As of the July, 2022, release via CMS

WEST ANAHEIM MEDICAL CENTER

CMS id: 050426
3033 ORANGE AVE, ANAHEIM CA 92804. County: ORANGE
System: PRIME HEALTHCARE MANAGEMENT SERVICE
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 219-bed, acute-care hospital had $18,235,529 in net service to patients*, with a total profit margin of 15.16442% in fiscal year 2021, the latest year available.
It spent 3.20% of its operating expenses on uncompensated care and reported $7,506,803 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	147 118	147 118	147 119.5	147 118	147 119
Total beds Median	219 162	219 162	219 162	219 162	219 163.5
FTEs Median	602.40 788.06	701.95 793.42	631.13 806.03	624.28 787.61	605.52 804.34

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	123,981,880 150,932,746	122,583,068 158,950,878	126,815,826 168,696,998	124,686,420 163,454,693	139,441,390 186,589,412
Operating expenses Median	105,944,522 149,311,209	109,720,056 156,110,414	113,981,117 164,890,568	115,286,390 166,516,854	121,205,861 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,037,358 -964,173	12,863,012 -643,601.5	12,834,709 -116,254	9,400,030 -5,025,862	18,235,529 -1,284,564
NS2P margin ? Median	14.55% -0.62	10.49% -0.29	10.12% 0.18	7.54% -5.07	13.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WEST ANAHEIM 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	1,080,827 5,089,215	889,756 4,572,541	837,350 5,268,134	2,076,597 13,092,619	3,674,809 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	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	1,298	120	318	45	6
⊳ Line 11: Rebates and refunds of expenses	307,153	31,346	61,336	49,005	48,129
⊳ 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	273,069	284,278	286,135	190,626	193,761
⊳ 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	2,484	2,675	1,955	1,965	892
⊳ Line 18: Revenue from sale of medical records and abstracts	11,273	14,610	16,157	9,513	22,954
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	6,000
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	10,174	9,643	8,826	6,489	5,228
⊳ Line 22: Rental of hospital space	0	0	0	0	19,200
⊳ 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	475,376	547,084	462,623	1,818,954	3,378,639
Total income ? Median	19,118,185 6,586,430	13,752,768 6,767,106	13,672,059 8,419,950	11,476,627 8,094,175	21,910,338 15,162,888
Non-operating expenses Median	72,297 146,289.5	73,223 164,857	76,321 89,880.5	213,493 106,761	207,592 31,473.5
Net income Median	19,045,888 6,043,842	13,679,545 5,845,112	13,595,738 7,606,259	11,263,134 7,283,041	21,702,746 14,957,241
Net margin Median	15.22907% 4.62%	11.07899% 4.42%	10.65053% 5.16%	8.88519% 5.2%	15.16442% 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 WEST ANAHEIM 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	43,248,108 23,241,334	43,107,722 23,709,545	43,823,704 24,248,380	38,919,710 22,858,541	36,333,688 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	34,197,201 21,577,146	35,692,234 22,041,594	36,881,091 22,722,063	33,577,268 21,570,441	30,245,336 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	8,770,937 1,845,420	7,073,092 1,757,392	6,908,242 1,738,842	5,033,319 1,510,463	5,931,663 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	279,970 1,203,033	342,396 1,215,295	34,371 1,313,657	309,123 1,365,298	156,689 1,179,746
All outpatient revenue Median Click here to show/hide details	3,363,734 11,160,864	3,550,758 11,987,345	3,402,299 12,926,866	2,673,397 11,884,480	2,651,712 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	3,363,734 10,918,923	3,550,758 11,706,976	3,402,299 12,615,917	2,673,397 11,458,116	2,651,712 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	2,138,562 3,284,314	2,336,020 3,250,551	2,748,079 3,386,837	2,339,547 3,360,806	2,256,831 3,508,953
Disproportionate-share hospital (DSH) Median	2,345,810 594,888	2,557,993 595,761	2,546,458 577,894	2,191,827 542,168	2,059,982 549,667
Outlier Median	322,220 582,572	177,217 538,116	24,347 212,434	47,470 126,559	92,997 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	664,457 3,662,910	2,642,166 3,730,911	2,455,787 4,081,319	3,775,221 4,643,908	7,506,803 4,389,147
Charity care Median	190,619 2,654,636	270,904 2,940,659	454,695 3,380,215	454,284 3,488,738	840,494 3,233,405
Uncompensated care (UCC) Median	2,594,737 5,147,790	1,712,963 5,337,617	2,381,913 5,711,082	3,676,312 5,923,418	3,872,932 5,508,107
UCC as a % of operating expenses Median	2.45% 3.24	1.56% 3.12	2.09% 3.21	3.19% 3.3	3.20% 2.86
Total shortfall/UCC Median	3,259,194 9,489,989	4,355,129 9,424,297	4,837,700 10,120,158	7,451,533 11,171,337	11,379,735 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	42,576,589 52,142,039	46,653,928 54,485,252	50,139,909 57,395,589	51,780,314 58,830,919	53,011,635 61,722,907
Salaries as a % of operating expenses Median	40.19 36.68	42.52 36.56	43.99 36.37	44.91 35.93	43.74 35.24
Intern, resident salaries* Median	813,595 2,598,592	978,274 2,686,824	1,041,223 2,753,773	988,797 2,937,156	1,122,515 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	3,057,583 1,449,244	2,018,857 1,475,986	1,493,524 1,563,078	1,671,832 1,721,954	4,609,195 2,991,828
Contract hours, direct-care Median	53,449.00 22,725	31,150.00 23,018.5	25,160.80 24,503.48	21,033.00 25,026.5	38,670.00 33,786
Contract wages, direct-care Median	57.21 64.67	64.81 64.53	59.36 65.06	79.49 68.97	119.19 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.