As of the July, 2022, release via CMS

ADVENTIST HEALTH HANFORD

CMS id: 050121
115 MALL DRIVE, HANFORD CA 93230. County: KINGS
System: ADVENTIST HEALTH
CBSA: Hanford-Corcoran, CA

The 235-bed, acute-care hospital had $20,374,501 in net service to patients*, with a total profit margin of 18.31451% in fiscal year 2021, the latest year available.
It spent 2.57% of its operating expenses on uncompensated care and reported $0 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	208 118	208 118	208 119.5	207 118	207 119
Total beds Median	230 162	230 162	230 162	235 162	235 163.5
FTEs Median	1,262.89 788.06	1,339.46 793.42	1,238.65 806.03	1,088.20 787.61	996.94 804.34

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	320,457,103 150,932,746	296,747,310 158,950,878	320,346,315 168,696,998	315,308,478 163,454,693	375,470,351 186,589,412
Operating expenses Median	284,269,689 149,311,209	293,583,679 156,110,414	305,452,405 164,890,568	331,600,690 166,516,854	355,095,850 180,120,888
Net income from service 2 patients (NS2P) ? Median	36,187,414 -964,173	3,163,631 -643,601.5	14,893,910 -116,254	-16,292,212 -5,025,862	20,374,501 -1,284,564
NS2P margin ? Median	11.29% -0.62	1.07% -0.29	4.65% 0.18	-5.17% -5.07	5.43% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADVENTIST HEALTH HANFORD 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	24,206,581 5,089,215	29,370,073 4,572,541	36,269,371 5,268,134	42,150,162 13,092,619	59,240,682 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	128,571 224,999	221,775 199,009	151,219 206,870.5	494,236 194,343	244,618 249,496
⊳ Line 7: Investments ? ⊳ Median	4,810,100 299,524	6,191,639 188,688.5	13,607,713 370,813	10,613,472 309,361.5	18,453,786 375,329
⊳ 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	1,421,540	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	1,685,220	1,593,930	1,211,613	1,201,917
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	97	76	125	118	276
⊳ 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	59,721	65,583	53,051	34,069	34,862
⊳ 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	50,609	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,662,018	1,588,055	1,155,858	1,098,231	949,004
⊳ 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	16,124,534	19,617,725	19,707,475	28,647,814	38,356,219
Total income ? Median	60,393,995 6,586,430	32,533,704 6,767,106	51,163,281 8,419,950	25,857,950 8,094,175	79,615,183 15,162,888
Non-operating expenses Median	38,639 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	60,355,356 6,043,842	32,533,704 5,845,112	51,163,281 7,606,259	25,857,950 7,283,041	79,615,183 14,957,241
Net margin Median	17.51138% 4.62%	9.97607% 4.42%	14.34690% 5.16%	7.23383% 5.2%	18.31451% 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 ADVENTIST HEALTH HANFORD 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	41,723,248 23,241,334	41,221,648 23,709,545	41,348,489 24,248,380	40,308,314 22,858,541	42,316,302 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	41,723,248 21,577,146	41,221,648 22,041,594	41,348,489 22,722,063	40,308,314 21,570,441	42,316,302 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	15,069,749 11,160,864	16,749,351 11,987,345	15,397,078 12,926,866	13,001,820 11,884,480	15,560,204 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	15,069,749 10,918,923	16,749,351 11,706,976	15,397,078 12,615,917	13,001,820 11,458,116	15,560,204 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	306,183 3,284,314	212,795 3,250,551	251,728 3,386,837	260,701 3,360,806	302,972 3,508,953
Disproportionate-share hospital (DSH) Median	2,839,393 594,888	2,820,625 595,761	2,906,993 577,894	2,751,006 542,168	3,018,170 549,667
Outlier Median	1,075,013 582,572	1,091,113 538,116	89,536 212,434	94,985 126,559	76,980 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,131,244 3,662,910	9,031,201 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	10,785,753 2,654,636	1,173,324 2,940,659	1,108,853 3,380,215	1,473,705 3,488,738	6,098,024 3,233,405
Uncompensated care (UCC) Median	13,242,514 5,147,790	4,230,317 5,337,617	5,139,192 5,711,082	3,496,572 5,923,418	9,140,591 5,508,107
UCC as a % of operating expenses Median	4.66% 3.24	1.44% 3.12	1.68% 3.21	1.05% 3.3	2.57% 2.86
Total shortfall/UCC Median	22,373,758 9,489,989	13,261,518 9,424,297	5,139,192 10,120,158	3,496,572 11,171,337	9,140,591 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	97,940,725 52,142,039	98,866,612 54,485,252	96,313,682 57,395,589	94,075,580 58,830,919	100,575,994 61,722,907
Salaries as a % of operating expenses Median	34.45 36.68	33.68 36.56	31.53 36.37	28.37 35.93	28.32 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	1,104,794 1,449,244	2,325,858 1,475,986	360,423 1,563,078	2,183,846 1,721,954	10,478,494 2,991,828
Contract hours, direct-care Median	10,725.00 22,725	25,272.09 23,018.5	4,790.38 24,503.48	16,170.58 25,026.5	35,910.13 33,786
Contract wages, direct-care Median	103.01 64.67	92.03 64.53	75.24 65.06	135.05 68.97	291.80 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.