As of the July, 2022, release via CMS

EMANATE HEALTH MEDICAL CENTER

CMS id: 050382
210 WEST SAN BERNARDINO ROAD, COVINA CA 91723. County: LOS ANGELES
System: EMANATE HEALTH
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 526-bed, acute-care hospital had $-2,107,070 in net service to patients*, with a total profit margin of 6.04334% in fiscal year 2021, the latest year available.
It spent 2.05% of its operating expenses on uncompensated care and reported $17,885,056 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	401 118	401 118	401 119.5	401 118	401 119
Total beds Median	528 162	526 162	526 162	526 162	526 163.5
FTEs Median	2,060.48 788.06	2,095.05 793.42	2,145.18 806.03	2,025.98 787.61	1,955.49 804.34

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	505,462,067 150,932,746	478,820,998 158,950,878	488,949,630 168,696,998	452,707,283 163,454,693	515,414,915 186,589,412
Operating expenses Median	445,464,110 149,311,209	455,720,085 156,110,414	483,827,416 164,890,568	496,951,690 166,516,854	517,521,985 180,120,888
Net income from service 2 patients (NS2P) ? Median	59,997,957 -964,173	23,100,913 -643,601.5	5,122,214 -116,254	-44,244,407 -5,025,862	-2,107,070 -1,284,564
NS2P margin ? Median	11.87% -0.62	4.82% -0.29	1.05% 0.18	-9.77% -5.07	-0.41% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EMANATE HEALTH 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	36,338,409 5,089,215	6,051,278 4,572,541	40,192,077 5,268,134	40,411,222 13,092,619	36,550,089 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,006,907 224,999	1,510,453 199,009	2,095,871 206,870.5	1,225,510 194,343	1,459,015 249,496
⊳ Line 7: Investments ? ⊳ Median	29,097,786 299,524	0 188,688.5	33,362,625 370,813	23,222,568 309,361.5	31,270,061 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	20,911	21,889	19,778	7,221	3,492
⊳ Line 11: Rebates and refunds of expenses	794,885	800,353	972,722	1,746,742	850,854
⊳ 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	1,384,744	1,342,740	1,330,499	790,175	782,002
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	10,445	7,577	4,839	5,968	4,456
⊳ 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.)	77,055	35,580	7,755	1,245	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	32,040	31,982	36,738	20,852	33,745
⊳ Line 22: Rental of hospital space	1,440,347	1,734,476	1,804,482	1,598,429	1,542,336
⊳ 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	473,289	566,228	556,768	11,792,512	604,128
Total income ? Median	96,336,366 6,586,430	29,152,191 6,767,106	45,314,291 8,419,950	-3,833,185 8,094,175	34,443,019 15,162,888
Non-operating expenses Median	4,812,614 146,289.5	11,191,702 164,857	5,253,142 89,880.5	1,001,848 106,761	1,085,907 31,473.5
Net income Median	91,523,752 6,043,842	17,960,489 5,845,112	40,061,149 7,606,259	-4,835,033 7,283,041	33,357,112 14,957,241
Net margin Median	16.89252% 4.62%	3.70417% 4.42%	7.57097% 5.16%	-0.98050% 5.2%	6.04334% 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 EMANATE HEALTH 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	71,599,152 23,241,334	71,996,018 23,709,545	72,033,443 24,248,380	65,044,196 22,858,541	62,900,887 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	65,018,337 21,577,146	65,490,133 22,041,594	65,724,965 22,722,063	58,696,408 21,570,441	55,226,485 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	4,782,215 3,535,627	4,334,762 3,746,588	3,721,865 3,782,288	3,334,977 3,865,578	4,183,630 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	1,798,600 1,203,033	2,171,123 1,215,295	2,586,613 1,313,657	3,012,811 1,365,298	3,490,772 1,179,746
All outpatient revenue Median Click here to show/hide details	16,538,979 11,160,864	17,030,109 11,987,345	16,732,341 12,926,866	12,822,819 11,884,480	12,638,924 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	14,627,093 10,918,923	15,480,621 11,706,976	14,834,564 12,615,917	10,888,867 11,458,116	10,611,245 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,911,886 1,282,808	1,549,488 1,407,728	1,897,777 1,341,512	1,933,952 1,407,046	2,027,679 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	251,734 3,284,314	1,197,587 3,250,551	2,256,286 3,386,837	2,526,390 3,360,806	2,370,185 3,508,953
Disproportionate-share hospital (DSH) Median	4,947,251 594,888	4,735,625 595,761	4,646,659 577,894	4,465,198 542,168	3,825,130 549,667
Outlier Median	1,221,261 582,572	928,664 538,116	183,974 212,434	235,809 126,559	284,449 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	1,887,902 4,081,319	21,022,687 4,643,908	17,885,056 4,389,147
Charity care Median	1,467,642 2,654,636	7,153,822 2,940,659	7,889,462 3,380,215	11,764,868 3,488,738	6,994,360 3,233,405
Uncompensated care (UCC) Median	4,316,639 5,147,790	10,624,640 5,337,617	12,664,784 5,711,082	15,524,375 5,923,418	10,601,832 5,508,107
UCC as a % of operating expenses Median	0.97% 3.24	2.33% 3.12	2.62% 3.21	3.12% 3.3	2.05% 2.86
Total shortfall/UCC Median	4,316,639 9,489,989	10,624,640 9,424,297	14,552,686 10,120,158	36,547,062 11,171,337	28,486,888 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	168,603,164 52,142,039	176,073,038 54,485,252	186,290,632 57,395,589	184,206,171 58,830,919	186,679,985 61,722,907
Salaries as a % of operating expenses Median	37.85 36.68	38.64 36.56	38.50 36.37	37.07 35.93	36.07 35.24
Intern, resident salaries* Median	707,318 2,598,592	1,171,146 2,686,824	1,765,249 2,753,773	1,861,706 2,937,156	1,893,775 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	6,387,398 1,449,244	7,289,324 1,475,986	4,480,909 1,563,078	9,381,296 1,721,954	17,282,503 2,991,828
Contract hours, direct-care Median	110,793.00 22,725	103,642.00 23,018.5	65,308.00 24,503.48	130,149.00 25,026.5	146,602.00 33,786
Contract wages, direct-care Median	57.65 64.67	70.33 64.53	68.61 65.06	72.08 68.97	117.89 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.