As of the July, 2022, release via CMS

ANAHEIM REGIONAL MEDICAL CENTER

CMS id: 050226
1111 WEST LA PALMA AVENUE, ANAHEIM CA 92801. County: ORANGE
System: AHMC HEALTHCARE INC
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 223-bed, acute-care hospital had $87,412 in net service to patients*, with a total profit margin of 1.99229% in fiscal year 2021, the latest year available.
It spent 2.95% of its operating expenses on uncompensated care and reported $17,830,151 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	180 118	180 118	180 119.5	180 118	180 119
Total beds Median	223 162	223 162	223 162	223 162	223 163.5
FTEs Median	872.31 788.06	961.47 793.42	961.47 806.03	961.47 787.61	703.63 804.34

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	242,281,281 150,932,746	232,893,146 158,950,878	218,165,374 168,696,998	183,200,486 163,454,693	186,395,356 186,589,412
Operating expenses Median	219,657,852 149,311,209	227,014,485 156,110,414	225,716,138 164,890,568	202,010,812 166,516,854	186,307,944 180,120,888
Net income from service 2 patients (NS2P) ? Median	22,623,429 -964,173	5,878,661 -643,601.5	-7,550,764 -116,254	-18,810,326 -5,025,862	87,412 -1,284,564
NS2P margin ? Median	9.34% -0.62	2.52% -0.29	-3.46% 0.18	-10.27% -5.07	0.05% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ANAHEIM REGIONAL 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	18,925,919 5,089,215	16,514,746 4,572,541	1,184,147 5,268,134	19,372,101 13,092,619	3,699,843 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	286,182 299,524	265,019 188,688.5	312,879 370,813	270,654 309,361.5	156,463 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	48,066	116,467	111,227	80,117	70,408
⊳ Line 11: Rebates and refunds of expenses	2,641	384,665	610,576	495,818	586,171
⊳ 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	0	0	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	10,468	22,584	23,313	23,178	22,109
⊳ 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	18,578,562	15,726,011	126,152	18,502,334	2,864,692
Total income ? Median	41,549,348 6,586,430	22,393,407 6,767,106	-6,366,617 8,419,950	561,775 8,094,175	3,787,255 15,162,888
Non-operating expenses Median	0 146,289.5	100 164,857	140 89,880.5	0 106,761	0 31,473.5
Net income Median	41,549,348 6,043,842	22,393,307 5,845,112	-6,366,757 7,606,259	561,775 7,283,041	3,787,255 14,957,241
Net margin Median	15.90666% 4.62%	8.97859% 4.42%	-2.90256% 5.16%	0.27732% 5.2%	1.99229% 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 ANAHEIM REGIONAL 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	34,664,604 23,241,334	33,369,059 23,709,545	30,798,525 24,248,380	25,285,593 22,858,541	22,967,080 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	34,664,604 21,577,146	33,369,059 22,041,594	30,798,525 22,722,063	25,285,593 21,570,441	22,967,080 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	7,082,104 11,160,864	6,416,893 11,987,345	7,058,157 12,926,866	5,384,253 11,884,480	4,004,728 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	7,082,104 10,918,923	6,416,893 11,706,976	7,058,157 12,615,917	5,384,253 11,458,116	4,004,728 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	2,428,406 594,888	2,640,890 595,761	2,397,396 577,894	1,935,691 542,168	1,792,734 549,667
Outlier Median	1,061,317 582,572	732,213 538,116	1,008,954 212,434	67,636 126,559	98,523 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,281,277 3,662,910	11,826,831 3,730,911	7,840,698 4,081,319	1,359,109 4,643,908	17,830,151 4,389,147
Charity care Median	367,347 2,654,636	1,350,697 2,940,659	2,646,380 3,380,215	1,092,292 3,488,738	2,797,268 3,233,405
Uncompensated care (UCC) Median	2,322,104 5,147,790	3,279,532 5,337,617	5,081,509 5,711,082	4,301,719 5,923,418	5,489,140 5,508,107
UCC as a % of operating expenses Median	1.06% 3.24	1.44% 3.12	2.25% 3.21	2.13% 3.3	2.95% 2.86
Total shortfall/UCC Median	23,603,381 9,489,989	15,106,363 9,424,297	12,922,207 10,120,158	5,660,828 11,171,337	23,319,291 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	80,289,409 52,142,039	80,991,527 54,485,252	81,041,593 57,395,589	71,452,735 58,830,919	62,190,745 61,722,907
Salaries as a % of operating expenses Median	36.55 36.68	35.68 36.56	35.90 36.37	35.37 35.93	33.38 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	1,975,361 1,449,244	2,598,680 1,475,986	3,297,709 1,563,078	0 1,721,954	2,566,897 2,991,828
Contract hours, direct-care Median	27,096.00 22,725	36,642.00 23,018.5	47,565.00 24,503.48	0.00 25,026.5	22,423.81 33,786
Contract wages, direct-care Median	72.90 64.67	70.92 64.53	69.33 65.06	0.00 68.97	114.47 88.94

* in an approved program

Return to top

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.