As of the July, 2022, release via CMS

CHINESE HOSPITAL

CMS id: 050407
845 JACKSON STREET, SAN FRANCISCO CA 94133. County: SAN FRANCISCO
System: --
CBSA: San Francisco-Oakland-Berkeley, CA

The 80-bed, acute-care hospital had $-51,051,530 in net service to patients*, with a total profit margin of -7.84921% in fiscal year 2021, the latest year available.
It spent 0.40% 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	59 118	59 118	59 119.5	82 118	74 119
Total beds Median	65 162	65 162	65 162	88 162	80 163.5
FTEs Median	331.73 788.06	307.04 793.42	341.57 806.03	341.88 787.61	350.61 804.34

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	96,339,388 150,932,746	83,501,339 158,950,878	94,279,932 168,696,998	73,075,717 163,454,693	83,895,015 186,589,412
Operating expenses Median	134,545,502 149,311,209	127,293,706 156,110,414	128,839,524 164,890,568	126,941,907 166,516,854	134,946,545 180,120,888
Net income from service 2 patients (NS2P) ? Median	-38,206,114 -964,173	-43,792,367 -643,601.5	-34,559,592 -116,254	-53,866,190 -5,025,862	-51,051,530 -1,284,564
NS2P margin ? Median	-39.66% -0.62	-52.45% -0.29	-36.66% 0.18	-73.71% -5.07	-60.85% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CHINESE 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	26,254,575 5,089,215	25,184,045 4,572,541	27,855,914 5,268,134	37,493,367 13,092,619	41,230,190 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	313,070 224,999	1,322,226 199,009	2,691,256 206,870.5	2,918,725 194,343	4,375,685 249,496
⊳ Line 7: Investments ? ⊳ Median	1,407,584 299,524	980,451 188,688.5	1,143,070 370,813	1,693,192 309,361.5	1,262,659 375,329
⊳ 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	216,320	145,543	438,991	309,724	172,284
⊳ Line 12: Parking lot receipts	303,184	307,651	298,198	279,608	282,811
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	35,575	28,255	33,218	27,810	28,623
⊳ 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	3,638	6,041	12,061	8,064	10,465
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	116,805	117,570	102,035	16,875	24,510
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	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	23,858,399	22,276,308	23,137,085	32,239,369	35,073,153
Total income ? Median	-11,951,539 6,586,430	-18,608,322 6,767,106	-6,703,678 8,419,950	-16,372,823 8,094,175	-9,821,340 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-11,951,539 6,043,842	-18,608,322 5,845,112	-6,703,678 7,606,259	-16,372,823 7,283,041	-9,821,340 14,957,241
Net margin Median	-9.74888% 4.62%	-17.12127% 4.42%	-5.48871% 5.16%	-14.80778% 5.2%	-7.84921% 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 CHINESE 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	7,195,738 23,241,334	6,862,964 23,709,545	8,154,873 24,248,380	8,575,444 22,858,541	8,086,521 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	7,195,738 21,577,146	6,862,964 22,041,594	8,154,873 22,722,063	8,575,444 21,570,441	8,086,521 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	6,629,621 11,160,864	7,366,944 11,987,345	7,062,124 12,926,866	4,988,480 11,884,480	6,893,151 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	6,629,621 10,918,923	7,366,944 11,706,976	7,062,124 12,615,917	4,988,480 11,458,116	6,893,151 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	168,926 594,888	151,266 595,761	178,297 577,894	187,849 542,168	182,015 549,667
Outlier Median	310,191 582,572	689,076 538,116	158,079 212,434	224,213 126,559	257,186 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,800,863 3,662,910	1,900,206 3,730,911	5,744,298 4,081,319	4,532,936 4,643,908	0 4,389,147
Charity care Median	79,434 2,654,636	398,225 2,940,659	792,206 3,380,215	681,133 3,488,738	66,189 3,233,405
Uncompensated care (UCC) Median	481,834 5,147,790	806,031 5,337,617	1,116,807 5,711,082	1,386,512 5,923,418	544,099 5,508,107
UCC as a % of operating expenses Median	0.36% 3.24	0.63% 3.12	0.87% 3.21	1.09% 3.3	0.40% 2.86
Total shortfall/UCC Median	2,282,697 9,489,989	2,706,237 9,424,297	6,861,105 10,120,158	5,919,448 11,171,337	544,099 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	41,253,949 52,142,039	39,561,560 54,485,252	38,029,253 57,395,589	38,567,728 58,830,919	41,070,184 61,722,907
Salaries as a % of operating expenses Median	30.66 36.68	31.08 36.56	29.52 36.37	30.38 35.93	30.43 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	226,648 1,449,244	1,313,966 1,475,986	1,348,103 1,563,078	1,661,245 1,721,954	1,364,085 2,991,828
Contract hours, direct-care Median	2,204.00 22,725	11,906.00 23,018.5	11,074.00 24,503.48	10,880.50 25,026.5	11,030.00 33,786
Contract wages, direct-care Median	102.83 64.67	110.36 64.53	121.74 65.06	152.68 68.97	123.67 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.