As of the July, 2022, release via CMS

MEMORIAL HOSPITAL - LOS BANOS

CMS id: 050528
520 WEST I STREET, LOS BANOS CA 93635. County: MERCED
System: SUTTER HEALTH
CBSA: Merced, CA

The 26-bed, acute-care hospital had $22,473,311 in net service to patients*, with a total profit margin of 22.29095% in fiscal year 2021, the latest year available.
It spent 3.24% of its operating expenses on uncompensated care and reported $415,329 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	245	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	36 118	36 118	24 119.5	24 118	22 119
Total beds Median	40 162	40 162	28 162	28 162	26 163.5
FTEs Median	241.08 788.06	249.02 793.42	444.62 806.03	269.78 787.61	262.90 804.34

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	69,839,153 150,932,746	72,074,794 158,950,878	78,911,836 168,696,998	84,408,132 163,454,693	101,314,760 186,589,412
Operating expenses Median	41,111,446 149,311,209	65,165,254 156,110,414	67,901,614 164,890,568	73,528,846 166,516,854	78,841,449 180,120,888
Net income from service 2 patients (NS2P) ? Median	28,727,707 -964,173	6,909,540 -643,601.5	11,010,222 -116,254	10,879,286 -5,025,862	22,473,311 -1,284,564
NS2P margin ? Median	41.13% -0.62	9.59% -0.29	13.95% 0.18	12.89% -5.07	22.18% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEMORIAL HOSPITAL - LOS BANOS 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	265,435 5,089,215	1,051,338 4,572,541	546,145 5,268,134	7,336,480 13,092,619	142,467 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	39,655 188,688.5	27,711 370,813	17,075 309,361.5	-4,086 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	259	529	108	78	18
⊳ Line 11: Rebates and refunds of expenses	0	45,759	0	1,771	0
⊳ 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	84,942	128,032	131,517	143,602	106,132
⊳ 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	311,829	405,071	282,258	217,679	283,410
⊳ Line 18: Revenue from sale of medical records and abstracts	-1,431	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	3,267	507	1,117	70	0
⊳ Line 21: Rental of vending machines	195	853	293	141	397
⊳ Line 22: Rental of hospital space	4,078	6,249	6,520	7,764	7,542
⊳ 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	-137,704	424,683	96,621	6,948,300	-250,946
Total income ? Median	28,993,142 6,586,430	7,960,878 6,767,106	11,556,367 8,419,950	18,215,766 8,094,175	22,615,778 15,162,888
Non-operating expenses Median	1,756,842 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	27,236,300 6,043,842	7,960,878 5,845,112	11,556,367 7,606,259	18,215,766 7,283,041	22,615,778 14,957,241
Net margin Median	38.85095% 4.62%	10.88650% 4.42%	14.54400% 5.16%	19.85486% 5.2%	22.29095% 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 MEMORIAL HOSPITAL - LOS BANOS 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	8,686,961 23,241,334	12,929,778 23,709,545	13,906,369 24,248,380	15,045,748 22,858,541	15,776,636 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	8,686,961 21,577,146	12,929,778 22,041,594	13,906,369 22,722,063	15,045,748 21,570,441	15,776,636 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	2,673,481 11,160,864	4,588,355 11,987,345	5,527,086 12,926,866	4,561,204 11,884,480	4,490,444 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	2,412,763 10,918,923	3,950,607 11,706,976	4,642,249 12,615,917	3,638,424 11,458,116	3,469,477 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	260,718 618,038	637,748 697,279	884,837 690,232	922,780 684,010	1,020,967 670,558
⊳ 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	72,694 594,888	106,875 595,761	117,515 577,894	131,646 542,168	132,025 549,667
Outlier Median	50,889 582,572	16,485 538,116	14,829 212,434	33,072 126,559	22,781 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	78,296 3,662,910	4,810,943 3,730,911	1,069,819 4,081,319	2,615,224 4,643,908	415,329 4,389,147
Charity care Median	1,444,281 2,654,636	1,978,415 2,940,659	2,616,890 3,380,215	2,885,250 3,488,738	1,852,191 3,233,405
Uncompensated care (UCC) Median	1,906,559 5,147,790	2,707,421 5,337,617	3,534,945 5,711,082	3,807,716 5,923,418	2,552,624 5,508,107
UCC as a % of operating expenses Median	4.64% 3.24	4.15% 3.12	5.21% 3.21	5.18% 3.3	3.24% 2.86
Total shortfall/UCC Median	1,984,855 9,489,989	7,518,364 9,424,297	4,604,764 10,120,158	6,422,940 11,171,337	2,967,953 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	14,391,570 52,142,039	23,392,434 54,485,252	24,800,029 57,395,589	27,363,389 58,830,919	28,556,968 61,722,907
Salaries as a % of operating expenses Median	35.01 36.68	35.90 36.56	36.52 36.37	37.21 35.93	36.22 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	1,154,150 1,449,244	0 1,475,986	0 1,563,078	1,782,988 1,721,954	0 2,991,828
Contract hours, direct-care Median	13,781.02 22,725	0.00 23,018.5	0.00 24,503.48	20,527.69 25,026.5	0.00 33,786
Contract wages, direct-care Median	83.75 64.67	0.00 64.53	0.00 65.06	86.86 68.97	0.00 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.