As of the July, 2022, release via CMS

KINDRED HOSPITAL PARAMOUNT

CMS id: 052046
16453 SOUTH COLORADO AVE., PARAMOUNT CA 90723. County: LOS ANGELES
System: KINDRED HEALTHCARE OPERATING LLC
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 177-bed, long-term hospital had $-4,259,350 in net service to patients*, with a total profit margin of -6.27866% in fiscal year 2021, the latest year available.
It spent 0.00% 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 long-term 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	305	366	365
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	213 44	177 45	177 46.5	165 45	165 45
Total beds Median	213 47	177 48	177 48	177 49	177 49
FTEs Median	736.10 103.98	2,134.00 108.8	723.12 107.68	371.90 108.27	355.60 111.58

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	76,593,327 15,922,304	69,581,927 17,137,722	56,890,281 17,270,018	60,013,918 18,501,558	63,930,835 20,363,991
Operating expenses Median	92,165,235 16,699,110	79,914,973 17,149,459	60,145,325 17,741,870	61,374,105 17,467,608	68,190,185 19,803,177
Net income from service 2 patients (NS2P) ? Median	-15,571,908 -265,919	-10,333,046 75,645.5	-3,255,044 80,328	-1,360,187 670,921	-4,259,350 1,115,138
NS2P margin ? Median	-20.33% -1.5	-14.85% 0.72	-5.72% 1.45	-2.27% 4.42	-6.66% 5.66

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for KINDRED HOSPITAL PARAMOUNT compared to all** long-term 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 long-term hospitals available to calculate medians:

2017	2018	2019	2020	2021
408	380	353	348	323

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	375,074 72,020.5	293,092 72,701	1,011,784 71,539	224,459 281,596	230,857 547,957
⊳ Line 6: Contributions ? ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Line 7: Investments ? ⊳ Median	124,486 3,774	102,983 4,812	558,757 4,731	20,238 3,610.5	-20,238 4,748
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	732	1,720
⊳ Line 11: Rebates and refunds of expenses	0	0	1,345	17,698	9,400
⊳ 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	171,827	153,956	103,518	95,191	81,343
⊳ 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	4,238	6,097	4,796	3,296	1,729
⊳ 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	3,324	2,480
⊳ Line 22: Rental of hospital space	0	0	333,615	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Sum Line 24	74,523	30,056	9,753	83,980	154,423
Total income ? Median	-15,196,834 80,111	-10,039,954 382,412.5	-2,243,260 499,629	-1,135,728 1,334,999	-4,028,493 2,049,459
Non-operating expenses Median	0 644,657	0 385,584	-15,941,064 506,122.5	0 581,714	0 586,009
Net income Median	-15,196,834 -21,319	-10,039,954 112,320	13,697,804 237,850	-1,135,728 903,115.5	-4,028,493 1,754,915
Net margin Median	-19.74425% 0.05%	-14.36845% 1.36%	23.65685% 1.81%	-1.88539% 5.61%	-6.27866% 8.54%

* 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 KINDRED HOSPITAL PARAMOUNT compared to all** long-term hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
408	380	353	348	323

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	57,375,408 9,206,255	43,324,662 9,071,514	27,620,099 9,188,446	33,687,509 9,026,156	30,802,392 8,843,005
"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	0 --	0 --	0 --	0 --	0 --
⊳ 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 --	0 --	0 --	0 --	0 --
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Long-term care hospital (LTCH) ⊳ Median	57,375,408 9,134,055	43,324,662 8,844,359	27,620,099 9,143,124	33,687,509 8,867,452	30,802,392 8,762,631
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 --	0 --	0 --	0 --	0 --
All outpatient revenue Median Click here to show/hide details	882,466 17,364	922,169 20,498	796,043 18,751	1,863,693 22,247	1,608,447 28,094.5
"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	882,466 16,964	922,169 19,915.5	796,043 18,019	1,863,693 21,792	1,608,447 25,637
⊳ Home Health agencies (HHA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ 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 --	0 --	0 --	0 --	0 --
Disproportionate-share hospital (DSH) Median	0 --	0 --	0 --	0 --	0 --
Outlier Median	5,689,597 695,093	7,488,249 588,818	7,790,694 597,565	8,894,208 664,226	5,615,086 603,099

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 --	0 --	0 --	0 --	0 --
Charity care Median	0 --	0 --	0 --	0 --	0 --
Uncompensated care (UCC) Median	0 --	0 --	0 --	0 --	0 --
UCC as a % of operating expenses Median	0.00% 0	0.00% 0	0.00% 0	0.00% 0	0.00% 0
Total shortfall/UCC Median	0 --	0 --	0 --	0 --	0 --

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	44,115,269 6,594,633	38,835,193 6,845,890	26,411,969 7,032,051	31,231,358 7,482,888	31,681,147 8,182,213
Salaries as a % of operating expenses Median	47.87 41.02	48.60 41.94	43.91 42.05	50.89 42.05	46.46 41.85
Intern, resident salaries* Median	0 --	0 --	0 --	0 --	0 --
Contract intern, resident salaries* Median	0 --	0 --	0 --	0 --	0 --
Contract adjusted salaries, direct-care Median	0 2,219,370	0 1,630,756	0 1,413,636	2,839,663 1,782,502	3,447,163 2,478,276
Contract hours, direct-care Median	0.00 33,384.5	0.00 25,381.5	0.00 23,190	35,155.00 27,043.5	40,420.00 28,018.42
Contract wages, direct-care Median	0.00 63.14	0.00 62.56	0.00 64.25	80.78 68.74	85.28 87.33

* 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.