As of the July, 2022, release via CMS

GARFIELD MEDICAL CENTER

CMS id: 050737
525 N GARFIELD AVE., MONTEREY PARK CA 91754. County: LOS ANGELES
System: AHMC HEALTHCARE INC.
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 210-bed, acute-care hospital had $-5,336,085 in net service to patients*, with a total profit margin of -0.36359% in fiscal year 2021, the latest year available.
It spent 1.42% of its operating expenses on uncompensated care and reported $20,150,307 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	140 118	140 118	140 119.5	140 118	140 119
Total beds Median	210 162	210 162	210 162	210 162	210 163.5
FTEs Median	1,021.64 788.06	1,023.69 793.42	1,023.69 806.03	935.39 787.61	832.43 804.34

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	185,131,345 150,932,746	203,722,500 158,950,878	198,787,742 168,696,998	185,669,799 163,454,693	285,647,016 186,589,412
Operating expenses Median	278,363,730 149,311,209	294,778,431 156,110,414	295,245,375 164,890,568	286,136,118 166,516,854	290,983,101 180,120,888
Net income from service 2 patients (NS2P) ? Median	-93,232,385 -964,173	-91,055,931 -643,601.5	-96,457,633 -116,254	-100,466,319 -5,025,862	-5,336,085 -1,284,564
NS2P margin ? Median	-50.36% -0.62	-44.70% -0.29	-48.52% 0.18	-54.11% -5.07	-1.87% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GARFIELD 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	99,329,190 5,089,215	103,238,113 4,572,541	107,194,881 5,268,134	110,658,024 13,092,619	4,281,920 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	934,560 299,524	1,388,533 188,688.5	2,245,838 370,813	1,668,794 309,361.5	571,458 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	124,565	67,381	64,882	93,571	98,381
⊳ Line 11: Rebates and refunds of expenses	50	268,284	292,332	436,725	656,946
⊳ 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	257,939	115,986	110,664	263,449	200,415
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	22,939	1,305	727,445	24,967	15,899
⊳ 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	117,720	86,799	76,209	65,760	50,300
⊳ 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	0	0	0	0
⊳ 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	97,871,417	101,309,825	103,677,511	108,104,758	2,688,521
Total income ? Median	6,096,805 6,586,430	12,182,182 6,767,106	10,737,248 8,419,950	10,191,705 8,094,175	-1,054,165 15,162,888
Non-operating expenses Median	0 146,289.5	27 164,857	105 89,880.5	79,279 106,761	0 31,473.5
Net income Median	6,096,805 6,043,842	12,182,155 5,845,112	10,737,143 7,606,259	10,112,426 7,283,041	-1,054,165 14,957,241
Net margin Median	2.14329% 4.62%	3.96864% 4.42%	3.50907% 5.16%	3.41258% 5.2%	-0.36359% 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 GARFIELD 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	46,693,613 23,241,334	45,843,789 23,709,545	44,051,487 24,248,380	38,318,454 22,858,541	35,212,100 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	40,155,186 21,577,146	38,116,022 22,041,594	36,213,448 22,722,063	30,997,346 21,570,441	29,152,440 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	6,538,427 3,535,627	7,727,767 3,746,588	7,838,039 3,782,288	7,321,108 3,865,578	6,059,660 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	7,608,526 11,160,864	7,775,588 11,987,345	6,765,624 12,926,866	5,674,234 11,884,480	4,536,808 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	7,608,526 10,918,923	7,775,588 11,706,976	6,765,624 12,615,917	5,674,234 11,458,116	4,536,808 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	4,542,888 594,888	4,177,012 595,761	3,813,474 577,894	3,453,956 542,168	3,197,146 549,667
Outlier Median	3,042,058 582,572	2,149,501 538,116	2,409,227 212,434	210,063 126,559	328,917 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	10,189,928 3,730,911	12,975,449 4,081,319	0 4,643,908	20,150,307 4,389,147
Charity care Median	417,910 2,654,636	2,483,186 2,940,659	3,693,220 3,380,215	3,033,430 3,488,738	2,965,226 3,233,405
Uncompensated care (UCC) Median	1,433,295 5,147,790	3,730,088 5,337,617	5,260,949 5,711,082	4,233,114 5,923,418	4,136,217 5,508,107
UCC as a % of operating expenses Median	0.51% 3.24	1.27% 3.12	1.78% 3.21	1.48% 3.3	1.42% 2.86
Total shortfall/UCC Median	1,433,295 9,489,989	13,920,016 9,424,297	18,236,398 10,120,158	4,233,114 11,171,337	24,286,524 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	87,042,025 52,142,039	88,404,881 54,485,252	88,000,524 57,395,589	82,104,585 58,830,919	80,432,240 61,722,907
Salaries as a % of operating expenses Median	31.27 36.68	29.99 36.56	29.81 36.37	28.69 35.93	27.64 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	2,445,389 1,449,244	2,187,534 1,475,986	2,711,202 1,563,078	0 1,721,954	1,019,612 2,991,828
Contract hours, direct-care Median	70,597.00 22,725	54,173.00 23,018.5	62,846.00 24,503.48	0.00 25,026.5	15,574.95 33,786
Contract wages, direct-care Median	34.64 64.67	40.38 64.53	43.14 65.06	0.00 68.97	65.46 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.