As of the July, 2022, release via CMS

UNIVERSITY MEDICAL CENTER OF EL PASO

CMS id: 450024
4815 ALAMEDA AVENUE, EL PASO TX 79905. County: EL PASO
System: --
CBSA: El Paso, TX

The 290-bed, acute-care hospital had $-341,734,027 in net service to patients*, with a total profit margin of 3.55473% in fiscal year 2021, the latest year available.
It spent 23.54% of its operating expenses on uncompensated care and reported $0 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	gov	gov	gov	gov	gov
Acute beds Median	209 118	221 118	230 119.5	221 118	230 119
Total beds Median	259 162	271 162	290 162	290 162	290 163.5
FTEs Median	2,646.95 788.06	2,569.81 793.42	2,774.42 806.03	2,882.45 787.61	3,159.80 804.34

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	193,253,888 150,932,746	227,177,776 158,950,878	262,195,376 168,696,998	286,873,831 163,454,693	382,018,461 186,589,412
Operating expenses Median	400,835,497 149,311,209	441,661,974 156,110,414	476,342,991 164,890,568	584,264,476 166,516,854	723,752,488 180,120,888
Net income from service 2 patients (NS2P) ? Median	-207,581,609 -964,173	-214,484,198 -643,601.5	-214,147,615 -116,254	-297,390,645 -5,025,862	-341,734,027 -1,284,564
NS2P margin ? Median	-107.41% -0.62	-94.41% -0.29	-81.67% 0.18	-103.67% -5.07	-89.45% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY MEDICAL CENTER OF EL PASO 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	225,053,174 5,089,215	230,548,456 4,572,541	257,924,479 5,268,134	287,571,658 13,092,619	366,240,047 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	10,688,393 224,999	21,952,286 199,009	22,186,312 206,870.5	26,245,552 194,343	35,841,831 249,496
⊳ Line 7: Investments ? ⊳ Median	494,740 299,524	952,589 188,688.5	1,412,558 370,813	706,981 309,361.5	254,351 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	1,816,068	1,677,842	1,781,689	1,820,005	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	222,091	25,755	29,841	34,931	34,743
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	4,314,954	4,417,940	4,532,311	3,916,465	4,069,693
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	973,276	982,569	970,660	680,352	625,994
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	172,316,977 1,017,693	178,186,759 983,261.5	189,354,660 1,173,286	237,153,000 1,987,202	243,852,038 1,597,664
⊳ Sum Line 24	34,226,675	22,352,716	37,656,448	17,014,372	81,561,397
Total income ? Median	17,471,565 6,586,430	16,064,258 6,767,106	43,776,864 8,419,950	-9,818,987 8,094,175	24,506,020 15,162,888
Non-operating expenses Median	52,921,310 146,289.5	40,987,531 164,857	61,254,009 89,880.5	1,365,903 106,761	-2,092,534 31,473.5
Net income Median	-35,449,745 6,043,842	-24,923,273 5,845,112	-17,477,145 7,606,259	-11,184,890 7,283,041	26,598,554 14,957,241
Net margin Median	-8.47457% 4.62%	-5.44502% 4.42%	-3.36021% 5.16%	-1.94708% 5.2%	3.55473% 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 UNIVERSITY MEDICAL CENTER OF EL PASO 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	30,423,874 23,241,334	38,927,948 23,709,545	45,892,732 24,248,380	56,825,118 22,858,541	64,164,792 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	30,423,874 21,577,146	38,927,948 22,041,594	45,892,732 22,722,063	56,825,118 21,570,441	64,164,792 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	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	6,737,558 11,160,864	6,662,158 11,987,345	6,074,757 12,926,866	6,496,533 11,884,480	5,883,110 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	6,675,680 10,918,923	6,595,794 11,706,976	6,025,000 12,615,917	6,450,770 11,458,116	5,816,607 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	61,878 618,038	66,364 697,279	49,757 690,232	45,763 684,010	66,503 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	6,414,362 3,284,314	6,974,173 3,250,551	6,772,213 3,386,837	7,550,139 3,360,806	8,137,803 3,508,953
Disproportionate-share hospital (DSH) Median	1,279,944 594,888	1,287,450 595,761	1,068,048 577,894	2,075,612 542,168	2,107,099 549,667
Outlier Median	1,165,825 582,572	896,982 538,116	221,182 212,434	157,634 126,559	251,252 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	107,721,042 3,662,910	109,077,146 3,730,911	55,164,641 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	67,370,839 2,654,636	74,027,337 2,940,659	69,717,811 3,380,215	117,294,681 3,488,738	144,927,794 3,233,405
Uncompensated care (UCC) Median	105,052,519 5,147,790	113,683,358 5,337,617	111,247,497 5,711,082	143,900,362 5,923,418	170,348,431 5,508,107
UCC as a % of operating expenses Median	26.21% 3.24	25.74% 3.12	23.35% 3.21	24.63% 3.3	23.54% 2.86
Total shortfall/UCC Median	212,773,561 9,489,989	222,760,504 9,424,297	166,412,138 10,120,158	143,900,362 11,171,337	170,348,431 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	150,608,195 52,142,039	155,023,888 54,485,252	176,756,037 57,395,589	199,337,197 58,830,919	226,447,127 61,722,907
Salaries as a % of operating expenses Median	37.57 36.68	35.10 36.56	37.11 36.37	34.12 35.93	31.29 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	1,113,027 1,251,927	13,251,529 1,186,494	13,492,399 1,204,885	13,838,753 1,279,653	14,179,263 1,469,317
Contract adjusted salaries, direct-care Median	2,509,190 1,449,244	16,841,270 1,475,986	14,627,122 1,563,078	15,155,041 1,721,954	15,820,453 2,991,828
Contract hours, direct-care Median	50,647.84 22,725	464,130.00 23,018.5	429,222.66 24,503.48	438,363.00 25,026.5	443,573.00 33,786
Contract wages, direct-care Median	49.54 64.67	36.29 64.53	34.08 65.06	34.57 68.97	35.67 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.