As of the July, 2022, release via CMS

PENNSYLVANIA HOSPITAL OF UPHS

CMS id: 390226
8TH & SPRUCE, PHILADELPHIA PA 19107. County: PHILADELPHIA
System: UNIV OF PA HEALTH SYSTEM
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 474-bed, acute-care hospital had $-61,869,250 in net service to patients*, with a total profit margin of 6.01587% in fiscal year 2021, the latest year available.
It spent 1.08% of its operating expenses on uncompensated care and reported $24,428,375 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	327 118	324 118	324 119.5	338 118	353 119
Total beds Median	448 162	437 162	445 162	459 162	474 163.5
FTEs Median	2,418.38 788.06	2,528.63 793.42	2,518.44 806.03	2,804.61 787.61	2,827.99 804.34

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	629,315,000 150,932,746	597,537,000 158,950,878	610,758,000 168,696,998	602,211,000 163,454,693	656,640,133 186,589,412
Operating expenses Median	662,743,000 149,311,209	644,099,000 156,110,414	658,498,000 164,890,568	681,318,210 166,516,854	718,509,383 180,120,888
Net income from service 2 patients (NS2P) ? Median	-33,428,000 -964,173	-46,562,000 -643,601.5	-47,740,000 -116,254	-79,107,210 -5,025,862	-61,869,250 -1,284,564
NS2P margin ? Median	-5.31% -0.62	-7.79% -0.29	-7.82% 0.18	-13.14% -5.07	-9.42% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PENNSYLVANIA HOSPITAL OF UPHS 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	55,823,001 5,089,215	65,915,000 4,572,541	74,763,000 5,268,134	76,414,000 13,092,619	107,860,597 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	124,982 224,999	231,000 199,009	219,000 206,870.5	306,710 194,343	260,719 249,496
⊳ Line 7: Investments ? ⊳ Median	14,011,938 299,524	11,544,000 188,688.5	21,372,000 370,813	4,925,498 309,361.5	34,286,209 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	85,637	69,--00	--	--	--
⊳ 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	6,420,276	6,270,000	6,475,000	5,747,507	5,501,660
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,154,068	2,602,000	2,750,000	2,382,970	2,014,696
⊳ 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	12,934,529	18,943,000	23,018,000	26,210,640	32,215,151
⊳ Line 18: Revenue from sale of medical records and abstracts	31,849	44,000	34,000	892,091	-132,238
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	47,856	67,000	3,000	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	428,469	406,000	382,000	287,824	191,721
⊳ Line 21: Rental of vending machines	68,898	71,000	86,000	79,993	74,000
⊳ Line 22: Rental of hospital space	6,437,447	6,691,000	7,136,000	7,589,413	7,808,902
⊳ Line 23: Gov appropriations ? ⊳ Median	12,530,741 1,017,693	12,857,000 983,261.5	9,875,000 1,173,286	4,783,947 1,987,202	0 1,597,664
⊳ Sum Line 24	351,629	6,110,000	3,413,000	23,207,407	25,639,777
Total income ? Median	22,395,001 6,586,430	19,353,000 6,767,106	27,023,000 8,419,950	-2,693,210 8,094,175	45,991,347 15,162,888
Non-operating expenses Median	2,795,001 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	19,600,000 6,043,842	19,353,000 5,845,112	27,023,000 7,606,259	-2,693,210 7,283,041	45,991,347 14,957,241
Net margin Median	2.86074% 4.62%	2.91702% 4.42%	3.94197% 5.16%	-0.39686% 5.2%	6.01587% 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 PENNSYLVANIA HOSPITAL OF UPHS 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	72,213,264 23,241,334	70,991,304 23,709,545	70,096,724 24,248,380	66,253,851 22,858,541	67,872,793 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	69,364,700 21,577,146	67,974,831 22,041,594	67,189,810 22,722,063	63,446,385 21,570,441	65,911,427 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	2,848,564 1,845,420	3,016,473 1,757,392	2,906,914 1,738,842	2,807,466 1,510,463	1,961,366 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	45,366,039 11,160,864	47,101,490 11,987,345	48,591,917 12,926,866	45,470,619 11,884,480	51,333,514 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	45,366,039 10,918,923	47,101,490 11,706,976	48,591,917 12,615,917	45,470,619 11,458,116	51,333,514 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	11,752,473 3,284,314	11,382,973 3,250,551	11,027,940 3,386,837	10,830,961 3,360,806	10,513,138 3,508,953
Disproportionate-share hospital (DSH) Median	2,311,102 594,888	2,252,580 595,761	2,149,745 577,894	2,431,357 542,168	1,602,522 549,667
Outlier Median	4,098,063 582,572	3,896,005 538,116	3,930,486 212,434	868,069 126,559	1,211,442 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,846,244 3,662,910	14,953,084 3,730,911	38,680,546 4,081,319	21,662,963 4,643,908	24,428,375 4,389,147
Charity care Median	7,128,097 2,654,636	1,527,729 2,940,659	4,858,826 3,380,215	7,496,866 3,488,738	5,538,439 3,233,405
Uncompensated care (UCC) Median	11,252,728 5,147,790	4,331,828 5,337,617	8,863,914 5,711,082	10,192,888 5,923,418	7,724,837 5,508,107
UCC as a % of operating expenses Median	1.70% 3.24	0.67% 3.12	1.35% 3.21	1.50% 3.3	1.08% 2.86
Total shortfall/UCC Median	26,098,972 9,489,989	19,284,912 9,424,297	47,544,460 10,120,158	31,855,851 11,171,337	32,153,212 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	208,262,245 52,142,039	217,428,612 54,485,252	222,741,560 57,395,589	230,441,902 58,830,919	235,173,492 61,722,907
Salaries as a % of operating expenses Median	31.42 36.68	32.89 36.56	32.83 36.37	33.30 35.93	32.09 35.24
Intern, resident salaries* Median	11,145,385 2,598,592	11,719,241 2,686,824	12,000,699 2,753,773	12,744,925 2,937,156	11,945,716 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	4,247,582 1,449,244	2,315,763 1,475,986	3,395,524 1,563,078	4,419,070 1,721,954	5,641,714 2,991,828
Contract hours, direct-care Median	73,310.00 22,725	43,783.00 23,018.5	61,812.00 24,503.48	69,815.00 25,026.5	76,954.00 33,786
Contract wages, direct-care Median	57.94 64.67	52.89 64.53	54.93 65.06	63.30 68.97	73.31 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.