As of the July, 2022, release via CMS

FOUNTAIN VALLEY REG MEDICAL CENTER

CMS id: 050570
17100 EUCLID AT WARNER, FOUNTAIN VALLEY CA 92708. County: ORANGE
System: TENET HEALTHCARE CORPORATION
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 400-bed, acute-care hospital had $3,051,431 in net service to patients*, with a total profit margin of -1.06503% in fiscal year 2021, the latest year available.
It spent 1.18% of its operating expenses on uncompensated care and reported $14,317,414 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	341 118	341 118	341 119.5	341 118	341 119
Total beds Median	400 162	400 162	400 162	400 162	400 163.5
FTEs Median	1,230.30 788.06	1,219.60 793.42	1,262.50 806.03	1,129.70 787.61	1,075.90 804.34

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	392,456,335 150,932,746	394,860,031 158,950,878	378,435,181 168,696,998	349,522,157 163,454,693	354,491,773 186,589,412
Operating expenses Median	339,873,936 149,311,209	348,511,558 156,110,414	360,431,498 164,890,568	342,414,173 166,516,854	351,440,342 180,120,888
Net income from service 2 patients (NS2P) ? Median	52,582,399 -964,173	46,348,473 -643,601.5	18,003,683 -116,254	7,107,984 -5,025,862	3,051,431 -1,284,564
NS2P margin ? Median	13.40% -0.62	11.74% -0.29	4.76% 0.18	2.03% -5.07	0.86% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FOUNTAIN VALLEY REG 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	282,113 5,089,215	531,701 4,572,541	563,089 5,268,134	21,759,333 13,092,619	-6,754,916 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	15,983 299,524	16,032 188,688.5	-570 370,813	97 309,361.5	33 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,633	11,783	13,500	2,584	3,237
⊳ Line 11: Rebates and refunds of expenses	92,542	88,430	113,525	210,792	123,058
⊳ 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	0	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	8,324	7,920	7,530	6,820	7,660
⊳ 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	9,841	6,412	7,395	23,041	26,745
⊳ 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	151,790	401,124	421,709	21,515,999	-6,915,649
Total income ? Median	52,864,512 6,586,430	46,880,174 6,767,106	18,566,772 8,419,950	28,867,317 8,094,175	-3,703,485 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	52,864,512 6,043,842	46,880,174 5,845,112	18,566,772 7,606,259	28,867,317 7,283,041	-3,703,485 14,957,241
Net margin Median	13.46049% 4.62%	11.85664% 4.42%	4.89891% 5.16%	7.77505% 5.2%	-1.06503% 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 FOUNTAIN VALLEY REG 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	68,368,257 23,241,334	61,936,256 23,709,545	62,137,231 24,248,380	46,927,050 22,858,541	49,398,849 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	68,368,257 21,577,146	61,936,256 22,041,594	62,137,231 22,722,063	46,927,050 21,570,441	49,398,849 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	9,822,555 11,160,864	8,252,752 11,987,345	8,152,145 12,926,866	5,541,910 11,884,480	5,879,218 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	9,822,555 10,918,923	8,252,752 11,706,976	8,152,145 12,615,917	5,541,910 11,458,116	5,879,218 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	281,885 3,284,314	273,307 3,250,551	276,464 3,386,837	237,446 3,360,806	251,548 3,508,953
Disproportionate-share hospital (DSH) Median	6,650,020 594,888	6,204,657 595,761	6,197,484 577,894	4,693,782 542,168	4,947,882 549,667
Outlier Median	4,640,548 582,572	3,208,490 538,116	174,472 212,434	158,606 126,559	225,286 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,357,984 3,662,910	7,094,839 3,730,911	11,434,156 4,081,319	8,008,354 4,643,908	14,317,414 4,389,147
Charity care Median	2,980,652 2,654,636	3,346,228 2,940,659	3,392,104 3,380,215	3,371,255 3,488,738	2,735,785 3,233,405
Uncompensated care (UCC) Median	5,539,799 5,147,790	5,656,104 5,337,617	5,553,827 5,711,082	5,034,977 5,923,418	4,133,128 5,508,107
UCC as a % of operating expenses Median	1.63% 3.24	1.62% 3.12	1.54% 3.21	1.47% 3.3	1.18% 2.86
Total shortfall/UCC Median	13,897,783 9,489,989	12,750,943 9,424,297	16,987,983 10,120,158	13,043,331 11,171,337	18,450,542 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	131,623,413 52,142,039	138,484,462 54,485,252	143,408,102 57,395,589	131,334,019 58,830,919	135,591,196 61,722,907
Salaries as a % of operating expenses Median	38.73 36.68	39.74 36.56	39.80 36.37	38.36 35.93	38.58 35.24
Intern, resident salaries* Median	0 2,598,592	146,100 2,686,824	157,620 2,753,773	146,100 2,937,156	146,100 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	11,624,999 1,449,244	10,005,525 1,475,986	8,757,859 1,563,078	13,693,026 1,721,954	17,608,876 2,991,828
Contract hours, direct-care Median	122,473.00 22,725	102,791.00 23,018.5	84,141.00 24,503.48	128,049.00 25,026.5	106,244.00 33,786
Contract wages, direct-care Median	94.92 64.67	97.34 64.53	104.09 65.06	106.94 68.97	165.74 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.