hospital profile report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314...

507
054156 , CA 12/31/2019 365 Days Settled Nonprofit - Other Psychiatric Balance Sheet 15,130,968 Income Statement 25,042,000 93,490,878 133,663,846 13,480,000 49,795,116 70,388,730 133,663,846 -17.6% 2.3% 69.9 114.3 0.0% 0.0% 14.9 54.9% Key Performanace Ind. 1.1 Occupancy Rate Length of Stay Average Wages Medicare Part A Medicare Part B Current Ratio Days to Collect Avg Payment Days Depreciation Rate Return on Equity 6.0% 1,821,266 Contract Allowance Total Charges 30,606,229 94.0% 223.2% -123.2% 80.1% 0.0% -43.0% Current Assets Fixed Assets 28,784,963 64,234,246 -35,449,283 23,057,708 0 (12,391,575) Other Assets Total Assets Current Liabilities Long Term Liabilities Total Equity Total Liab. and Equity Operating Revenue Operating Expense Operating Margin Other Income Other Expense Net Profit or Loss POS Beds 0 CR Beds 12 Line Description Adults and Pediatrics - General Care Rank Cost Charges 01 Capital Cost - Buildings 2,631 2,518,153 02 Capital Cost - Movable Equip 3,509 657,344 Line 30 Intensive Care Unit Operating Room 31 50 Emergency Department 52 91 4,121 5,553,554 6,348,037 0.000000 0 0 0 0.874846 Ratio 0.000000 0 0 0 Labor Room and Delivery Room General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense 04 Employee Benefits 1,511 11,209,610 05 Administrative and General 2,474 12,491,744 06 Maintenance and Repairs 864 2,583,643 07 Operation of Plant 2,517 1,770,786 08/09 Laundry / Housekeeping 1,855 2,088,007 10/11 Dietary and Cafeteria 481 4,902,970 13 Nursing Administration 2,009 1,390,141 14 Central Service and Supply 3,011 76,385 15 Pharmancy 2,552 597,073 16 Medical Records 4,244 189,560 Selected Revenue Departments 0.000000 0 0 0 0.000000 0 0 0 3,763 17 Social Services 0 0 18 Other General Service Cost 0 0 19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0 Revenue Ranking - All Providers 10:04 AM 5/7/2021 Page No 1 Healthcare Almanac 561-594-7551 www.halmanac.com Hospital Profile Report - 2019 Sample Hospital reports from the Halmanac.com website.

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Page 1: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054156

, CA

12/31/2019 365 Days Settled

Nonprofit - Other

Psychiatric

Balance Sheet

15,130,968

Income Statement

25,042,000

93,490,878

133,663,846

13,480,000

49,795,116

70,388,730

133,663,846 -17.6%

2.3%

69.9

114.3

0.0%

0.0%

14.9

54.9%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

6.0%1,821,266Contract Allowance

Total Charges 30,606,229

94.0%

223.2%

-123.2%

80.1%

0.0%

-43.0%

Current Assets

Fixed Assets

28,784,963

64,234,246

-35,449,283

23,057,708

0

(12,391,575)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 12

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,631 2,518,153 02 Capital Cost - Movable Equip 3,509 657,344

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,121 5,553,554 6,348,037

0.0000000 0 0

0.874846

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,511 11,209,610 05 Administrative and General 2,474 12,491,744

06 Maintenance and Repairs 864 2,583,643 07 Operation of Plant 2,517 1,770,786

08/09 Laundry / Housekeeping 1,855 2,088,007 10/11 Dietary and Cafeteria 481 4,902,970

13 Nursing Administration 2,009 1,390,141 14 Central Service and Supply 3,011 76,385

15 Pharmancy 2,552 597,073 16 Medical Records 4,244 189,560

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,763

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 1

Healthcare Almanac 561-594-7551

www.halmanac.com

Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 2: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050133

ADVENTIST HEALTH AND RIDEOUT

726 4TH ST

MARYSVILLE, CA 95901

YUBA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

126,291,463

Income Statement

336,633,075

3,703,790

466,628,328

64,185,982

133,391,106

269,051,240

466,628,328 -8.6%

1.9%

94.0

1,499.6

14.8%

16.9%

45.58

4.9

76.4%

Key Performanace Ind.

2.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

72.2%576,106,651Contract Allowance

Total Charges 798,098,425

27.8%

111.5%

-11.5%

1.1%

0.0%

-10.4%

Current Assets

Fixed Assets

221,991,774

247,477,945

-25,486,171

2,408,112

0

(23,078,059)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 173CR Beds 179

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 749 6,173,794 02 Capital Cost - Movable Equip 409 6,619,237

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

559 61,267,657 134,018,654

0.521539384 18,482,230 35,437,897

0.457158

Ratio

0.428947882 15,218,313 35,478,269

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 426 40,659,117 05 Administrative and General 660 54,129,046

06 Maintenance and Repairs 310 6,111,331 07 Operation of Plant 1,277 2,893,967

08/09 Laundry / Housekeeping 596 3,352,781 10/11 Dietary and Cafeteria 540 2,455,936

13 Nursing Administration 630 3,908,509 14 Central Service and Supply 1,043 1,212,185

15 Pharmancy 481 3,551,793 16 Medical Records 393 2,384,701

Selected Revenue Departments

0.579953292 9,018,085 15,549,686

0.414697328 23,613,212 56,940,843

1,044

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 2

Healthcare Almanac 561-594-7551

www.halmanac.com

Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 3: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050133

ADVENTIST HEALTH AND RIDEOUT

726 4TH ST

MARYSVILLE, CA 95901

YUBA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

122,055,966

Income Statement

342,714,735

3,921,183

468,691,884

39,015,905

134,103,494

295,572,485

468,691,884 -7.8%

1.9%

44.4

549.9

7.8%

8.9%

45.58

4.9

76.4%

Key Performanace Ind.

3.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.1%1,034,834,738Contract Allowance

Total Charges 1,455,713,780

28.9%

103.7%

-3.7%

-1.8%

0.0%

-5.5%

Current Assets

Fixed Assets

420,879,042

436,445,324

-15,566,282

-7,497,899

0

(23,064,181)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 173CR Beds 179

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 749 12,219,654 02 Capital Cost - Movable Equip 409 15,503,963

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

559 82,173,303 233,554,637

0.441473384 25,828,868 58,506,134

0.351838

Ratio

0.342973882 24,983,102 72,842,826

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 426 19,805,597 05 Administrative and General 660 65,250,633

06 Maintenance and Repairs 310 8,289,293 07 Operation of Plant 1,277 4,995,570

08/09 Laundry / Housekeeping 596 6,295,710 10/11 Dietary and Cafeteria 540 4,648,530

13 Nursing Administration 630 4,853,667 14 Central Service and Supply 1,043 1,197,702

15 Pharmancy 481 7,237,632 16 Medical Records 393 4,330,413

Selected Revenue Departments

0.551228292 12,263,854 22,248,240

0.301936328 32,911,223 109,000,535

1,044

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 3

Healthcare Almanac 561-594-7551

www.halmanac.com

Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 4: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050455

ADVENTIST HEALTH BAKERSFIELD

2615 CHESTER AVENUE

BAKERSFIELD, CA 93301

KERN

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

262,086,835

Income Statement

143,470,671

287,182

405,844,688

81,233,709

83,420,573

241,190,406

405,844,688 11.2%

0.2%

30.8

572.5

5.3%

10.1%

43.60

3.7

68.2%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.1%1,715,921,376Contract Allowance

Total Charges 2,142,633,252

19.9%

96.3%

3.7%

2.6%

0.0%

6.3%

Current Assets

Fixed Assets

426,711,876

410,844,130

15,867,746

11,117,492

0

26,985,238

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 247CR Beds 211

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,733 591,667 02 Capital Cost - Movable Equip 4,803 194,375

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

701 69,512,218 269,572,533

0.332494398 24,984,505 75,142,781

0.257861

Ratio

0.105375409 43,479,208 412,614,951

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 913 20,760,636 05 Administrative and General 734 60,129,460

06 Maintenance and Repairs 296 8,547,079 07 Operation of Plant 1,368 4,576,091

08/09 Laundry / Housekeeping 661 5,869,369 10/11 Dietary and Cafeteria 1,161 2,811,123

13 Nursing Administration 237 9,787,160 14 Central Service and Supply 648 2,281,308

15 Pharmancy 406 8,517,358 16 Medical Records 1,509 1,263,698

Selected Revenue Departments

0.443738775 6,192,427 13,955,150

0.147099614 22,270,148 151,395,152

672

17 Social Services 2,485 103,617 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 4

Healthcare Almanac 561-594-7551

www.halmanac.com

Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 5: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051317

ADVENTIST HEALTH CLEARLAKE

15630 18TH AVE - HWY 53

CLEARLAKE, CA 95422

LAKE

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

62,134,191

Income Statement

41,646,877

269,000

104,050,068

15,189,023

60,678,400

28,182,645

104,050,068 21.1%

2.0%

26.0

398.3

8.4%

0.0%

4.4

65.1%

Key Performanace Ind.

4.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

65.5%197,134,245Contract Allowance

Total Charges 300,785,652

34.5%

111.3%

-11.3%

17.0%

0.0%

5.7%

Current Assets

Fixed Assets

103,651,407

115,346,854

-11,695,447

17,652,190

0

5,956,743

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 32CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,543 2,686,757 02 Capital Cost - Movable Equip 5,062 121,591

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,199 19,106,910 22,260,299

0.6424631,668 5,467,234 8,509,809

0.858340

Ratio

0.3970482,156 8,362,437 21,061,501

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,412 12,287,704 05 Administrative and General 1,458 30,338,693

06 Maintenance and Repairs 871 2,526,404 07 Operation of Plant 2,602 1,654,880

08/09 Laundry / Housekeeping 2,559 1,190,819 10/11 Dietary and Cafeteria 2,634 1,042,875

13 Nursing Administration 1,361 2,237,352 14 Central Service and Supply 3,052 71,434

15 Pharmancy 1,746 1,600,487 16 Medical Records 1,672 1,096,363

Selected Revenue Departments

0.1687012,420 268,894 1,593,908

0.2368931,175 13,446,552 56,762,028

2,128

17 Social Services 417 2,731,867 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 5

Healthcare Almanac 561-594-7551

www.halmanac.com

Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 6: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050225

ADVENTIST HEALTH FEATHER RIVER

5974 PENTZ ROAD

PARADISE, CA 95969

BUTTE

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 100CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 6

Healthcare Almanac 561-594-7551

www.halmanac.com

Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 7: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050121

ADVENTIST HEALTH HANFORD

115 MALL DRIVE

HANFORD, CA 93230

KINGS

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

463,623,344

Income Statement

186,222,356

17,641,049

667,486,749

127,272,105

156,375,309

383,839,335

667,486,749 13.3%

2.3%

28.8

443.3

3.9%

12.1%

38.07

4.7

54.2%

Key Performanace Ind.

3.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

72.6%848,078,413Contract Allowance

Total Charges 1,168,424,728

27.4%

95.4%

4.6%

11.3%

0.0%

16.0%

Current Assets

Fixed Assets

320,346,315

305,452,405

14,893,910

36,269,371

0

51,163,281

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 230CR Beds 208

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,074 8,525,850 02 Capital Cost - Movable Equip 5,358 32,713

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

865 58,126,386 86,593,887

0.8816651,080 10,082,219 11,435,425

0.671253

Ratio

0.352276427 42,098,882 119,505,481

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 795 23,366,544 05 Administrative and General 854 52,815,735

06 Maintenance and Repairs 300 8,481,655 07 Operation of Plant 1,089 6,007,534

08/09 Laundry / Housekeeping 541 6,689,399 10/11 Dietary and Cafeteria 1,423 2,312,758

13 Nursing Administration 168 11,774,702 14 Central Service and Supply 955 1,376,965

15 Pharmancy 563 6,301,065 16 Medical Records 1,413 1,363,595

Selected Revenue Departments

0.437065521 8,850,541 20,249,925

0.112585360 31,117,949 276,396,219

925

17 Social Services 1,924 281,663 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,623 25,140

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 7

Healthcare Almanac 561-594-7551

www.halmanac.com

Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 8: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051310

ADVENTIST HEALTH HOWARD MEMORIAL

1 MARCELA DR

WILLITS, CA 95490

MENDOCINO

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

50,686,471

Income Statement

63,231,450

0

113,917,921

9,652,316

35,300,917

68,964,688

113,917,921 5.4%

5.8%

29.7

382.0

5.0%

0.0%

4.5

81.2%

Key Performanace Ind.

5.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

67.8%147,938,957Contract Allowance

Total Charges 218,112,734

32.2%

108.7%

-8.7%

13.6%

-0.4%

5.3%

Current Assets

Fixed Assets

70,173,777

76,255,329

-6,081,552

9,577,467

-252,061

3,747,976

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,153 3,473,603 02 Capital Cost - Movable Equip 2,159 2,356,692

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,507 15,090,867 24,204,104

0.4668421,967 3,889,401 8,331,295

0.623484

Ratio

0.2991421,906 10,234,522 34,212,966

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,440 4,810,008 05 Administrative and General 2,582 11,584,779

06 Maintenance and Repairs 1,060 1,691,451 07 Operation of Plant 2,268 2,182,726

08/09 Laundry / Housekeeping 2,674 1,102,219 10/11 Dietary and Cafeteria 2,014 1,562,128

13 Nursing Administration 1,276 2,433,193 14 Central Service and Supply 3,536 12,300

15 Pharmancy 1,938 1,237,588 16 Medical Records 3,490 310,349

Selected Revenue Departments

0.0000000 0 0

0.3397071,668 9,064,046 26,681,963

2,611

17 Social Services 1,076 874,805 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 8

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 9: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050336

ADVENTIST HEALTH LODI MEMORIAL

975 S FAIRMONT AVENUE

LODI, CA 95240

SAN JOAQUIN

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

112,511,861

Income Statement

121,880,529

0

234,392,390

166,480,590

3,713,938

64,197,862

234,392,390 -4.1%

2.7%

29.7

715.3

7.6%

14.6%

43.89

3.6

43.7%

Key Performanace Ind.

