As of the July, 2022, release via CMS

GARDEN GROVE HOSPITAL MEDICAL CENTER

CMS id: 050230
12601 GARDEN GROVE BLVD, GARDEN GROVE CA 92634. County: ORANGE
System: PRIME HEALTHCARE MANAGEMENT SERVICES
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 167-bed, acute-care hospital had $4,132,446 in net service to patients*, with a total profit margin of 11.65472% in fiscal year 2021, the latest year available.
It spent 3.47% of its operating expenses on uncompensated care and reported $7,841,289 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	143 118	143 118	143 119.5	143 118	143 119
Total beds Median	167 162	167 162	167 162	167 162	167 163.5
FTEs Median	316.46 788.06	457.97 793.42	445.54 806.03	403.43 787.61	341.31 804.34

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	108,445,758 150,932,746	88,490,584 158,950,878	78,475,680 168,696,998	72,284,842 163,454,693	76,836,503 186,589,412
Operating expenses Median	85,634,207 149,311,209	83,593,696 156,110,414	82,749,040 164,890,568	78,277,213 166,516,854	72,704,057 180,120,888
Net income from service 2 patients (NS2P) ? Median	22,811,551 -964,173	4,896,888 -643,601.5	-4,273,360 -116,254	-5,992,371 -5,025,862	4,132,446 -1,284,564
NS2P margin ? Median	21.03% -0.62	5.53% -0.29	-5.45% 0.18	-8.29% -5.07	5.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GARDEN GROVE HOSPITAL 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	1,349,350 5,089,215	1,088,289 4,572,541	1,156,413 5,268,134	7,068,096 13,092,619	5,458,844 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	0 299,524	0 188,688.5	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	15,478	3,099	15	0	194
⊳ Line 11: Rebates and refunds of expenses	216,857	31,208	36,460	39,875	29,455
⊳ 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	161,532	129,958	136,362	55,401	42,142
⊳ 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	13,540	16,354	11,596	11,140	15,265
⊳ 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	5,250	5,680	5,054	4,169	3,039
⊳ 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	926,899	893,595	958,531	6,949,116	5,359,399
Total income ? Median	24,160,901 6,586,430	5,985,177 6,767,106	-3,116,947 8,419,950	1,075,725 8,094,175	9,591,290 15,162,888
Non-operating expenses Median	25,592 146,289.5	0 164,857	0 89,880.5	97,043 106,761	0 31,473.5
Net income Median	24,135,309 6,043,842	5,985,177 5,845,112	-3,116,947 7,606,259	978,682 7,283,041	9,591,290 14,957,241
Net margin Median	21.98214% 4.62%	6.68146% 4.42%	-3.91418% 5.16%	1.23333% 5.2%	11.65472% 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 GARDEN GROVE HOSPITAL 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	22,161,214 23,241,334	21,469,298 23,709,545	21,841,074 24,248,380	21,575,816 22,858,541	18,248,195 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	22,161,214 21,577,146	21,469,298 22,041,594	21,841,074 22,722,063	21,575,816 21,570,441	18,248,195 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	1,472,470 11,160,864	1,563,459 11,987,345	1,295,090 12,926,866	1,056,898 11,884,480	976,982 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	1,472,470 10,918,923	1,563,459 11,706,976	1,295,090 12,615,917	1,056,898 11,458,116	976,982 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	2,387,753 594,888	2,329,941 595,761	2,491,800 577,894	2,423,743 542,168	1,957,376 549,667
Outlier Median	376,194 582,572	225,251 538,116	25,522 212,434	50,772 126,559	12,241 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,245,387 3,662,910	11,488,149 3,730,911	12,703,471 4,081,319	9,607,889 4,643,908	7,841,289 4,389,147
Charity care Median	524,323 2,654,636	260,354 2,940,659	182,593 3,380,215	241,907 3,488,738	412,546 3,233,405
Uncompensated care (UCC) Median	2,377,924 5,147,790	1,436,953 5,337,617	1,510,105 5,711,082	2,010,084 5,923,418	2,519,495 5,508,107
UCC as a % of operating expenses Median	2.78% 3.24	1.72% 3.12	1.82% 3.21	2.57% 3.3	3.47% 2.86
Total shortfall/UCC Median	11,623,311 9,489,989	12,925,102 9,424,297	14,213,576 10,120,158	11,617,973 11,171,337	10,360,784 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	34,982,391 52,142,039	35,308,784 54,485,252	35,289,400 57,395,589	34,899,968 58,830,919	29,942,251 61,722,907
Salaries as a % of operating expenses Median	40.85 36.68	42.24 36.56	42.65 36.37	44.59 35.93	41.18 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	1,940,622 1,449,244	635,159 1,475,986	1,136,826 1,563,078	714,774 1,721,954	2,420,095 2,991,828
Contract hours, direct-care Median	20,931.00 22,725	7,346.00 23,018.5	12,229.00 24,503.48	7,369.00 25,026.5	16,300.00 33,786
Contract wages, direct-care Median	92.72 64.67	86.46 64.53	92.96 65.06	97.00 68.97	148.47 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.