As of the July, 2022, release via CMS

DOCTORS HOSPITAL OF MANTECA

CMS id: 050118
1205 E. NORTH ST., MANTECA CA 95336. County: SAN JOAQUIN
System: TENET HEALTHCARE CORPORATION
CBSA: Stockton, CA

The 73-bed, acute-care hospital had $6,899,999 in net service to patients*, with a total profit margin of 14.72655% in fiscal year 2021, the latest year available.
It spent 1.96% of its operating expenses on uncompensated care and reported $4,205,970 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	65 118	65 118	65 119.5	65 118	65 119
Total beds Median	73 162	73 162	73 162	73 162	73 163.5
FTEs Median	349.90 788.06	351.20 793.42	376.90 806.03	335.00 787.61	338.50 804.34

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	99,921,852 150,932,746	104,788,511 158,950,878	94,384,021 168,696,998	109,390,915 163,454,693	111,473,899 186,589,412
Operating expenses Median	95,316,644 149,311,209	95,363,226 156,110,414	104,992,394 164,890,568	105,709,682 166,516,854	104,573,900 180,120,888
Net income from service 2 patients (NS2P) ? Median	4,605,208 -964,173	9,425,285 -643,601.5	-10,608,373 -116,254	3,681,233 -5,025,862	6,899,999 -1,284,564
NS2P margin ? Median	4.61% -0.62	8.99% -0.29	-11.24% 0.18	3.37% -5.07	6.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DOCTORS HOSPITAL OF MANTECA 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	424,490 5,089,215	199,608 4,572,541	224,246 5,268,134	186,256 13,092,619	11,159,694 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	-43 299,524	296 188,688.5	654 370,813	17 309,361.5	-66 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	562	707	647	1,418	960
⊳ Line 11: Rebates and refunds of expenses	34,108	134,381	152,318	132,825	196,528
⊳ 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	11,029	9,781	7,727	13,225	10,132
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,978	1,609	931	1,430	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	400
⊳ Line 21: Rental of vending machines	0	0	0	4,154	7,365
⊳ Line 22: Rental of hospital space	28,506	32,021	26,234	17,731	17,731
⊳ 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	348,350	20,813	35,735	15,456	10,926,644
Total income ? Median	5,029,698 6,586,430	9,624,893 6,767,106	-10,384,127 8,419,950	3,867,489 8,094,175	18,059,693 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	5,029,698 6,043,842	9,624,893 5,845,112	-10,384,127 7,606,259	3,867,489 7,283,041	18,059,693 14,957,241
Net margin Median	5.01234% 4.62%	9.16760% 4.42%	-10.97592% 5.16%	3.52947% 5.2%	14.72655% 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 DOCTORS HOSPITAL OF MANTECA 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	14,011,654 23,241,334	15,519,038 23,709,545	15,008,522 24,248,380	16,128,758 22,858,541	14,598,583 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	14,011,654 21,577,146	15,519,038 22,041,594	15,008,522 22,722,063	16,128,758 21,570,441	14,598,583 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	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	8,511,205 11,160,864	8,142,948 11,987,345	8,787,819 12,926,866	7,064,711 11,884,480	6,148,133 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	8,511,205 10,918,923	8,142,948 11,706,976	8,787,819 12,615,917	7,064,711 11,458,116	6,148,133 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	358,679 594,888	396,243 595,761	369,592 577,894	390,861 542,168	363,104 549,667
Outlier Median	442,108 582,572	509,910 538,116	958,660 212,434	76,662 126,559	27,912 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,485,096 3,662,910	9,562,221 3,730,911	13,906,478 4,081,319	7,257,770 4,643,908	4,205,970 4,389,147
Charity care Median	1,138,041 2,654,636	1,275,216 2,940,659	1,841,384 3,380,215	2,203,533 3,488,738	1,368,475 3,233,405
Uncompensated care (UCC) Median	1,922,397 5,147,790	2,100,593 5,337,617	2,754,012 5,711,082	2,968,117 5,923,418	2,044,919 5,508,107
UCC as a % of operating expenses Median	2.02% 3.24	2.20% 3.12	2.62% 3.21	2.81% 3.3	1.96% 2.86
Total shortfall/UCC Median	14,407,493 9,489,989	11,662,814 9,424,297	16,660,490 10,120,158	10,225,887 11,171,337	6,250,889 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	37,344,907 52,142,039	38,966,688 54,485,252	41,752,345 57,395,589	41,110,826 58,830,919	41,172,569 61,722,907
Salaries as a % of operating expenses Median	39.19 36.68	40.86 36.56	39.77 36.37	38.90 35.93	39.37 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	3,900,265 1,449,244	2,582,300 1,475,986	2,148,423 1,563,078	3,189,343 1,721,954	2,695,482 2,991,828
Contract hours, direct-care Median	44,268.00 22,725	27,559.00 23,018.5	21,316.00 24,503.48	30,466.00 25,026.5	16,787.00 33,786
Contract wages, direct-care Median	88.11 64.67	93.70 64.53	100.79 65.06	104.69 68.97	160.57 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.