9,424,297	34,963,999 10,120,158	44,090,057 11,171,337	40,765,545 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	621,803,487 52,142,039	670,735,792 54,485,252	707,521,310 57,395,589	702,665,308 58,830,919	734,796,341 61,722,907
Salaries as a % of operating expenses Median	27.45 36.68	27.49 36.56	26.48 36.37	24.75 35.93	24.08 35.24
Intern, resident salaries* Median	41,862,561 2,598,592	44,009,784 2,686,824	45,324,328 2,753,773	49,574,421 2,937,156	50,193,562 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	10,017,777 1,449,244	14,476,889 1,475,986	10,982,183 1,563,078	11,294,660 1,721,954	12,153,184 2,991,828
Contract hours, direct-care Median	212,080.00 22,725	292,332.00 23,018.5	211,901.00 24,503.48	196,982.00 25,026.5	196,991.00 33,786
Contract wages, direct-care Median	47.24 64.67	49.52 64.53	51.83 65.06	57.34 68.97	61.69 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.