As of the July, 2022, release via CMS

NATIVIDAD MEDICAL CENTER

CMS id: 050248
1441 CONSTITUTION BLDV, SALINAS CA 93906. County: MONTEREY
System: --
CBSA: Salinas, CA

The 172-bed, acute-care hospital had $-77,859,737 in net service to patients*, with a total profit margin of 6.04909% in fiscal year 2021, the latest year available.
It spent 1.27% of its operating expenses on uncompensated care and reported $1,554,896 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	gov	gov	gov	gov	gov
Acute beds Median	123 118	123 118	123 119.5	121 118	117 119
Total beds Median	172 162	172 162	172 162	172 162	172 163.5
FTEs Median	1,101.15 788.06	1,180.88 793.42	1,252.61 806.03	1,263.38 787.61	1,317.30 804.34

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	229,528,466 150,932,746	249,603,928 158,950,878	259,778,150 168,696,998	250,525,369 163,454,693	278,881,574 186,589,412
Operating expenses Median	261,627,769 149,311,209	280,812,134 156,110,414	300,810,862 164,890,568	326,477,403 166,516,854	356,741,311 180,120,888
Net income from service 2 patients (NS2P) ? Median	-32,099,303 -964,173	-31,208,206 -643,601.5	-41,032,712 -116,254	-75,952,034 -5,025,862	-77,859,737 -1,284,564
NS2P margin ? Median	-13.98% -0.62	-12.50% -0.29	-15.80% 0.18	-30.32% -5.07	-27.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NATIVIDAD 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	65,143,861 5,089,215	74,719,200 4,572,541	67,129,068 5,268,134	92,955,338 13,092,619	100,828,746 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	900,000 224,999	720,000 199,009	720,000 206,870.5	718,017 194,343	720,002 249,496
⊳ Line 7: Investments ? ⊳ Median	884,058 299,524	1,806,012 188,688.5	4,218,166 370,813	4,554,620 309,361.5	2,556,216 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	1,483	2,022	9,990	4,780	3,798
⊳ Line 11: Rebates and refunds of expenses	377,386	305,252	517,578	478,591	337,122
⊳ 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	501,697	592,832	657,891	585,187	393,056
⊳ Line 15: Revenue from rental of living quarters	869,814	1,911,852	1,478,867	1,362,075	1,481,301
⊳ 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	60,734	66,604	68,097	61,607	67,699
⊳ 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	9,144	14,185	12,790	11,261	8,658
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	57,385,375 1,017,693	43,216,676 983,261.5	49,289,713 1,173,286	67,586,371 1,987,202	77,390,582 1,597,664
⊳ Sum Line 24	4,154,170	26,083,765	10,155,976	17,592,829	17,870,312
Total income ? Median	33,044,558 6,586,430	43,510,994 6,767,106	26,096,356 8,419,950	17,003,304 8,094,175	22,969,009 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	33,044,558 6,043,842	43,510,994 5,845,112	26,096,356 7,606,259	17,003,304 7,283,041	22,969,009 14,957,241
Net margin Median	11.21400% 4.62%	13.41594% 4.42%	7.98280% 5.16%	4.95029% 5.2%	6.04909% 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 NATIVIDAD 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	34,194,733 23,241,334	35,551,205 23,709,545	38,533,014 24,248,380	40,735,781 22,858,541	44,027,057 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	24,255,059 21,577,146	24,708,935 22,041,594	25,937,601 22,722,063	26,011,863 21,570,441	29,764,329 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	9,939,674 3,535,627	10,842,270 3,746,588	12,595,413 3,782,288	14,723,918 3,865,578	14,262,728 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	5,651,098 11,160,864	6,587,699 11,987,345	7,304,895 12,926,866	7,007,224 11,884,480	6,501,645 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	5,651,098 10,918,923	6,587,699 11,706,976	7,304,895 12,615,917	7,007,224 11,458,116	6,501,645 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	1,637,654 3,284,314	1,876,859 3,250,551	1,970,138 3,386,837	1,970,575 3,360,806	2,092,903 3,508,953
Disproportionate-share hospital (DSH) Median	2,111,899 594,888	2,285,990 595,761	2,339,009 577,894	2,291,640 542,168	2,607,299 549,667
Outlier Median	2,542,731 582,572	1,389,104 538,116	1,793,083 212,434	540,082 126,559	833,258 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	5,895,877 4,081,319	11,656,511 4,643,908	1,554,896 4,389,147
Charity care Median	2,661,183 2,654,636	2,665,658 2,940,659	1,835,492 3,380,215	2,701,714 3,488,738	2,875,558 3,233,405
Uncompensated care (UCC) Median	3,172,177 5,147,790	3,538,199 5,337,617	3,550,918 5,711,082	10,277,950 5,923,418	4,539,625 5,508,107
UCC as a % of operating expenses Median	1.21% 3.24	1.26% 3.12	1.18% 3.21	3.15% 3.3	1.27% 2.86
Total shortfall/UCC Median	3,172,177 9,489,989	3,538,199 9,424,297	9,446,795 10,120,158	21,934,461 11,171,337	6,094,521 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	113,347,572 52,142,039	122,060,478 54,485,252	134,722,134 57,395,589	138,691,941 58,830,919	149,825,105 61,722,907
Salaries as a % of operating expenses Median	43.32 36.68	43.47 36.56	44.79 36.37	42.48 35.93	42.00 35.24
Intern, resident salaries* Median	3,524,738 2,598,592	3,973,911 2,686,824	4,447,263 2,753,773	4,890,942 2,937,156	4,793,252 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	4,112,685 1,449,244	4,584,447 1,475,986	0 1,563,078	2,197,236 1,721,954	22,773,769 2,991,828
Contract hours, direct-care Median	61,418.40 22,725	61,031.33 23,018.5	0.00 24,503.48	25,507.55 25,026.5	186,183.47 33,786
Contract wages, direct-care Median	66.96 64.67	75.12 64.53	0.00 65.06	86.14 68.97	122.32 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.