As of the July, 2022, release via CMS

ADVENTIST HEALTH LODI MEMORIAL

CMS id: 050336
975 S. FAIRMONT AVENUE, LODI CA 92541. County: SAN JOAQUIN
System: ADVENTIST HEALTH
CBSA: Stockton, CA

The 194-bed, acute-care hospital had $-4,927,248 in net service to patients*, with a total profit margin of 1.99258% in fiscal year 2021, the latest year available.
It spent 2.66% 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	172 118	172 118	172 119.5	172 118	172 119
Total beds Median	190 162	190 162	194 162	194 162	194 163.5
FTEs Median	1,004.85 788.06	993.48 793.42	909.45 806.03	789.61 787.61	696.07 804.34

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	225,436,431 150,932,746	239,675,887 158,950,878	237,966,926 168,696,998	226,755,972 163,454,693	255,898,756 186,589,412
Operating expenses Median	229,033,033 149,311,209	241,772,798 156,110,414	251,457,293 164,890,568	251,260,652 166,516,854	260,826,004 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,596,602 -964,173	-2,096,911 -643,601.5	-13,490,367 -116,254	-24,504,680 -5,025,862	-4,927,248 -1,284,564
NS2P margin ? Median	-1.60% -0.62	-0.87% -0.29	-5.67% 0.18	-10.81% -5.07	-1.93% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADVENTIST HEALTH LODI MEMORIAL 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	5,728,674 5,089,215	7,644,246 4,572,541	10,880,891 5,268,134	27,087,203 13,092,619	10,230,876 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	250,396 224,999	316,427 199,009	75,471 206,870.5	-1,305 194,343	1,100 249,496
⊳ Line 7: Investments ? ⊳ Median	610,418 299,524	1,275,700 188,688.5	1,957,850 370,813	1,678,832 309,361.5	1,634,267 375,329
⊳ 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	688,713	694,104	684,979	484,565	485,220
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	947	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	146,599	141,600
⊳ Line 18: Revenue from sale of medical records and abstracts	11,048	33,479	28,813	23,249	8,990
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	23,287	11,602	17,303	3,000	4,180
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	6,646	8,600	9,279	3,989	2,130
⊳ Line 22: Rental of hospital space	189,721	158,148	254,470	410,969	574,637
⊳ 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	3,947,498	5,146,186	7,852,726	24,337,305	7,378,752
Total income ? Median	2,132,072 6,586,430	5,547,335 6,767,106	-2,609,476 8,419,950	2,582,523 8,094,175	5,303,628 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-2,624 89,880.5	0 106,761	771 31,473.5
Net income Median	2,132,072 6,043,842	5,547,335 5,845,112	-2,606,852 7,606,259	2,582,523 7,283,041	5,302,857 14,957,241
Net margin Median	0.92232% 4.62%	2.24298% 4.42%	-1.04757% 5.16%	1.01737% 5.2%	1.99258% 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 LODI MEMORIAL 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	43,946,266 23,241,334	45,918,703 23,709,545	37,630,584 24,248,380	34,276,178 22,858,541	33,887,045 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	42,545,509 21,577,146	44,428,145 22,041,594	37,171,416 22,722,063	33,391,869 21,570,441	32,600,025 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	1,400,757 3,535,627	1,490,558 3,746,588	459,168 3,782,288	884,309 3,865,578	1,287,020 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	16,945,647 11,160,864	18,244,469 11,987,345	22,296,026 12,926,866	18,876,713 11,884,480	20,949,364 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	15,121,947 10,918,923	16,490,578 11,706,976	21,481,116 12,615,917	18,567,626 11,458,116	20,597,492 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,545,251 1,282,808	1,415,344 1,407,728	333,670 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	278,449 618,038	338,547 697,279	481,240 690,232	309,087 684,010	351,872 670,558
⊳ 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	1,956,297 594,888	1,962,390 595,761	1,655,697 577,894	1,262,852 542,168	1,384,868 549,667
Outlier Median	822,938 582,572	1,148,377 538,116	180,002 212,434	257,995 126,559	454,807 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	25,916,588 3,662,910	29,924,178 3,730,911	14,935,180 4,081,319	12,670,230 4,643,908	0 4,389,147
Charity care Median	4,761,312 2,654,636	542,910 2,940,659	644,907 3,380,215	696,892 3,488,738	3,850,002 3,233,405
Uncompensated care (UCC) Median	5,711,663 5,147,790	1,863,310 5,337,617	3,623,024 5,711,082	3,444,643 5,923,418	6,935,709 5,508,107
UCC as a % of operating expenses Median	2.49% 3.24	0.77% 3.12	1.44% 3.21	1.37% 3.3	2.66% 2.86
Total shortfall/UCC Median	31,628,251 9,489,989	31,787,488 9,424,297	18,558,204 10,120,158	16,114,873 11,171,337	6,935,709 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	80,888,881 52,142,039	85,100,061 54,485,252	81,792,322 57,395,589	75,648,398 58,830,919	74,123,084 61,722,907
Salaries as a % of operating expenses Median	35.32 36.68	35.20 36.56	32.53 36.37	30.11 35.93	28.42 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	923,259 1,449,244	2,480,724 1,475,986	1,129,841 1,563,078	2,549,773 1,721,954	11,693,561 2,991,828
Contract hours, direct-care Median	10,481.00 22,725	28,179.26 23,018.5	12,105.00 24,503.48	18,699.88 25,026.5	48,632.41 33,786
Contract wages, direct-care Median	88.09 64.67	88.03 64.53	93.34 65.06	136.35 68.97	240.45 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.