As of the July, 2022, release via CMS

CLOVIS COMMUNITY MEDICAL CENTER

CMS id: 050492
2755 HERNDON AVENUE, CLOVIS CA 93611. County: FRESNO
System: COMMUNITY HOSPITALS CENTRAL CA
CBSA: Fresno, CA

The 208-bed, acute-care hospital had $10,528,926 in net service to patients*, with a total profit margin of 4.65487% in fiscal year 2021, the latest year available.
It spent 0.19% of its operating expenses on uncompensated care and reported $35,848,696 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	176 118	176 118	176 119.5	176 118	176 119
Total beds Median	208 162	208 162	208 162	208 162	208 163.5
FTEs Median	1,475.00 788.06	1,522.00 793.42	1,685.00 806.03	1,655.00 787.61	1,672.00 804.34

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	321,684,447 150,932,746	353,099,616 158,950,878	421,648,422 168,696,998	450,651,668 163,454,693	495,721,962 186,589,412
Operating expenses Median	310,766,857 149,311,209	319,613,530 156,110,414	385,314,906 164,890,568	427,587,629 166,516,854	485,193,036 180,120,888
Net income from service 2 patients (NS2P) ? Median	10,917,590 -964,173	33,486,086 -643,601.5	36,333,516 -116,254	23,064,039 -5,025,862	10,528,926 -1,284,564
NS2P margin ? Median	3.39% -0.62	9.48% -0.29	8.62% 0.18	5.12% -5.07	2.12% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CLOVIS COMMUNITY 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	3,208,265 5,089,215	3,591,367 4,572,541	4,685,977 5,268,134	15,367,334 13,092,619	13,104,997 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	296,384 206,870.5	421,754 194,343	454,212 249,496
⊳ Line 7: Investments ? ⊳ Median	182,916 299,524	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	30,710	41,575	48,920	79,061	156,101
⊳ Line 11: Rebates and refunds of expenses	506,457	486,813	421,839	630,142	983,307
⊳ 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	2,190,573	2,341,185	2,438,646	1,933,145	1,194,482
⊳ Line 15: Revenue from rental of living quarters	0	71,967	863,603	878,820	686,192
⊳ 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	0	0	0	0	0
⊳ 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	16,267	18,661	19,878	21,476	10,228
⊳ 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	281,342	631,166	596,707	11,402,936	9,620,475
Total income ? Median	14,125,855 6,586,430	37,077,453 6,767,106	41,019,493 8,419,950	38,431,373 8,094,175	23,633,923 15,162,888
Non-operating expenses Median	2,295,848 146,289.5	7,435,093 164,857	11,497,391 89,880.5	6,226,052 106,761	-51,325 31,473.5
Net income Median	11,830,007 6,043,842	29,642,360 5,845,112	29,522,102 7,606,259	32,205,321 7,283,041	23,685,248 14,957,241
Net margin Median	3.64120% 4.62%	8.31038% 4.42%	6.92464% 5.16%	6.91073% 5.2%	4.65487% 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 CLOVIS COMMUNITY 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	47,104,231 23,241,334	52,104,262 23,709,545	52,439,405 24,248,380	50,523,679 22,858,541	54,733,779 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	47,104,231 21,577,146	52,104,262 22,041,594	52,439,405 22,722,063	50,523,679 21,570,441	54,733,779 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	19,250,597 11,160,864	22,582,688 11,987,345	34,289,161 12,926,866	46,040,188 11,884,480	49,896,062 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	19,250,597 10,918,923	22,582,688 11,706,976	34,289,161 12,615,917	46,040,188 11,458,116	49,896,062 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	2,445,762 594,888	2,570,313 595,761	2,673,439 577,894	2,527,154 542,168	2,605,342 549,667
Outlier Median	2,571,235 582,572	3,035,217 538,116	3,504,338 212,434	455,135 126,559	354,679 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,535,512 3,662,910	13,504,392 3,730,911	7,982,566 4,081,319	16,900,653 4,643,908	35,848,696 4,389,147
Charity care Median	1,011,208 2,654,636	1,658,492 2,940,659	2,681,984 3,380,215	2,847,632 3,488,738	255,154 3,233,405
Uncompensated care (UCC) Median	5,508,925 5,147,790	5,933,180 5,337,617	5,090,322 5,711,082	6,079,579 5,923,418	906,826 5,508,107
UCC as a % of operating expenses Median	1.77% 3.24	1.86% 3.12	1.32% 3.21	1.42% 3.3	0.19% 2.86
Total shortfall/UCC Median	21,044,437 9,489,989	19,437,572 9,424,297	13,072,888 10,120,158	22,980,232 11,171,337	36,755,522 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	104,330,280 52,142,039	112,152,953 54,485,252	128,931,080 57,395,589	132,866,915 58,830,919	138,517,360 61,722,907
Salaries as a % of operating expenses Median	33.57 36.68	35.09 36.56	33.46 36.37	31.07 35.93	28.55 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	6,244,598 1,449,244	3,909,790 1,475,986	5,459,122 1,563,078	4,852,291 1,721,954	16,289,526 2,991,828
Contract hours, direct-care Median	67,351.00 22,725	43,073.00 23,018.5	55,571.00 24,503.48	44,899.00 25,026.5	113,350.00 33,786
Contract wages, direct-care Median	92.72 64.67	90.77 64.53	98.24 65.06	108.07 68.97	143.71 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.