As of the July, 2022, release via CMS

METHODIST HOSPITAL OF SO CALIFORNIA

CMS id: 050238
300 WEST HUNTINGTON DRIVE, ARCADIA CA 91007. County: LOS ANGELES
System: --
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 348-bed, acute-care hospital had $-21,049,176 in net service to patients*, with a total profit margin of 0.45976% in fiscal year 2021, the latest year available.
It spent 1.35% of its operating expenses on uncompensated care and reported $23,128,151 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	262 118	252 118	252 119.5	252 118	252 119
Total beds Median	348 162	348 162	348 162	348 162	348 163.5
FTEs Median	1,448.00 788.06	1,448.00 793.42	1,468.00 806.03	1,878.00 787.61	1,149.00 804.34

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	292,515,519 150,932,746	302,177,651 158,950,878	292,967,505 168,696,998	280,726,963 163,454,693	267,477,351 186,589,412
Operating expenses Median	283,374,772 149,311,209	294,333,159 156,110,414	284,278,140 164,890,568	292,651,252 166,516,854	288,526,527 180,120,888
Net income from service 2 patients (NS2P) ? Median	9,140,747 -964,173	7,844,492 -643,601.5	8,689,365 -116,254	-11,924,289 -5,025,862	-21,049,176 -1,284,564
NS2P margin ? Median	3.12% -0.62	2.60% -0.29	2.97% 0.18	-4.25% -5.07	-7.87% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for METHODIST HOSPITAL OF SO CALIFORNIA 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	19,495,804 5,089,215	6,789,984 4,572,541	28,254,486 5,268,134	51,594,049 13,092,619	27,907,251 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	14,327,601 299,524	3,312,351 188,688.5	24,285,453 370,813	32,993,153 309,361.5	23,922,677 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	22	192	-26	312	546
⊳ Line 11: Rebates and refunds of expenses	561,943	509,158	515,697	590,447	567,759
⊳ 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	1,372,257	1,320,536	1,362,998	789,615	765,173
⊳ 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	54,473	341,369	4,304
⊳ Line 18: Revenue from sale of medical records and abstracts	670	1,336	1,938	1,198	2,085
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,297,069	1,381,955	1,470,135	960,321	975,914
⊳ 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	15,468,914 1,987,202	0 1,597,664
⊳ Sum Line 24	1,936,242	264,456	563,818	448,720	1,668,793
Total income ? Median	28,636,551 6,586,430	14,634,476 6,767,106	36,943,851 8,419,950	39,669,760 8,094,175	6,858,075 15,162,888
Non-operating expenses Median	0 146,289.5	29,793,870 164,857	0 89,880.5	0 106,761	5,500,000 31,473.5
Net income Median	28,636,551 6,043,842	-15,159,394 5,845,112	36,943,851 7,606,259	39,669,760 7,283,041	1,358,075 14,957,241
Net margin Median	9.17805% 4.62%	-4.90647% 4.42%	11.50103% 5.16%	11.93718% 5.2%	0.45976% 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 METHODIST HOSPITAL OF SO CALIFORNIA 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	75,062,901 23,241,334	75,730,687 23,709,545	87,785,369 24,248,380	80,630,011 22,858,541	76,749,344 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	65,803,291 21,577,146	62,969,544 22,041,594	72,644,240 22,722,063	64,083,716 21,570,441	59,353,145 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	9,259,610 3,535,627	12,761,143 3,746,588	15,141,129 3,782,288	16,546,295 3,865,578	17,396,199 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	11,781,936 11,160,864	13,151,446 11,987,345	12,178,069 12,926,866	10,248,200 11,884,480	12,493,008 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	11,781,936 10,918,923	13,151,446 11,706,976	12,178,069 12,615,917	10,248,200 11,458,116	12,493,008 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	2,803,561 594,888	2,514,885 595,761	2,683,909 577,894	2,688,204 542,168	2,545,642 549,667
Outlier Median	3,277,123 582,572	2,304,181 538,116	434,275 212,434	348,251 126,559	108,244 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,566,662 3,662,910	20,239,281 3,730,911	17,014,269 4,081,319	13,194,769 4,643,908	23,128,151 4,389,147
Charity care Median	4,578,300 2,654,636	5,103,700 2,940,659	4,410,448 3,380,215	2,991,305 3,488,738	2,898,300 3,233,405
Uncompensated care (UCC) Median	5,565,206 5,147,790	6,033,691 5,337,617	5,979,869 5,711,082	4,773,092 5,923,418	3,895,152 5,508,107
UCC as a % of operating expenses Median	1.96% 3.24	2.05% 3.12	2.10% 3.21	1.63% 3.3	1.35% 2.86
Total shortfall/UCC Median	28,131,868 9,489,989	26,272,972 9,424,297	22,994,138 10,120,158	17,967,861 11,171,337	27,023,303 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	116,065,837 52,142,039	116,194,330 54,485,252	116,611,966 57,395,589	112,346,129 58,830,919	108,666,598 61,722,907
Salaries as a % of operating expenses Median	41.33 36.68	40.16 36.56	41.75 36.37	38.97 35.93	37.97 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	2,982,153 1,449,244	6,368,511 1,475,986	8,638,276 1,563,078	11,173,567 1,721,954	16,893,213 2,991,828
Contract hours, direct-care Median	39,171.00 22,725	102,261.00 23,018.5	136,099.00 24,503.48	159,172.00 25,026.5	191,513.23 33,786
Contract wages, direct-care Median	76.13 64.67	62.28 64.53	63.47 65.06	70.20 68.97	88.21 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.