As of the July, 2022, release via CMS

UPMC - PRESBYTERIAN SHADYSIDE

CMS id: 390164
200 LOTHROP STREET, PITTSBURGH PA 15213. County: ALLEGHENY
System: UNIVERSITY OF PITTBURGH MEDICAL CENT
CBSA: Pittsburgh, PA

The 1,455-bed, acute-care hospital had $-223,560,405 in net service to patients*, with a total profit margin of -0.31425% in fiscal year 2021, the latest year available.
It spent 0.69% of its operating expenses on uncompensated care and reported $897,927 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	948 118	961 118	971 119.5	926 118	940 119
Total beds Median	1,483 162	1,493 162	1,484 162	1,438 162	1,455 163.5
FTEs Median	9,085.81 788.06	9,222.10 793.42	9,424.13 806.03	9,374.55 787.61	9,434.49 804.34

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	1,812,413,504 150,932,746	1,849,820,096 158,950,878	1,937,259,793 168,696,998	1,986,215,592 163,454,693	2,082,739,594 186,589,412
Operating expenses Median	2,101,787,646 149,311,209	2,180,978,999 156,110,414	2,362,262,393 164,890,568	2,459,191,813 166,516,854	2,306,299,999 180,120,888
Net income from service 2 patients (NS2P) ? Median	-289,374,142 -964,173	-331,158,903 -643,601.5	-425,002,600 -116,254	-472,976,221 -5,025,862	-223,560,405 -1,284,564
NS2P margin ? Median	-15.97% -0.62	-17.90% -0.29	-21.94% 0.18	-23.81% -5.07	-10.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UPMC - PRESBYTERIAN SHADYSIDE 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	250,675,146 5,089,215	260,248,608 4,572,541	253,375,191 5,268,134	262,362,544 13,092,619	216,340,983 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,201,091 224,999	5,837,915 199,009	4,646,825 206,870.5	3,657,978 194,343	2,711,696 249,496
⊳ Line 7: Investments ? ⊳ Median	2,099,120 299,524	2,267,559 188,688.5	206,304 370,813	-179,867 309,361.5	5,095,459 375,329
⊳ 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	16,510,859	18,118,977	18,283,493	16,897,997	15,636,444
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	13,385,161	13,467,875	13,401,438	12,099,258	9,827,055
⊳ 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	103,639,751	109,488,381	102,998,214	72,058,958	67,842,567
⊳ Line 18: Revenue from sale of medical records and abstracts	956,563	632,965	374,653	395,226	307,349
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	3,232,446	4,271,377	4,765,134	4,875,592	5,088,500
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	5,700	18,318	20,799	20,483	0
⊳ Line 21: Rental of vending machines	260,831	203,459	272,351	220,748	169,478
⊳ Line 22: Rental of hospital space	32,644,711	32,256,811	32,630,973	32,346,541	32,713,881
⊳ Line 23: Gov appropriations ? ⊳ Median	15,736,775 1,017,693	15,729,784 983,261.5	13,569,463 1,173,286	12,761,535 1,987,202	14,792,025 1,597,664
⊳ Sum Line 24	58,002,138	57,955,187	62,205,544	107,208,095	62,156,529
Total income ? Median	-38,698,996 6,586,430	-70,910,295 6,767,106	-171,627,409 8,419,950	-210,613,677 8,094,175	-7,219,422 15,162,888
Non-operating expenses Median	5,449 146,289.5	5,175 164,857	-13,478 89,880.5	-864 106,761	5,552 31,473.5
Net income Median	-38,704,445 6,043,842	-70,915,470 5,845,112	-171,613,931 7,606,259	-210,612,813 7,283,041	-7,224,974 14,957,241
Net margin Median	-1.87604% 4.62%	-3.36081% 4.42%	-7.83398% 5.16%	-9.36649% 5.2%	-0.31425% 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 - PRESBYTERIAN SHADYSIDE 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	334,265,022 23,241,334	325,576,094 23,709,545	322,094,490 24,248,380	302,848,695 22,858,541	331,300,102 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	321,398,962 21,577,146	313,620,101 22,041,594	310,896,584 22,722,063	293,388,950 21,570,441	322,361,202 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	9,187,582 1,845,420	8,412,514 1,757,392	7,914,086 1,738,842	6,649,622 1,510,463	6,168,888 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,023,954 3,535,627	3,543,479 3,746,588	3,283,820 3,782,288	2,810,123 3,865,578	2,770,012 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	654,524 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	49,255,367 11,160,864	50,227,563 11,987,345	55,559,377 12,926,866	48,940,279 11,884,480	51,964,941 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	49,255,367 10,918,923	50,227,563 11,706,976	55,559,377 12,615,917	48,940,279 11,458,116	51,964,941 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	77,321,944 3,284,314	75,564,763 3,250,551	75,334,638 3,386,837	74,208,092 3,360,806	81,521,356 3,508,953
Disproportionate-share hospital (DSH) Median	4,333,391 594,888	4,062,906 595,761	4,080,825 577,894	3,761,688 542,168	4,261,246 549,667
Outlier Median	12,527,726 582,572	11,768,545 538,116	16,921,107 212,434	1,643,600 126,559	1,851,157 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	722,134 3,662,910	633,644 3,730,911	752,944 4,081,319	698,525 4,643,908	897,927 4,389,147
Charity care Median	13,418,088 2,654,636	13,332,685 2,940,659	13,375,044 3,380,215	13,545,612 3,488,738	10,802,785 3,233,405
Uncompensated care (UCC) Median	20,232,826 5,147,790	19,073,596 5,337,617	19,244,126 5,711,082	18,988,765 5,923,418	16,002,307 5,508,107
UCC as a % of operating expenses Median	0.96% 3.24	0.87% 3.12	0.81% 3.21	0.77% 3.3	0.69% 2.86
Total shortfall/UCC Median	20,954,960 9,489,989	19,707,240 9,424,297	19,997,070 10,120,158	19,687,290 11,171,337	16,900,234 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	492,544,482 52,142,039	513,363,674 54,485,252	535,270,301 57,395,589	551,141,969 58,830,919	571,098,287 61,722,907
Salaries as a % of operating expenses Median	23.43 36.68	23.54 36.56	22.66 36.37	22.41 35.93	24.76 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	54,459,405 1,251,927	55,963,940 1,186,494	60,695,219 1,204,885	62,812,603 1,279,653	63,749,829 1,469,317
Contract adjusted salaries, direct-care Median	58,325,273 1,449,244	60,688,190 1,475,986	62,346,719 1,563,078	64,325,465 1,721,954	65,226,821 2,991,828
Contract hours, direct-care Median	1,556,925.00 22,725	1,568,129.00 23,018.5	1,684,730.00 24,503.48	1,575,965.00 25,026.5	1,595,596.00 33,786
Contract wages, direct-care Median	37.46 64.67	38.70 64.53	37.01 65.06	40.82 68.97	40.88 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.