As of the July, 2022, release via CMS

LAC+USC MEDICAL CENTER

CMS id: 050373
1200 N. STATE STREET, LOS ANGELES CA 90033. County: LOS ANGELES
System: L.A. COUNTY DEPT OF HEALTH SVC ADMIN
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 670-bed, acute-care hospital had $-562,925,049 in net service to patients*, with a total profit margin of -39.02393% in fiscal year 2021, the latest year available.
It spent 8.34% of its operating expenses on uncompensated care and reported $442,938,759 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	396 118	396 118	396 119.5	396 118	396 119
Total beds Median	670 162	670 162	670 162	670 162	670 163.5
FTEs Median	7,530.88 788.06	7,537.67 793.42	7,706.25 806.03	7,842.00 787.61	7,764.16 804.34

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	813,656,534 150,932,746	813,656,534 158,950,878	2,920,824,261 168,696,998	1,591,354,000 163,454,693	1,379,334,583 186,589,412
Operating expenses Median	1,722,100,273 149,311,209	1,843,026,584 156,110,414	1,701,923,832 164,890,568	1,644,411,996 166,516,854	1,942,259,632 180,120,888
Net income from service 2 patients (NS2P) ? Median	-908,443,739 -964,173	-1,029,370,050 -643,601.5	1,218,900,429 -116,254	-53,057,996 -5,025,862	-562,925,049 -1,284,564
NS2P margin ? Median	-111.65% -0.62	-126.51% -0.29	41.73% 0.18	-3.33% -5.07	-40.81% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LAC+USC 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	23,247,842 5,089,215	36,646,270 4,572,541	38,939,378 5,268,134	179,416,000 13,092,619	175,521,963 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	0 299,524	0 188,688.5	0 370,813	358,000 309,361.5	-491,964 375,329
⊳ 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	401,532	1,019,723	1,104,165	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	164,977	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.)	1,001,650	1,033,908	990,302	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	16,538	10,250	9,655	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	21,663,145	34,582,389	36,835,256	179,058,000	176,013,927
Total income ? Median	-885,195,897 6,586,430	-992,723,780 6,767,106	1,257,839,807 8,419,950	126,358,004 8,094,175	-387,403,086 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	452,885,000 106,761	219,363,000 31,473.5
Net income Median	-885,195,897 6,043,842	-992,723,780 5,845,112	1,257,839,807 7,606,259	-326,526,996 7,283,041	-606,766,086 14,957,241
Net margin Median	-105.77026% 4.62%	-116.74944% 4.42%	42.49798% 5.16%	-18.43983% 5.2%	-39.02393% 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 LAC+USC 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	72,664,566 23,241,334	76,845,639 23,709,545	77,089,564 24,248,380	77,361,950 22,858,541	106,695,283 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	68,683,213 21,577,146	73,974,554 22,041,594	74,808,845 22,722,063	76,136,721 21,570,441	105,423,596 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	3,981,353 1,845,420	2,871,085 1,757,392	2,280,719 1,738,842	1,225,229 1,510,463	1,271,687 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	14,670,430 11,160,864	15,815,627 11,987,345	20,538,308 12,926,866	20,523,527 11,884,480	20,316,217 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	14,670,430 10,918,923	15,815,627 11,706,976	20,538,308 12,615,917	20,523,527 11,458,116	20,316,217 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	13,061,408 3,284,314	13,989,020 3,250,551	12,857,166 3,386,837	13,988,649 3,360,806	20,862,013 3,508,953
Disproportionate-share hospital (DSH) Median	3,744,556 594,888	3,762,225 595,761	3,567,583 577,894	4,170,747 542,168	6,100,562 549,667
Outlier Median	5,246,394 582,572	4,405,137 538,116	3,869,069 212,434	955,136 126,559	993,238 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	510,704,629 3,662,910	417,099,268 3,730,911	333,703,768 4,081,319	417,078,678 4,643,908	442,938,759 4,389,147
Charity care Median	95,215,372 2,654,636	89,442,406 2,940,659	96,181,607 3,380,215	107,301,172 3,488,738	134,620,553 3,233,405
Uncompensated care (UCC) Median	97,237,621 5,147,790	109,989,511 5,337,617	120,148,428 5,711,082	129,049,169 5,923,418	161,914,277 5,508,107
UCC as a % of operating expenses Median	5.65% 3.24	5.97% 3.12	7.06% 3.21	7.85% 3.3	8.34% 2.86
Total shortfall/UCC Median	607,942,250 9,489,989	527,088,779 9,424,297	453,852,196 10,120,158	546,127,847 11,171,337	604,853,036 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	597,290,608 52,142,039	622,092,718 54,485,252	622,109,284 57,395,589	650,604,715 58,830,919	662,822,287 61,722,907
Salaries as a % of operating expenses Median	34.33 36.68	33.06 36.56	36.19 36.37	27.41 35.93	32.86 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	2,039,275 1,251,927	2,118,098 1,186,494	2,356,941 1,204,885	2,534,954 1,279,653	2,534,954 1,469,317
Contract adjusted salaries, direct-care Median	28,494,755 1,449,244	26,059,057 1,475,986	22,960,233 1,563,078	23,706,590 1,721,954	39,234,819 2,991,828
Contract hours, direct-care Median	712,184.00 22,725	583,081.00 23,018.5	553,071.00 24,503.48	521,910.00 25,026.5	618,437.00 33,786
Contract wages, direct-care Median	40.01 64.67	44.69 64.53	41.51 65.06	45.42 68.97	63.44 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.