As of the July, 2022, release via CMS

EL CAMINO HOSPITAL

CMS id: 050308
2500 GRANT ROAD, MOUNTAIN VIEW CA 94039. County: SANTA CLARA
System: --
CBSA: San Jose-Sunnyvale-Santa Clara, CA

The 454-bed, acute-care hospital had $111,355,676 in net service to patients*, with a total profit margin of 27.41980% in fiscal year 2021, the latest year available.
It spent 1.82% of its operating expenses on uncompensated care and reported $14,085,559 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	gov	gov	gov	gov
Acute beds Median	303 118	303 118	303 119.5	303 118	306 119
Total beds Median	443 162	443 162	443 162	443 162	454 163.5
FTEs Median	2,450.13 788.06	2,515.87 793.42	2,611.42 806.03	2,729.21 787.61	2,783.02 804.34

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	832,262,791 150,932,746	900,868,387 158,950,878	944,048,054 168,696,998	956,711,510 163,454,693	1,070,569,546 186,589,412
Operating expenses Median	746,244,416 149,311,209	785,454,213 156,110,414	835,366,916 164,890,568	885,172,892 166,516,854	959,213,870 180,120,888
Net income from service 2 patients (NS2P) ? Median	86,018,375 -964,173	115,414,174 -643,601.5	108,681,138 -116,254	71,538,618 -5,025,862	111,355,676 -1,284,564
NS2P margin ? Median	10.34% -0.62	12.81% -0.29	11.51% 0.18	7.48% -5.07	10.40% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EL CAMINO 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	87,741,035 5,089,215	49,678,103 4,572,541	74,978,893 5,268,134	75,427,554 13,092,619	253,433,625 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	63,506,817 299,524	57,622,540 188,688.5	45,675,951 370,813	28,277,840 309,361.5	229,149,153 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ 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	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	8,205	7,804	7,967	0	0
⊳ Line 22: Rental of hospital space	10,594,561	12,158,711	14,150,277	13,242,124	13,495,832
⊳ 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	13,631,452	-20,110,952	15,144,698	33,907,590	10,788,640
Total income ? Median	173,759,410 6,586,430	165,092,277 6,767,106	183,660,031 8,419,950	146,966,172 8,094,175	364,789,301 15,162,888
Non-operating expenses Median	4,182,953 146,289.5	4,407,600 164,857	24,997,845 89,880.5	1,266,002 106,761	1,750,314 31,473.5
Net income Median	169,576,457 6,043,842	160,684,677 5,845,112	158,662,186 7,606,259	145,700,170 7,283,041	363,038,987 14,957,241
Net margin Median	18.43215% 4.62%	16.90445% 4.42%	15.56997% 5.16%	14.11633% 5.2%	27.41980% 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 EL CAMINO 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	120,295,334 23,241,334	122,476,531 23,709,545	134,967,404 24,248,380	121,846,649 22,858,541	135,674,601 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	108,134,496 21,577,146	110,347,719 22,041,594	120,269,400 22,722,063	107,151,022 21,570,441	120,652,405 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	1,650,613 1,845,420	1,343,181 1,757,392	1,795,653 1,738,842	1,393,570 1,510,463	1,760,319 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	10,510,225 3,535,627	10,785,631 3,746,588	12,902,351 3,782,288	13,302,057 3,865,578	13,261,877 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	52,528,619 11,160,864	58,385,646 11,987,345	65,265,932 12,926,866	68,299,693 11,884,480	76,980,144 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	52,528,619 10,918,923	58,385,646 11,706,976	65,265,932 12,615,917	68,299,693 11,458,116	76,980,144 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	1,217,802 594,888	1,373,494 595,761	6,325,746 577,894	1,207,808 542,168	1,540,330 549,667
Outlier Median	15,112,248 582,572	12,771,754 538,116	9,280,725 212,434	2,172,254 126,559	3,283,745 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	708,095 3,662,910	16,903,327 3,730,911	19,584,230 4,081,319	28,800,389 4,643,908	14,085,559 4,389,147
Charity care Median	4,057,481 2,654,636	13,892,752 2,940,659	15,885,754 3,380,215	14,624,965 3,488,738	13,599,588 3,233,405
Uncompensated care (UCC) Median	8,926,646 5,147,790	17,701,747 5,337,617	18,418,013 5,711,082	17,389,365 5,923,418	17,479,314 5,508,107
UCC as a % of operating expenses Median	1.20% 3.24	2.25% 3.12	2.20% 3.21	1.96% 3.3	1.82% 2.86
Total shortfall/UCC Median	9,634,741 9,489,989	34,605,074 9,424,297	38,002,243 10,120,158	46,189,754 11,171,337	31,564,873 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	341,584,687 52,142,039	361,141,604 54,485,252	389,590,625 57,395,589	408,260,806 58,830,919	429,587,643 61,722,907
Salaries as a % of operating expenses Median	45.77 36.68	45.98 36.56	46.64 36.37	46.12 35.93	44.79 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	6,751,876 1,449,244	8,689,917 1,475,986	7,165,725 1,563,078	8,699,863 1,721,954	14,617,881 2,991,828
Contract hours, direct-care Median	84,377.85 22,725	102,553.19 23,018.5	80,816.58 24,503.48	99,365.10 25,026.5	123,947.90 33,786
Contract wages, direct-care Median	80.02 64.67	84.74 64.53	88.67 65.06	87.55 68.97	117.94 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.