0.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.5%1,297,296,822Contract Allowance

Total Charges 1,535,263,748

15.5%

105.7%

-5.7%

4.6%

0.0%

-1.1%

Current Assets

Fixed Assets

237,966,926

251,457,293

-13,490,367

10,880,891

-2,624

(2,606,852)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 190CR Beds 172

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 987 9,432,529 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,158 45,604,601 209,886,492

0.2258241,363 7,649,082 33,871,896

0.217282

Ratio

0.1223311,033 21,977,586 179,657,316

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,277 13,890,994 05 Administrative and General 1,047 43,671,060

06 Maintenance and Repairs 0 0 07 Operation of Plant 591 9,789,300

08/09 Laundry / Housekeeping 1,121 3,732,265 10/11 Dietary and Cafeteria 1,327 2,490,388

13 Nursing Administration 322 8,165,085 14 Central Service and Supply 1,273 915,739

15 Pharmancy 1,073 3,330,553 16 Medical Records 1,197 1,656,746

Selected Revenue Departments

0.503958688 6,881,075 13,654,059

0.130367684 20,677,896 158,613,043

1,231

17 Social Services 2,409 118,903 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050192

ADVENTIST HEALTH REEDLEY

372 W CYPRESS AVE

REEDLEY, CA 93654

FRESNO

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

106,195,774

Income Statement

26,334,635

46,054,496

178,584,905

67,437,824

0

111,147,081

178,584,905 24.7%

4.4%

21.1

233.5

1.1%

1.7%

32.01

3.3

33.7%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

46.2%146,357,720Contract Allowance

Total Charges 316,715,712

53.8%

95.1%

4.9%

11.2%

0.0%

16.1%

Current Assets

Fixed Assets

170,357,992

162,065,121

8,292,871

19,129,078

0

27,421,949

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 49CR Beds 49

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,939 2,085,258 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,404 8,608,566 9,267,494

0.0000000 0 0

0.928899

Ratio

0.7022613,207 2,801,040 3,988,604

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,520 11,089,287 05 Administrative and General 648 65,753,709

06 Maintenance and Repairs 802 2,908,300 07 Operation of Plant 2,620 1,627,895

08/09 Laundry / Housekeeping 2,508 1,249,563 10/11 Dietary and Cafeteria 4,291 448,003

13 Nursing Administration 1,348 2,259,619 14 Central Service and Supply 2,864 95,429

15 Pharmancy 2,504 632,613 16 Medical Records 661 2,915,711

Selected Revenue Departments

0.758699601 7,900,139 10,412,739

0.1402101,214 13,114,951 93,537,869

1,584

17 Social Services 2,385 124,041 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 935 2,045,018

Revenue Ranking -

All Providers

10:04 AM

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050236

ADVENTIST HEALTH SIMI VALLEY

2975 N SYCAMORE DR

SIMI VALLEY, CA 93065

VENTURA

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

51,502,880

Income Statement

134,011,685

4,517,903

190,032,468

34,361,746

113,695,821

41,974,901

190,032,468 7.0%

3.7%

33.5

567.4

3.6%

18.0%

50.61

4.0

57.2%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.8%616,057,026Contract Allowance

Total Charges 781,460,345

21.2%

100.1%

-0.1%

1.9%

0.0%

1.8%

Current Assets

Fixed Assets

165,403,319

165,570,437

-167,118

3,117,062

0

2,949,944

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 149CR Beds 112

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,041 8,826,185 02 Capital Cost - Movable Equip 4,748 208,005

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,291 40,792,583 130,553,888

0.4432501,276 8,469,170 19,106,987

0.312458

Ratio

0.1273672,025 9,229,644 72,465,191

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,853 8,205,814 05 Administrative and General 1,696 24,104,328

06 Maintenance and Repairs 570 4,572,737 07 Operation of Plant 1,891 2,922,460

08/09 Laundry / Housekeeping 1,063 3,932,260 10/11 Dietary and Cafeteria 1,532 2,124,194

13 Nursing Administration 452 6,259,350 14 Central Service and Supply 1,397 770,107

15 Pharmancy 988 3,665,780 16 Medical Records 2,895 451,170

Selected Revenue Departments

0.987609843 5,664,938 5,736,011

0.1186481,146 13,741,757 115,819,639

1,613

17 Social Services 1,968 256,045 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 12: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050335

ADVENTIST HEALTH SONORA

1000 GREENLEY ROAD

SONORA, CA 95370

TUOLUMNE

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

209,367,147

Income Statement

102,804,985

0

312,172,132

44,958,390

74,721,670

192,492,072

312,172,132 11.1%

1.4%

27.1

408.6

17.8%

13.2%

39.13

3.6

51.9%

Key Performanace Ind.

4.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.2%845,403,837Contract Allowance

Total Charges 1,109,531,052

23.8%

99.5%

0.5%

7.5%

-0.2%

8.1%

Current Assets

Fixed Assets

264,127,215

262,903,778

1,223,437

19,699,310

-399,267

21,322,014

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 75CR Beds 78

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,464 2,823,442 02 Capital Cost - Movable Equip 5,095 110,059

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,781 26,648,015 74,938,678

0.3611701,587 6,035,517 16,711,001

0.355598

Ratio

0.1313361,049 21,612,349 164,557,350

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 696 26,890,994 05 Administrative and General 928 48,682,870

06 Maintenance and Repairs 390 6,717,421 07 Operation of Plant 1,492 4,140,166

08/09 Laundry / Housekeeping 1,120 3,734,331 10/11 Dietary and Cafeteria 1,382 2,397,669

13 Nursing Administration 674 4,533,194 14 Central Service and Supply 1,467 706,099

15 Pharmancy 932 3,887,895 16 Medical Records 1,015 1,961,242

Selected Revenue Departments

0.3097461,662 1,825,801 5,894,515

0.2537381,206 13,169,223 51,900,874

1,109

17 Social Services 183 4,994,681 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 13: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050013

ADVENTIST HEALTH ST HELENA

10 WOODLAND ROAD

SAINT HELENA, CA 94574

NAPA

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

79,864,145

Income Statement

96,944,276

2,436,486

179,244,907

63,513,102

60,224,781

55,507,024

179,244,907 -49.0%

1.9%

41.1

437.8

12.9%

21.7%

50.82

5.9

48.6%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.9%897,833,661Contract Allowance

Total Charges 1,110,206,260

19.1%

131.0%

-31.0%

18.2%

0.0%

-12.8%

Current Assets

Fixed Assets

212,372,599

278,172,413

-65,799,814

38,591,105

0

(27,208,709)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 168CR Beds 126

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,629 5,271,838 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,475 34,533,354 124,345,178

0.2358401,158 9,419,849 39,941,730

0.277722

Ratio

0.060633969 23,207,323 382,752,935

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,278 13,887,245 05 Administrative and General 1,591 26,732,733

06 Maintenance and Repairs 423 6,332,085 07 Operation of Plant 2,088 2,514,808

08/09 Laundry / Housekeeping 1,237 3,419,619 10/11 Dietary and Cafeteria 1,323 2,498,747

13 Nursing Administration 705 4,380,794 14 Central Service and Supply 932 1,428,289

15 Pharmancy 1,115 3,206,806 16 Medical Records 3,688 275,051

Selected Revenue Departments

0.4113151,601 1,958,394 4,761,302

0.1483712,717 4,466,365 30,102,656

1,364

17 Social Services 2,616 74,878 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 14: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051301

ADVENTIST HEALTH TEHACHAPI VALLEY

1100 MAGELLAN

TEHACHAPI, CA 93561

KERN

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Church

Other

Balance Sheet

18,083,613

Income Statement

40,650,020

0

58,733,633

7,794,434

60,048,387

-9,109,188

58,733,633 32.9%

4.3%

47.2

159.0

2.1%

0.0%

5.5

46.3%

Key Performanace Ind.

2.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

70.6%89,326,039Contract Allowance

Total Charges 126,468,904

29.4%

109.5%

-9.5%

1.4%

0.0%

-8.1%

Current Assets

Fixed Assets

37,142,865

40,670,057

-3,527,192

526,469

0

(3,000,723)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 24CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,490 2,785,627 02 Capital Cost - Movable Equip 3,706 556,669

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,774 6,907,019 9,223,560

1.2306952,203 2,980,506 2,421,808

0.748845

Ratio

0.9523062,993 3,666,116 3,849,726

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,888 1,681,720 05 Administrative and General 2,943 8,635,686

06 Maintenance and Repairs 1,192 1,280,270 07 Operation of Plant 2,736 1,482,469

08/09 Laundry / Housekeeping 3,215 737,511 10/11 Dietary and Cafeteria 3,514 647,552

13 Nursing Administration 1,587 1,875,019 14 Central Service and Supply 2,876 94,116

15 Pharmancy 2,009 1,126,164 16 Medical Records 4,168 201,021

Selected Revenue Departments

0.0000000 0 0

0.2147011,850 7,978,719 37,161,918

3,380

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 15: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050784

ADVENTIST HEALTH TULARE

869 NORTH CHERRY STREET

TULARE, CA 93274

TULARE

Noridian (CA)

12/31/2019 292 Days Submitted

Nonprofit - Church

General Short Term

3/14/2019 44 Days Settled

Balance Sheet

18,256,028

Income Statement

156,575,317

315,823

175,147,168

46,671,851

110,962,136

17,513,181

175,147,168 -5.8%

0.1%

1,410.3

2,722.0

6.9%

6.8%

32.20

4.9

8.5%

Key Performanace Ind.

0.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.9%9,663,992Contract Allowance

Total Charges 12,728,584

24.1%

249.4%

-149.4%

116.4%

0.0%

-33.0%

Current Assets

Fixed Assets

3,064,592

7,641,912

-4,577,320

3,567,452

0

(1,009,868)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 59CR Beds 94

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,240 879,227 02 Capital Cost - Movable Equip 4,950 155,499

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,930 1,569,813 939,745

3.4154312,366 448,289 131,254

1.670467

Ratio

2.1448982,797 813,933 379,474

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,911 221,992 05 Administrative and General 2,421 2,264,123

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,787 665,742

08/09 Laundry / Housekeeping 2,817 288,090 10/11 Dietary and Cafeteria 3,788 94,874

13 Nursing Administration 1,896 183,434 14 Central Service and Supply 2,431 62,905

15 Pharmancy 2,395 188,606 16 Medical Records 4,656 2,995

Selected Revenue Departments

0.0000000 0 0

0.2108151,959 1,155,143 5,479,413

3,207

17 Social Services 3,036 2,435 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 16: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050784

ADVENTIST HEALTH TULARE

869 NORTH CHERRY STREET

TULARE, CA 93274

TULARE

Noridian (CA)

12/31/2019 292 Days Submitted

Nonprofit - Church

General Short Term

3/14/2019 44 Days Settled

Balance Sheet

-550,915

Income Statement

17,502,534

303,000

17,254,619

16,983,419

8,301,069

-8,029,869

17,254,619 100.1%

1.4%

49.0

1,096.5

0.5%

0.5%

32.20

4.9

8.5%

Key Performanace Ind.

0.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

70.0%91,212,185Contract Allowance

Total Charges 130,333,812

30.0%

121.5%

-21.5%

0.9%

0.0%

-20.6%

Current Assets

Fixed Assets

39,121,627

47,514,609

-8,392,982

352,684

0

(8,040,298)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 59CR Beds 94

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,240 10,929 02 Capital Cost - Movable Equip 4,950 549

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,930 6,308,200 3,907,546

1.7753362,366 2,421,281 1,363,844

1.614364

Ratio

0.8625622,797 4,579,242 5,308,885

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,911 1,660,186 05 Administrative and General 2,421 13,034,811

06 Maintenance and Repairs 1,065 1,684,864 07 Operation of Plant 2,787 1,427,819

08/09 Laundry / Housekeeping 2,817 994,834 10/11 Dietary and Cafeteria 3,788 573,771

13 Nursing Administration 1,896 1,511,477 14 Central Service and Supply 2,431 188,161

15 Pharmancy 2,395 726,013 16 Medical Records 4,656 135,930

Selected Revenue Departments

6.3088191,735 1,627,259 257,934

0.1285751,959 7,459,353 58,015,529

3,207

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 17: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050301

ADVENTIST HEALTH UKIAH VALLEY

275 HOSPITAL DRIVE

UKIAH, CA 95482

MENDOCINO

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

140,544,645

Income Statement

87,088,977

701,204

228,334,826

43,810,949

50,171,983

134,351,894

228,334,826 4.2%

2.7%

22.3

408.7

14.5%

10.6%

43.81

3.7

73.3%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.3%413,556,908Contract Allowance

Total Charges 564,441,790

26.7%

131.1%

-31.1%

37.8%

3.0%

3.7%

Current Assets

Fixed Assets

150,884,882

197,877,797

-46,992,915

57,099,826

4,469,231

5,637,680

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 111CR Beds 40

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,053 3,786,599 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,100 20,744,354 48,800,168

0.3628061,728 5,130,420 14,140,959

0.425088

Ratio

0.2478061,315 17,336,879 69,961,631

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,670 9,641,690 05 Administrative and General 1,258 36,310,498

06 Maintenance and Repairs 560 4,633,046 07 Operation of Plant 2,820 1,396,165

08/09 Laundry / Housekeeping 1,659 2,428,344 10/11 Dietary and Cafeteria 1,937 1,640,804

13 Nursing Administration 517 5,711,322 14 Central Service and Supply 1,370 797,628

15 Pharmancy 1,552 1,980,284 16 Medical Records 1,546 1,218,848

Selected Revenue Departments

0.4437041,393 2,719,321 6,128,684

0.1426011,332 11,939,771 83,728,431

1,722

17 Social Services 2,549 90,232 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,387 258,293

Revenue Ranking -

All Providers

10:04 AM

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054074

ADVENTIST HEALTH VALLEJO

525 OREGON ST

VALLEJO, CA 94590

SOLANO

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Church

Psychiatric

Balance Sheet

1,237,894

Income Statement

1,502,635

37,766

2,778,295

984,453

933,484

860,358

2,778,295 -321.4%

4.4%

4.9

53.7

1.6%

0.0%

6.7

89.1%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

70.3%64,744,710Contract Allowance

Total Charges 92,123,854

29.7%

110.3%

-10.3%

0.2%

0.0%

-10.1%

Current Assets

Fixed Assets

27,379,144

30,209,537

-2,830,393

64,843

0

(2,765,550)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 61CR Beds 61

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,605 177,938 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,901 24,185,702 68,788,902

0.0000000 0 0

0.351593

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,684 1,916,346 05 Administrative and General 3,746 5,174,163

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,458 1,850,169

08/09 Laundry / Housekeeping 3,022 852,289 10/11 Dietary and Cafeteria 2,246 1,338,017

13 Nursing Administration 1,057 3,013,372 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 5,592 3,485

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,851

17 Social Services 883 1,133,623 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 18

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Page 19: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050226

AHMC ANAHEIM REGIONAL MEDICAL CENTER

1111 W LA PALMA AVENUE

ANAHEIM, CA 92801

ORANGE

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

62,179,756

Income Statement

6,001,943

0

68,181,699

41,036,025

526,387

26,619,287

68,181,699 -23.9%

4.5%

28.4

668.9

2.7%

13.5%

40.43

4.5

56.7%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.5%1,193,852,239Contract Allowance

Total Charges 1,412,017,613

15.5%

103.5%

-3.5%

0.5%

0.0%

-2.9%

Current Assets

Fixed Assets

218,165,374

225,716,138

-7,550,764

1,184,147

140

(6,366,757)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 186CR Beds 180

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,145 7,877,669 02 Capital Cost - Movable Equip 1,867 3,156,149

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,063 49,374,665 184,468,312

0.264879862 12,737,968 48,089,701

0.267659

Ratio

0.0852372,144 8,420,829 98,792,669

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,770 774,945 05 Administrative and General 1,116 41,054,362

06 Maintenance and Repairs 755 3,220,069 07 Operation of Plant 2,470 1,835,166

08/09 Laundry / Housekeeping 1,232 3,429,973 10/11 Dietary and Cafeteria 631 4,251,494

13 Nursing Administration 1,869 1,540,839 14 Central Service and Supply 930 1,432,382

15 Pharmancy 941 3,841,491 16 Medical Records 809 2,435,855

Selected Revenue Departments

0.442664899 5,310,288 11,996,211

0.1838651,031 15,079,872 82,016,002

1,335

17 Social Services 1,882 295,028 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 19

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Page 20: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050211

ALAMEDA HOSPITAL

2070 CLINTON AVENUE

ALAMEDA, CA 94501

ALAMEDA

NORIDIAN ADMIN SERVICES

6/30/2019 365 Days Amended

Government - Hospital Dis

General Short Term

Balance Sheet

229,148,753

Income Statement

69,851,095

196,657,140

495,656,988

127,385,989

632,761,294

-264,490,295

495,656,988 1.2%

0.9%

253.8

5,579.2

5.8%

17.8%

49.78

4.7

95.1%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.3%329,065,862Contract Allowance

