As of the July, 2022, release via CMS

ANTELOPE VALLEY HOSPITAL

CMS id: 050056
1600 WEST AVENUE J, LANCASTER CA 93534. County: LOS ANGELES
System: --
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 393-bed, acute-care hospital had $-757,449 in net service to patients*, with a total profit margin of 3.59592% in fiscal year 2021, the latest year available.
It spent 1.60% of its operating expenses on uncompensated care and reported $14,484,518 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	345 118	345 118	345 119.5	345 118	345 119
Total beds Median	393 162	393 162	393 162	393 162	393 163.5
FTEs Median	2,093.00 788.06	2,166.68 793.42	2,122.24 806.03	2,236.70 787.61	2,273.01 804.34

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	430,095,128 150,932,746	420,440,470 158,950,878	421,067,509 168,696,998	422,042,360 163,454,693	481,358,657 186,589,412
Operating expenses Median	414,723,385 149,311,209	420,393,078 156,110,414	427,819,508 164,890,568	446,830,940 166,516,854	482,116,106 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,371,743 -964,173	47,392 -643,601.5	-6,751,999 -116,254	-24,788,580 -5,025,862	-757,449 -1,284,564
NS2P margin ? Median	3.57% -0.62	0.01% -0.29	-1.60% 0.18	-5.87% -5.07	-0.16% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ANTELOPE VALLEY HOSPITAL 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	15,630,669 5,089,215	25,703,278 4,572,541	26,597,907 5,268,134	35,487,004 13,092,619	18,740,600 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	451,935 199,009	165,600 206,870.5	1,523,299 194,343	699,109 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	2,194,009 188,688.5	8,712,528 370,813	8,120,470 309,361.5	866,405 375,329
⊳ 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	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	15,630,669	23,057,334	17,719,779	25,843,235	17,175,086
Total income ? Median	31,002,412 6,586,430	25,750,670 6,767,106	19,845,908 8,419,950	10,698,424 8,094,175	17,983,151 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	31,002,412 6,043,842	25,750,670 5,845,112	19,845,908 7,606,259	10,698,424 7,283,041	17,983,151 14,957,241
Net margin Median	6.95549% 4.62%	5.77183% 4.42%	4.43320% 5.16%	2.33830% 5.2%	3.59592% 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 ANTELOPE VALLEY HOSPITAL 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	55,459,593 23,241,334	54,259,997 23,709,545	45,550,677 24,248,380	49,724,425 22,858,541	51,294,136 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	55,459,593 21,577,146	54,259,997 22,041,594	45,550,677 22,722,063	49,724,425 21,570,441	51,294,136 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	10,814,135 11,160,864	10,474,421 11,987,345	9,989,536 12,926,866	10,541,723 11,884,480	10,068,529 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	10,180,309 10,918,923	10,048,179 11,706,976	9,989,536 12,615,917	10,541,723 11,458,116	10,068,529 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	633,826 1,282,808	426,242 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	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	3,942,524 594,888	4,074,458 595,761	2,821,518 577,894	3,933,161 542,168	4,123,058 549,667
Outlier Median	5,540,330 582,572	2,343,781 538,116	1,610,765 212,434	129,060 126,559	164,924 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,016,457 3,662,910	5,308,424 3,730,911	29,412,465 4,081,319	13,998,597 4,643,908	14,484,518 4,389,147
Charity care Median	2,191,579 2,654,636	2,119,114 2,940,659	4,293,069 3,380,215	3,089,870 3,488,738	1,181,136 3,233,405
Uncompensated care (UCC) Median	8,055,096 5,147,790	7,777,874 5,337,617	9,265,517 5,711,082	10,869,516 5,923,418	7,697,410 5,508,107
UCC as a % of operating expenses Median	1.94% 3.24	1.85% 3.12	2.17% 3.21	2.43% 3.3	1.60% 2.86
Total shortfall/UCC Median	18,071,553 9,489,989	13,086,298 9,424,297	38,677,982 10,120,158	24,868,113 11,171,337	22,181,928 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	163,696,994 52,142,039	173,262,991 54,485,252	178,863,110 57,395,589	194,325,788 58,830,919	200,363,533 61,722,907
Salaries as a % of operating expenses Median	39.47 36.68	41.21 36.56	41.81 36.37	43.49 35.93	41.56 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	845,501 1,449,244	1,925,989 1,475,986	10,542,585 1,563,078	9,341,608 1,721,954	24,106,026 2,991,828
Contract hours, direct-care Median	7,810.00 22,725	15,110.00 23,018.5	117,677.00 24,503.48	102,438.00 25,026.5	164,433.00 33,786
Contract wages, direct-care Median	108.26 64.67	127.46 64.53	89.59 65.06	91.19 68.97	146.60 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.