As of the July, 2022, release via CMS

PALO VERDE HOSPITAL

CMS id: 050423
250 NORTH FIRST STREET DRAWER 2, BLYTHE CA 92225. County: RIVERSIDE
System: --
CBSA: Riverside-San Bernardino-Ontario, CA

The 17-bed, acute-care hospital had $-3,614,171 in net service to patients*, with a total profit margin of 13.27281% in fiscal year 2021, the latest year available.
It spent 0.00% 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	gov	gov	gov	gov	gov
Acute beds Median	47 118	47 118	47 119.5	47 118	15 119
Total beds Median	51 162	51 162	51 162	51 162	17 163.5
FTEs Median	147.42 788.06	131.39 793.42	123.26 806.03	113.93 787.61	94.49 804.34

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	20,150,955 150,932,746	16,891,677 158,950,878	20,209,517 168,696,998	18,204,927 163,454,693	16,336,113 186,589,412
Operating expenses Median	21,570,723 149,311,209	20,057,963 156,110,414	20,256,141 164,890,568	19,941,991 166,516,854	19,950,284 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,419,768 -964,173	-3,166,286 -643,601.5	-46,624 -116,254	-1,737,064 -5,025,862	-3,614,171 -1,284,564
NS2P margin ? Median	-7.05% -0.62	-18.74% -0.29	-0.23% 0.18	-9.54% -5.07	-22.12% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PALO VERDE 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	3,860,674 5,089,215	3,773,393 4,572,541	3,099,849 5,268,134	1,601,438 13,092,619	6,689,327 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	158,773 224,999	142,046 199,009	213,209 206,870.5	100,304 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	8,198 299,524	7,605 188,688.5	14,441 370,813	18,836 309,361.5	10,112 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	79	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	13,922	24,584	29,062	26,875	28,903
⊳ 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	41,259	39,631	39,074	35,878	23,358
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	3,082,125	1,615,310	1,534,615	393,834	1,381,569
⊳ 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	5,430	5,917	3,720	3,811	3,251
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	65	1,165	1,103	1,219	806
⊳ Line 22: Rental of hospital space	98,829	88,908	105,267	108,059	111,807
⊳ Line 23: Gov appropriations ? ⊳ Median	442,688 1,017,693	1,215,709 983,261.5	1,153,772 1,173,286	754,929 1,987,202	667,033 1,597,664
⊳ Sum Line 24	9,306	632,518	5,586	157,693	4,462,488
Total income ? Median	2,440,906 6,586,430	607,107 6,767,106	3,053,225 8,419,950	-135,626 8,094,175	3,075,156 15,162,888
Non-operating expenses Median	56,441 146,289.5	34,417 164,857	23,466 89,880.5	23,099 106,761	19,032 31,473.5
Net income Median	2,384,465 6,043,842	572,690 5,845,112	3,029,759 7,606,259	-158,725 7,283,041	3,056,124 14,957,241
Net margin Median	9.93046% 4.62%	2.77129% 4.42%	12.99803% 5.16%	-0.80138% 5.2%	13.27281% 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 PALO VERDE 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	2,550,022 23,241,334	2,519,492 23,709,545	2,350,069 24,248,380	1,908,333 22,858,541	1,165,784 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	2,550,022 21,577,146	2,519,492 22,041,594	2,350,069 22,722,063	1,908,333 21,570,441	1,165,784 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	1,251,573 11,160,864	1,229,180 11,987,345	1,191,924 12,926,866	1,147,407 11,884,480	1,194,090 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	1,251,573 10,918,923	1,229,180 11,706,976	1,191,924 12,615,917	1,147,407 11,458,116	1,194,090 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	38,168 594,888	38,586 595,761	36,617 577,894	29,440 542,168	17,677 549,667
Outlier Median	9,272 582,572	1,149 538,116	4,463 212,434	1,480 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	342,423 2,654,636	14,759 2,940,659	0 3,380,215	8,755 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	1,784,999 5,147,790	542,787 5,337,617	122,226 5,711,082	8,755 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	8.28% 3.24	2.71% 3.12	0.60% 3.21	0.04% 3.3	0.00% 2.86
Total shortfall/UCC Median	1,784,999 9,489,989	542,787 9,424,297	122,226 10,120,158	8,755 11,171,337	0 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	9,129,653 52,142,039	8,214,430 54,485,252	7,340,218 57,395,589	7,814,052 58,830,919	7,614,870 61,722,907
Salaries as a % of operating expenses Median	42.32 36.68	40.95 36.56	36.24 36.37	39.18 35.93	38.17 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	479,743 1,449,244	1,005,779 1,475,986	1,564,164 1,563,078	1,516,508 1,721,954	1,735,131 2,991,828
Contract hours, direct-care Median	5,906.04 22,725	9,346.50 23,018.5	22,029.63 24,503.48	20,623.79 25,026.5	23,633.97 33,786
Contract wages, direct-care Median	81.23 64.67	107.61 64.53	71.00 65.06	73.53 68.97	73.42 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.