As of the July, 2022, release via CMS

ENLOE MEDICAL CENTER

CMS id: 050039
1531 ESPLANADE, CHICO CA 95926. County: BUTTE
System: --
CBSA: Chico, CA

The 338-bed, acute-care hospital had $29,083,532 in net service to patients*, with a total profit margin of 11.79452% in fiscal year 2021, the latest year available.
It spent 1.95% of its operating expenses on uncompensated care and reported $28,677,292 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	219 118	259 118	259 119.5	279 118	259 119
Total beds Median	298 162	338 162	338 162	338 162	338 163.5
FTEs Median	2,572.94 788.06	2,878.99 793.42	2,835.73 806.03	2,817.17 787.61	2,895.43 804.34

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	547,143,876 150,932,746	593,048,325 158,950,878	686,850,993 168,696,998	648,853,281 163,454,693	762,525,152 186,589,412
Operating expenses Median	542,713,759 149,311,209	601,051,962 156,110,414	654,256,727 164,890,568	680,690,700 166,516,854	733,441,620 180,120,888
Net income from service 2 patients (NS2P) ? Median	4,430,117 -964,173	-8,003,637 -643,601.5	32,594,266 -116,254	-31,837,419 -5,025,862	29,083,532 -1,284,564
NS2P margin ? Median	0.81% -0.62	-1.35% -0.29	4.75% 0.18	-4.91% -5.07	3.81% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ENLOE 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	11,480,987 5,089,215	13,847,606 4,572,541	13,430,813 5,268,134	28,496,182 13,092,619	68,989,645 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	73,134	59,189	-84	0	0
⊳ Line 11: Rebates and refunds of expenses	402,459	523,819	514,797	320,343	464,603
⊳ 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	92,080	83,194	79,841	78,066	91,645
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	175,722	143,995	148,777	126,176	99,360
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	364,138	-181,524	-232,507	-3,232,120	-5,877,307
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,068,421	484,059	344,695	379,628	233,518
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	9,305,033	12,734,874	12,575,294	30,824,089	73,977,826
Total income ? Median	15,911,104 6,586,430	5,843,969 6,767,106	46,025,079 8,419,950	-3,341,237 8,094,175	98,073,177 15,162,888
Non-operating expenses Median	641,630 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	15,269,474 6,043,842	5,843,969 5,845,112	46,025,079 7,606,259	-3,341,237 7,283,041	98,073,177 14,957,241
Net margin Median	2.73340% 4.62%	0.96293% 4.42%	6.57237% 5.16%	-0.49328% 5.2%	11.79452% 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 ENLOE 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	117,912,218 23,241,334	122,886,969 23,709,545	132,650,411 24,248,380	134,727,740 22,858,541	151,793,077 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	110,060,435 21,577,146	115,513,154 22,041,594	124,517,029 22,722,063	125,262,861 21,570,441	136,021,454 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	7,851,783 3,535,627	7,373,815 3,746,588	8,133,382 3,782,288	9,464,879 3,865,578	15,771,623 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	57,877,754 11,160,864	63,782,394 11,987,345	74,199,488 12,926,866	77,255,785 11,884,480	85,616,366 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	54,678,578 10,918,923	60,090,313 11,706,976	69,961,396 12,615,917	72,956,566 11,458,116	80,952,555 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,199,176 1,282,808	3,692,081 1,407,728	4,238,092 1,341,512	4,299,219 1,407,046	4,663,811 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	4,117,603 594,888	4,367,702 595,761	4,606,124 577,894	4,689,919 542,168	4,916,464 549,667
Outlier Median	9,359,212 582,572	7,793,702 538,116	8,912,113 212,434	4,713,248 126,559	7,700,671 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	25,322,099 3,662,910	9,071,791 3,730,911	21,454,765 4,081,319	27,722,275 4,643,908	28,677,292 4,389,147
Charity care Median	2,842,904 2,654,636	3,551,980 2,940,659	7,321,798 3,380,215	12,203,964 3,488,738	9,635,523 3,233,405
Uncompensated care (UCC) Median	6,667,712 5,147,790	8,265,092 5,337,617	10,700,235 5,711,082	16,581,030 5,923,418	14,282,139 5,508,107
UCC as a % of operating expenses Median	1.23% 3.24	1.38% 3.12	1.64% 3.21	2.44% 3.3	1.95% 2.86
Total shortfall/UCC Median	31,989,811 9,489,989	17,336,883 9,424,297	32,155,000 10,120,158	44,303,305 11,171,337	42,959,431 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	222,810,355 52,142,039	233,088,320 54,485,252	253,354,583 57,395,589	256,777,435 58,830,919	275,211,131 61,722,907
Salaries as a % of operating expenses Median	41.05 36.68	38.78 36.56	38.72 36.37	37.72 35.93	37.52 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	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	1,606,930 1,449,244	8,066,745 1,475,986	3,786,669 1,563,078	3,301,286 1,721,954	3,793,727 2,991,828
Contract hours, direct-care Median	27,451.45 22,725	85,525.67 23,018.5	48,034.78 24,503.48	38,046.00 25,026.5	33,834.00 33,786
Contract wages, direct-care Median	58.54 64.67	94.32 64.53	78.83 65.06	86.77 68.97	112.13 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.