As of the July, 2022, release via CMS

NORTHRIDGE MEDICAL CENTER - ROSCOE

CMS id: 050116
18300 ROSCOE BLVD, NORTHRIDGE CA 91328. County: LOS ANGELES
System: DIGNITY HEALTH
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 394-bed, acute-care hospital had $-16,647,632 in net service to patients*, with a total profit margin of 4.62934% in fiscal year 2021, the latest year available.
It spent 2.15% of its operating expenses on uncompensated care and reported $14,878,167 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	334	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	264 118	234 118	276 119.5	276 118	276 119
Total beds Median	424 162	394 162	394 162	394 162	394 163.5
FTEs Median	1,461.25 788.06	1,558.76 793.42	1,527.29 806.03	1,470.54 787.61	1,536.99 804.34

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	387,575,677 150,932,746	436,065,763 158,950,878	370,277,809 168,696,998	409,431,410 163,454,693	442,366,310 186,589,412
Operating expenses Median	409,690,887 149,311,209	431,716,462 156,110,414	382,179,313 164,890,568	445,527,883 166,516,854	459,013,942 180,120,888
Net income from service 2 patients (NS2P) ? Median	-22,115,210 -964,173	4,349,301 -643,601.5	-11,901,504 -116,254	-36,096,473 -5,025,862	-16,647,632 -1,284,564
NS2P margin ? Median	-5.71% -0.62	1.00% -0.29	-3.21% 0.18	-8.82% -5.07	-3.76% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTHRIDGE MEDICAL CENTER - ROSCOE 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	10,395,469 5,089,215	11,511,744 4,572,541	77,411,225 5,268,134	36,978,189 13,092,619	38,928,406 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	5,000 206,870.5	0 194,343	1,000 249,496
⊳ Line 7: Investments ? ⊳ Median	1,479,464 299,524	1,766,294 188,688.5	2,540,356 370,813	1,352,032 309,361.5	1,428,787 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	44,625	47,006	41,676	19,350	25,461
⊳ Line 11: Rebates and refunds of expenses	5,587	8,684	0	0	1,282,519
⊳ Line 12: Parking lot receipts	133,919	103,074	101,504	0	2,334
⊳ Line 13: Revenue from laundry and linen service	0	0	0	20,130	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	866,040	907,611	926,713	670,080	782,053
⊳ 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	-1,997	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	95,402	41,929	34,592	43,178	8,671
⊳ 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	8,964	12,174	10,495	6,256	4,297
⊳ Line 22: Rental of hospital space	1,031,816	1,469,656	748,990	990,432	1,204,720
⊳ Line 23: Gov appropriations ? ⊳ Median	527,292 1,017,693	521,016 983,261.5	-748,733 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	6,202,360	6,636,297	73,750,632	33,876,731	34,188,564
Total income ? Median	-11,719,741 6,586,430	15,861,045 6,767,106	65,509,721 8,419,950	881,716 8,094,175	22,280,774 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	-11,719,741 6,043,842	15,861,045 5,845,112	65,509,721 7,606,259	881,716 7,283,041	22,280,774 14,957,241
Net margin Median	-2.94487% 4.62%	3.54375% 4.42%	14.63286% 5.16%	0.19751% 5.2%	4.62934% 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 NORTHRIDGE MEDICAL CENTER - ROSCOE 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	64,893,705 23,241,334	68,654,111 23,709,545	63,222,665 24,248,380	64,239,555 22,858,541	68,296,598 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	60,206,697 21,577,146	61,500,347 22,041,594	55,300,190 22,722,063	56,007,657 21,570,441	59,488,723 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	1,537,747 1,845,420	1,563,309 1,757,392	1,280,599 1,738,842	965,575 1,510,463	965,177 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,149,261 3,535,627	5,590,455 3,746,588	6,641,876 3,782,288	7,266,323 3,865,578	7,842,698 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	15,879,281 11,160,864	16,418,823 11,987,345	16,189,325 12,926,866	16,090,376 11,884,480	19,353,989 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	15,879,281 10,918,923	16,418,823 11,706,976	16,189,325 12,615,917	16,090,376 11,458,116	19,353,989 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	1,729,740 3,284,314	1,807,228 3,250,551	1,815,053 3,386,837	1,825,102 3,360,806	1,970,924 3,508,953
Disproportionate-share hospital (DSH) Median	3,826,756 594,888	4,120,040 595,761	3,428,803 577,894	3,473,715 542,168	3,589,264 549,667
Outlier Median	4,609,127 582,572	3,863,309 538,116	1,217,462 212,434	1,119,534 126,559	1,634,953 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	24,921,442 3,662,910	3,707,062 3,730,911	33,946,108 4,081,319	13,792,728 4,643,908	14,878,167 4,389,147
Charity care Median	2,858,291 2,654,636	3,738,741 2,940,659	6,825,488 3,380,215	8,342,780 3,488,738	7,417,712 3,233,405
Uncompensated care (UCC) Median	6,987,001 5,147,790	7,557,272 5,337,617	11,065,111 5,711,082	12,942,224 5,923,418	9,852,395 5,508,107
UCC as a % of operating expenses Median	1.71% 3.24	1.75% 3.12	2.90% 3.21	2.90% 3.3	2.15% 2.86
Total shortfall/UCC Median	31,908,443 9,489,989	11,264,334 9,424,297	45,011,219 10,120,158	26,734,952 11,171,337	24,730,562 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	142,839,975 52,142,039	149,587,160 54,485,252	143,525,185 57,395,589	161,114,085 58,830,919	174,867,942 61,722,907
Salaries as a % of operating expenses Median	34.87 36.68	34.65 36.56	37.55 36.37	36.16 35.93	38.10 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	7,816,601 1,449,244	5,648,026 1,475,986	4,498,414 1,563,078	7,174,612 1,721,954	9,931,082 2,991,828
Contract hours, direct-care Median	111,037.00 22,725	76,375.00 23,018.5	61,472.00 24,503.48	75,911.00 25,026.5	93,411.00 33,786
Contract wages, direct-care Median	70.40 64.67	73.95 64.53	73.18 65.06	94.51 68.97	106.32 88.94

* in an approved program

Return to top

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.