As of the July, 2022, release via CMS

ST JUDE MEDICAL CENTER FULLERTON

CMS id: 050168
101 E. VALENCIA MESA AVE, FULLERTON CA 92835. County: ORANGE
System: ST JOSEPH HEALTH SYSTEM
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 320-bed, acute-care hospital had $8,173,634 in net service to patients*, with a total profit margin of 11.85785% in fiscal year 2021, the latest year available.
It spent 1.21% of its operating expenses on uncompensated care and reported $32,323,301 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	225 118	225 118	225 119.5	225 118	225 119
Total beds Median	320 162	320 162	320 162	320 162	320 163.5
FTEs Median	2,123.84 788.06	2,172.40 793.42	2,039.38 806.03	2,067.52 787.61	1,989.80 804.34

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	544,021,601 150,932,746	557,502,753 158,950,878	629,214,813 168,696,998	665,882,541 163,454,693	731,600,707 186,589,412
Operating expenses Median	525,058,149 149,311,209	546,479,349 156,110,414	600,025,897 164,890,568	655,336,647 166,516,854	723,427,073 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,963,452 -964,173	11,023,404 -643,601.5	29,188,916 -116,254	10,545,894 -5,025,862	8,173,634 -1,284,564
NS2P margin ? Median	3.49% -0.62	1.98% -0.29	4.64% 0.18	1.58% -5.07	1.12% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST JUDE MEDICAL CENTER FULLERTON 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	26,302,752 5,089,215	39,601,061 4,572,541	34,109,534 5,268,134	41,249,737 13,092,619	89,149,689 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	6,523,759 224,999	8,635,238 199,009	7,730,179 206,870.5	5,272,623 194,343	5,059,519 249,496
⊳ Line 7: Investments ? ⊳ Median	9,244,409 299,524	13,817,874 188,688.5	13,383,991 370,813	6,207,622 309,361.5	25,318,581 375,329
⊳ 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	8,909	39,090	0	0	0
⊳ Line 12: Parking lot receipts	1,041,084	1,046,419	1,313,889	857,273	-91,739
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,213,155	2,344,015	2,347,102	2,195,982	1,841,900
⊳ 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	15,985	21,000	20,904	18,091	8,210
⊳ Line 22: Rental of hospital space	4,623,833	4,472,492	8,347	0	6,086,520
⊳ 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	2,631,618	9,224,933	9,305,122	26,698,146	50,926,698
Total income ? Median	45,266,204 6,586,430	50,624,465 6,767,106	63,298,450 8,419,950	51,795,631 8,094,175	97,323,323 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	45,266,204 6,043,842	50,624,465 5,845,112	63,298,450 7,606,259	51,795,631 7,283,041	97,323,323 14,957,241
Net margin Median	7.93692% 4.62%	8.47834% 4.42%	9.54261% 5.16%	7.32474% 5.2%	11.85785% 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 ST JUDE MEDICAL CENTER FULLERTON 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	62,571,574 23,241,334	62,149,324 23,709,545	64,069,850 24,248,380	63,621,262 22,858,541	67,974,857 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	57,398,990 21,577,146	56,481,185 22,041,594	59,030,421 22,722,063	58,166,379 21,570,441	61,216,050 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	5,172,584 3,535,627	5,668,139 3,746,588	5,039,429 3,782,288	5,454,883 3,865,578	6,758,807 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	31,668,997 11,160,864	40,674,794 11,987,345	42,021,592 12,926,866	39,888,048 11,884,480	39,373,603 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	31,668,997 10,918,923	40,674,794 11,706,976	42,021,592 12,615,917	39,888,048 11,458,116	39,373,603 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	1,471,903 594,888	1,491,034 595,761	1,407,310 577,894	1,477,701 542,168	1,600,950 549,667
Outlier Median	4,116,546 582,572	4,037,210 538,116	3,679,823 212,434	723,617 126,559	783,895 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	35,961,143 3,662,910	26,307,309 3,730,911	38,136,672 4,081,319	32,929,403 4,643,908	32,323,301 4,389,147
Charity care Median	5,551,257 2,654,636	11,433,838 2,940,659	12,314,371 3,380,215	7,626,720 3,488,738	5,663,722 3,233,405
Uncompensated care (UCC) Median	10,275,327 5,147,790	14,552,996 5,337,617	13,078,071 5,711,082	11,051,476 5,923,418	8,773,208 5,508,107
UCC as a % of operating expenses Median	1.96% 3.24	2.66% 3.12	2.18% 3.21	1.69% 3.3	1.21% 2.86
Total shortfall/UCC Median	46,236,470 9,489,989	40,860,305 9,424,297	51,214,743 10,120,158	43,980,879 11,171,337	41,096,509 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	184,864,140 52,142,039	193,782,012 54,485,252	189,319,076 57,395,589	191,918,764 58,830,919	203,431,736 61,722,907
Salaries as a % of operating expenses Median	35.21 36.68	35.46 36.56	35.67 36.37	36.63 35.93	35.12 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	2,635,183 1,449,244	2,137,363 1,475,986	1,764,260 1,563,078	2,965,548 1,721,954	5,021,321 2,991,828
Contract hours, direct-care Median	56,590.78 22,725	40,599.96 23,018.5	29,355.00 24,503.48	35,341.93 25,026.5	46,687.00 33,786
Contract wages, direct-care Median	46.57 64.67	52.64 64.53	60.10 65.06	83.91 68.97	107.55 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.