Total Charges 420,402,278

21.7%

136.5%

-36.5%

33.0%

0.0%

-3.4%

Current Assets

Fixed Assets

91,336,416

124,652,037

-33,315,621

30,179,194

0

(3,136,427)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 145CR Beds 32

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,851 65,279 02 Capital Cost - Movable Equip 3,929 472,024

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,733 27,705,459 74,736,345

0.0000000 0 0

0.370709

Ratio

0.3332252,221 7,941,608 23,832,599

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 749 24,924,839 05 Administrative and General 2,142 16,125,341

06 Maintenance and Repairs 767 3,124,308 07 Operation of Plant 2,877 1,319,344

08/09 Laundry / Housekeeping 1,262 3,348,203 10/11 Dietary and Cafeteria 1,458 2,254,231

13 Nursing Administration 1,397 2,166,941 14 Central Service and Supply 1,757 473,480

15 Pharmancy 1,683 1,703,751 16 Medical Records 2,365 655,386

Selected Revenue Departments

0.0000000 0 0

0.3083731,487 10,629,145 34,468,466

2,297

17 Social Services 2,216 170,692 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 20

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Page 21: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050281

ALHAMBRA HOSPITAL MEDICAL CENTER

100 S RAYMOND AVE

ALHAMBRA, CA 91801

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

107,919,383

Income Statement

4,738,313

52,337

112,710,033

77,056,497

1,842,067

33,811,469

112,710,033 32.5%

0.0%

11.8

855.7

3.2%

17.8%

37.77

4.2

54.4%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

85.2%471,413,881Contract Allowance

Total Charges 553,244,607

14.8%

239.0%

-139.0%

152.4%

0.0%

13.4%

Current Assets

Fixed Assets

81,830,726

195,559,191

-113,728,465

124,724,324

0

10,995,859

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 118CR Beds 88

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,149 1,809,330 02 Capital Cost - Movable Equip 2,642 1,443,718

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,866 24,910,009 95,760,800

0.2999331,433 7,120,990 23,741,900

0.260127

Ratio

0.1729302,126 8,521,185 49,275,378

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,683 866,848 05 Administrative and General 2,107 16,600,284

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,142 5,706,159

08/09 Laundry / Housekeeping 2,101 1,704,561 10/11 Dietary and Cafeteria 1,123 2,904,394

13 Nursing Administration 1,380 2,200,296 14 Central Service and Supply 2,235 248,098

15 Pharmancy 1,194 2,956,288 16 Medical Records 1,704 1,074,435

Selected Revenue Departments

0.0000000 0 0

0.1757362,133 6,625,201 37,699,752

2,425

17 Social Services 1,689 387,575 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 21

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Page 22: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050043

ALTA BATES SUMMIT MEDICAL CENTER

350 HAWTHORNE AVENUE

OAKLAND, CA 94609

ALAMEDA

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

296,757,016

Income Statement

473,264,909

48,815,692

818,837,617

427,504,649

400,444,789

-9,111,821

818,837,617 -842.8%

3.8%

237.0

338.3

4.8%

19.6%

66.61

4.5

34.2%

Key Performanace Ind.

0.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

70.4%1,231,386,531Contract Allowance

Total Charges 1,748,713,909

29.6%

108.8%

-8.8%

19.8%

-3.8%

14.8%

Current Assets

Fixed Assets

517,327,378

562,726,972

-45,399,594

102,607,413

-19,584,890

76,792,709

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 569CR Beds 367

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 156 36,363,124 02 Capital Cost - Movable Equip 2,171 2,320,055

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

300 118,804,667 257,842,377

0.421902305 30,533,693 72,371,459

0.460765

Ratio

0.192529675 30,633,164 159,109,421

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 457 38,990,818 05 Administrative and General 613 68,726,359

06 Maintenance and Repairs 0 0 07 Operation of Plant 185 19,760,419

08/09 Laundry / Housekeeping 159 13,818,420 10/11 Dietary and Cafeteria 128 9,822,783

13 Nursing Administration 1,357 2,242,075 14 Central Service and Supply 557 2,714,194

15 Pharmancy 562 6,302,811 16 Medical Records 1,758 1,034,063

Selected Revenue Departments

0.0000000 0 0

0.082188673 20,861,519 253,825,776

513

17 Social Services 67 8,804,763 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,209 608,953

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 22

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Page 23: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050305

ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP

2450 ASHBY AVENUE

BERKELEY, CA 94705

ALAMEDA

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

226,249,238

Income Statement

83,603,162

21,904,487

331,756,887

-304,008,290

2,282,757

633,482,420

331,756,887 -8.8%

3.9%

(209.3)

354.1

6.1%

7.9%

65.56

6.2

48.9%

Key Performanace Ind.

(0.7)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

63.8%1,159,161,253Contract Allowance

Total Charges 1,816,399,061

36.2%

111.8%

-11.8%

3.4%

0.0%

-8.5%

Current Assets

Fixed Assets

657,237,808

735,090,521

-77,852,713

22,232,855

0

(55,619,858)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 555CR Beds 254

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 851 10,854,083 02 Capital Cost - Movable Equip 1,782 3,459,814

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

563 81,844,500 222,423,167

0.419059587 18,462,473 44,056,965

0.367968

Ratio

0.211717736 28,897,526 136,491,254

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 456 38,997,751 05 Administrative and General 463 83,748,781

06 Maintenance and Repairs 0 0 07 Operation of Plant 119 25,047,783

08/09 Laundry / Housekeeping 214 11,805,511 10/11 Dietary and Cafeteria 137 9,508,903

13 Nursing Administration 575 5,186,060 14 Central Service and Supply 632 2,366,870

15 Pharmancy 671 5,371,833 16 Medical Records 2,310 678,063

Selected Revenue Departments

0.3498739 42,731,786 122,135,030

0.127851705 20,120,701 157,375,890

351

17 Social Services 949 1,028,446 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,321 360,856

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 23

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Page 24: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050757

ALVARADO HOSPITAL MEDICAL CENTER

6655 ALVARADO ROAD

SAN DIEGO, CA 92120

SAN DIEGO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

50,083,221

Income Statement

47,124,449

34,006,940

131,214,610

211,731,904

1,343,497

-81,860,791

131,214,610 23.1%

5.1%

39.0

595.1

3.3%

26.5%

37.13

4.5

25.9%

Key Performanace Ind.

0.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.0%408,945,699Contract Allowance

Total Charges 517,456,659

21.0%

112.6%

-12.6%

2.7%

7.5%

-17.5%

Current Assets

Fixed Assets

108,510,960

122,191,419

-13,680,459

2,877,357

8,140,945

(18,944,047)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 281CR Beds 198

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,774 4,712,594 02 Capital Cost - Movable Equip 1,873 3,146,224

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,689 28,755,656 48,178,168

0.3943741,424 7,203,090 18,264,628

0.596861

Ratio

0.1083232,017 9,271,965 85,595,891

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 (1,950,143) 05 Administrative and General 1,933 19,613,822

06 Maintenance and Repairs 1,163 1,376,630 07 Operation of Plant 1,182 5,491,110

08/09 Laundry / Housekeeping 1,407 2,951,915 10/11 Dietary and Cafeteria 1,573 2,077,201

13 Nursing Administration 2,809 800,833 14 Central Service and Supply 1,682 530,543

15 Pharmancy 1,366 2,409,707 16 Medical Records 1,936 901,625

Selected Revenue Departments

0.0000000 0 0

0.2132161,658 9,162,278 42,971,824

2,073

17 Social Services 1,569 447,417 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 24

Healthcare Almanac 561-594-7551

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Page 25: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054075

ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTE

7050 PARKWAY DRIVE

LA MESA, CA 91942

SAN DIEGO

Noridian (CA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

6,620,445

Income Statement

2,591,301

7,906,218

17,117,964

2,449,778

4,562,500

10,105,686

17,117,964 16.9%

11.7%

23.8

157.7

25.4%

0.0%

9.5

89.5%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

64.6%61,013,541Contract Allowance

Total Charges 94,436,209

35.4%

94.5%

5.5%

-0.4%

0.0%

5.1%

Current Assets

Fixed Assets

33,422,668

31,568,286

1,854,382

-148,541

0

1,705,841

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 66CR Beds 66

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,380 2,984,375 02 Capital Cost - Movable Equip 3,219 841,254

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,280 18,031,221 53,885,998

0.0000000 0 0

0.334618

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,129 477,970 05 Administrative and General 3,540 5,897,280

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,786 1,428,277

08/09 Laundry / Housekeeping 3,285 703,754 10/11 Dietary and Cafeteria 3,133 777,506

13 Nursing Administration 2,416 1,046,029 14 Central Service and Supply 0 0

15 Pharmancy 2,717 480,067 16 Medical Records 2,859 461,065

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,536

17 Social Services 1,171 754,275 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Healthcare Almanac 561-594-7551

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Page 26: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050744

ANAHEIM GLOBAL MEDICAL CENTER

1025 S ANAHEIM BLVD

ANAHEIM, CA 92805

ORANGE

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

30,057,848

Income Statement

5,249,248

0

35,307,096

13,239,447

770,174

21,297,475

35,307,096 -29.4%

33.7%

46.5

599.6

2.8%

7.9%

40.75

6.1

44.7%

Key Performanace Ind.

2.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.2%237,227,964Contract Allowance

Total Charges 319,834,117

25.8%

107.9%

-7.9%

0.4%

0.0%

-7.6%

Current Assets

Fixed Assets

82,606,153

89,160,464

-6,554,311

293,004

0

(6,261,307)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 184CR Beds 81

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,899 4,278,268 02 Capital Cost - Movable Equip 2,640 1,446,361

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,693 13,345,254 29,551,371

0.3023201,479 6,821,618 22,564,203

0.451595

Ratio

0.1437192,799 4,561,360 31,737,978

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,227 386,600 05 Administrative and General 1,776 22,809,123

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,640 3,596,977

08/09 Laundry / Housekeeping 2,154 1,627,022 10/11 Dietary and Cafeteria 1,790 1,799,890

13 Nursing Administration 2,426 1,038,903 14 Central Service and Supply 2,215 253,907

15 Pharmancy 2,027 1,104,206 16 Medical Records 1,780 1,010,534

Selected Revenue Departments

0.473813930 5,105,330 10,775,000

0.1403111,659 9,157,410 65,264,995

2,415

17 Social Services 1,605 430,653 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 26

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 27: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050056

ANTELOPE VALLEY HOSPITAL

1600 W AVE J

LANCASTER, CA 93534

LOS ANGELES

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

285,045,483

Income Statement

191,486,037

28,427,992

504,959,512

226,710,644

133,249,003

144,999,865

504,959,512 13.7%

6.1%

143.7

50.4

2.0%

10.3%

40.16

4.5

60.3%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.9%1,402,035,898Contract Allowance

Total Charges 1,823,103,407

23.1%

101.6%

-1.6%

6.3%

0.0%

4.7%

Current Assets

Fixed Assets

421,067,509

427,819,508

-6,751,999

26,597,907

0

19,845,908

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 341CR Beds 345

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,987 3,971,876 02 Capital Cost - Movable Equip 401 15,599,653

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

409 99,944,506 412,653,194

0.299708241 36,059,161 120,314,179

0.242200

Ratio

0.335719228 61,687,107 183,746,172

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 232 65,050,649 05 Administrative and General 688 63,122,881

06 Maintenance and Repairs 453 5,958,009 07 Operation of Plant 1,648 3,590,632

08/09 Laundry / Housekeeping 599 6,276,489 10/11 Dietary and Cafeteria 678 4,108,661

13 Nursing Administration 742 4,148,764 14 Central Service and Supply 532 2,853,792

15 Pharmancy 536 6,544,031 16 Medical Records 346 4,681,196

Selected Revenue Departments

0.36326583 21,651,338 59,602,117

0.127702122 50,748,988 397,400,807

680

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,546 96,332

Revenue Ranking -

All Providers

10:04 AM

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Page 28: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051993

ARDEN WOOD, INC

445 WAWONA STREET

SAN FRANCISCO, CA 94116

SAN FRANCISCO

CAHABA GBA (TN)

3/31/2019 365 Days Settled

Nonprofit - Church

Religious Non-Medical

Balance Sheet

2,412,592

Income Statement

7,926,888

13,450,459

23,789,939

762,407

21,937

23,005,595

23,789,939 33.5%

2.2%

27.4

62.1

0.0%

0.0%

46.5

50.0%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

13.2%623,102Contract Allowance

Total Charges 4,724,238

86.8%

180.2%

-80.2%

268.2%

0.0%

188.0%

Current Assets

Fixed Assets

4,101,136

7,390,121

-3,288,985

10,998,430

0

7,709,445

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 13CR Beds 13

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,630 654,975 02 Capital Cost - Movable Equip 5,333 37,812

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,821 1,666,168 1,904,179

0.0000000 0 0

0.875006

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,600 108,884 05 Administrative and General 5,774 1,051,682

06 Maintenance and Repairs 1,597 522,924 07 Operation of Plant 4,770 336,242

08/09 Laundry / Housekeeping 3,920 461,121 10/11 Dietary and Cafeteria 3,165 764,786

13 Nursing Administration 4,345 235,883 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,749

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 28

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Page 29: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050245

ARROWHEAD REGIONAL MEDICAL CENTER

400 NORTH PEPPER AVENUE

COLTON, CA 92324

SAN BERNARDINO

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

483,703,552

Income Statement

340,073,917

135,279,150

959,056,619

196,620,276

542,926,376

219,509,967

959,056,619 29.5%

3.1%

25.7

497.1

2.7%

12.1%

33.51

5.2

74.4%

Key Performanace Ind.

2.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.0%1,281,198,320Contract Allowance

Total Charges 1,642,821,014

22.0%

187.4%

-87.4%

105.3%

0.0%

17.9%

Current Assets

Fixed Assets

361,622,694

677,786,169

-316,163,475

380,731,381

-118,790

64,686,696

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 456CR Beds 274

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 179 33,360,964 02 Capital Cost - Movable Equip 869 8,900,764

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

383 104,678,400 213,602,170

0.402424682 16,337,555 40,597,873

0.490062

Ratio

0.2075531,383 16,271,704 78,397,645

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 444 85,022,871

06 Maintenance and Repairs 443 6,139,483 07 Operation of Plant 285 15,300,641

08/09 Laundry / Housekeeping 223 11,642,133 10/11 Dietary and Cafeteria 272 6,646,850

13 Nursing Administration 206 10,585,070 14 Central Service and Supply 384 3,777,099

15 Pharmancy 347 9,570,580 16 Medical Records 112 9,319,924

Selected Revenue Departments

0.818343257 13,081,889 15,985,836

0.261849297 34,382,529 131,306,713

803

17 Social Services 497 2,270,914 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 221 21,607,908

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 29

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Page 30: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054151

AURORA BEHAVIORAL HEALTHCARE-SANTA ROSA, LLC

1287 FULTON ROAD

SANTA ROSA, CA 95401

SONOMA

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

17,952,529

Income Statement

320,757

341,174

18,614,460

20,470,907

474,764

-2,331,211

18,614,460 -15.3%

16.2%

10.5

162.4

0.9%

0.0%

8.3

77.6%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

39.6%24,482,194Contract Allowance

Total Charges 61,867,850

60.4%

100.9%

-0.9%

1.8%

0.0%

1.0%

Current Assets

Fixed Assets

37,385,656

37,703,964

-318,308

674,631

0

356,323

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 95CR Beds 95

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,821 2,247,150 02 Capital Cost - Movable Equip 4,223 367,102

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,939 23,453,400 53,528,920

0.0000000 0 0

0.438144

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,465 2,218,652 05 Administrative and General 3,810 5,005,174

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,528 817,620

08/09 Laundry / Housekeeping 4,052 425,597 10/11 Dietary and Cafeteria 2,628 1,044,945

13 Nursing Administration 2,886 759,241 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,824 974,047

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,372

17 Social Services 578 1,917,447 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 31: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054069

AURORA CHARTER OAK

1161 E COVINA BLVD

COVINA, CA 91724

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

35,602,443

Income Statement

4,497,577

1,505,074

41,605,094

12,208,009

1,823,738

27,573,347

41,605,094 5.8%

7.1%

8.3

281.4

2.3%

0.0%

7.7

95.2%

Key Performanace Ind.

