As of the July, 2022, release via CMS

VENTURA COUNTY MEDICAL CENTER

CMS id: 050159
3291 LOMA VISTA ROAD, VENTURA CA 93003. County: VENTURA
System: --
CBSA: Oxnard-Thousand Oaks-Ventura, CA

The 272-bed, acute-care hospital had $-16,552,127 in net service to patients*, with a total profit margin of 3.15185% in fiscal year 2021, the latest year available.
It spent 3.59% 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	gov	gov	gov	gov	gov
Acute beds Median	221 118	196 118	188 119.5	188 118	188 119
Total beds Median	272 162	272 162	272 162	272 162	272 163.5
FTEs Median	2,050.40 788.06	1,285.53 793.42	1,285.53 806.03	1,420.49 787.61	1,879.35 804.34

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	420,734,159 150,932,746	1,318,626,667 158,950,878	497,199,119 168,696,998	486,254,639 163,454,693	509,433,645 186,589,412
Operating expenses Median	537,864,789 149,311,209	689,799,987 156,110,414	612,473,623 164,890,568	608,397,816 166,516,854	525,985,772 180,120,888
Net income from service 2 patients (NS2P) ? Median	-117,130,630 -964,173	628,826,680 -643,601.5	-115,274,504 -116,254	-122,143,177 -5,025,862	-16,552,127 -1,284,564
NS2P margin ? Median	-27.84% -0.62	47.69% -0.29	-23.18% 0.18	-25.12% -5.07	-3.25% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for VENTURA COUNTY 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	38,499,652 5,089,215	38,999,047 4,572,541	41,793,042 5,268,134	33,398,951 13,092,619	33,669,941 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	152,292 299,524	80,306 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	9,479	0	0	0	0
⊳ 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	688,064	672,350	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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ 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	37,649,817	38,246,391	41,793,042	33,398,951	33,669,941
Total income ? Median	-78,630,978 6,586,430	667,825,727 6,767,106	-73,481,462 8,419,950	-88,744,226 8,094,175	17,117,814 15,162,888
Non-operating expenses Median	-85,114,152 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	6,483,174 6,043,842	667,825,727 5,845,112	-73,481,462 7,606,259	-88,744,226 7,283,041	17,117,814 14,957,241
Net margin Median	1.41174% 4.62%	49.19071% 4.42%	-13.63312% 5.16%	-17.07757% 5.2%	3.15185% 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 VENTURA COUNTY 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	26,282,316 23,241,334	26,131,367 23,709,545	26,004,206 24,248,380	23,933,497 22,858,541	28,301,956 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	26,282,316 21,577,146	26,131,367 22,041,594	26,004,206 22,722,063	23,933,497 21,570,441	28,301,956 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	11,469,640 11,160,864	12,669,745 11,987,345	13,895,817 12,926,866	12,518,573 11,884,480	10,305,502 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	11,469,640 10,918,923	12,669,745 11,706,976	13,895,817 12,615,917	12,518,573 11,458,116	10,305,502 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	2,260,344 3,284,314	2,226,362 3,250,551	2,442,507 3,386,837	1,998,654 3,360,806	2,252,633 3,508,953
Disproportionate-share hospital (DSH) Median	1,969,684 594,888	2,172,651 595,761	2,048,647 577,894	1,887,111 542,168	2,476,729 549,667
Outlier Median	1,671,282 582,572	936,853 538,116	1,000,730 212,434	596,770 126,559	405,776 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	59,742,715 3,662,910	86,794,773 3,730,911	67,033,051 4,081,319	4,863,793 4,643,908	0 4,389,147
Charity care Median	3,480,993 2,654,636	5,525,944 2,940,659	9,077,904 3,380,215	8,109,875 3,488,738	6,557,096 3,233,405
Uncompensated care (UCC) Median	17,288,855 5,147,790	17,990,436 5,337,617	17,137,759 5,711,082	17,371,922 5,923,418	18,860,119 5,508,107
UCC as a % of operating expenses Median	3.21% 3.24	2.61% 3.12	2.80% 3.21	2.86% 3.3	3.59% 2.86
Total shortfall/UCC Median	77,031,570 9,489,989	104,785,209 9,424,297	84,170,810 10,120,158	22,235,715 11,171,337	18,860,119 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	214,870,830 52,142,039	236,894,364 54,485,252	231,882,622 57,395,589	225,973,869 58,830,919	193,564,376 61,722,907
Salaries as a % of operating expenses Median	39.95 36.68	39.36 36.56	37.86 36.37	37.14 35.93	37.05 35.24
Intern, resident salaries* Median	2,481,526 2,598,592	2,552,242 2,686,824	2,646,760 2,753,773	2,804,656 2,937,156	2,805,832 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	3,887,126 1,449,244	0 1,475,986	2,877,285 1,563,078	5,600,010 1,721,954	7,735,331 2,991,828
Contract hours, direct-care Median	68,908.71 22,725	0.00 23,018.5	41,334.88 24,503.48	80,709.04 25,026.5	108,417.84 33,786
Contract wages, direct-care Median	56.41 64.67	0.00 64.53	69.61 65.06	69.39 68.97	71.35 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.