As of the July, 2022, release via CMS

COMMUNITY HOSP. MONTEREY PENINSULA

CMS id: 050145
23625 W. R. HOLMAN HIGHWAY, MONTEREY CA 93942. County: MONTEREY
System: --
CBSA: Salinas, CA

The 290-bed, acute-care hospital had $82,952,089 in net service to patients*, with a total profit margin of 13.85857% in fiscal year 2021, the latest year available.
It spent 1.13% of its operating expenses on uncompensated care and reported $53,935,704 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	199 118	199 118	199 119.5	199 118	199 119
Total beds Median	286 162	290 162	290 162	290 162	290 163.5
FTEs Median	1,804.92 788.06	1,780.99 793.42	1,915.38 806.03	1,962.65 787.61	1,953.74 804.34

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	530,377,216 150,932,746	569,560,719 158,950,878	666,891,181 168,696,998	664,603,705 163,454,693	724,208,637 186,589,412
Operating expenses Median	482,037,645 149,311,209	534,547,070 156,110,414	615,295,652 164,890,568	597,093,276 166,516,854	641,256,548 180,120,888
Net income from service 2 patients (NS2P) ? Median	48,339,571 -964,173	35,013,649 -643,601.5	51,595,529 -116,254	67,510,429 -5,025,862	82,952,089 -1,284,564
NS2P margin ? Median	9.11% -0.62	6.15% -0.29	7.74% 0.18	10.16% -5.07	11.45% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COMMUNITY HOSP. MONTEREY PENINSULA 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	29,662,561 5,089,215	32,429,896 4,572,541	14,570,533 5,268,134	21,115,541 13,092,619	20,214,312 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	8,111,189 199,009	5,232,851 206,870.5	300 194,343	8,526,584 249,496
⊳ Line 7: Investments ? ⊳ Median	3,397,135 299,524	3,844,453 188,688.5	1,010,008 370,813	-294,082 309,361.5	-2,672,786 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	30,058	8,058	1,572	60,928	45,962
⊳ 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	4,783	4,685	4,725	2,224	1,666
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,123,462	2,310,022	2,344,222	1,773,091	1,962,161
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	17	468	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	27
⊳ Line 18: Revenue from sale of medical records and abstracts	43,438	41,987	47,266	49,483	50,055
⊳ 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	227,712	89,257	84,449	188,225	198,650
⊳ 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	23,835,792	18,019,652	5,845,440	19,335,372	12,101,993
Total income ? Median	78,002,132 6,586,430	67,443,545 6,767,106	66,166,062 8,419,950	88,625,970 8,094,175	103,166,401 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	78,002,132 6,043,842	67,443,545 5,845,112	66,166,062 7,606,259	88,625,970 7,283,041	103,166,401 14,957,241
Net margin Median	13.92796% 4.62%	11.20342% 4.42%	9.70943% 5.16%	12.92453% 5.2%	13.85857% 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 COMMUNITY HOSP. MONTEREY PENINSULA 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	106,647,463 23,241,334	110,423,886 23,709,545	124,603,084 24,248,380	115,998,894 22,858,541	128,632,954 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	92,983,153 21,577,146	97,225,393 22,041,594	110,615,748 22,722,063	102,539,379 21,570,441	115,220,992 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	2,818,325 1,845,420	2,782,311 1,757,392	2,493,646 1,738,842	2,221,527 1,510,463	2,724,273 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,994,420 3,535,627	6,085,673 3,746,588	6,883,321 3,782,288	7,103,128 3,865,578	7,239,306 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	4,851,565 1,203,033	4,330,509 1,215,295	4,610,369 1,313,657	4,134,860 1,365,298	3,448,383 1,179,746
All outpatient revenue Median Click here to show/hide details	42,294,946 11,160,864	46,450,803 11,987,345	56,620,784 12,926,866	54,261,770 11,884,480	61,153,110 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	42,294,946 10,918,923	46,450,803 11,706,976	56,620,784 12,615,917	54,261,770 11,458,116	61,153,110 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	1,751,423 594,888	1,215,143 595,761	1,471,818 577,894	1,293,589 542,168	1,699,174 549,667
Outlier Median	18,530,183 582,572	19,183,275 538,116	5,884,150 212,434	5,094,868 126,559	5,002,396 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	75,522,211 3,662,910	78,467,410 3,730,911	23,131,613 4,081,319	16,965,191 4,643,908	53,935,704 4,389,147
Charity care Median	11,164,049 2,654,636	4,126,508 2,940,659	6,005,119 3,380,215	5,845,522 3,488,738	4,072,275 3,233,405
Uncompensated care (UCC) Median	16,427,950 5,147,790	6,267,040 5,337,617	11,008,676 5,711,082	10,286,685 5,923,418	7,235,985 5,508,107
UCC as a % of operating expenses Median	3.41% 3.24	1.17% 3.12	1.79% 3.21	1.72% 3.3	1.13% 2.86
Total shortfall/UCC Median	91,950,161 9,489,989	84,734,450 9,424,297	34,140,289 10,120,158	27,251,876 11,171,337	61,171,689 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	215,285,306 52,142,039	228,312,981 54,485,252	250,284,917 57,395,589	253,742,321 58,830,919	272,875,526 61,722,907
Salaries as a % of operating expenses Median	44.66 36.68	42.71 36.56	40.68 36.37	42.50 35.93	42.55 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	5,207,019 1,449,244	10,765,782 1,475,986	9,231,902 1,563,078	6,191,620 1,721,954	10,276,157 2,991,828
Contract hours, direct-care Median	57,896.00 22,725	117,695.77 23,018.5	99,376.19 24,503.48	64,909.35 25,026.5	84,036.80 33,786
Contract wages, direct-care Median	89.94 64.67	91.47 64.53	92.90 65.06	95.39 68.97	122.28 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.