2.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

46.8%37,309,784Contract Allowance

Total Charges 79,776,675

53.2%

96.3%

3.7%

0.1%

0.0%

3.8%

Current Assets

Fixed Assets

42,466,891

40,908,262

1,558,629

48,528

1

1,607,156

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 95CR Beds 134

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,023 9,069,961 02 Capital Cost - Movable Equip 3,935 470,442

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,542 32,429,633 63,126,292

0.0000000 0 0

0.513726

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,084 2,858,439 05 Administrative and General 3,294 6,827,933

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,259 991,622

08/09 Laundry / Housekeeping 2,988 876,912 10/11 Dietary and Cafeteria 2,392 1,209,248

13 Nursing Administration 1,956 1,452,063 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,091 1,818,052

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,209

17 Social Services 989 970,435 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 32: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054078

AURORA LAS ENCINAS HOSPITAL

2900 E DEL MAR BLVD

PASADENA, CA 91107

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

4,615,566

Income Statement

3,406,945

1,503,067

9,525,578

2,447,447

778,210

6,299,921

9,525,578 -24.6%

12.2%

13.1

50.4

1.0%

0.0%

5.5

60.1%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

43.3%22,210,784Contract Allowance

Total Charges 51,273,110

56.7%

105.5%

-5.5%

0.2%

0.0%

-5.3%

Current Assets

Fixed Assets

29,062,326

30,667,917

-1,605,591

53,776

0

(1,551,815)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 96CR Beds 118

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,712 600,934 02 Capital Cost - Movable Equip 4,598 252,740

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,170 19,401,699 39,288,866

0.0000000 0 0

0.493822

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,690 1,910,330 05 Administrative and General 3,621 5,584,296

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,049 1,161,699

08/09 Laundry / Housekeeping 3,611 553,106 10/11 Dietary and Cafeteria 2,446 1,170,162

13 Nursing Administration 1,283 2,428,169 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,915 914,926

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,747

17 Social Services 717 1,502,546 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 32

Healthcare Almanac 561-594-7551

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Page 33: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054095

AURORA SAN DIEGO

11878 AVENUE OF INDUSTRY

SAN DIEGO, CA 92128

SAN DIEGO

Noridian (CA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

18,833,404

Income Statement

785,735

741,091

20,360,230

1,865,840

1,852,108

16,642,282

20,360,230 39.3%

10.7%

8.2

180.4

0.3%

0.0%

10.9

85.0%

Key Performanace Ind.

10.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

41.3%24,736,848Contract Allowance

Total Charges 59,854,340

58.7%

81.6%

18.4%

0.2%

0.0%

18.6%

Current Assets

Fixed Assets

35,117,492

28,645,136

6,472,356

59,799

0

6,532,155

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 80CR Beds 95

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,366 6,439,662 02 Capital Cost - Movable Equip 4,070 421,269

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,089 20,950,579 48,535,165

0.0000000 0 0

0.431658

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,979 1,586,870 05 Administrative and General 4,239 4,039,887

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,475 845,194

08/09 Laundry / Housekeeping 3,834 482,406 10/11 Dietary and Cafeteria 2,551 1,104,796

13 Nursing Administration 2,766 824,962 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,809 984,914

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,462

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 33

Healthcare Almanac 561-594-7551

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Page 34: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054077

AURORA VISTA DEL MAR HOSPITAL

801 SENECA ST

VENTURA, CA 93001

VENTURA

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

6,483,490

Income Statement

1,905,218

5,350,413

13,739,121

5,865,282

1,114,420

6,759,419

13,739,121 70.4%

9.7%

8.0

149.3

0.7%

0.0%

6.1

45.3%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

43.2%11,074,049Contract Allowance

Total Charges 25,651,200

56.8%

137.6%

-37.6%

70.2%

0.0%

32.6%

Current Assets

Fixed Assets

14,577,151

20,056,267

-5,479,116

10,235,238

0

4,756,122

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 87CR Beds 87

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,149 945,290 02 Capital Cost - Movable Equip 4,437 300,306

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,112 10,285,367 21,600,522

0.0000000 0 0

0.476163

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,476 1,046,645 05 Administrative and General 0 -3,313,254

06 Maintenance and Repairs 0 0 07 Operation of Plant 4,198 536,487

08/09 Laundry / Housekeeping 4,688 291,565 10/11 Dietary and Cafeteria 3,433 674,994

13 Nursing Administration 2,742 840,469 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 3,403 329,367

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,836

17 Social Services 917 1,073,497 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 35: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054155

BAKERSFIELD BEHAVIORAL HEALTHCARE HOSPITAL, LLC

5201 WHITE LANE

BAKERSFIELD, CA 93309

KERN

Noridian (CA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

3,534,476

Income Statement

504,615

14,090

4,053,181

17,556,472

631,661

-14,134,952

4,053,181 30.5%

20.2%

8.1

59.8

0.6%

0.0%

6.8

57.0%

Key Performanace Ind.

0.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

57.2%22,077,145Contract Allowance

Total Charges 38,605,050

42.8%

126.4%

-26.4%

0.3%

0.0%

-26.1%

Current Assets

Fixed Assets

16,527,905

20,890,312

-4,362,407

47,945

1

(4,314,463)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 90CR Beds 90

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,673 147,752 02 Capital Cost - Movable Equip 4,167 389,974

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,526 14,870,829 32,005,516

0.0000000 0 0

0.464633

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,790 1,792,721 05 Administrative and General 4,517 3,460,522

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,435 869,657

08/09 Laundry / Housekeeping 4,243 379,538 10/11 Dietary and Cafeteria 3,897 542,478

13 Nursing Administration 2,274 1,155,914 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,928 906,549

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,657

17 Social Services 1,095 849,251 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 35

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 36: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050724

BAKERSFIELD HEART HOSPITAL

3001 SILLECT AVENUE

BAKERSFIELD, CA 93308

KERN

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

19,380,635

Income Statement

59,033,320

4,825,000

83,238,955

13,524,768

72,892,876

-3,178,689

83,238,955 -143.1%

3.8%

50.4

52.0

16.4%

34.1%

36.99

4.2

73.8%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.8%338,703,167Contract Allowance

Total Charges 419,399,393

19.2%

93.2%

6.8%

1.4%

2.5%

5.6%

Current Assets

Fixed Assets

80,696,226

75,236,660

5,459,566

1,143,268

2,052,942

4,549,892

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 47CR Beds 47

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,617 5,301,707 02 Capital Cost - Movable Equip 3,023 1,029,197

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,080 21,079,478 53,315,798

0.0000000 0 0

0.395370

Ratio

0.1203232,748 4,815,289 40,019,819

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,388 5,003,108 05 Administrative and General 2,632 11,157,197

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,225 2,263,054

08/09 Laundry / Housekeeping 2,714 1,068,344 10/11 Dietary and Cafeteria 2,489 1,140,622

13 Nursing Administration 3,225 608,393 14 Central Service and Supply 2,108 287,597

15 Pharmancy 1,857 1,373,188 16 Medical Records 2,291 693,191

Selected Revenue Departments

0.0000000 0 0

0.1900582,187 6,418,529 33,771,506

2,436

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 36

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Page 37: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050036

BAKERSFIELD MEMORIAL HOSPITAL

420 34TH ST

BAKERSFIELD, CA 93301

KERN

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

474,388,303

Income Statement

144,587,260

34,858,561

653,834,124

61,588,894

46,139,178

546,106,052

653,834,124 2.7%

3.2%

83.3

1,346.6

6.0%

11.2%

45.40

4.1

47.6%

Key Performanace Ind.

7.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.0%861,453,668Contract Allowance

Total Charges 1,091,117,703

21.0%

101.3%

-1.3%

7.0%

-0.8%

6.5%

Current Assets

Fixed Assets

229,664,035

232,755,262

-3,091,227

16,183,328

-1,799,605

14,891,706

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 366CR Beds 338

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,295 3,743,417 02 Capital Cost - Movable Equip 391 8,203,195

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

604 41,134,676 106,282,264

0.514472337 14,596,492 28,371,806

0.387032

Ratio

0.185657437 21,642,734 116,573,563

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 321 27,007,707 05 Administrative and General 651 33,099,146

06 Maintenance and Repairs 107 8,046,341 07 Operation of Plant 2,931 618,767

08/09 Laundry / Housekeeping 847 2,616,266 10/11 Dietary and Cafeteria 1,250 1,156,365

13 Nursing Administration 986 1,751,604 14 Central Service and Supply 275 1,870,513

15 Pharmancy 491 3,603,110 16 Medical Records 317 2,716,971

Selected Revenue Departments

0.378581180 9,335,547 24,659,322

0.101487509 13,668,032 134,677,793

998

17 Social Services 1,353 263,320 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 37

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Page 38: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050036

BAKERSFIELD MEMORIAL HOSPITAL

420 34TH ST

BAKERSFIELD, CA 93301

KERN

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

481,088,980

Income Statement

147,615,484

35,101,781

663,806,245

66,360,526

42,400,692

555,045,027

663,806,245 7.0%

3.2%

40.8

651.6

3.1%

5.8%

45.40

4.1

47.6%

Key Performanace Ind.

7.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.3%1,606,654,934Contract Allowance

Total Charges 2,051,484,202

21.7%

106.5%

-6.5%

15.3%

0.0%

8.7%

Current Assets

Fixed Assets

444,829,268

473,833,884

-29,004,616

67,852,259

0

38,847,643

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 366CR Beds 338

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,295 6,911,917 02 Capital Cost - Movable Equip 391 15,740,718

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

604 77,395,304 214,819,795

0.486146337 28,154,079 57,912,785

0.360280

Ratio

0.192071437 41,512,310 216,130,188

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 321 50,954,217 05 Administrative and General 651 65,520,010

06 Maintenance and Repairs 107 16,280,011 07 Operation of Plant 2,931 1,266,579

08/09 Laundry / Housekeeping 847 4,803,118 10/11 Dietary and Cafeteria 1,250 2,644,200

13 Nursing Administration 986 3,212,961 14 Central Service and Supply 275 4,937,362

15 Pharmancy 491 7,052,379 16 Medical Records 317 5,040,673

Selected Revenue Departments

0.374100180 15,296,065 40,887,655

0.105096509 25,871,214 246,167,086

998

17 Social Services 1,353 574,623 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 39: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053037

BALLARD REHABILITATION HOSPITAL

1760 WEST 16TH ST

SAN BERNARDINO, CA 92411

SAN BERNARDINO

BLUE CROSS (TEXAS)

6/30/2019 365 Days Submitted

Proprietary - Corporation

Rehabilitation

Balance Sheet

4,164,630

Income Statement

450,305

116,772

4,731,707

-621,904

1,563,928

3,789,683

4,731,707 81.6%

9.4%

36.6

79.0

0.0%

0.0%

14.8

61.5%

Key Performanace Ind.

(6.7)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

44.4%19,553,047Contract Allowance

Total Charges 44,013,243

55.6%

88.2%

11.8%

0.9%

0.0%

12.7%

Current Assets

Fixed Assets

24,460,196

21,580,908

2,879,288

214,960

0

3,094,248

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 60CR Beds 60

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,782 2,286,903 02 Capital Cost - Movable Equip 3,328 771,779

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,649 13,767,772 19,654,335

0.0000000 0 0

0.700495

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,358 2,357,535 05 Administrative and General 4,214 4,091,526

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,534 814,888

08/09 Laundry / Housekeeping 4,226 382,633 10/11 Dietary and Cafeteria 3,660 608,417

13 Nursing Administration 4,519 198,643 14 Central Service and Supply 2,387 200,750

15 Pharmancy 2,905 372,558 16 Medical Records 3,993 223,094

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,027

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 39

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Page 40: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051320

BANNER LASSEN MEDICAL CENTER

1800 SPRING RIDGE DRIVE

SUSANVILLE, CA 96130

LASSEN

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

11,926,899

Income Statement

12,858,766

7,904,302

32,689,967

3,800,100

17,846,628

11,043,239

32,689,967 26.5%

4.1%

17.7

237.5

11.0%

0.0%

3.7

41.0%

Key Performanace Ind.

3.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

53.7%47,899,797Contract Allowance

Total Charges 89,147,082

46.3%

93.0%

7.0%

0.1%

0.0%

7.1%

Current Assets

Fixed Assets

41,247,285

38,353,543

2,893,742

32,980

0

2,926,722

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 25

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,463 1,488,025 02 Capital Cost - Movable Equip 3,296 792,651

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,589 7,743,433 9,390,002

0.0000000 0 0

0.824647

Ratio

0.4949652,994 3,657,800 7,390,022

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,186 427,354 05 Administrative and General 3,587 5,722,481

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,592 1,663,866

08/09 Laundry / Housekeeping 3,251 718,982 10/11 Dietary and Cafeteria 4,283 450,805

13 Nursing Administration 3,111 653,524 14 Central Service and Supply 1,883 397,524

15 Pharmancy 1,499 2,096,491 16 Medical Records 3,657 281,890

Selected Revenue Departments

0.8031161,814 1,394,928 1,736,895

0.3321202,037 7,018,684 21,132,963

3,242

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 41: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052031

BARLOW RESPIRATORY HOSPITAL

2000 STADIUM WAY

LOS ANGELES, CA 90026

LOS ANGELES

BLUE CROSS (CALIFORNIA)

8/31/2019 365 Days Submitted

Nonprofit - Other

General Long Term

Balance Sheet

24,740,203

Income Statement

2,752,775

8,599,702

36,092,680

7,698,788

0

28,393,892

36,092,680 17.4%

9.1%

37.0

1,134.0

0.0%

0.0%

29.2

73.1%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

86.7%437,745,537Contract Allowance

Total Charges 505,104,786

13.3%

95.1%

4.9%

2.5%

0.0%

7.3%

Current Assets

Fixed Assets

67,359,249

64,091,052

3,268,197

1,680,768

0

4,948,965

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 99CR Beds 99

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,184 1,770,836 02 Capital Cost - Movable Equip 3,169 889,405

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,595 30,794,861 147,646,254

0.1594522,123 3,282,232 20,584,510

0.208572

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,337 5,197,254 05 Administrative and General 3,238 7,129,689

06 Maintenance and Repairs 1,166 1,363,877 07 Operation of Plant 4,009 603,727

08/09 Laundry / Housekeeping 2,984 878,148 10/11 Dietary and Cafeteria 3,125 779,243

13 Nursing Administration 1,943 1,467,935 14 Central Service and Supply 835 1,660,805

15 Pharmancy 872 4,165,581 16 Medical Records 2,429 625,033

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,667

17 Social Services 1,769 350,885 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 42: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050298

BARSTOW COMMUNITY HOSPITAL

820 E MOUNTAIN VIEW STREET

BARSTOW, CA 92311

SAN BERNARDINO

WISCONSIN PHYSICIANS SERVICE

1/31/2019 365 Days Amended

Proprietary - Corporation

General Short Term

Balance Sheet

18,272,156

Income Statement

56,253,319

1,286,097

75,811,572

-44,060,081

93,094

119,778,559

75,811,572 11.9%

3.2%

32.0

159.6

3.7%

11.5%

35.54

3.3

62.6%

Key Performanace Ind.

