As of the July, 2022, release via CMS

THOMAS JEFFERSON UNIV. HOSPITAL

CMS id: 390174
111 SOUTH 11TH STREET, PHILADELPHIA PA 19107. County: PHILADELPHIA
System: --
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 882-bed, acute-care hospital had $-181,999,614 in net service to patients*, with a total profit margin of 4.47067% in fiscal year 2021, the latest year available.
It spent 0.88% of its operating expenses on uncompensated care and reported $66,048,138 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	697 118	686 118	681 119.5	683 118	703 119
Total beds Median	899 162	888 162	883 162	862 162	882 163.5
FTEs Median	6,670.26 788.06	6,725.91 793.42	6,397.39 806.03	6,397.00 787.61	6,685.32 804.34

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	1,581,078,769 150,932,746	1,585,560,988 158,950,878	1,696,605,756 168,696,998	1,673,634,418 163,454,693	1,853,409,735 186,589,412
Operating expenses Median	1,613,170,812 149,311,209	1,666,777,625 156,110,414	1,810,171,057 164,890,568	1,991,100,237 166,516,854	2,035,409,349 180,120,888
Net income from service 2 patients (NS2P) ? Median	-32,092,043 -964,173	-81,216,637 -643,601.5	-113,565,301 -116,254	-317,465,819 -5,025,862	-181,999,614 -1,284,564
NS2P margin ? Median	-2.03% -0.62	-5.12% -0.29	-6.69% 0.18	-18.97% -5.07	-9.82% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THOMAS JEFFERSON UNIV. HOSPITAL 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	73,951,394 5,089,215	131,995,272 4,572,541	113,346,173 5,268,134	299,551,215 13,092,619	277,254,486 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	572,714 249,496
⊳ Line 7: Investments ? ⊳ Median	585,550 299,524	2,958,669 188,688.5	3,114,428 370,813	9,046,102 309,361.5	26,529,835 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	1,191	0	-12,742
⊳ Line 11: Rebates and refunds of expenses	79	0	868	0	0
⊳ Line 12: Parking lot receipts	538,810	535,333	515,747	502,437	555,507
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,274,778	1,404,170	3,717,502	4,416,566	2,821,620
⊳ 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	791,882	2,333,757	276,470	7,103	0
⊳ Line 18: Revenue from sale of medical records and abstracts	104,842	5,243	231	59	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	769,275
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	31,830	30,880	33,808	51,709	53,359
⊳ Line 22: Rental of hospital space	2,985,158	3,040,758	3,119,899	3,217,237	3,100,638
⊳ 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	67,593,123	121,686,462	102,566,029	282,310,002	242,864,280
Total income ? Median	41,859,351 6,586,430	50,778,635 6,767,106	-219,128 8,419,950	-17,914,604 8,094,175	95,254,872 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	41,859,351 6,043,842	50,778,635 5,845,112	-219,128 7,606,259	-17,914,604 7,283,041	95,254,872 14,957,241
Net margin Median	2.52922% 4.62%	2.95645% 4.42%	-0.01211% 5.16%	-0.90790% 5.2%	4.47067% 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 THOMAS JEFFERSON UNIV. HOSPITAL 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	273,349,961 23,241,334	274,734,717 23,709,545	297,867,263 24,248,380	298,781,979 22,858,541	314,277,094 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	266,590,798 21,577,146	267,742,934 22,041,594	290,951,665 22,722,063	293,449,497 21,570,441	311,803,809 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	3,226,210 1,845,420	3,310,637 1,757,392	2,802,321 1,738,842	2,442,091 1,510,463	2,473,285 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,532,953 3,535,627	3,681,146 3,746,588	4,113,277 3,782,288	2,890,391 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	95,591,257 11,160,864	110,609,835 11,987,345	118,925,203 12,926,866	110,684,967 11,884,480	116,719,501 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	95,591,257 10,918,923	110,609,835 11,706,976	118,925,203 12,615,917	110,684,967 11,458,116	116,719,501 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	75,893,685 3,284,314	74,727,517 3,250,551	81,809,050 3,386,837	87,468,153 3,360,806	89,097,921 3,508,953
Disproportionate-share hospital (DSH) Median	5,537,065 594,888	5,650,067 595,761	6,300,468 577,894	7,533,743 542,168	8,050,913 549,667
Outlier Median	12,284,759 582,572	12,381,677 538,116	14,306,850 212,434	3,120,917 126,559	2,854,117 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	33,773,488 3,662,910	52,972,845 3,730,911	65,351,844 4,081,319	107,555,837 4,643,908	66,048,138 4,389,147
Charity care Median	9,482,072 2,654,636	8,118,913 2,940,659	13,308,910 3,380,215	16,853,127 3,488,738	12,241,589 3,233,405
Uncompensated care (UCC) Median	23,208,170 5,147,790	20,181,096 5,337,617	24,597,020 5,711,082	22,530,228 5,923,418	17,858,462 5,508,107
UCC as a % of operating expenses Median	1.44% 3.24	1.21% 3.12	1.36% 3.21	1.13% 3.3	0.88% 2.86
Total shortfall/UCC Median	56,981,658 9,489,989	73,153,941 9,424,297	89,948,864 10,120,158	130,086,065 11,171,337	83,906,600 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	504,382,863 52,142,039	505,770,873 54,485,252	507,082,041 57,395,589	545,446,229 58,830,919	552,991,486 61,722,907
Salaries as a % of operating expenses Median	31.27 36.68	30.34 36.56	28.01 36.37	27.97 35.93	27.57 35.24
Intern, resident salaries* Median	50,364,694 2,598,592	53,854,489 2,686,824	56,095,267 2,753,773	62,153,991 2,937,156	63,716,632 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	5,982,470 1,449,244	5,889,830 1,475,986	8,890,622 1,563,078	2,966,414 1,721,954	1,948,087 2,991,828
Contract hours, direct-care Median	95,485.00 22,725	100,436.00 23,018.5	163,015.00 24,503.48	41,373.00 25,026.5	18,494.00 33,786
Contract wages, direct-care Median	62.65 64.67	58.64 64.53	54.54 65.06	71.70 68.97	105.34 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.