As of the July, 2022, release via CMS

PRESBYTERIAN MEDICAL CENTER

CMS id: 390223
39TH & MARKET STREETS, PHILADELPHIA PA 19104. County: PHILADELPHIA
System: UNIV OF PA HEALTH SYSTEM
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 377-bed, acute-care hospital had $-117,118,123 in net service to patients*, with a total profit margin of 4.51131% in fiscal year 2021, the latest year available.
It spent 0.88% of its operating expenses on uncompensated care and reported $25,206,271 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	248 118	250 118	252 119.5	254 118	268 119
Total beds Median	355 162	357 162	357 162	365 162	377 163.5
FTEs Median	2,580.94 788.06	2,668.61 793.42	3,228.96 806.03	3,255.59 787.61	3,387.27 804.34

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	684,287,000 150,932,746	733,718,000 158,950,878	771,542,000 168,696,998	741,651,502 163,454,693	901,329,870 186,589,412
Operating expenses Median	740,620,000 149,311,209	765,879,001 156,110,414	816,663,862 164,890,568	873,903,003 166,516,854	1,018,447,993 180,120,888
Net income from service 2 patients (NS2P) ? Median	-56,333,000 -964,173	-32,161,001 -643,601.5	-45,121,862 -116,254	-132,251,501 -5,025,862	-117,118,123 -1,284,564
NS2P margin ? Median	-8.23% -0.62	-4.38% -0.29	-5.85% 0.18	-17.83% -5.07	-12.99% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PRESBYTERIAN 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	51,273,000 5,089,215	73,989,000 4,572,541	91,611,000 5,268,134	194,033,000 13,092,619	165,234,176 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	-1,157,997 299,524	-2,409,560 188,688.5	-1,989,254 370,813	-347,177 309,361.5	2,552,043 375,329
⊳ 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	528,558	477,519	595,369	518,540	299,317
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,896,721	1,983,003	2,092,446	1,766,194	1,348,356
⊳ 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	33,495,499	51,191,383	71,483,018	110,072,856	123,489,001
⊳ Line 18: Revenue from sale of medical records and abstracts	463,909	482,494	645,844	-1,848,687	325,905
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	139,184	102,803	84,088	25,637	10,434
⊳ 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	6,619,199	7,140,321	7,313,080	12,105,448	12,400,148
⊳ 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	9,287,927	15,021,037	11,386,409	71,740,189	24,808,972
Total income ? Median	-5,060,000 6,586,430	41,827,999 6,767,106	46,489,138 8,419,950	61,781,499 8,094,175	48,116,053 15,162,888
Non-operating expenses Median	2,795,000 146,289.5	-8,001 164,857	192,138 89,880.5	0 106,761	0 31,473.5
Net income Median	-7,855,000 6,043,842	41,836,000 5,845,112	46,297,000 7,606,259	61,781,499 7,283,041	48,116,053 14,957,241
Net margin Median	-1.06789% 4.62%	5.17960% 4.42%	5.36371% 5.16%	6.60281% 5.2%	4.51131% 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 PRESBYTERIAN 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	111,150,796 23,241,334	116,211,647 23,709,545	123,627,703 24,248,380	119,862,147 22,858,541	117,790,798 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	109,258,978 21,577,146	113,968,280 22,041,594	121,452,234 22,722,063	117,724,364 21,570,441	116,272,316 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	858,169 1,845,420	1,211,785 1,757,392	900,165 1,738,842	861,252 1,510,463	366,060 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	1,033,649 1,203,033	1,031,582 1,215,295	1,275,304 1,313,657	1,276,531 1,365,298	1,152,422 1,179,746
All outpatient revenue Median Click here to show/hide details	62,915,452 11,160,864	73,439,796 11,987,345	92,908,332 12,926,866	93,255,790 11,884,480	93,322,230 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	47,359,626 10,918,923	55,622,707 11,706,976	71,477,544 12,615,917	67,175,749 11,458,116	65,590,646 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	15,555,826 1,282,808	17,817,089 1,407,728	21,430,788 1,341,512	26,080,041 1,407,046	27,731,584 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	20,490,985 3,284,314	21,735,307 3,250,551	22,868,553 3,386,837	23,223,954 3,360,806	22,194,368 3,508,953
Disproportionate-share hospital (DSH) Median	3,796,176 594,888	3,897,521 595,761	4,511,793 577,894	3,845,357 542,168	2,722,438 549,667
Outlier Median	4,924,414 582,572	5,019,656 538,116	6,490,012 212,434	1,988,380 126,559	2,257,644 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,295,138 3,662,910	6,493,215 3,730,911	19,216,323 4,081,319	17,792,405 4,643,908	25,206,271 4,389,147
Charity care Median	5,617,055 2,654,636	1,917,873 2,940,659	4,739,066 3,380,215	10,035,589 3,488,738	6,399,202 3,233,405
Uncompensated care (UCC) Median	12,947,392 5,147,790	6,471,688 5,337,617	7,988,197 5,711,082	13,092,215 5,923,418	8,925,095 5,508,107
UCC as a % of operating expenses Median	1.75% 3.24	0.85% 3.12	0.98% 3.21	1.50% 3.3	0.88% 2.86
Total shortfall/UCC Median	24,242,530 9,489,989	12,964,903 9,424,297	27,204,520 10,120,158	30,884,620 11,171,337	34,131,366 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	253,097,010 52,142,039	270,498,763 54,485,252	291,459,723 57,395,589	294,396,079 58,830,919	310,555,560 61,722,907
Salaries as a % of operating expenses Median	33.18 36.68	34.33 36.56	33.01 36.37	30.96 35.93	30.67 35.24
Intern, resident salaries* Median	9,878,902 2,598,592	11,053,988 2,686,824	11,579,724 2,753,773	13,220,727 2,937,156	12,630,804 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	4,361,644 1,449,244	4,380,313 1,475,986	5,063,350 1,563,078	6,762,951 1,721,954	9,616,694 2,991,828
Contract hours, direct-care Median	80,935.00 22,725	81,833.00 23,018.5	91,676.00 24,503.48	81,900.00 25,026.5	207,250.00 33,786
Contract wages, direct-care Median	53.89 64.67	53.53 64.53	55.23 65.06	82.58 68.97	46.40 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.