(0.4)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

87.3%409,557,767Contract Allowance

Total Charges 469,359,090

12.7%

76.2%

23.8%

0.2%

0.0%

23.9%

Current Assets

Fixed Assets

59,801,323

45,580,626

14,220,697

92,455

15

14,313,137

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 56CR Beds 26

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,838 2,219,644 02 Capital Cost - Movable Equip 2,895 1,152,697

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,312 9,042,788 19,854,261

0.4908262,449 2,154,334 4,389,201

0.455458

Ratio

0.0963012,977 3,730,288 38,735,622

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,491 2,170,080 05 Administrative and General 3,146 7,533,512

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,474 1,832,262

08/09 Laundry / Housekeeping 3,365 664,340 10/11 Dietary and Cafeteria 3,564 634,669

13 Nursing Administration 1,633 1,804,438 14 Central Service and Supply 2,943 85,105

15 Pharmancy 2,194 916,210 16 Medical Records 2,166 760,460

Selected Revenue Departments

0.5011431,685 1,756,997 3,505,976

0.0585791,684 8,964,732 153,036,814

2,799

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 43: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050352

BARTON MEMORIAL HOSPITAL

2170 SOUTH AVENUE

SOUTH LAKE TAHOE, CA 96150

EL DORADO

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

63,989,136

Income Statement

98,496,345

146,662,376

309,147,857

21,612,438

31,441,416

256,094,003

309,147,857 11.3%

3.3%

34.9

420.9

5.1%

8.2%

38.63

3.3

29.4%

Key Performanace Ind.

3.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

72.3%341,678,848Contract Allowance

Total Charges 472,370,452

27.7%

118.1%

-18.1%

40.2%

0.0%

22.2%

Current Assets

Fixed Assets

130,691,604

154,300,115

-23,608,511

52,559,387

0

28,950,876

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 64CR Beds 55

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,315 6,719,709 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,995 11,028,141 35,329,915

0.3927602,109 3,346,572 8,520,661

0.312147

Ratio

0.1226681,727 11,913,410 97,118,767

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,454 4,759,529 05 Administrative and General 1,807 22,121,681

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,428 4,349,962

08/09 Laundry / Housekeeping 1,836 2,118,292 10/11 Dietary and Cafeteria 1,758 1,832,712

13 Nursing Administration 1,879 1,526,933 14 Central Service and Supply 893 1,521,601

15 Pharmancy 756 4,804,902 16 Medical Records 1,620 1,141,049

Selected Revenue Departments

0.6432341,507 2,267,834 3,525,677

0.1110631,988 7,313,490 65,849,831

1,872

17 Social Services 710 1,520,597 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 44: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051335

BEAR VALLEY COMMUNITY HOSPITAL

41870 GARSTIN DR

BIG BEAR LAKE, CA 92315

SAN BERNARDINO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

6,107,965

Income Statement

8,644,373

25,298,992

40,051,330

5,009,250

2,860,000

32,182,080

40,051,330 22.7%

4.2%

18.3

37.9

4.8%

0.0%

3.9

16.3%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

46.0%24,591,207Contract Allowance

Total Charges 53,411,270

54.0%

87.5%

12.5%

12.9%

0.0%

25.4%

Current Assets

Fixed Assets

28,820,063

25,214,918

3,605,145

3,704,975

0

7,310,120

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 9

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,401 276,517 02 Capital Cost - Movable Equip 3,409 716,260

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,917 1,350,261 948,000

0.0000000 0 0

1.424326

Ratio

1.0147763,917 1,058,336 1,042,926

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,094 498,470 05 Administrative and General 3,717 5,282,069

06 Maintenance and Repairs 1,260 1,110,773 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 3,471 617,820 10/11 Dietary and Cafeteria 3,435 674,628

13 Nursing Administration 3,609 459,617 14 Central Service and Supply 0 0

15 Pharmancy 2,921 363,489 16 Medical Records 2,673 523,335

Selected Revenue Departments

0.0000000 0 0

0.2163302,898 3,911,998 18,083,451

3,760

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 138 297,669 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 45: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050350

BEVERLY HOSPITAL

309 W BEVERLY BLVD

MONTEBELLO, CA 90640

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

100,819,506

Income Statement

92,591,480

5,617,443

199,028,429

38,030,129

80,089,276

80,909,024

199,028,429 -3.6%

2.0%

37.7

203.3

2.3%

13.8%

30.32

3.6

56.3%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

61.3%298,327,935Contract Allowance

Total Charges 487,020,411

38.7%

102.9%

-2.9%

1.4%

0.0%

-1.5%

Current Assets

Fixed Assets

188,692,476

194,164,870

-5,472,394

2,557,054

313

(2,915,653)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 214CR Beds 167

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,002 3,937,611 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,401 36,559,919 66,450,281

0.5283671,133 9,649,040 18,262,017

0.550185

Ratio

0.2826022,220 7,947,728 28,123,438

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,054 6,727,594 05 Administrative and General 1,765 23,083,189

06 Maintenance and Repairs 1,327 971,526 07 Operation of Plant 1,479 4,201,381

08/09 Laundry / Housekeeping 1,797 2,189,152 10/11 Dietary and Cafeteria 1,623 2,009,901

13 Nursing Administration 1,848 1,562,601 14 Central Service and Supply 1,210 981,849

15 Pharmancy 1,050 3,414,799 16 Medical Records 1,064 1,845,133

Selected Revenue Departments

0.7383261,231 3,451,252 4,674,431

0.3160741,071 14,580,398 46,129,640

1,472

17 Social Services 921 1,070,357 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 46: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054032

BHC ALHAMBRA HOSP

4619 N ROSEMEAD BLVD

ROSEMEAD, CA 91770

LOS ANGELES

Noridian (CA)

1/31/2019 365 Days Settled

Proprietary - Corporation

Psychiatric

Balance Sheet

5,744,755

Income Statement

8,014,672

65,464,496

79,223,923

-31,546,050

0

110,769,973

79,223,923 14.7%

2.4%

21.5

48.8

7.4%

0.0%

6.3

93.3%

Key Performanace Ind.

(0.2)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

39.0%27,175,604Contract Allowance

Total Charges 69,714,961

61.0%

61.9%

38.1%

0.2%

0.0%

38.3%

Current Assets

Fixed Assets

42,539,357

26,340,819

16,198,538

106,317

0

16,304,855

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 97CR Beds 97

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,212 364,177 02 Capital Cost - Movable Equip 5,195 78,411

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,332 17,374,196 53,678,636

0.0000000 0 0

0.323671

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,280 2,480,930 05 Administrative and General 3,135 7,573,499

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,749 706,396

08/09 Laundry / Housekeeping 4,274 372,948 10/11 Dietary and Cafeteria 2,988 846,051

13 Nursing Administration 2,624 903,499 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 3,069 408,270

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,205

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 47: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051991

BROADVIEW INC

4570 GRIFFIN AVENUE

LOS ANGELES, CA 90031

LOS ANGELES

CAHABA GBA (TN)

6/30/2019 365 Days Submitted

Nonprofit - Church

Religious Non-Medical

Balance Sheet

2,024,007

Income Statement

1,868,889

4,174,895

8,067,791

178,876

0

7,888,915

8,067,791 47.6%

2.3%

15.2

80.2

0.0%

0.0%

163.7

33.6%

Key Performanace Ind.

11.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

2.3%60,424Contract Allowance

Total Charges 2,585,195

97.7%

168.9%

-68.9%

190.1%

-27.6%

148.7%

Current Assets

Fixed Assets

2,524,771

4,264,999

-1,740,228

4,798,613

-697,131

3,755,516

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 42CR Beds 20

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,672 148,131 02 Capital Cost - Movable Equip 5,441 10,992

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,786 1,793,851 1,751,552

0.0000000 0 0

1.024149

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 5,931 592,130

06 Maintenance and Repairs 1,620 487,001 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 5,484 146,272 10/11 Dietary and Cafeteria 4,637 361,054

13 Nursing Administration 3,575 471,073 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,818

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 48: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050149

CALIFORNIA HOSPITAL MEDICAL CENTER LA

1401 SOUTH GRAND AVENUE

LOS ANGELES, CA 90015

LOS ANGELES

Noridian (CA)

12/31/2019 334 Days Submitted

Nonprofit - Other

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

265,362,533

Income Statement

257,317,163

69,885,113

592,564,809

75,227,149

35,920,190

481,417,470

592,564,809 47.3%

3.5%

42.6

777.1

1.0%

3.8%

45.94

4.3

66.4%

Key Performanace Ind.

3.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.3%980,613,700Contract Allowance

Total Charges 1,375,612,248

28.7%

101.6%

-1.6%

59.3%

0.0%

57.7%

Current Assets

Fixed Assets

394,998,548

401,353,441

-6,354,893

234,229,742

0

227,874,849

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 290CR Beds 264

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 628 11,464,925

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

550 82,863,675 165,029,437

0.540901561 18,991,057 35,110,019

0.502115

Ratio

0.1302821,118 20,338,886 156,114,754

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 403 42,559,774 05 Administrative and General 824 54,695,577

06 Maintenance and Repairs 861 2,592,109 07 Operation of Plant 501 10,945,088

08/09 Laundry / Housekeeping 765 5,269,045 10/11 Dietary and Cafeteria 1,033 3,123,977

13 Nursing Administration 1,824 1,589,181 14 Central Service and Supply 1,194 998,451

15 Pharmancy 943 3,826,559 16 Medical Records 395 4,311,425

Selected Revenue Departments

0.199166199 14,541,302 73,010,891

0.124926388 30,138,876 241,254,294

1,118

17 Social Services 1,131 803,897 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 920 1,890,047

Revenue Ranking -

All Providers

10:04 AM

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 49: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050149

CALIFORNIA HOSPITAL MEDICAL CENTER LA

1401 SOUTH GRAND AVENUE

LOS ANGELES, CA 90015

LOS ANGELES

Noridian (CA)

12/31/2019 334 Days Submitted

Nonprofit - Other

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

288,644,586

Income Statement

54,147,764

33,997,284

376,789,634

87,502,470

35,419,395

253,867,769

376,789,634 16.2%

4.4%

68.8

1,548.2

1.7%

6.4%

45.94

4.3

66.4%

Key Performanace Ind.

3.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.4%638,504,792Contract Allowance

Total Charges 870,474,318

26.6%

110.3%

-10.3%

28.0%

0.0%

17.7%

Current Assets

Fixed Assets

231,969,526

255,838,329

-23,868,803

64,889,870

0

41,021,067

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 290CR Beds 264

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,607 1,364,563 02 Capital Cost - Movable Equip 628 7,780,842

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

550 52,376,817 105,647,254

0.499492561 11,874,310 23,772,764

0.495771

Ratio

0.1267221,118 13,062,784 103,082,000

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 403 26,886,408 05 Administrative and General 824 34,175,213

06 Maintenance and Repairs 861 1,286,532 07 Operation of Plant 501 7,588,229

08/09 Laundry / Housekeeping 765 3,292,665 10/11 Dietary and Cafeteria 1,033 1,894,491

13 Nursing Administration 1,824 938,981 14 Central Service and Supply 1,194 895,521

15 Pharmancy 943 2,338,683 16 Medical Records 395 2,740,403

Selected Revenue Departments

0.208099199 9,615,045 46,204,177

0.120110388 18,290,045 152,277,680

1,118

17 Social Services 1,131 544,652 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 920 2,133,737

Revenue Ranking -

All Providers

10:04 AM

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Page 50: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059806

CALIFORNIA PACIFIC MEDICAL CENTER

1101 VAN NESS AVENUE

SAN FRANCISCO, CA 94109

SAN FRANCISCO

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 51: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050047

CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS

1101 VAN NESS AVENUE

SAN FRANCISCO, CA 94109

SAN FRANCISCO

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

263,302,957

Income Statement

2,277,067,590

144,213,093

2,684,583,640

209,198,629

924,582,497

1,550,802,514

2,684,583,640 13.1%

4.2%

35.8

295.5

4.3%

13.9%

63.10

6.2

75.6%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

62.3%1,559,581,151Contract Allowance

Total Charges 2,504,093,592

37.7%

83.6%

16.4%

5.2%

0.0%

21.6%

Current Assets

Fixed Assets

944,512,441

789,675,390

154,837,051

48,837,424

0

203,674,475

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 480CR Beds 226

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 22 92,744,153 02 Capital Cost - Movable Equip 93 36,841,610

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

145 172,973,433 355,658,822

0.444492125 53,834,731 121,115,254

0.486347

Ratio

0.365804109 89,968,779 245,947,965

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 142 94,777,285 05 Administrative and General 41 283,248,726

06 Maintenance and Repairs 156 13,208,923 07 Operation of Plant 3,161 1,079,360

08/09 Laundry / Housekeeping 309 9,562,030 10/11 Dietary and Cafeteria 129 9,740,803

13 Nursing Administration 0 0 14 Central Service and Supply 188 6,698,688

15 Pharmancy 299 10,930,439 16 Medical Records 0 (8,274,675)

Selected Revenue Departments

0.70043618 37,307,313 53,263,001

0.204198454 27,625,202 135,286,615

210

17 Social Services 587 1,899,514 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 306 15,023,633

Revenue Ranking -

All Providers

10:04 AM

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Page 52: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050055

CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL

3555 CESAR CHAVEZ STREET

SAN FRANCISCO, CA 94110

SAN FRANCISCO

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

416,410,139

Income Statement

2,749,616,881

188,536,814

3,354,563,834

361,540,471

1,329,987,060

1,663,036,303

3,354,563,834 -3.3%

0.8%

192.2

2,806.5

2.8%

19.8%

66.57

4.8

59.6%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

70.1%400,093,298Contract Allowance

Total Charges 570,857,543

29.9%

134.2%

-34.2%

1.8%

0.0%

-32.4%

Current Assets

Fixed Assets

170,764,245

229,167,509

-58,403,264

3,105,150

0

(55,298,114)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 229CR Beds 110

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 241 27,631,744 02 Capital Cost - Movable Equip 819 9,392,448

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

594 78,218,386 130,055,944

0.767743802 13,934,180 18,149,537

0.601421

Ratio

0.3163851,007 22,414,323 70,845,106

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,297 13,660,913 05 Administrative and General 303 110,176,153

06 Maintenance and Repairs 850 2,629,746 07 Operation of Plant 1,607 3,724,121

08/09 Laundry / Housekeeping 1,124 3,728,929 10/11 Dietary and Cafeteria 1,059 3,059,251

13 Nursing Administration 3,817 384,371 14 Central Service and Supply 700 2,097,568

15 Pharmancy 1,517 2,057,444 16 Medical Records 4,476 156,033

Selected Revenue Departments

0.800838370 10,843,298 13,539,934

0.203680817 18,030,867 88,525,424

1,577

17 Social Services 1,083 863,577 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 53: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050008

CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP

601 DUBOCE AVENUE

SAN FRANCISCO, CA 94117

SAN FRANCISCO

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

40,295,085

Income Statement

92,908,336

28,030,247

161,233,668

13,244,152

139,547,797

8,441,719

161,233,668 819.3%

5.1%

31.4

392.6

2.8%

8.5%

69.29

5.2

35.2%

Key Performanace Ind.

