As of the July, 2022, release via CMS

UNIVERSITY MEDICAL CENTER

CMS id: 450686
602 INDIANA AVE, LUBBOCK TX 79415. County: LUBBOCK
System: --
CBSA: Lubbock, TX

The 472-bed, acute-care hospital had $-163,306,312 in net service to patients*, with a total profit margin of 11.82619% in fiscal year 2021, the latest year available.
It spent 13.66% of its operating expenses on uncompensated care and reported $1,468,573 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	279 118	293 118	294 119.5	294 118	265 119
Total beds Median	458 162	476 162	479 162	479 162	472 163.5
FTEs Median	3,974.92 788.06	4,023.11 793.42	4,153.49 806.03	4,001.05 787.61	4,070.20 804.34

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	498,309,770 150,932,746	525,914,846 158,950,878	553,009,855 168,696,998	538,819,557 163,454,693	594,071,893 186,589,412
Operating expenses Median	666,837,795 149,311,209	680,880,919 156,110,414	712,987,326 164,890,568	707,672,052 166,516,854	757,378,205 180,120,888
Net income from service 2 patients (NS2P) ? Median	-168,528,025 -964,173	-154,966,073 -643,601.5	-159,977,471 -116,254	-168,852,495 -5,025,862	-163,306,312 -1,284,564
NS2P margin ? Median	-33.82% -0.62	-29.47% -0.29	-28.93% 0.18	-31.34% -5.07	-27.49% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY 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	195,321,147 5,089,215	189,628,553 4,572,541	220,611,130 5,268,134	240,697,046 13,092,619	264,888,622 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	612,452 224,999	301,193 199,009	2,365,264 206,870.5	49,853 194,343	3,147,499 249,496
⊳ Line 7: Investments ? ⊳ Median	5,704,686 299,524	6,500,335 188,688.5	19,251,311 370,813	10,277,236 309,361.5	6,914,328 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	331,393	387,838	0	445,271	551,724
⊳ Line 11: Rebates and refunds of expenses	0	2,488	3,954,862	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	4,520,398	4,645,536	4,635,754	3,214,615	3,743,637
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	644,738	0	0	258,137
⊳ Line 17: Revenue from sale of drugs to other than patients	0	289,864	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	185,714	201,364	214,565	198,771	94,416
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	569	161	0	81	83
⊳ Line 22: Rental of hospital space	3,472,845	3,658,458	857,302	4,170,924	773,601
⊳ Line 23: Gov appropriations ? ⊳ Median	109,365,325 1,017,693	101,623,011 983,261.5	114,710,137 1,173,286	153,154,965 1,987,202	167,893,520 1,597,664
⊳ Sum Line 24	71,127,765	71,373,567	74,621,935	69,185,330	81,511,677
Total income ? Median	26,793,122 6,586,430	34,662,480 6,767,106	60,633,659 8,419,950	71,844,551 8,094,175	101,582,310 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	26,793,122 6,043,842	34,662,480 5,845,112	60,633,659 7,606,259	71,844,551 7,283,041	101,582,310 14,957,241
Net margin Median	3.86273% 4.62%	4.84422% 4.42%	7.83764% 5.16%	9.21655% 5.2%	11.82619% 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 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	87,906,397 23,241,334	90,971,223 23,709,545	90,274,017 24,248,380	85,309,810 22,858,541	80,057,752 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	87,906,397 21,577,146	90,971,223 22,041,594	90,274,017 22,722,063	85,309,810 21,570,441	80,057,752 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	31,045,432 11,160,864	30,277,694 11,987,345	31,151,191 12,926,866	26,270,205 11,884,480	26,733,436 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	30,608,675 10,918,923	29,757,335 11,706,976	30,640,832 12,615,917	25,953,963 11,458,116	26,719,661 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	436,757 1,282,808	520,359 1,407,728	510,359 1,341,512	316,242 1,407,046	13,775 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	13,895,876 3,284,314	14,071,610 3,250,551	13,180,249 3,386,837	11,441,311 3,360,806	11,192,182 3,508,953
Disproportionate-share hospital (DSH) Median	2,750,661 594,888	2,698,498 595,761	2,574,771 577,894	1,851,096 542,168	1,822,558 549,667
Outlier Median	4,915,392 582,572	4,196,273 538,116	476,149 212,434	567,870 126,559	455,262 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	858,973 3,662,910	709,469 3,730,911	640,549 4,081,319	1,178,023 4,643,908	1,468,573 4,389,147
Charity care Median	55,319,565 2,654,636	71,540,937 2,940,659	81,860,946 3,380,215	97,055,701 3,488,738	96,776,461 3,233,405
Uncompensated care (UCC) Median	77,014,049 5,147,790	84,304,196 5,337,617	90,501,413 5,711,082	106,613,528 5,923,418	103,485,248 5,508,107
UCC as a % of operating expenses Median	11.55% 3.24	12.38% 3.12	12.69% 3.21	15.07% 3.3	13.66% 2.86
Total shortfall/UCC Median	77,873,022 9,489,989	85,013,665 9,424,297	91,141,962 10,120,158	107,791,551 11,171,337	104,953,821 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	252,720,566 52,142,039	264,650,754 54,485,252	273,801,776 57,395,589	273,117,888 58,830,919	294,290,006 61,722,907
Salaries as a % of operating expenses Median	38.26 36.68	38.87 36.56	38.40 36.37	38.59 35.93	38.86 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	16,070,003 1,251,927	15,716,557 1,186,494	16,476,763 1,204,885	17,550,006 1,279,653	18,375,324 1,469,317
Contract adjusted salaries, direct-care Median	21,627,075 1,449,244	19,961,275 1,475,986	21,570,964 1,563,078	21,784,272 1,721,954	23,315,640 2,991,828
Contract hours, direct-care Median	457,756.70 22,725	517,112.15 23,018.5	528,373.79 24,503.48	517,033.36 25,026.5	519,363.59 33,786
Contract wages, direct-care Median	47.25 64.67	38.60 64.53	40.83 65.06	42.13 68.97	44.89 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.