As of the July, 2022, release via CMS

SALINAS VALLEY MEMORIAL HOSPITAL

CMS id: 050334
450 E. ROMIE LANE, SALINAS CA 93901. County: MONTEREY
System: --
CBSA: Salinas, CA

The 240-bed, acute-care hospital had $82,260,106 in net service to patients*, with a total profit margin of 11.04473% in fiscal year 2021, the latest year available.
It spent 1.82% of its operating expenses on uncompensated care and reported $46,408,994 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	239 118	239 118	216 119.5	216 118	216 119
Total beds Median	263 162	263 162	240 162	240 162	240 163.5
FTEs Median	1,400.32 788.06	1,515.21 793.42	1,588.30 806.03	1,674.99 787.61	1,724.61 804.34

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	409,003,782 150,932,746	467,966,632 158,950,878	547,059,158 168,696,998	568,949,767 163,454,693	572,018,531 186,589,412
Operating expenses Median	359,273,750 149,311,209	383,267,077 156,110,414	468,977,376 164,890,568	461,167,254 166,516,854	489,758,425 180,120,888
Net income from service 2 patients (NS2P) ? Median	49,730,032 -964,173	84,699,555 -643,601.5	78,081,782 -116,254	107,782,513 -5,025,862	82,260,106 -1,284,564
NS2P margin ? Median	12.16% -0.62	18.10% -0.29	14.27% 0.18	18.94% -5.07	14.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SALINAS 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	4,179,524 5,089,215	12,033,875 4,572,541	9,683,927 5,268,134	44,957,721 13,092,619	28,310,296 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,000,000 224,999	2,267,847 199,009	1,825,236 206,870.5	2,180,611 194,343	1,371,500 249,496
⊳ Line 7: Investments ? ⊳ Median	353,922 299,524	1,108,998 188,688.5	9,222,468 370,813	9,050,586 309,361.5	1,765,889 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	60,643	38,439	49,862	36,358	9,882
⊳ 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	741,198	817,974	893,556	707,380	667,452
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	9,356	1,812	50,170	22,230	2,536,962
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	310,440
⊳ Line 18: Revenue from sale of medical records and abstracts	33,962	35,844	40,320	39,825	35,161
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,022,790	1,065,682	1,138,425	1,057,247	921,211
⊳ Line 21: Rental of vending machines	7,988	7,715	7,304	7,402	5,442
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	2,000,000 1,173,286	0 1,987,202	296,734 1,597,664
⊳ Sum Line 24	949,665	6,689,564	-5,543,414	31,856,082	20,389,623
Total income ? Median	53,909,556 6,586,430	96,733,430 6,767,106	87,765,709 8,419,950	152,740,234 8,094,175	110,570,402 15,162,888
Non-operating expenses Median	4,553,871 146,289.5	14,001,714 164,857	5,599,195 89,880.5	37,612,433 106,761	44,265,732 31,473.5
Net income Median	49,355,685 6,043,842	82,731,716 5,845,112	82,166,514 7,606,259	115,127,801 7,283,041	66,304,670 14,957,241
Net margin Median	11.94523% 4.62%	17.23576% 4.42%	14.75843% 5.16%	18.75328% 5.2%	11.04473% 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 SALINAS 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	76,887,531 23,241,334	81,677,240 23,709,545	85,768,226 24,248,380	78,506,867 22,858,541	81,432,881 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	76,887,531 21,577,146	81,677,240 22,041,594	85,768,226 22,722,063	78,506,867 21,570,441	81,432,881 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	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	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	29,490,707 11,160,864	32,647,532 11,987,345	39,023,091 12,926,866	41,862,561 11,884,480	40,918,356 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	29,102,272 10,918,923	32,173,236 11,706,976	38,537,455 12,615,917	41,403,650 11,458,116	40,665,869 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	388,435 618,038	474,296 697,279	485,636 690,232	458,911 684,010	252,487 670,558
⊳ 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	3,492,977 594,888	4,311,126 595,761	4,493,823 577,894	4,035,232 542,168	3,948,768 549,667
Outlier Median	11,816,077 582,572	9,648,148 538,116	6,269,008 212,434	434,524 126,559	485,721 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	35,833,109 3,662,910	26,353,489 3,730,911	39,758,091 4,081,319	48,552,820 4,643,908	46,408,994 4,389,147
Charity care Median	1,593,851 2,654,636	3,303,257 2,940,659	4,206,986 3,380,215	4,045,270 3,488,738	4,372,394 3,233,405
Uncompensated care (UCC) Median	8,658,250 5,147,790	6,393,081 5,337,617	8,329,349 5,711,082	8,469,148 5,923,418	8,910,414 5,508,107
UCC as a % of operating expenses Median	2.41% 3.24	1.67% 3.12	1.78% 3.21	1.84% 3.3	1.82% 2.86
Total shortfall/UCC Median	44,491,359 9,489,989	32,746,570 9,424,297	48,087,440 10,120,158	57,021,968 11,171,337	55,319,408 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	170,088,211 52,142,039	180,476,982 54,485,252	194,283,120 57,395,589	206,290,638 58,830,919	220,111,793 61,722,907
Salaries as a % of operating expenses Median	47.34 36.68	47.09 36.56	41.41 36.37	44.73 35.93	44.94 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	1,494,487 1,449,244	3,323,157 1,475,986	331,028 1,563,078	3,015,104 1,721,954	10,286,266 2,991,828
Contract hours, direct-care Median	17,008.68 22,725	38,613.75 23,018.5	3,849.85 24,503.48	32,442.34 25,026.5	81,027.14 33,786
Contract wages, direct-care Median	87.87 64.67	86.06 64.53	85.98 65.06	92.94 68.97	126.95 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.