3.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

69.6%519,744,762Contract Allowance

Total Charges 746,337,019

30.4%

70.9%

29.1%

1.4%

0.0%

30.5%

Current Assets

Fixed Assets

226,592,257

160,605,650

65,986,607

3,178,721

0

69,165,328

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 185CR Beds 129

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,123 8,084,979 02 Capital Cost - Movable Equip 1,458 4,780,414

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,500 33,951,873 90,257,449

0.3544121,153 9,490,813 26,779,070

0.376167

Ratio

0.1749241,307 17,457,652 99,801,423

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,388 12,621,983 05 Administrative and General 698 62,471,380

06 Maintenance and Repairs 481 5,568,817 07 Operation of Plant 2,765 1,452,271

08/09 Laundry / Housekeeping 1,360 3,064,462 10/11 Dietary and Cafeteria 1,045 3,097,514

13 Nursing Administration 0 0 14 Central Service and Supply 665 2,223,288

15 Pharmancy 1,852 1,378,696 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.1582181,725 8,702,370 55,002,334

1,285

17 Social Services 1,298 627,039 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,392 255,025

Revenue Ranking -

All Providers

10:04 AM

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Page 54: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053039

CALIFORNIA REHABILITATION INSTITUTE, LLC

2070 CENTURY PARK EAST

LOS ANGELES, CA 90067

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Amended

Proprietary - Corporation

Rehabilitation

Balance Sheet

20,570,321

Income Statement

6,755,597

152,310,747

179,636,665

19,485,919

74,653,367

85,497,379

179,636,665 12.1%

14.3%

16.8

61.6

0.0%

0.0%

52.72

14.1

88.0%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

60.7%179,069,114Contract Allowance

Total Charges 295,087,794

39.3%

91.3%

8.7%

0.1%

-0.1%

8.9%

Current Assets

Fixed Assets

116,018,680

105,932,687

10,085,993

115,891

-149,603

10,351,487

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 138CR Beds 138

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 768 11,961,012 02 Capital Cost - Movable Equip 2,326 1,995,639

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

861 58,396,287 224,887,423

0.0000000 0 0

0.259669

Ratio

0.2924334,702 54,909 187,766

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,771 774,609 05 Administrative and General 1,975 18,734,354

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,961 1,238,357

08/09 Laundry / Housekeeping 2,583 1,161,665 10/11 Dietary and Cafeteria 1,300 2,544,800

13 Nursing Administration 2,774 821,413 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 3,812 255,016

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,004

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 55: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05001E

CALIFORNIA STATE POLYTECHNIC COL HOSP

UNIVERSITY CAMPUS

SAN LUIS OBISPO, CA 93401

SAN LUIS OBISPO

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 30CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 56: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054111

CANYON RIDGE HOSPITAL

5353 G STREET

CHINO, CA 91710

SAN BERNARDINO

WISCONSIN PHYSICIANS SERVICE

1/31/2019 365 Days Settled

Proprietary - Corporation

Psychiatric

Balance Sheet

3,888,603

Income Statement

12,209,061

46,066,028

62,163,692

-16,875,555

0

79,039,247

62,163,692 17.3%

2.9%

25.8

37.7

2.9%

0.0%

6.2

93.7%

Key Performanace Ind.

(0.2)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

52.2%38,949,207Contract Allowance

Total Charges 74,670,737

47.8%

61.8%

38.2%

0.1%

0.0%

38.3%

Current Assets

Fixed Assets

35,721,530

22,085,779

13,635,751

49,264

0

13,685,015

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 106CR Beds 106

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,781 566,211 02 Capital Cost - Movable Equip 5,045 126,599

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,338 17,221,778 65,266,217

0.0000000 0 0

0.263870

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,499 2,164,736 05 Administrative and General 4,013 4,538,217

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,476 844,160

08/09 Laundry / Housekeeping 4,223 383,187 10/11 Dietary and Cafeteria 3,072 802,394

13 Nursing Administration 2,366 1,074,122 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 2,844 466,654

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,427

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 57: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050782

CASA COLINA HOSPITAL

255 E BONITA AVE

POMONA, CA 91767

LOS ANGELES

Noridian (CA)

3/31/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

-15,178,140

Income Statement

80,364,325

8,059,908

73,246,093

13,877,657

36,728,352

22,640,084

73,246,093 -34.8%

6.6%

0.0

535.1

5.2%

11.8%

37.98

3.7

38.6%

Key Performanace Ind.

(1.1)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

67.5%148,067,295Contract Allowance

Total Charges 219,338,724

32.5%

118.6%

-18.6%

7.5%

0.0%

-11.1%

Current Assets

Fixed Assets

71,271,429

84,498,982

-13,227,553

5,351,583

12,435

(7,888,405)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 99CR Beds 25

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,855 4,419,945 02 Capital Cost - Movable Equip 1,242 6,001,010

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,156 10,022,650 32,261,988

0.2699752,077 3,489,197 12,924,137

0.310664

Ratio

0.2786692,546 5,768,644 20,700,719

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 2,725 10,343,275

06 Maintenance and Repairs 1,401 807,348 07 Operation of Plant 2,941 1,255,689

08/09 Laundry / Housekeeping 2,866 958,774 10/11 Dietary and Cafeteria 2,207 1,364,879

13 Nursing Administration 696 4,398,191 14 Central Service and Supply 1,149 1,048,695

15 Pharmancy 0 0 16 Medical Records 1,376 1,417,237

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,587

17 Social Services 1,003 952,372 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,247 511,635

Revenue Ranking -

All Providers

10:04 AM

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Page 58: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051307

CATALINA ISLAND MEDICAL CENTER

100 FALLS CANYON ROAD

AVALON, CA 90704

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - City

General Short Term

Balance Sheet

4,495,936

Income Statement

2,363,654

0

6,859,590

931,758

2,375,552

3,552,280

6,859,590 8.8%

3.9%

23.6

208.5

3.8%

0.0%

231.8

47.6%

Key Performanace Ind.

4.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

54.4%11,676,616Contract Allowance

Total Charges 21,480,232

45.6%

109.9%

-9.9%

13.1%

0.0%

3.2%

Current Assets

Fixed Assets

9,803,616

10,774,221

-970,605

1,281,787

0

311,182

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 12CR Beds 8

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,643 159,431 02 Capital Cost - Movable Equip 4,819 190,091

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,127 3,115,837 1,741,343

0.0000000 0 0

1.789330

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,097 1,449,074 05 Administrative and General 4,559 3,379,912

06 Maintenance and Repairs 1,915 198,735 07 Operation of Plant 5,391 73,206

08/09 Laundry / Housekeeping 5,369 169,274 10/11 Dietary and Cafeteria 4,866 311,651

13 Nursing Administration 4,151 283,395 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 4,537 148,789

Selected Revenue Departments

0.0000000 0 0

0.1583164,445 711,412 4,493,623

5,291

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 59: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050740

CEDAR-SINAI MARINA DEL REY HOSPITAL

4650 LINCOLN BLVD

MARINA DEL REY, CA 90291

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

43,677,061

Income Statement

31,054,158

4,867,951

79,599,170

19,291,527

39,481,572

20,826,071

79,599,170 35.8%

8.4%

43.9

250.3

4.4%

16.2%

48.37

3.4

42.0%

Key Performanace Ind.

2.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.8%470,143,254Contract Allowance

Total Charges 604,618,953

22.2%

97.0%

3.0%

2.5%

0.0%

5.5%

Current Assets

Fixed Assets

134,475,699

130,375,492

4,100,207

3,354,135

0

7,454,342

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 145CR Beds 91

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,849 4,439,018 02 Capital Cost - Movable Equip 2,039 2,652,038

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,767 26,911,246 105,460,880

0.3518001,315 8,109,806 23,052,314

0.255178

Ratio

0.1499431,378 16,341,557 108,984,896

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,972 7,310,199 05 Administrative and General 1,957 19,111,959

06 Maintenance and Repairs 1,211 1,235,873 07 Operation of Plant 2,704 1,524,006

08/09 Laundry / Housekeeping 2,204 1,574,963 10/11 Dietary and Cafeteria 1,913 1,664,712

13 Nursing Administration 1,705 1,737,314 14 Central Service and Supply 2,021 323,678

15 Pharmancy 1,587 1,908,749 16 Medical Records 995 1,990,339

Selected Revenue Departments

0.0000000 0 0

0.1904141,125 13,997,350 73,510,026

1,847

17 Social Services 1,808 332,589 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 60: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050625

CEDARS-SINAI MEDICAL CENTER

8700 BEVERLY BLVD

LOS ANGELES, CA 90048

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

3,424,086,806

Income Statement

2,280,100,664

481,499,041

6,185,686,511

684,541,092

1,415,529,144

4,085,616,275

6,185,686,511 13.6%

3.9%

74.1

85.8

4.9%

15.9%

56.51

4.9

86.4%

Key Performanace Ind.

5.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

81.3%14,783,525,559Contract Allowance

Total Charges 18,190,026,210

18.7%

92.7%

7.3%

11.6%

2.6%

16.3%

Current Assets

Fixed Assets

3,406,500,651

3,158,339,122

248,161,529

394,530,884

87,921,646

554,770,767

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 848CR Beds 709

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 6 163,156,854 02 Capital Cost - Movable Equip 9 100,530,590

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

8 460,728,573 2,115,570,095

0.150833132 52,209,484 346,140,577

0.217780

Ratio

0.09549816 168,409,676 1,763,481,898

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5 423,929,058 05 Administrative and General 17 370,974,149

06 Maintenance and Repairs 194 11,700,770 07 Operation of Plant 32 49,586,566

08/09 Laundry / Housekeeping 13 33,309,275 10/11 Dietary and Cafeteria 33 16,660,551

13 Nursing Administration 42 22,219,119 14 Central Service and Supply 26 26,358,440

15 Pharmancy 206 15,236,130 16 Medical Records 17 19,782,965

Selected Revenue Departments

0.27731711 42,051,227 151,635,726

0.08968141 73,979,119 824,913,983

11

17 Social Services 80 8,025,107 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 131 36,501,263

Revenue Ranking -

All Providers

10:04 AM

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059801

CEDARS-SINAI MEDICAL CENTER - TRANSPLANT SERVICES

8700 BEVERLY BOULEVARD

LOS ANGELES, CA 90048

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 62: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050739

CENTINELA HOSPITAL MEDICAL CENTER

555 EAST HARDY STREET

INGLEWOOD, CA 90301

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

200,846,551

Income Statement

144,716,488

12,679,623

358,242,662

81,059,396

105,970,088

171,213,178

358,242,662 7.5%

4.0%

33.6

987.8

1.4%

27.0%

39.34

4.1

55.3%

Key Performanace Ind.

2.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.8%947,318,296Contract Allowance

Total Charges 1,202,318,966

21.2%

96.4%

3.6%

1.4%

0.0%

5.0%

Current Assets

Fixed Assets

255,000,670

245,844,025

9,156,645

3,642,802

0

12,799,447

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 346CR Beds 273

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,332 6,645,301 02 Capital Cost - Movable Equip 1,278 5,806,676

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

684 71,234,327 273,050,500

0.273784735 15,299,912 55,883,085

0.260883

Ratio

0.1903401,705 12,143,433 63,798,616

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 (4,069,022) 05 Administrative and General 1,078 42,356,292

06 Maintenance and Repairs 384 6,816,343 07 Operation of Plant 1,718 3,367,287

08/09 Laundry / Housekeeping 1,095 3,817,552 10/11 Dietary and Cafeteria 857 3,540,655

13 Nursing Administration 733 4,225,658 14 Central Service and Supply 1,720 496,991

15 Pharmancy 929 3,892,413 16 Medical Records 672 2,885,141

Selected Revenue Departments

1.268137979 4,829,412 3,808,274

0.230359672 20,875,939 90,623,406

1,152

17 Social Services 1,075 874,831 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 63: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052055

CENTRAL VALLEY SPECIALTY HOSPITAL

730 17TH STREET

MODESTO, CA 95354

STANISLAUS

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Long Term

Balance Sheet

66,384,350

Income Statement

334,492

842,834

67,561,676

31,709,692

4,860,610

30,991,374

67,561,676 0.1%

32.2%

84.2

469.8

0.1%

0.0%

33.0

67.1%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.0%139,880,695Contract Allowance

Total Charges 184,053,546

24.0%

100.6%

-0.6%

0.7%

0.0%

0.1%

Current Assets

Fixed Assets

44,172,851

44,447,765

-274,914

318,828

0

43,914

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 36CR Beds 100

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,867 4,382,983 02 Capital Cost - Movable Equip 4,510 277,961

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,626 30,206,819 63,195,613

0.0000000 0 0

0.477989

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,792 2,945 05 Administrative and General 2,787 9,853,435

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,865 1,335,015

08/09 Laundry / Housekeeping 2,922 923,219 10/11 Dietary and Cafeteria 3,043 819,989

13 Nursing Administration 1,666 1,771,838 14 Central Service and Supply 2,457 180,319

15 Pharmancy 1,829 1,431,651 16 Medical Records 4,610 140,531

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,160

17 Social Services 1,690 387,524 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 64: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050745

CHAPMAN GLOBAL MEDICAL CENTER

2601 E CHAPMAN AVE

ORANGE, CA 92869

ORANGE

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

12,223,084

Income Statement

2,499,752

0

14,722,836

10,947,402

0

3,775,434

14,722,836 -109.2%

5.9%

56.6

530.1

1.3%

11.2%

35.90

3.7

26.8%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.3%182,964,032Contract Allowance

Total Charges 227,919,154

19.7%

110.2%

-10.2%

1.0%

0.0%

-9.2%

Current Assets

Fixed Assets

44,955,122

49,530,370

-4,575,248

452,098

0

(4,123,150)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 84CR Beds 63

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,750 2,325,726 02 Capital Cost - Movable Equip 2,454 1,724,112

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,590 7,740,277 19,105,618

0.2776762,133 3,245,233 11,687,116

0.405131

Ratio

0.0962092,855 4,308,947 44,787,573

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,626 92,525 05 Administrative and General 2,542 11,957,597

06 Maintenance and Repairs 1,304 1,011,757 07 Operation of Plant 3,935 631,663

08/09 Laundry / Housekeeping 2,899 937,584 10/11 Dietary and Cafeteria 3,194 755,259

13 Nursing Administration 2,448 1,022,013 14 Central Service and Supply 2,727 118,110

15 Pharmancy 2,335 783,479 16 Medical Records 2,707 510,025

Selected Revenue Departments

0.0000000 0 0

0.1155683,298 3,113,629 26,941,998

3,143

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 65: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053302

CHILDREN'S HOSP OF LOS ANGELES

4650 SUNSET BLVD, MS 108

LOS ANGELES, CA 90027

LOS ANGELES

Noridian (CA)

6/30/2019 365 Days Amended

Nonprofit - Other

Children

Balance Sheet

654,563,544

Income Statement

946,810,384

718,994,537

2,320,368,465

193,390,899

494,332,329

1,632,645,237

2,320,368,465 13.5%

2.8%

44.7

233.0

0.0%

0.0%

6.7

87.4%

Key Performanace Ind.

