As of the July, 2022, release via CMS

SANTA CLARA VALLEY MEDICAL CENTER

CMS id: 050038
751 SOUTH BASCOM AVENUE, SAN JOSE CA 95128. County: SANTA CLARA
System: --
CBSA: San Jose-Sunnyvale-Santa Clara, CA

The 949-bed, acute-care hospital had $-669,918,628 in net service to patients*, with a total profit margin of -6.58632% in fiscal year 2021, the latest year available.
It spent 4.31% of its operating expenses on uncompensated care and reported $272,719,660 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	361 118	301 118	728 119.5	709 118	696 119
Total beds Median	563 162	499 162	974 162	972 162	949 163.5
FTEs Median	5,075.39 788.06	5,235.57 793.42	5,576.03 806.03	6,450.67 787.61	7,035.64 804.34

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	488,722,592 150,932,746	315,384,617 158,950,878	1,665,127,167 168,696,998	2,006,465,085 163,454,693	1,966,033,269 186,589,412
Operating expenses Median	1,646,620,457 149,311,209	1,722,710,624 156,110,414	1,906,103,801 164,890,568	2,324,242,240 166,516,854	2,635,951,897 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,157,897,865 -964,173	-1,407,326,007 -643,601.5	-240,976,634 -116,254	-317,777,155 -5,025,862	-669,918,628 -1,284,564
NS2P margin ? Median	-236.92% -0.62	-446.23% -0.29	-14.47% 0.18	-15.84% -5.07	-34.07% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SANTA CLARA VALLEY 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	1,547,617,056 5,089,215	922,943,437 4,572,541	211,065,251 5,268,134	461,933,474 13,092,619	507,138,511 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	3,748,736 299,524	3,033,259 188,688.5	4,239,356 370,813	-3,458,360 309,361.5	-3,459,850 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	79	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	1,045,653	956,666	229,543	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	454,891,802 1,017,693	-392,807,971 983,261.5	-20,843,837 1,173,286	206,057,107 1,987,202	-38,467,545 1,597,664
⊳ Sum Line 24	1,087,930,865	1,311,761,483	227,440,110	259,334,727	549,065,906
Total income ? Median	389,719,191 6,586,430	-484,382,570 6,767,106	-29,911,383 8,419,950	144,156,319 8,094,175	-162,780,117 15,162,888
Non-operating expenses Median	1,274,436,191 146,289.5	729,956,084 164,857	166,000 89,880.5	234,806 106,761	110,865 31,473.5
Net income Median	-884,717,000 6,043,842	-1,214,338,654 5,845,112	-30,077,383 7,606,259	143,921,513 7,283,041	-162,890,982 14,957,241
Net margin Median	-43.44644% 4.62%	-98.06276% 4.42%	-1.60311% 5.16%	5.83056% 5.2%	-6.58632% 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 SANTA CLARA VALLEY 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	77,836,970 23,241,334	84,162,058 23,709,545	111,279,838 24,248,380	163,742,879 22,858,541	166,881,810 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	68,805,653 21,577,146	76,449,971 22,041,594	100,995,193 22,722,063	151,864,698 21,570,441	153,164,003 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	2,784,953 1,845,420	1,999,612 1,757,392	1,765,098 1,738,842	2,115,695 1,510,463	2,416,856 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	6,246,364 3,535,627	5,712,475 3,746,588	8,519,547 3,782,288	9,762,486 3,865,578	11,007,011 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	293,940 1,179,746
All outpatient revenue Median Click here to show/hide details	29,494,835 11,160,864	31,620,176 11,987,345	40,693,091 12,926,866	49,087,248 11,884,480	47,374,676 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	29,494,835 10,918,923	31,620,176 11,706,976	40,693,091 12,615,917	49,087,248 11,458,116	47,374,676 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	8,918,167 3,284,314	9,057,023 3,250,551	10,159,045 3,386,837	15,140,074 3,360,806	15,311,995 3,508,953
Disproportionate-share hospital (DSH) Median	5,033,356 594,888	4,996,338 595,761	6,986,687 577,894	9,990,593 542,168	10,398,460 549,667
Outlier Median	11,816,221 582,572	15,151,989 538,116	18,287,522 212,434	6,697,535 126,559	6,806,547 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	119,730,125 3,662,910	89,848,785 3,730,911	184,616,191 4,081,319	172,663,839 4,643,908	272,719,660 4,389,147
Charity care Median	35,389,398 2,654,636	44,533,808 2,940,659	59,327,866 3,380,215	70,311,293 3,488,738	95,065,981 3,233,405
Uncompensated care (UCC) Median	38,569,312 5,147,790	55,905,191 5,337,617	71,259,255 5,711,082	83,295,517 5,923,418	113,663,677 5,508,107
UCC as a % of operating expenses Median	2.34% 3.24	3.25% 3.12	3.74% 3.21	3.58% 3.3	4.31% 2.86
Total shortfall/UCC Median	158,299,437 9,489,989	145,753,976 9,424,297	255,875,446 10,120,158	255,959,356 11,171,337	386,383,337 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	715,258,509 52,142,039	760,525,904 54,485,252	827,890,487 57,395,589	1,008,246,806 58,830,919	1,161,859,674 61,722,907
Salaries as a % of operating expenses Median	43.15 36.68	44.00 36.56	43.24 36.37	43.44 35.93	44.18 35.24
Intern, resident salaries* Median	86,308,278 2,598,592	87,932,977 2,686,824	91,478,610 2,753,773	99,080,166 2,937,156	110,685,563 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	8,125,352 1,449,244	8,202,294 1,475,986	29,254,797 1,563,078	67,531,497 1,721,954	31,748,506 2,991,828
Contract hours, direct-care Median	148,673.68 22,725	154,723.53 23,018.5	323,193.92 24,503.48	541,680.00 25,026.5	243,919.00 33,786
Contract wages, direct-care Median	54.65 64.67	53.01 64.53	90.52 65.06	124.67 68.97	130.16 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.