As of the July, 2022, release via CMS

VALLEY MEMORIAL HOSPITAL

CMS id: 050283
5555 W. LAS POSITAS BOULEVARD, PLEASANTON CA 94588. County: ALAMEDA
System: --
CBSA: San Francisco-Oakland-Berkeley, CA

The 242-bed, acute-care hospital had $-4,634,247 in net service to patients*, with a total profit margin of 1.56114% in fiscal year 2021, the latest year available.
It spent 2.40% of its operating expenses on uncompensated care and reported $22,677,737 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	144 118	144 118	144 119.5	176 118	176 119
Total beds Median	207 162	207 162	207 162	242 162	242 163.5
FTEs Median	1,112.12 788.06	1,043.37 793.42	985.57 806.03	998.90 787.61	1,162.07 804.34

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	261,198,548 150,932,746	264,430,412 158,950,878	296,659,310 168,696,998	295,099,304 163,454,693	347,183,776 186,589,412
Operating expenses Median	275,944,270 149,311,209	312,783,481 156,110,414	297,859,811 164,890,568	307,376,876 166,516,854	351,818,023 180,120,888
Net income from service 2 patients (NS2P) ? Median	-14,745,722 -964,173	-48,353,069 -643,601.5	-1,200,501 -116,254	-12,277,572 -5,025,862	-4,634,247 -1,284,564
NS2P margin ? Median	-5.65% -0.62	-18.29% -0.29	-0.40% 0.18	-4.16% -5.07	-1.33% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for VALLEY MEMORIAL HOSPITAL 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	7,716,466 5,089,215	8,050,879 4,572,541	7,607,753 5,268,134	20,770,121 13,092,619	10,074,136 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	-69,475 299,524	136,124 188,688.5	180,426 370,813	434,147 309,361.5	394,152 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	1,005	730	326	180	6,923
⊳ Line 11: Rebates and refunds of expenses	117,325	70,168	496,718	113,035	175,882
⊳ 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	550,428	571,926	457,567	151,633	69,986
⊳ 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	19,368	24,839	18,362	13,630	12,059
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	47,930	0	0	0	0
⊳ Line 21: Rental of vending machines	2,506	0	0	0	0
⊳ Line 22: Rental of hospital space	1,660,527	1,580,213	1,388,210	2,103,665	1,653,352
⊳ 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	5,386,852	5,666,879	5,066,144	17,953,831	7,761,782
Total income ? Median	-7,029,256 6,586,430	-40,302,190 6,767,106	6,407,252 8,419,950	8,492,549 8,094,175	5,439,889 15,162,888
Non-operating expenses Median	0 146,289.5	117,490 164,857	-562,703 89,880.5	-156,382 106,761	-137,392 31,473.5
Net income Median	-7,029,256 6,043,842	-40,419,680 5,845,112	6,969,955 7,606,259	8,648,931 7,283,041	5,577,281 14,957,241
Net margin Median	-2.61393% 4.62%	-14.83393% 4.42%	2.29074% 5.16%	2.73813% 5.2%	1.56114% 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 VALLEY MEMORIAL HOSPITAL 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	48,874,563 23,241,334	42,770,480 23,709,545	47,046,781 24,248,380	48,566,425 22,858,541	47,700,088 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	43,081,565 21,577,146	39,286,055 22,041,594	43,486,930 22,722,063	45,585,513 21,570,441	47,700,088 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	2,315,456 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	3,477,542 1,203,033	3,484,425 1,215,295	3,559,851 1,313,657	2,980,912 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	15,704,476 11,160,864	19,279,635 11,987,345	20,950,808 12,926,866	21,323,323 11,884,480	29,491,850 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	15,704,476 10,918,923	19,279,635 11,706,976	20,950,808 12,615,917	21,323,323 11,458,116	29,491,850 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	862,837 594,888	970,334 595,761	800,377 577,894	945,560 542,168	1,083,885 549,667
Outlier Median	1,917,685 582,572	1,431,910 538,116	4,048,640 212,434	642,478 126,559	505,502 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	18,327,345 3,662,910	23,489,317 3,730,911	17,545,992 4,081,319	13,091,243 4,643,908	22,677,737 4,389,147
Charity care Median	2,181,329 2,654,636	8,367,533 2,940,659	6,547,903 3,380,215	5,405,991 3,488,738	5,356,133 3,233,405
Uncompensated care (UCC) Median	4,987,826 5,147,790	11,577,040 5,337,617	7,416,567 5,711,082	7,226,053 5,923,418	8,460,383 5,508,107
UCC as a % of operating expenses Median	1.81% 3.24	3.70% 3.12	2.49% 3.21	2.35% 3.3	2.40% 2.86
Total shortfall/UCC Median	23,315,171 9,489,989	35,066,357 9,424,297	24,962,559 10,120,158	20,317,296 11,171,337	31,138,120 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	121,651,791 52,142,039	122,889,641 54,485,252	122,691,790 57,395,589	128,126,902 58,830,919	149,292,385 61,722,907
Salaries as a % of operating expenses Median	44.09 36.68	39.29 36.56	41.19 36.37	41.68 35.93	42.43 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	3,809,017 1,449,244	5,933,364 1,475,986	6,743,118 1,563,078	0 1,721,954	3,013,449 2,991,828
Contract hours, direct-care Median	46,670.30 22,725	70,190.16 23,018.5	76,637.00 24,503.48	0.00 25,026.5	24,599.00 33,786
Contract wages, direct-care Median	81.62 64.67	84.53 64.53	87.99 65.06	0.00 68.97	122.50 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.