3.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

59.5%1,846,237,749Contract Allowance

Total Charges 3,101,602,252

40.5%

100.0%

0.0%

19.6%

2.0%

17.5%

Current Assets

Fixed Assets

1,255,364,503

1,254,872,928

491,575

245,436,436

25,619,711

220,308,300

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 302CR Beds 273

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 97 47,085,738 02 Capital Cost - Movable Equip 99 36,286,037

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

86 207,946,990 664,443,835

0.20944614 133,121,775 635,588,845

0.312964

Ratio

0.200990251 59,283,453 294,956,535

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 319 51,045,169 05 Administrative and General 190 156,169,498

06 Maintenance and Repairs 32 35,609,942 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 239 11,258,360 10/11 Dietary and Cafeteria 228 7,507,522

13 Nursing Administration 73 17,891,730 14 Central Service and Supply 260 5,128,311

15 Pharmancy 0 0 16 Medical Records 138 8,569,443

Selected Revenue Departments

0.0000000 0 0

0.269431383 30,393,536 112,806,573

121

17 Social Services 34 12,418,366 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 246 19,509,560

Revenue Ranking -

All Providers

10:04 AM

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Page 66: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053301

CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND

747 52ND STREET

OAKLAND, CA 94609

ALAMEDA

NORIDIAN ADMIN SERVICES

6/30/2019 365 Days Submitted

Nonprofit - Other

Children

Balance Sheet

370,043,201

Income Statement

330,315,769

20,025,851

720,384,821

162,005,325

184,046,883

374,332,613

720,384,821 12.7%

4.4%

45.6

211.7

0.5%

0.0%

5.0

66.1%

Key Performanace Ind.

2.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

60.7%910,596,785Contract Allowance

Total Charges 1,499,542,927

39.3%

110.3%

-10.3%

18.3%

0.0%

8.0%

Current Assets

Fixed Assets

588,946,142

649,318,717

-60,372,575

107,742,113

0

47,369,538

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 190CR Beds 123

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,015 9,130,328 02 Capital Cost - Movable Equip 233 22,196,865

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

476 91,338,257 168,583,932

0.427046327 28,496,478 66,729,224

0.541797

Ratio

0.125848649 31,305,752 248,758,497

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,774 1,815,035 05 Administrative and General 390 92,988,991

06 Maintenance and Repairs 72 21,152,579 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 211 11,894,795 10/11 Dietary and Cafeteria 844 3,574,448

13 Nursing Administration 368 7,318,437 14 Central Service and Supply 445 3,313,071

15 Pharmancy 374 9,074,091 16 Medical Records 552 3,388,757

Selected Revenue Departments

0.0000000 0 0

0.170144460 27,455,457 161,365,573

425

17 Social Services 129 6,154,686 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 438 9,096,266

Revenue Ranking -

All Providers

10:04 AM

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Page 67: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053306

CHILDREN'S HOSPITAL AT MISSION

27700 MEDICAL CENTER RD, 5TH FLOOR

MISSION VIEJO, CA 92691

ORANGE

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Settled

Nonprofit - Other

Children

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 48CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 68: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059813

CHILDREN'S HOSPITAL OF LOS ANGELES

4650 SUNSET BLVD, MS#72

LOS ANGELES, CA 90027

LOS ANGELES

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 69: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053304

CHILDREN'S HOSPITAL OF ORANGE COUNTY

1201 W LA VETA AVE

ORANGE, CA 92868

ORANGE

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Settled

Nonprofit - Other

Children

Balance Sheet

514,631,508

Income Statement

618,294,107

37,879,834

1,170,805,449

134,812,671

444,375,047

591,617,731

1,170,805,449 17.5%

1.2%

43.2

230.7

0.0%

0.0%

5.4

57.8%

Key Performanace Ind.

3.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.5%1,977,472,093Contract Allowance

Total Charges 2,766,624,898

28.5%

104.7%

-4.7%

18.9%

1.0%

13.1%

Current Assets

Fixed Assets

789,152,805

826,289,174

-37,136,369

148,828,696

8,252,328

103,439,999

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 192CR Beds 176

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 378 20,634,968 02 Capital Cost - Movable Equip 2,221 2,198,367

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

527 84,636,399 378,932,976

0.18781044 87,769,156 467,330,527

0.223355

Ratio

0.098858599 33,621,153 340,094,243

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 969 19,462,747 05 Administrative and General 331 101,999,879

06 Maintenance and Repairs 229 10,421,383 07 Operation of Plant 586 9,828,681

08/09 Laundry / Housekeeping 392 8,315,732 10/11 Dietary and Cafeteria 1,087 2,985,481

13 Nursing Administration 72 18,004,860 14 Central Service and Supply 716 2,006,693

15 Pharmancy 247 13,279,546 16 Medical Records 290 5,384,921

Selected Revenue Departments

0.0000000 0 0

0.154004545 24,627,057 159,911,437

263

17 Social Services 360 3,135,542 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 403 10,118,075

Revenue Ranking -

All Providers

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050407

CHINESE HOSPITAL

845 JACKSON ST

SAN FRANCISCO, CA 94133

SAN FRANCISCO

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

35,767,103

Income Statement

245,582,687

32,070,668

313,420,458

61,899,970

93,934,185

157,586,303

313,420,458 -4.3%

0.0%

55.1

313.5

6.1%

8.2%

54.16

4.2

27.6%

Key Performanace Ind.

0.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

54.9%114,783,259Contract Allowance

Total Charges 209,063,191

45.1%

136.7%

-36.7%

29.5%

0.0%

-7.1%

Current Assets

Fixed Assets

94,279,932

128,839,524

-34,559,592

27,855,914

0

(6,703,678)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 54CR Beds 59

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,543 1,420,714 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,699 13,289,935 34,513,914

2.6063421,958 3,944,308 1,513,350

0.385060

Ratio

0.2438892,252 7,700,967 31,575,655

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,948 7,438,441 05 Administrative and General 1,815 21,917,756

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,444 4,287,055

08/09 Laundry / Housekeeping 2,120 1,676,031 10/11 Dietary and Cafeteria 2,211 1,363,984

13 Nursing Administration 1,658 1,780,320 14 Central Service and Supply 2,121 283,357

15 Pharmancy 1,328 2,530,247 16 Medical Records 1,573 1,189,365

Selected Revenue Departments

0.0000000 0 0

0.3374172,715 4,467,721 13,240,959

2,257

17 Social Services 1,929 280,348 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050586

CHINO VALLEY MEDICAL CENTER

5451 WALNUT AVE

CHINO, CA 91710

SAN BERNARDINO

DUMMY FOR MEDICAID HHA

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

69,808,758

Income Statement

45,787,890

600,000

116,196,648

12,192,839

53,320,355

50,683,454

116,196,648 20.3%

5.7%

30.9

851.6

1.1%

15.7%

31.88

3.3

34.4%

Key Performanace Ind.

5.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.2%269,885,295Contract Allowance

Total Charges 354,042,671

23.8%

88.2%

11.8%

0.4%

0.0%

12.2%

Current Assets

Fixed Assets

84,157,376

74,205,754

9,951,622

346,955

0

10,298,577

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 112CR Beds 112

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,024 9,069,751 02 Capital Cost - Movable Equip 2,242 2,164,028

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,921 23,815,542 46,269,863

0.7087261,836 4,467,983 6,304,242

0.514710

Ratio

0.2370822,789 4,617,010 19,474,282

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,145 468,226 05 Administrative and General 2,403 13,188,347

06 Maintenance and Repairs 1,335 942,512 07 Operation of Plant 2,361 2,014,568

08/09 Laundry / Housekeeping 2,319 1,456,883 10/11 Dietary and Cafeteria 2,338 1,257,146

13 Nursing Administration 1,504 1,987,651 14 Central Service and Supply 2,554 158,027

15 Pharmancy 1,626 1,813,370 16 Medical Records 1,635 1,127,124

Selected Revenue Departments

0.0000000 0 0

0.1117551,539 10,119,448 90,550,163

2,390

17 Social Services 2,268 154,472 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 918 2,152,117

Revenue Ranking -

All Providers

10:04 AM

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Page 72: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050146

CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL

1500 E DUARTE ROAD

DUARTE, CA 91010

LOS ANGELES

PALMETTO (CALIFORNIA)

9/30/2019 365 Days Submitted

Nonprofit - Other

Cancer

Balance Sheet

410,137,330

Income Statement

384,962,493

1,466,823,075

2,261,922,898

235,715,102

1,289,336,143

736,871,653

2,261,922,898 2.2%

8.6%

32.4

532.1

12.2%

0.0%

11.6

92.9%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.6%3,134,028,397Contract Allowance

Total Charges 4,375,731,627

28.4%

106.1%

-6.1%

7.4%

0.0%

1.3%

Current Assets

Fixed Assets

1,241,703,230

1,317,524,898

-75,821,668

91,744,285

0

15,922,617

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 212CR Beds 199

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 433 18,905,646 02 Capital Cost - Movable Equip 18 74,855,727

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

99 194,839,179 556,393,145

0.281424434 23,317,946 82,856,908

0.350183

Ratio

0.204249199 66,962,854 327,848,411

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 107 112,211,257 05 Administrative and General 123 187,639,950

06 Maintenance and Repairs 378 6,941,260 07 Operation of Plant 567 10,043,229

08/09 Laundry / Housekeeping 235 11,384,599 10/11 Dietary and Cafeteria 580 4,492,807

13 Nursing Administration 15 39,367,546 14 Central Service and Supply 298 4,622,032

15 Pharmancy 40 44,820,551 16 Medical Records 159 8,142,086

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

127

17 Social Services 407 2,825,782 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 731 3,743,763

Revenue Ranking -

All Providers

10:04 AM

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Page 73: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050492

CLOVIS COMMUNITY MEDICAL CENTER

2755 HERNDON AVE

CLOVIS, CA 93611

FRESNO

BLUE CROSS (CALIFORNIA)

8/31/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

152,898,819

Income Statement

494,473,894

8,251,738

655,624,451

34,813,018

316,471,525

304,339,908

655,624,451 9.7%

2.7%

24.3

466.4

6.8%

11.7%

38.49

4.7

96.6%

Key Performanace Ind.

4.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.4%1,441,414,842Contract Allowance

Total Charges 1,863,063,264

22.6%

91.4%

8.6%

1.1%

2.7%

7.0%

Current Assets

Fixed Assets

421,648,422

385,314,906

36,333,516

4,685,977

11,497,391

29,522,102

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 109CR Beds 176

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 324 22,950,621 02 Capital Cost - Movable Equip 1,125 6,838,581

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

870 57,725,662 207,175,543

0.293874758 14,690,954 49,990,699

0.278632

Ratio

0.158298481 39,250,228 247,950,935

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 (97,915) 05 Administrative and General 1,307 34,856,703

06 Maintenance and Repairs 360 7,349,601 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 577 6,434,793 10/11 Dietary and Cafeteria 414 5,312,953

13 Nursing Administration 437 6,417,348 14 Central Service and Supply 414 3,492,596

15 Pharmancy 612 5,830,125 16 Medical Records 0 0

Selected Revenue Departments

0.250925194 14,685,268 58,524,535

0.122245502 26,073,235 213,286,644

678

17 Social Services 241 4,170,666 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050397

COALINGA REGIONAL MEDICAL CENTER

1191 PHELPS AVENUE

COALINGA, CA 93210

FRESNO

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 138CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 75: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050771

COAST PLAZA HOSPITAL

13100 STUDERBAKER ROAD

NORWALK, CA 90650

LOS ANGELES

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

9,609,778

Income Statement

12,011,664

0

21,621,442

69,577,366

21,670,332

-69,626,256

21,621,442 13.0%

4.2%

29.9

504.2

2.4%

26.8%

37.99

4.2

24.2%

Key Performanace Ind.

0.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.4%202,264,763Contract Allowance

Total Charges 239,575,378

15.6%

126.1%

-26.1%

2.0%

0.0%

-24.2%

Current Assets

Fixed Assets

37,310,615

47,064,065

-9,753,450

731,010

0

(9,022,440)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 105CR Beds 110

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,410 769,722 02 Capital Cost - Movable Equip 2,981 1,072,142

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,575 14,347,496 38,347,661

0.3542771,768 4,860,808 13,720,361

0.374143

Ratio

0.2287552,969 3,774,107 16,498,483

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,064 2,902,385 05 Administrative and General 2,312 14,141,995

06 Maintenance and Repairs 981 2,006,419 07 Operation of Plant 3,713 726,561

08/09 Laundry / Housekeeping 3,158 763,154 10/11 Dietary and Cafeteria 3,012 835,018

13 Nursing Administration 2,126 1,286,791 14 Central Service and Supply 3,567 8,232

15 Pharmancy 2,147 958,678 16 Medical Records 1,991 865,678

Selected Revenue Departments

0.0000000 0 0

0.1731362,473 5,201,739 30,044,174

3,375

17 Social Services 2,593 80,946 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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054055

COLLEGE HOSPITAL

10802 COLLEGE PL

CERRITOS, CA 90703

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

17,159,664

Income Statement

5,799,615

810,617

23,769,896

6,305,945

8,404,804

9,059,147

23,769,896 37.8%

9.2%

31.4

95.1

12.8%

0.0%

12.3

93.1%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

54.5%91,113,050Contract Allowance

Total Charges 167,327,450

45.5%

95.5%

4.5%

0.0%

0.0%

4.5%

Current Assets

Fixed Assets

76,214,400

72,818,047

3,396,353

26,426

0

3,422,779

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 125CR Beds 187

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,786 2,282,703 02 Capital Cost - Movable Equip 4,151 396,421

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,360 38,014,511 119,891,763

0.0000000 0 0

0.317074

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,879 686,442 05 Administrative and General 2,896 8,957,195

06 Maintenance and Repairs 1,772 314,734 07 Operation of Plant 3,034 1,176,591

08/09 Laundry / Housekeeping 2,683 1,096,244 10/11 Dietary and Cafeteria 1,625 2,007,715

13 Nursing Administration 1,261 2,465,725 14 Central Service and Supply 3,607 2,726

15 Pharmancy 2,206 903,500 16 Medical Records 1,981 870,236

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,501

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 77: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050543

COLLEGE HOSPITAL COSTA MESA

301 VICTORIA STREET

COSTA MESA, CA 92627

ORANGE

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

38,884,409

Income Statement

2,799,750

1,232,577

42,916,736

22,344,538

0

20,572,198

42,916,736 229.6%

4.2%

17.4

87.8

2.3%

2.6%

33.36

9.5

94.3%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

-6.5%-7,033,596Contract Allowance

Total Charges 107,959,608

106.5%

60.8%

39.2%

1.9%

0.0%

41.1%

Current Assets

Fixed Assets

114,993,204

69,936,694

45,056,510

2,176,380

0

47,232,890

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 122CR Beds 122

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,909 4,227,026 02 Capital Cost - Movable Equip 3,480 675,870

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,508 33,583,557 84,473,850

0.0000000 0 0

0.397562

Ratio

0.4396764,057 810,900 1,844,313

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,240 376,659 05 Administrative and General 2,979 8,354,414

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,796 1,419,532

08/09 Laundry / Housekeeping 3,044 830,923 10/11 Dietary and Cafeteria 2,183 1,383,665

13 Nursing Administration 2,043 1,363,110 14 Central Service and Supply 3,270 46,651

15 Pharmancy 2,346 776,702 16 Medical Records 2,847 466,175

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,010

17 Social Services 851 1,214,279 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 78: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050776

COLLEGE MEDICAL CENTER

2776 PACIFIC AVENUE

LONG BEACH, CA 90806

LOS ANGELES

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Proprietary - Other

General Short Term

Balance Sheet

39,964,258

Income Statement

25,896,391

4,591,886

70,452,535

28,417,730

21,366,849

20,667,956

70,452,535 73.7%

4.5%

29.2

276.0

2.7%

9.1%

33.79

7.5

81.7%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

53.9%161,969,429Contract Allowance

Total Charges 300,478,453

46.1%

93.3%

6.7%

4.3%

0.0%

11.0%

Current Assets

Fixed Assets

138,509,024

129,199,943

9,309,081

5,915,261

0

15,224,342

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 157CR Beds 205

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,745 2,331,633 02 Capital Cost - Movable Equip 2,651 1,435,393

