As of the July, 2022, release via CMS

CALIFORNIA HOSPITAL MEDICAL CENTER

CMS id: 050149
1401 SOUTH GRAND AVENUE, LOS ANGELES CA 90015. County: LOS ANGELES
System: DIGNITY HEALTH
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 318-bed, acute-care hospital had $-3,779,578 in net service to patients*, with a total profit margin of 7.39764% in fiscal year 2021, the latest year available.
It spent 3.01% of its operating expenses on uncompensated care and reported $18,079,404 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	233 118	264 118	264 119.5	264 118	264 119
Total beds Median	318 162	318 162	318 162	318 162	318 163.5
FTEs Median	1,527.43 788.06	1,610.29 793.42	1,604.97 806.03	1,512.00 787.61	1,531.64 804.34

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	341,481,357 150,932,746	445,518,439 158,950,878	394,998,548 168,696,998	579,518,341 163,454,693	541,540,200 186,589,412
Operating expenses Median	413,180,348 149,311,209	445,838,197 156,110,414	401,353,441 164,890,568	501,002,508 166,516,854	545,319,778 180,120,888
Net income from service 2 patients (NS2P) ? Median	-71,698,991 -964,173	-319,758 -643,601.5	-6,354,893 -116,254	78,515,833 -5,025,862	-3,779,578 -1,284,564
NS2P margin ? Median	-21.00% -0.62	-0.07% -0.29	-1.61% 0.18	13.55% -5.07	-0.70% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CALIFORNIA HOSPITAL MEDICAL CENTER 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	98,959,668 5,089,215	101,675,397 4,572,541	234,229,742 5,268,134	41,028,491 13,092,619	47,343,059 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	60,000 206,870.5	5,990 194,343	14,157 249,496
⊳ Line 7: Investments ? ⊳ Median	843,349 299,524	1,258,743 188,688.5	2,829,618 370,813	1,178,490 309,361.5	1,549,072 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	50,766	47,428	30,922	16,355	23,234
⊳ Line 11: Rebates and refunds of expenses	21	2,202	0	0	304,644
⊳ Line 12: Parking lot receipts	1,111,019	948,217	518,754	438,149	480,402
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,220,133	1,343,152	1,227,191	831,034	685,264
⊳ 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	66	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	24,061	7,661	4,682	4,332	11,009
⊳ 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	14,139	20,044	14,534	7,914	7,953
⊳ Line 22: Rental of hospital space	664,065	318,517	304,518	345,433	339,805
⊳ Line 23: Gov appropriations ? ⊳ Median	567,570 1,017,693	930,852 983,261.5	-819,091 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	94,464,445	96,798,581	230,058,448	38,200,794	43,927,419
Total income ? Median	27,260,677 6,586,430	101,355,639 6,767,106	227,874,849 8,419,950	119,544,324 8,094,175	43,563,481 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	27,260,677 6,043,842	101,355,639 5,845,112	227,874,849 7,606,259	119,544,324 7,283,041	43,563,481 14,957,241
Net margin Median	6.18940% 4.62%	18.52280% 4.42%	36.21497% 5.16%	19.26435% 5.2%	7.39764% 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 CALIFORNIA HOSPITAL MEDICAL CENTER 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	25,341,543 23,241,334	27,365,048 23,709,545	24,094,147 24,248,380	23,332,405 22,858,541	23,371,494 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	25,329,755 21,577,146	27,365,048 22,041,594	24,094,147 22,722,063	23,332,405 21,570,441	23,371,494 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	11,788 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	5,032,148 11,160,864	5,689,889 11,987,345	4,860,604 12,926,866	4,898,646 11,884,480	4,779,168 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	5,032,148 10,918,923	5,689,889 11,706,976	4,860,604 12,615,917	4,898,646 11,458,116	4,779,168 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	694,717 3,284,314	838,893 3,250,551	789,007 3,386,837	833,519 3,360,806	1,022,894 3,508,953
Disproportionate-share hospital (DSH) Median	2,520,645 594,888	2,678,163 595,761	2,707,390 577,894	2,713,776 542,168	2,735,064 549,667
Outlier Median	344,223 582,572	310,331 538,116	27,644 212,434	38,787 126,559	22,183 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,710,371 3,662,910	1,167,548 3,730,911	17,527,430 4,081,319	16,678,128 4,643,908	18,079,404 4,389,147
Charity care Median	8,039,184 2,654,636	9,409,449 2,940,659	9,593,122 3,380,215	15,741,564 3,488,738	14,772,996 3,233,405
Uncompensated care (UCC) Median	10,914,190 5,147,790	12,353,025 5,337,617	12,635,712 5,711,082	18,557,447 5,923,418	16,395,504 5,508,107
UCC as a % of operating expenses Median	2.64% 3.24	2.77% 3.12	3.15% 3.21	3.70% 3.3	3.01% 2.86
Total shortfall/UCC Median	32,624,561 9,489,989	13,520,573 9,424,297	30,163,142 10,120,158	35,235,575 11,171,337	34,474,908 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	141,182,142 52,142,039	146,019,889 54,485,252	143,696,068 57,395,589	160,318,733 58,830,919	167,833,750 61,722,907
Salaries as a % of operating expenses Median	34.17 36.68	32.75 36.56	35.80 36.37	32.00 35.93	30.78 35.24
Intern, resident salaries* Median	1,227,957 2,598,592	1,393,748 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	72,158 1,204,885	79,650 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	7,766,580 1,449,244	6,734,069 1,475,986	3,777,407 1,563,078	6,538,501 1,721,954	16,509,775 2,991,828
Contract hours, direct-care Median	102,035.00 22,725	78,040.00 23,018.5	45,257.00 24,503.48	68,420.00 25,026.5	117,151.00 33,786
Contract wages, direct-care Median	76.12 64.67	86.29 64.53	83.47 65.06	95.56 68.97	140.93 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.