As of the July, 2022, release via CMS

SAN JOAQUIN GENERAL HOSPITAL

CMS id: 050167
500 WEST FRENCH CAMP ROAD, FRENCH CAMP CA 95231. County: SAN JOAQUIN
System: --
CBSA: Stockton, CA

The 152-bed, acute-care hospital had $-155,928,635 in net service to patients*, with a total profit margin of 1.01120% in fiscal year 2021, the latest year available.
It spent 5.20% of its operating expenses on uncompensated care and reported $27,542,818 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	155 118	155 118	155 119.5	155 118	111 119
Total beds Median	196 162	196 162	196 162	196 162	152 163.5
FTEs Median	1,443.15 788.06	1,674.93 793.42	1,771.23 806.03	1,811.56 787.61	1,649.07 804.34

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	355,524,512 150,932,746	379,931,881 158,950,878	403,408,355 168,696,998	341,196,528 163,454,693	290,641,945 186,589,412
Operating expenses Median	330,911,574 149,311,209	366,798,186 156,110,414	406,242,131 164,890,568	430,577,517 166,516,854	446,570,580 180,120,888
Net income from service 2 patients (NS2P) ? Median	24,612,938 -964,173	13,133,695 -643,601.5	-2,833,776 -116,254	-89,380,989 -5,025,862	-155,928,635 -1,284,564
NS2P margin ? Median	6.92% -0.62	3.46% -0.29	-0.70% 0.18	-26.20% -5.07	-53.65% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAN JOAQUIN GENERAL HOSPITAL 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	15,435,748 5,089,215	10,678,346 4,572,541	29,153,149 5,268,134	48,061,234 13,092,619	160,490,499 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,072,050 224,999	2,093,910 199,009	19,675,762 206,870.5	16,559,555 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,981,192 299,524	2,736,563 188,688.5	3,216,346 370,813	2,252,263 309,361.5	943,091 375,329
⊳ 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	493,731	582,069	568,926	750,999	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	96,307
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,165,531	1,509,948	1,528,888	1,218,582	1,675,591
⊳ 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	30,223	38,469	49,164	71,480	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	442,848	345,840	345,840	345,840	945,376
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	101,086,714 1,597,664
⊳ Sum Line 24	9,250,173	3,371,547	3,768,223	26,862,515	55,743,420
Total income ? Median	40,048,686 6,586,430	23,812,041 6,767,106	26,319,373 8,419,950	-41,319,755 8,094,175	4,561,864 15,162,888
Non-operating expenses Median	263,591 146,289.5	151,525 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	39,785,095 6,043,842	23,660,516 5,845,112	26,319,373 7,606,259	-41,319,755 7,283,041	4,561,864 14,957,241
Net margin Median	10.72489% 4.62%	6.05732% 4.42%	6.08454% 5.16%	-10.61501% 5.2%	1.01120% 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 SAN JOAQUIN GENERAL HOSPITAL 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	21,420,575 23,241,334	25,146,728 23,709,545	27,964,953 24,248,380	27,743,550 22,858,541	28,872,582 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	21,420,575 21,577,146	25,146,728 22,041,594	27,964,953 22,722,063	27,743,550 21,570,441	28,872,582 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	5,658,739 11,160,864	6,562,731 11,987,345	8,009,223 12,926,866	8,865,424 11,884,480	8,494,871 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	5,658,739 10,918,923	6,562,731 11,706,976	8,009,223 12,615,917	8,865,424 11,458,116	8,494,871 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	1,888,658 3,284,314	2,258,803 3,250,551	2,713,353 3,386,837	2,660,284 3,360,806	2,724,912 3,508,953
Disproportionate-share hospital (DSH) Median	1,838,117 594,888	2,419,979 595,761	1,941,539 577,894	2,282,151 542,168	2,277,252 549,667
Outlier Median	721,362 582,572	754,884 538,116	1,374,285 212,434	238,685 126,559	176,243 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	35,271 3,662,910	96,994 3,730,911	22,246,676 4,081,319	60,627,201 4,643,908	27,542,818 4,389,147
Charity care Median	2,141,638 2,654,636	795,208 2,940,659	6,351,157 3,380,215	6,102,001 3,488,738	15,439,600 3,233,405
Uncompensated care (UCC) Median	7,022,993 5,147,790	8,197,616 5,337,617	12,699,500 5,711,082	9,527,368 5,923,418	23,224,696 5,508,107
UCC as a % of operating expenses Median	2.12% 3.24	2.23% 3.12	3.13% 3.21	2.21% 3.3	5.20% 2.86
Total shortfall/UCC Median	7,058,264 9,489,989	8,294,610 9,424,297	34,946,176 10,120,158	70,154,569 11,171,337	50,767,514 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	139,044,785 52,142,039	164,669,608 54,485,252	174,125,216 57,395,589	170,962,401 58,830,919	178,470,321 61,722,907
Salaries as a % of operating expenses Median	42.02 36.68	44.89 36.56	42.86 36.37	39.71 35.93	39.96 35.24
Intern, resident salaries* Median	4,687,919 2,598,592	4,300,776 2,686,824	4,662,292 2,753,773	4,768,970 2,937,156	5,023,587 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	11,451,835 1,449,244	12,128,356 1,475,986	17,373,750 1,563,078	15,392,272 1,721,954	27,359,732 2,991,828
Contract hours, direct-care Median	148,461.99 22,725	110,244.80 23,018.5	194,757.00 24,503.48	132,956.80 25,026.5	252,382.38 33,786
Contract wages, direct-care Median	77.14 64.67	110.01 64.53	89.21 65.06	115.77 68.97	108.41 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.