As of the July, 2022, release via CMS

DOCTORS MEDICAL CENTER OF MODESTO

CMS id: 050464
1441 FLORIDA AVENUE, MODESTO CA 95350. County: STANISLAUS
System: TENET HEALTHCARE CORPORATION
CBSA: Modesto, CA

The 447-bed, acute-care hospital had $57,126,342 in net service to patients*, with a total profit margin of 13.14345% in fiscal year 2021, the latest year available.
It spent 1.66% 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	291 118	291 118	291 119.5	291 118	291 119
Total beds Median	447 162	447 162	447 162	447 162	447 163.5
FTEs Median	1,803.20 788.06	1,819.50 793.42	1,909.40 806.03	1,752.80 787.61	1,758.10 804.34

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	586,006,492 150,932,746	716,666,001 158,950,878	698,417,518 168,696,998	641,479,007 163,454,693	666,429,232 186,589,412
Operating expenses Median	526,976,767 149,311,209	547,661,148 156,110,414	586,602,120 164,890,568	612,128,580 166,516,854	609,302,890 180,120,888
Net income from service 2 patients (NS2P) ? Median	59,029,725 -964,173	169,004,853 -643,601.5	111,815,398 -116,254	29,350,427 -5,025,862	57,126,342 -1,284,564
NS2P margin ? Median	10.07% -0.62	23.58% -0.29	16.01% 0.18	4.58% -5.07	8.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DOCTORS MEDICAL CENTER OF MODESTO 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	1,065,234 5,089,215	883,131 4,572,541	667,208 5,268,134	652,839 13,092,619	35,075,625 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	9,646 249,496
⊳ Line 7: Investments ? ⊳ Median	2,476 299,524	2,458 188,688.5	8,207 370,813	6,329 309,361.5	29,974 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	5,804	2,814	3,363	18,830	3,896
⊳ Line 11: Rebates and refunds of expenses	92,968	174,667	226,971	203,959	530,064
⊳ 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	0	416	0	0	0
⊳ 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	102,807	109,799	103,776	113,796	93,595
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	119,136	125,910	125,379	128,016	140,040
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	17,160	33,388
⊳ Line 22: Rental of hospital space	164,041	180,013	138,944	129,973	143,174
⊳ 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	578,002	287,054	60,568	34,776	34,091,848
Total income ? Median	60,094,959 6,586,430	169,887,984 6,767,106	112,482,606 8,419,950	30,003,266 8,094,175	92,201,967 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	60,094,959 6,043,842	169,887,984 5,845,112	112,482,606 7,606,259	30,003,266 7,283,041	92,201,967 14,957,241
Net margin Median	10.23639% 4.62%	23.67615% 4.42%	16.08998% 5.16%	4.67245% 5.2%	13.14345% 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 DOCTORS MEDICAL CENTER OF MODESTO 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	92,419,988 23,241,334	100,254,382 23,709,545	104,795,395 24,248,380	96,871,485 22,858,541	100,847,416 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	85,740,524 21,577,146	93,425,642 22,041,594	98,388,333 22,722,063	91,173,800 21,570,441	96,186,613 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	6,679,464 1,845,420	6,828,740 1,757,392	6,407,062 1,738,842	5,697,685 1,510,463	4,660,803 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	21,592,735 11,160,864	23,831,949 11,987,345	23,556,713 12,926,866	22,125,439 11,884,480	22,493,345 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	21,592,735 10,918,923	23,831,949 11,706,976	23,556,713 12,615,917	22,125,439 11,458,116	22,493,345 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	3,095,924 3,284,314	3,672,162 3,250,551	3,916,461 3,386,837	4,264,731 3,360,806	4,501,232 3,508,953
Disproportionate-share hospital (DSH) Median	6,329,279 594,888	7,085,502 595,761	7,081,731 577,894	6,527,382 542,168	6,241,088 549,667
Outlier Median	2,837,142 582,572	3,099,396 538,116	4,412,547 212,434	228,118 126,559	171,905 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,432,606 3,662,910	0 3,730,911	0 4,081,319	2,983,180 4,643,908	0 4,389,147
Charity care Median	5,268,921 2,654,636	5,149,394 2,940,659	5,231,521 3,380,215	6,240,456 3,488,738	7,522,198 3,233,405
Uncompensated care (UCC) Median	8,442,441 5,147,790	8,683,019 5,337,617	8,847,573 5,711,082	9,350,040 5,923,418	10,095,131 5,508,107
UCC as a % of operating expenses Median	1.60% 3.24	1.59% 3.12	1.51% 3.21	1.53% 3.3	1.66% 2.86
Total shortfall/UCC Median	9,875,047 9,489,989	8,683,019 9,424,297	8,847,573 10,120,158	12,333,220 11,171,337	10,095,131 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	218,718,349 52,142,039	226,122,681 54,485,252	240,524,513 57,395,589	238,360,495 58,830,919	240,419,665 61,722,907
Salaries as a % of operating expenses Median	41.51 36.68	41.29 36.56	41.01 36.37	38.94 35.93	39.46 35.24
Intern, resident salaries* Median	57,519 2,598,592	45,052 2,686,824	5,243 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	5,128,338 1,251,927	5,128,338 1,186,494	3,460,507 1,204,885	6,102,576 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	22,284,521 1,449,244	18,617,614 1,475,986	18,785,399 1,563,078	17,115,043 1,721,954	18,993,331 2,991,828
Contract hours, direct-care Median	256,366.00 22,725	246,090.00 23,018.5	255,327.00 24,503.48	168,764.00 25,026.5	126,459.00 33,786
Contract wages, direct-care Median	86.92 64.67	75.65 64.53	73.57 65.06	101.41 68.97	150.19 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.