As of the July, 2022, release via CMS

ADVENTIST HEALTH GLENDALE

CMS id: 050239
1509 WILSON TERRACE, GLENDALE CA 92106. County: LOS ANGELES
System: ADVENTIST HEALTH
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 451-bed, acute-care hospital had $-69,805,540 in net service to patients*, with a total profit margin of -9.50064% in fiscal year 2021, the latest year available.
It spent 1.78% of its operating expenses on uncompensated care and reported $0 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	277 118	277 118	277 119.5	277 118	277 119
Total beds Median	451 162	451 162	451 162	451 162	451 163.5
FTEs Median	1,829.57 788.06	1,754.75 793.42	1,824.23 806.03	1,739.61 787.61	1,637.65 804.34

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	444,055,372 150,932,746	449,948,938 158,950,878	466,112,069 168,696,998	438,315,555 163,454,693	486,074,309 186,589,412
Operating expenses Median	467,051,297 149,311,209	467,471,280 156,110,414	502,206,828 164,890,568	518,536,729 166,516,854	555,879,849 180,120,888
Net income from service 2 patients (NS2P) ? Median	-22,995,925 -964,173	-17,522,342 -643,601.5	-36,094,759 -116,254	-80,221,174 -5,025,862	-69,805,540 -1,284,564
NS2P margin ? Median	-5.18% -0.62	-3.89% -0.29	-7.74% 0.18	-18.30% -5.07	-14.36% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADVENTIST HEALTH GLENDALE 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	14,513,240 5,089,215	43,780,281 4,572,541	16,202,220 5,268,134	97,179,742 13,092,619	21,575,566 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	581,901 194,343	684,476 249,496
⊳ Line 7: Investments ? ⊳ Median	642,959 299,524	668,829 188,688.5	741,966 370,813	691,704 309,361.5	775,544 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,603	-15	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	268,033	101,522	176,432	-2,823	175,190
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	40,952	306,828	2,246,746	1,670,415	1,606,909
⊳ Line 15: Revenue from rental of living quarters	222,629	307,978	277,463	1,371,958	649,391
⊳ 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	0	0	17,271	10,638	19,945
⊳ Line 22: Rental of hospital space	1,841,966	2,348,131	1,902,118	1,455,167	2,094,671
⊳ 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	11,493,098	40,047,008	10,840,224	91,400,782	15,569,440
Total income ? Median	-8,482,685 6,586,430	26,257,939 6,767,106	-19,892,539 8,419,950	16,958,568 8,094,175	-48,229,974 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	-8,482,685 6,043,842	26,257,939 5,845,112	-19,892,539 7,606,259	16,958,568 7,283,041	-48,229,974 14,957,241
Net margin Median	-1.84982% 4.62%	5.31829% 4.42%	-4.12439% 5.16%	3.16689% 5.2%	-9.50064% 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 ADVENTIST HEALTH GLENDALE 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	124,551,677 23,241,334	122,859,270 23,709,545	128,009,933 24,248,380	135,075,166 22,858,541	142,098,418 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	107,780,218 21,577,146	104,236,010 22,041,594	108,635,293 22,722,063	112,206,526 21,570,441	117,537,585 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	6,865,870 1,845,420	7,597,541 1,757,392	6,519,929 1,738,842	3,817,238 1,510,463	2,424,743 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	9,905,589 3,535,627	11,025,719 3,746,588	10,273,897 3,782,288	11,266,066 3,865,578	10,881,603 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	2,580,814 1,313,657	7,785,336 1,365,298	11,254,487 1,179,746
All outpatient revenue Median Click here to show/hide details	20,359,853 11,160,864	23,582,562 11,987,345	26,885,171 12,926,866	25,556,399 11,884,480	27,841,212 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	20,359,853 10,918,923	23,582,562 11,706,976	26,885,171 12,615,917	25,556,399 11,458,116	27,841,212 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	4,509,870 3,284,314	4,491,333 3,250,551	4,704,452 3,386,837	4,523,654 3,360,806	4,698,740 3,508,953
Disproportionate-share hospital (DSH) Median	10,360,399 594,888	7,514,059 595,761	10,655,388 577,894	10,434,153 542,168	10,606,934 549,667
Outlier Median	2,639,111 582,572	2,492,362 538,116	725,468 212,434	612,444 126,559	547,585 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	34,201,878 3,662,910	28,326,744 3,730,911	26,383,822 4,081,319	40,218,874 4,643,908	0 4,389,147
Charity care Median	8,624,804 2,654,636	658,566 2,940,659	4,661,711 3,380,215	4,217,857 3,488,738	7,323,398 3,233,405
Uncompensated care (UCC) Median	10,588,309 5,147,790	2,214,798 5,337,617	8,053,804 5,711,082	7,184,170 5,923,418	9,913,547 5,508,107
UCC as a % of operating expenses Median	2.27% 3.24	0.47% 3.12	1.60% 3.21	1.39% 3.3	1.78% 2.86
Total shortfall/UCC Median	44,790,187 9,489,989	30,541,542 9,424,297	34,437,626 10,120,158	47,403,044 11,171,337	9,913,547 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	157,809,248 52,142,039	155,482,967 54,485,252	164,047,795 57,395,589	162,423,955 58,830,919	169,264,368 61,722,907
Salaries as a % of operating expenses Median	33.79 36.68	33.26 36.56	32.67 36.37	31.32 35.93	30.45 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	2,324,767 1,449,244	4,740,636 1,475,986	0 1,563,078	9,701,300 1,721,954	26,875,008 2,991,828
Contract hours, direct-care Median	27,023.00 22,725	65,131.70 23,018.5	0.00 24,503.48	64,832.03 25,026.5	153,765.76 33,786
Contract wages, direct-care Median	86.03 64.67	72.79 64.53	0.00 65.06	149.64 68.97	174.78 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.