As of the July, 2022, release via CMS

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

CMS id: 050224
ONE HOAG DRIVE, NEWPORT BEACH CA 92658. County: ORANGE
System: ST. JOSEPH HEALTH SYSTEM
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 530-bed, acute-care hospital had $6,346,407 in net service to patients*, with a total profit margin of 24.10701% in fiscal year 2021, the latest year available.
It spent 1.28% of its operating expenses on uncompensated care and reported $47,804,840 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	451 118	454 118	436 119.5	448 118	448 119
Total beds Median	527 162	518 162	518 162	530 162	530 163.5
FTEs Median	3,850.89 788.06	4,305.83 793.42	4,454.66 806.03	4,293.42 787.61	4,510.38 804.34

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	941,615,453 150,932,746	1,016,351,375 158,950,878	1,108,836,572 168,696,998	1,121,334,464 163,454,693	1,275,137,529 186,589,412
Operating expenses Median	929,969,881 149,311,209	1,046,821,726 156,110,414	1,123,876,047 164,890,568	1,189,704,085 166,516,854	1,268,791,122 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,645,572 -964,173	-30,470,351 -643,601.5	-15,039,475 -116,254	-68,369,621 -5,025,862	6,346,407 -1,284,564
NS2P margin ? Median	1.24% -0.62	-3.00% -0.29	-1.36% 0.18	-6.10% -5.07	0.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOAG MEMORIAL HOSPITAL PRESBYTERIAN 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	225,699,537 5,089,215	18,533,945 4,572,541	332,358,749 5,268,134	327,967,161 13,092,619	396,678,331 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	500,000 206,870.5	13,806,227 194,343	15,954,532 249,496
⊳ Line 7: Investments ? ⊳ Median	125,920,482 299,524	-59,143,079 188,688.5	248,941,295 370,813	213,898,575 309,361.5	304,716,569 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	44,051	1,566	32,952	32,201	8,443
⊳ Line 11: Rebates and refunds of expenses	2,710,464	3,302,296	4,679,869	5,187,635	3,332,666
⊳ Line 12: Parking lot receipts	1,608,215	1,815,961	1,940,321	778,948	1,169,544
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	4,278,201	4,972,854	4,852,782	3,431,216	3,400,893
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	63,324	161	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	14,301	8,377	854	14	135
⊳ 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	16,577	14,053	14,892	7,614	16,345
⊳ Line 22: Rental of hospital space	22,251,335	26,098,600	28,246,584	21,835,661	25,648,468
⊳ 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	68,765,675	41,430,756	43,108,910	68,947,697	42,395,409
Total income ? Median	237,345,109 6,586,430	-11,936,406 6,767,106	317,319,274 8,419,950	259,597,540 8,094,175	403,024,738 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	237,345,109 6,043,842	-11,936,406 5,845,112	317,319,274 7,606,259	259,597,540 7,283,041	403,024,738 14,957,241
Net margin Median	20.33257% 4.62%	-1.15340% 4.42%	22.01778% 5.16%	17.91191% 5.2%	24.10701% 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 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 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	122,023,396 23,241,334	120,669,805 23,709,545	135,267,047 24,248,380	134,868,823 22,858,541	146,630,099 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	122,023,396 21,577,146	120,669,805 22,041,594	128,356,677 22,722,063	125,414,971 21,570,441	135,350,537 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	6,910,370 3,782,288	9,453,852 3,865,578	11,279,562 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	71,340,123 11,160,864	79,963,179 11,987,345	87,450,997 12,926,866	84,527,888 11,884,480	106,159,912 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	71,340,123 10,918,923	79,963,179 11,706,976	87,450,997 12,615,917	84,527,888 11,458,116	106,159,912 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	1,530,838 594,888	1,291,376 595,761	1,268,965 577,894	1,255,259 542,168	1,265,642 549,667
Outlier Median	11,173,619 582,572	10,931,685 538,116	2,356,353 212,434	4,259,230 126,559	4,746,686 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	31,359,683 3,662,910	39,914,214 3,730,911	38,945,990 4,081,319	43,229,140 4,643,908	47,804,840 4,389,147
Charity care Median	7,561,431 2,654,636	14,167,448 2,940,659	12,893,475 3,380,215	10,567,317 3,488,738	10,203,400 3,233,405
Uncompensated care (UCC) Median	12,024,164 5,147,790	21,669,933 5,337,617	20,882,294 5,711,082	18,858,506 5,923,418	16,178,618 5,508,107
UCC as a % of operating expenses Median	1.29% 3.24	2.07% 3.12	1.86% 3.21	1.59% 3.3	1.28% 2.86
Total shortfall/UCC Median	43,383,847 9,489,989	61,584,147 9,424,297	59,828,284 10,120,158	62,087,646 11,171,337	63,983,458 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	333,373,974 52,142,039	386,897,206 54,485,252	406,145,850 57,395,589	409,050,159 58,830,919	462,282,823 61,722,907
Salaries as a % of operating expenses Median	35.85 36.68	36.96 36.56	36.14 36.37	34.38 35.93	36.43 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	848,569 1,449,244	978,810 1,475,986	71,845 1,563,078	1,793,789 1,721,954	3,426,758 2,991,828
Contract hours, direct-care Median	8,024.00 22,725	12,631.00 23,018.5	2,316.00 24,503.48	17,006.00 25,026.5	22,217.00 33,786
Contract wages, direct-care Median	105.75 64.67	77.49 64.53	31.02 65.06	105.48 68.97	154.24 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.