As of the July, 2022, release via CMS

STANFORD HEALTH CARE

CMS id: 050441
300 PASTEUR DRIVE, STANFORD CA 94305. County: SANTA CLARA
System: --
CBSA: San Jose-Sunnyvale-Santa Clara, CA

The 584-bed, acute-care hospital had $-1,073,965,789 in net service to patients*, with a total profit margin of 5.51271% in fiscal year 2021, the latest year available.
It spent 0.50% of its operating expenses on uncompensated care and reported $241,951,301 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	380 118	380 118	380 119.5	414 118	435 119
Total beds Median	477 162	477 162	477 162	553 162	584 163.5
FTEs Median	10,401.48 788.06	10,398.16 793.42	11,342.76 806.03	12,352.69 787.61	13,250.97 804.34

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	3,725,007,581 150,932,746	4,132,132,686 158,950,878	5,120,204,039 168,696,998	3,976,584,396 163,454,693	4,183,895,185 186,589,412
Operating expenses Median	3,545,136,576 149,311,209	3,798,273,217 156,110,414	4,213,404,308 164,890,568	4,734,759,011 166,516,854	5,257,860,974 180,120,888
Net income from service 2 patients (NS2P) ? Median	179,871,005 -964,173	333,859,469 -643,601.5	906,799,731 -116,254	-758,174,615 -5,025,862	-1,073,965,789 -1,284,564
NS2P margin ? Median	4.83% -0.62	8.08% -0.29	17.71% 0.18	-19.07% -5.07	-25.67% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STANFORD HEALTH CARE 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	343,460,692 5,089,215	246,028,223 4,572,541	97,825,439 5,268,134	364,276,047 13,092,619	1,367,418,113 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	71,652 224,999	52,823 199,009	5,557,282 206,870.5	3,489,713 194,343	383,632 249,496
⊳ Line 7: Investments ? ⊳ Median	251,591,431 299,524	145,663,039 188,688.5	-21,879,955 370,813	127,868,161 309,361.5	825,653,988 375,329
⊳ 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	6,860,801	7,147,514	12,998,742	14,663,719	20,499,215
⊳ Line 12: Parking lot receipts	2,650,302	2,949,484	3,164,367	2,639,099	3,146,086
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	8,004,977	7,981,343	8,947,734	7,021,361	6,333,510
⊳ Line 15: Revenue from rental of living quarters	0	5,201	848,418	303,532	304,055
⊳ 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	716,018	715,159	855,415	951,912	1,483,214
⊳ 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	0	50,900	119,896	67,442	54,404
⊳ Line 22: Rental of hospital space	1,323,511	3,189,467	4,142,888	4,747,647	4,867,125
⊳ 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	72,242,000	78,273,293	83,070,652	202,523,461	504,692,884
Total income ? Median	523,331,697 6,586,430	579,887,692 6,767,106	1,004,625,170 8,419,950	-393,898,568 8,094,175	293,452,324 15,162,888
Non-operating expenses Median	40,550,393 146,289.5	2,767,769 164,857	-10,041,863 89,880.5	-10,331,502 106,761	-12,575,416 31,473.5
Net income Median	482,781,304 6,043,842	577,119,923 5,845,112	1,014,667,033 7,606,259	-383,567,066 7,283,041	306,027,740 14,957,241
Net margin Median	11.86641% 4.62%	13.18179% 4.42%	19.44541% 5.16%	-8.83620% 5.2%	5.51271% 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 STANFORD HEALTH CARE 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	405,892,207 23,241,334	407,684,784 23,709,545	422,518,649 24,248,380	444,385,242 22,858,541	492,697,440 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	400,092,224 21,577,146	403,397,949 22,041,594	419,144,103 22,722,063	440,445,249 21,570,441	489,096,326 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	5,799,983 1,845,420	4,286,835 1,757,392	3,374,546 1,738,842	3,939,993 1,510,463	3,601,114 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	242,830,454 11,160,864	266,959,011 11,987,345	309,091,378 12,926,866	290,709,344 11,884,480	315,539,425 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	242,830,454 10,918,923	266,959,011 11,706,976	309,091,378 12,615,917	290,709,344 11,458,116	315,539,425 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	86,497,805 3,284,314	89,365,304 3,250,551	93,863,024 3,386,837	88,111,458 3,360,806	90,337,067 3,508,953
Disproportionate-share hospital (DSH) Median	6,397,267 594,888	6,532,278 595,761	7,391,248 577,894	6,980,620 542,168	7,426,280 549,667
Outlier Median	74,985,119 582,572	68,926,980 538,116	61,471,467 212,434	13,231,216 126,559	18,009,760 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	174,340,691 3,662,910	107,058,461 3,730,911	111,049,589 4,081,319	207,753,904 4,643,908	241,951,301 4,389,147
Charity care Median	12,350,235 2,654,636	34,703,037 2,940,659	29,648,063 3,380,215	20,298,771 3,488,738	19,454,219 3,233,405
Uncompensated care (UCC) Median	22,377,737 5,147,790	38,730,940 5,337,617	36,133,631 5,711,082	28,133,349 5,923,418	26,423,947 5,508,107
UCC as a % of operating expenses Median	0.63% 3.24	1.02% 3.12	0.86% 3.21	0.59% 3.3	0.50% 2.86
Total shortfall/UCC Median	196,718,428 9,489,989	145,789,401 9,424,297	147,183,220 10,120,158	235,887,253 11,171,337	268,375,248 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	1,274,464,467 52,142,039	1,324,046,430 54,485,252	1,447,525,286 57,395,589	1,598,862,697 58,830,919	1,759,594,046 61,722,907
Salaries as a % of operating expenses Median	35.95 36.68	34.86 36.56	34.36 36.37	33.77 35.93	33.47 35.24
Intern, resident salaries* Median	86,680,181 2,598,592	95,815,451 2,686,824	105,544,679 2,753,773	113,323,657 2,937,156	116,972,691 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	35,343,572 1,449,244	30,148,727 1,475,986	39,115,192 1,563,078	49,415,801 1,721,954	47,115,961 2,991,828
Contract hours, direct-care Median	438,566.00 22,725	340,765.29 23,018.5	435,907.43 24,503.48	529,483.00 25,026.5	486,352.00 33,786
Contract wages, direct-care Median	80.59 64.67	88.47 64.53	89.73 65.06	93.33 68.97	96.88 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.