As of the July, 2022, release via CMS

ST. JOSEPH HOSPITAL OF ORANGE

CMS id: 050069
1100 WEST STEWART DRIVE, ORANGE CA 92863. County: ORANGE
System: ST JOSEPH HEALTH SYSTEM
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 463-bed, acute-care hospital had $-38,837,702 in net service to patients*, with a total profit margin of 6.40285% in fiscal year 2021, the latest year available.
It spent 1.39% of its operating expenses on uncompensated care and reported $19,631,703 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	336 118	345 118	357 119.5	374 118	374 119
Total beds Median	425 162	434 162	446 162	463 162	463 163.5
FTEs Median	2,358.99 788.06	2,342.93 793.42	2,209.53 806.03	2,247.61 787.61	2,182.97 804.34

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	655,080,894 150,932,746	627,273,406 158,950,878	750,569,436 168,696,998	763,957,155 163,454,693	787,389,413 186,589,412
Operating expenses Median	632,204,327 149,311,209	628,720,470 156,110,414	699,126,339 164,890,568	780,645,431 166,516,854	826,227,115 180,120,888
Net income from service 2 patients (NS2P) ? Median	22,876,567 -964,173	-1,447,064 -643,601.5	51,443,097 -116,254	-16,688,276 -5,025,862	-38,837,702 -1,284,564
NS2P margin ? Median	3.49% -0.62	-0.23% -0.29	6.85% 0.18	-2.18% -5.07	-4.93% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPH HOSPITAL OF ORANGE 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	44,799,609 5,089,215	41,960,262 4,572,541	43,634,344 5,268,134	49,588,521 13,092,619	95,358,707 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-820,750 224,999	-1,314,250 199,009	1,324,709 206,870.5	-765,225 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,233,025 299,524	3,177,040 188,688.5	12,744,061 370,813	5,230,774 309,361.5	62,938,928 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	43,857	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	1,696,008	1,455,263	1,963,837	1,427,047	452,208
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,768,685	1,775,346	1,745,051	1,519,649	1,320,485
⊳ 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	145,441	42,583	16,940	12,539	15,562
⊳ 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	24,631	28,521	22,645	6,776
⊳ Line 22: Rental of hospital space	4,441,221	4,036,188	3,892,373	3,585,546	923,037
⊳ 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	34,335,979	32,719,604	21,918,852	38,555,546	29,701,711
Total income ? Median	67,676,176 6,586,430	40,513,198 6,767,106	95,077,441 8,419,950	32,900,245 8,094,175	56,521,005 15,162,888
Non-operating expenses Median	37,976,004 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	29,700,172 6,043,842	40,513,198 5,845,112	95,077,441 7,606,259	32,900,245 7,283,041	56,521,005 14,957,241
Net margin Median	4.24361% 4.62%	6.05367% 4.42%	11.97142% 5.16%	4.04406% 5.2%	6.40285% 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 ST. JOSEPH HOSPITAL OF ORANGE 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	75,272,635 23,241,334	76,113,552 23,709,545	76,729,425 24,248,380	76,177,193 22,858,541	80,372,305 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	73,055,212 21,577,146	74,288,234 22,041,594	75,077,321 22,722,063	74,813,034 21,570,441	78,697,583 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	2,217,423 1,845,420	1,825,318 1,757,392	1,652,104 1,738,842	1,364,159 1,510,463	1,674,722 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	42,729,584 11,160,864	45,447,216 11,987,345	45,909,132 12,926,866	44,085,246 11,884,480	44,947,484 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	42,729,584 10,918,923	45,447,216 11,706,976	45,909,132 12,615,917	44,085,246 11,458,116	44,947,484 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	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	3,157,991 594,888	3,237,047 595,761	3,251,601 577,894	3,089,962 542,168	3,306,615 549,667
Outlier Median	4,380,320 582,572	4,004,118 538,116	2,306,139 212,434	323,562 126,559	265,086 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	50,987,850 3,662,910	38,862,253 3,730,911	59,022,320 4,081,319	10,296,186 4,643,908	19,631,703 4,389,147
Charity care Median	13,069,036 2,654,636	15,810,911 2,940,659	16,930,683 3,380,215	11,569,561 3,488,738	8,548,525 3,233,405
Uncompensated care (UCC) Median	16,491,841 5,147,790	17,632,826 5,337,617	17,908,121 5,711,082	15,192,429 5,923,418	11,477,421 5,508,107
UCC as a % of operating expenses Median	2.61% 3.24	2.80% 3.12	2.56% 3.21	1.95% 3.3	1.39% 2.86
Total shortfall/UCC Median	67,479,691 9,489,989	56,495,079 9,424,297	76,930,441 10,120,158	25,488,615 11,171,337	31,109,124 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	209,191,777 52,142,039	212,842,416 54,485,252	205,522,878 57,395,589	206,067,209 58,830,919	214,635,616 61,722,907
Salaries as a % of operating expenses Median	33.09 36.68	33.85 36.56	33.02 36.37	32.79 35.93	32.12 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	5,126,618 1,449,244	4,657,493 1,475,986	6,401,187 1,563,078	9,357,256 1,721,954	11,106,380 2,991,828
Contract hours, direct-care Median	95,017.97 22,725	57,565.27 23,018.5	80,470.00 24,503.48	114,672.11 25,026.5	95,937.71 33,786
Contract wages, direct-care Median	53.95 64.67	80.91 64.53	79.55 65.06	81.60 68.97	115.77 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.