As of the July, 2022, release via CMS

U OF U HOSPITALS & CLINICS

CMS id: 460009
50 NORTH MEDICAL DRIVE, SALT LAKE CITY UT 84132. County: SALT LAKE
System: UNIVERSITY OF UTAH
CBSA: Salt Lake City, UT

The 806-bed, acute-care hospital had $24,004,159 in net service to patients*, with a total profit margin of 11.03190% in fiscal year 2021, the latest year available.
It spent 3.77% 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	335 118	337 118	343 119.5	366 118	395 119
Total beds Median	574 162	578 162	585 162	759 162	806 163.5
FTEs Median	8,783.24 788.06	9,166.71 793.42	9,388.11 806.03	10,861.56 787.61	11,594.16 804.34

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	1,653,837,687 150,932,746	1,729,555,480 158,950,878	1,935,189,209 168,696,998	2,107,324,645 163,454,693	2,374,684,466 186,589,412
Operating expenses Median	1,532,497,971 149,311,209	1,624,201,225 156,110,414	1,788,742,952 164,890,568	2,036,712,717 166,516,854	2,350,680,307 180,120,888
Net income from service 2 patients (NS2P) ? Median	121,339,716 -964,173	105,354,255 -643,601.5	146,446,257 -116,254	70,611,928 -5,025,862	24,004,159 -1,284,564
NS2P margin ? Median	7.34% -0.62	6.09% -0.29	7.57% 0.18	3.35% -5.07	1.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for U OF U HOSPITALS & CLINICS 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	13,725,804 5,089,215	30,308,070 4,572,541	63,786,115 5,268,134	111,517,448 13,092,619	267,476,283 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ 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	4,869,300 1,017,693	4,991,200 983,261.5	5,120,800 1,173,286	5,256,300 1,987,202	5,146,500 1,597,664
⊳ Sum Line 24	8,856,504	25,316,870	58,665,315	106,261,148	262,329,783
Total income ? Median	135,065,520 6,586,430	135,662,325 6,767,106	210,232,372 8,419,950	182,129,376 8,094,175	291,480,442 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	135,065,520 6,043,842	135,662,325 5,845,112	210,232,372 7,606,259	182,129,376 7,283,041	291,480,442 14,957,241
Net margin Median	8.09957% 4.62%	7.70868% 4.42%	10.51701% 5.16%	8.20831% 5.2%	11.03190% 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 U OF U HOSPITALS & CLINICS 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	153,137,607 23,241,334	169,460,243 23,709,545	173,124,141 24,248,380	174,055,958 22,858,541	196,240,605 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	146,619,522 21,577,146	161,027,500 22,041,594	165,329,111 22,722,063	164,433,283 21,570,441	183,272,796 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	943,036 1,845,420	1,157,999 1,757,392	1,696,962 1,738,842	4,100,628 1,510,463	4,586,363 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,575,049 3,535,627	7,274,744 3,746,588	6,098,068 3,782,288	5,522,047 3,865,578	8,381,446 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	114,492,808 11,160,864	126,735,202 11,987,345	138,131,874 12,926,866	133,000,454 11,884,480	139,775,634 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	114,492,808 10,918,923	126,735,202 11,706,976	138,131,874 12,615,917	133,000,454 11,458,116	139,775,634 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	27,831,331 3,284,314	30,154,317 3,250,551	29,759,454 3,386,837	27,132,050 3,360,806	29,425,342 3,508,953
Disproportionate-share hospital (DSH) Median	2,654,640 594,888	2,990,121 595,761	3,076,098 577,894	2,940,869 542,168	3,521,682 549,667
Outlier Median	18,145,194 582,572	17,486,459 538,116	17,959,227 212,434	4,275,861 126,559	5,925,172 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	66,873,130 2,654,636	51,910,358 2,940,659	49,443,834 3,380,215	46,618,251 3,488,738	61,677,504 3,233,405
Uncompensated care (UCC) Median	89,955,946 5,147,790	79,847,065 5,337,617	79,958,307 5,711,082	73,719,489 5,923,418	88,646,785 5,508,107
UCC as a % of operating expenses Median	5.87% 3.24	4.92% 3.12	4.47% 3.21	3.62% 3.3	3.77% 2.86
Total shortfall/UCC Median	89,955,946 9,489,989	79,847,065 9,424,297	79,958,307 10,120,158	73,719,489 11,171,337	88,646,785 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	511,374,767 52,142,039	556,246,332 54,485,252	584,037,089 57,395,589	700,025,992 58,830,919	763,025,147 61,722,907
Salaries as a % of operating expenses Median	33.37 36.68	34.25 36.56	32.65 36.37	34.37 35.93	32.46 35.24
Intern, resident salaries* Median	16,102,245 2,598,592	16,714,990 2,686,824	17,122,709 2,753,773	18,936,495 2,937,156	20,132,693 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	863,934 1,449,244	537,765 1,475,986	88,350 1,563,078	96,950 1,721,954	40,600 2,991,828
Contract hours, direct-care Median	4,380.00 22,725	3,135.00 23,018.5	392.25 24,503.48	433.00 25,026.5	433.00 33,786
Contract wages, direct-care Median	197.25 64.67	171.54 64.53	225.24 65.06	223.90 68.97	93.76 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.