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

951 53,998,579 99,766,469

0.9520911,970 3,875,460 4,070,473

0.541250

Ratio

0.2489113,112 3,190,276 12,816,914

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,152 458,226 05 Administrative and General 1,967 18,846,020

06 Maintenance and Repairs 1,038 1,757,030 07 Operation of Plant 2,143 2,418,861

08/09 Laundry / Housekeeping 1,668 2,404,748 10/11 Dietary and Cafeteria 961 3,261,308

13 Nursing Administration 443 6,386,225 14 Central Service and Supply 3,028 74,635

15 Pharmancy 2,500 633,788 16 Medical Records 1,506 1,266,982

Selected Revenue Departments

0.0000000 0 0

0.1517492,407 5,506,342 36,285,776

1,815

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 892 2,284,424

Revenue Ranking -

All Providers

10:04 AM

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051323

COLORADO RIVER MEDICAL CENTER

1401 BAILEY AVE

NEEDLES, CA 92363

SAN BERNARDINO

NORIDAN (ARIZONA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

3,452,181

Income Statement

3,375,620

0

6,827,801

1,070,733

2,826,108

2,930,960

6,827,801 4.4%

4.4%

33.2

329.1

11.5%

0.0%

39.02

2.5

14.1%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.0%24,310,712Contract Allowance

Total Charges 33,283,048

27.0%

108.5%

-8.5%

9.9%

0.0%

1.4%

Current Assets

Fixed Assets

8,972,336

9,735,679

-763,343

892,366

0

129,023

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 25

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,833 73,167 02 Capital Cost - Movable Equip 4,668 232,729

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,618 2,203,347 3,026,385

0.0000000 0 0

0.728046

Ratio

0.1736494,270 456,079 2,626,444

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,222 393,282 05 Administrative and General 5,502 1,697,802

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,840 671,745

08/09 Laundry / Housekeeping 5,196 200,795 10/11 Dietary and Cafeteria 5,235 227,002

13 Nursing Administration 4,679 171,516 14 Central Service and Supply 3,453 23,119

15 Pharmancy 3,447 73,570 16 Medical Records 4,333 175,738

Selected Revenue Departments

0.0000000 0 0

0.2846703,915 1,937,014 6,804,421

5,365

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 80: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050783

COLUSA MEDICAL CENTER

199 E WEBSTER STREET

COLUSA, CA 95932

COLUSA

Noridian (CA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

20,271,377

Income Statement

2,590,827

0

22,862,204

26,600,438

0

-3,738,232

22,862,206 8.4%

21.0%

60.5

1,105.0

3.8%

20.4%

33.69

4.9

33.0%

Key Performanace Ind.

0.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

65.6%37,019,433Contract Allowance

Total Charges 56,458,834

34.4%

102.0%

-2.0%

0.4%

0.0%

-1.6%

Current Assets

Fixed Assets

19,439,401

19,833,016

-393,615

80,848

0

(312,767)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 48CR Beds 36

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,065 1,004,396 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,446 4,605,895 9,253,841

1.0021042,996 333,872 333,171

0.497728

Ratio

0.0645424,550 162,122 2,511,885

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,403 249,620 05 Administrative and General 3,890 4,820,185

06 Maintenance and Repairs 0 0 07 Operation of Plant 5,207 166,714

08/09 Laundry / Housekeeping 4,448 336,118 10/11 Dietary and Cafeteria 4,525 385,730

13 Nursing Administration 4,107 296,174 14 Central Service and Supply 0 0

15 Pharmancy 3,065 281,955 16 Medical Records 3,766 261,460

Selected Revenue Departments

0.0000000 0 0

0.1833603,845 2,096,177 11,432,003

4,396

17 Social Services 3,064 661 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 81: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050091

COMMUNITY HOSPITAL OF HUNTINGTON PARK

2623 E SLAUSON AVE

HUNTINGTON PARK, CA 90255

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

12,301,262

Income Statement

2,677,457

0

14,978,719

41,281,123

437,830

-26,740,234

14,978,719 -26.9%

5.3%

38.2

650.2

2.2%

16.1%

38.67

4.1

49.3%

Key Performanace Ind.

0.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

86.1%357,152,995Contract Allowance

Total Charges 414,688,320

13.9%

88.8%

11.2%

1.2%

0.0%

12.5%

Current Assets

Fixed Assets

57,535,325

51,065,422

6,469,903

710,103

0

7,180,006

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 81CR Beds 77

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,680 622,850 02 Capital Cost - Movable Equip 3,173 883,455

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,432 15,874,675 62,416,233

0.3278852,029 3,701,528 11,289,109

0.254336

Ratio

0.1849413,284 2,535,866 13,711,782

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,155 2,724,512 05 Administrative and General 2,266 14,604,529

06 Maintenance and Repairs 1,252 1,120,910 07 Operation of Plant 4,835 312,614

08/09 Laundry / Housekeeping 3,040 831,372 10/11 Dietary and Cafeteria 3,039 821,172

13 Nursing Administration 1,984 1,420,944 14 Central Service and Supply 2,954 84,300

15 Pharmancy 2,295 813,557 16 Medical Records 1,637 1,124,768

Selected Revenue Departments

0.0000000 0 0

0.1256501,484 10,662,084 84,855,291

2,841

17 Social Services 2,508 97,392 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 82: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050089

COMMUNITY HOSPITAL OF SAN BERNARDINO

1805 MEDICAL CENTER DRIVE

SAN BERNARDINO, CA 92411

SAN BERNARDINO

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

78,409,217

Income Statement

60,088,702

5,785,231

144,283,150

31,716,606

206,572,550

-94,006,006

144,283,150 -3.9%

15.2%

86.0

1,831.5

2.0%

9.4%

44.47

4.4

47.9%

Key Performanace Ind.

2.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.9%505,237,407Contract Allowance

Total Charges 602,121,545

16.1%

130.1%

-30.1%

33.9%

0.0%

3.8%

Current Assets

Fixed Assets

96,884,138

126,011,791

-29,127,653

32,797,242

0

3,669,589

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 347CR Beds 155

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,201 3,338,122 02 Capital Cost - Movable Equip 1,076 1,845,674

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,408 17,119,971 40,014,506

0.3293161,263 3,959,073 12,022,112

0.427844

Ratio

0.2237991,981 4,381,375 19,577,279

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 480 19,993,340 05 Administrative and General 1,164 18,796,637

06 Maintenance and Repairs 984 843,020 07 Operation of Plant 603 5,112,868

08/09 Laundry / Housekeeping 1,377 1,513,267 10/11 Dietary and Cafeteria 911 1,723,260

13 Nursing Administration 1,268 1,304,337 14 Central Service and Supply 1,436 438,172

15 Pharmancy 828 2,266,762 16 Medical Records 601 1,701,512

Selected Revenue Departments

0.401832329 5,531,638 13,766,060

0.079830864 8,981,139 112,502,622

1,506

17 Social Services 1,438 232,120 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 83: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050089

COMMUNITY HOSPITAL OF SAN BERNARDINO

1805 MEDICAL CENTER DRIVE

SAN BERNARDINO, CA 92411

SAN BERNARDINO

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

112,735,402

Income Statement

32,338,870

4,496,691

149,570,963

40,431,293

207,407,967

-98,268,297

149,570,963 -0.4%

7.0%

39.9

768.4

0.7%

3.3%

44.47

4.4

47.9%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.2%883,047,972Contract Allowance

Total Charges 1,158,147,276

23.8%

100.4%

-0.4%

0.5%

0.0%

0.1%

Current Assets

Fixed Assets

275,099,304

276,100,409

-1,001,105

1,378,177

0

377,072

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 347CR Beds 155

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,201 2,937,792 02 Capital Cost - Movable Equip 1,076 7,221,199

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,408 36,313,160 86,686,742

0.3141761,263 8,586,035 27,328,756

0.418901

Ratio

0.1754831,981 9,516,271 54,229,034

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 480 37,680,687 05 Administrative and General 1,164 39,368,940

06 Maintenance and Repairs 984 1,993,967 07 Operation of Plant 603 9,697,185

08/09 Laundry / Housekeeping 1,377 3,011,819 10/11 Dietary and Cafeteria 911 3,391,962

13 Nursing Administration 1,268 2,449,036 14 Central Service and Supply 1,436 735,105

15 Pharmancy 828 4,355,608 16 Medical Records 601 3,162,668

Selected Revenue Departments

0.432520329 11,508,607 26,608,263

0.082585864 17,321,680 209,744,336

1,506

17 Social Services 1,438 522,634 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050145

COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA

23625 W R HOLMAN HIGHWAY

MONTEREY, CA 93940

MONTEREY

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

270,553,286

Income Statement

302,545,626

72,674,224

645,773,136

161,006,308

297,295,935

187,470,893

645,773,136 35.3%

1.7%

92.3

186.5

7.2%

16.0%

62.82

4.5

68.0%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

68.8%1,468,065,103Contract Allowance

Total Charges 2,134,956,284

31.2%

92.3%

7.7%

2.2%

0.0%

9.9%

Current Assets

Fixed Assets

666,891,181

615,295,652

51,595,529

14,570,533

0

66,166,062

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 258CR Beds 199

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 493 17,065,537 02 Capital Cost - Movable Equip 3,665 577,539

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

224 137,497,006 330,365,801

0.462401382 25,851,519 55,907,113

0.416196

Ratio

0.307915295 53,697,419 174,390,587

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 869 21,838,941 05 Administrative and General 200 151,777,668

06 Maintenance and Repairs 175 12,261,269 07 Operation of Plant 1,351 4,652,386

08/09 Laundry / Housekeeping 240 11,232,467 10/11 Dietary and Cafeteria 119 10,041,364

13 Nursing Administration 509 5,752,888 14 Central Service and Supply 409 3,517,978

15 Pharmancy 303 10,791,430 16 Medical Records 272 5,562,901

Selected Revenue Departments

0.5085091,428 2,567,548 5,049,167

0.469940134 49,413,929 105,149,388

343

17 Social Services 98 7,451,824 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 85: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050394

COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA

147 N BRENT ST

VENTURA, CA 93003

VENTURA

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

249,971,971

Income Statement

538,317,079

144,611,923

932,900,973

80,782,577

358,435,976

493,682,420

932,900,973 2.1%

3.6%

55.4

226.7

7.0%

12.7%

43.53

4.4

72.8%

Key Performanace Ind.

3.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.7%1,157,070,337Contract Allowance

Total Charges 1,613,202,658

28.3%

103.8%

-3.8%

6.1%

0.0%

2.3%

Current Assets

Fixed Assets

456,132,321

473,365,741

-17,233,420

27,621,184

13,291

10,374,473

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 242CR Beds 179

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 164 34,926,468 02 Capital Cost - Movable Equip 804 9,590,625

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

606 77,278,244 100,981,462

0.413618590 18,396,464 44,476,966

0.765272

Ratio

0.135514218 63,052,923 465,288,057

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 657 28,361,498 05 Administrative and General 783 57,022,675

06 Maintenance and Repairs 606 4,223,441 07 Operation of Plant 1,010 6,450,050

08/09 Laundry / Housekeeping 428 7,735,365 10/11 Dietary and Cafeteria 765 3,804,788

13 Nursing Administration 1,188 2,629,113 14 Central Service and Supply 0 -972,767

15 Pharmancy 698 5,193,669 16 Medical Records 177 7,663,573

Selected Revenue Departments

0.295247336 11,399,358 38,609,594

0.125918887 16,994,921 134,968,657

608

17 Social Services 524 2,149,989 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 399 10,225,622

Revenue Ranking -

All Providers

10:04 AM

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Page 86: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050060

COMMUNITY REGIONAL MEDICAL CENTER

2823 FRESNO STREET

FRESNO, CA 93721

FRESNO

BLUE CROSS (CALIFORNIA)

8/31/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

491,032,072

Income Statement

399,494,770

705,379,446

1,595,906,288

244,555,482

242,351,301

1,108,999,505

1,595,906,288 13.2%

6.5%

27.6

94.8

4.3%

11.9%

37.98

6.0

82.0%

Key Performanace Ind.

2.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.6%3,812,910,241Contract Allowance

Total Charges 5,042,786,396

24.4%

99.2%

0.8%

11.2%

0.1%

11.9%

Current Assets

Fixed Assets

1,229,876,155

1,220,608,359

9,267,796

137,520,668

835,799

145,952,665

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 794CR Beds 605

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 314 23,714,146 02 Capital Cost - Movable Equip 139 29,774,984

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

88 206,511,208 818,930,322

0.298236111 56,899,260 190,786,161

0.252172

Ratio

0.165513138 80,661,933 487,345,285

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,569 970,177 05 Administrative and General 165 166,735,136

06 Maintenance and Repairs 428 6,280,463 07 Operation of Plant 192 19,024,609

08/09 Laundry / Housekeeping 158 13,865,244 10/11 Dietary and Cafeteria 63 13,270,923

13 Nursing Administration 259 9,313,490 14 Central Service and Supply 197 6,301,010

15 Pharmancy 139 20,236,577 16 Medical Records 5,103 81,975

Selected Revenue Departments

0.272614195 14,683,033 53,860,176

0.110554119 51,154,732 462,714,546

130

17 Social Services 24 14,057,092 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 149 32,995,763

Revenue Ranking -

All Providers

10:04 AM

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Page 87: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050276

CONTRA COSTA REGIONAL MEDICAL CENTER

2500 ALHAMBRA AVENUE

MARTINEZ, CA 94553

CONTRA COSTA

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

323,246,583

Income Statement

155,162,290

22,760,984

501,169,857

101,214,970

253,405,309

146,549,578

501,169,857 11.7%

2.9%

40.1

311.2

4.2%

3.6%

62.03

6.6

94.2%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

33.2%270,839,490Contract Allowance

Total Charges 815,754,703

66.8%

116.1%

-16.1%

19.2%

0.0%

3.1%

Current Assets

Fixed Assets

544,915,213

632,449,439

-87,534,226

104,643,244

0

17,109,018

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 164CR Beds 110

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,217 7,412,061 02 Capital Cost - Movable Equip 1,785 3,435,059

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

657 73,249,222 162,218,760

0.406327951 11,591,501 28,527,514

0.451546

Ratio

0.663191926 24,174,060 36,451,124

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,153 15,665,165 05 Administrative and General 280 118,668,910

06 Maintenance and Repairs 192 11,810,749 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 395 8,296,465 10/11 Dietary and Cafeteria 336 5,944,483

13 Nursing Administration 230 9,953,016 14 Central Service and Supply 433 3,372,894

15 Pharmancy 336 9,904,526 16 Medical Records 113 9,278,932

Selected Revenue Departments

1.696558209 14,133,660 8,330,785

1.689527406 29,179,132 17,270,592

480

17 Social Services 494 2,280,150 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 815 2,893,501

Revenue Ranking -

All Providers

10:04 AM

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Page 88: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050329

CORONA REGIONAL MEDICAL CENTER

800 SOUTH MAIN STREET

CORONA, CA 92882

RIVERSIDE

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

34,843,330

Income Statement

126,793,131

3,960,843

165,597,304

27,843,036

48,331,142

89,423,126

165,597,304 13.1%

5.6%

20.0

191.7

3.8%

10.3%

39.60

4.1

55.2%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.5%962,966,888Contract Allowance

Total Charges 1,152,639,197

16.5%

94.2%

5.8%

0.4%

0.0%

6.2%

Current Assets

Fixed Assets

189,672,309

178,737,885

10,934,424

755,845

0

11,690,269

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 240CR Beds 138

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 779 11,785,952 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,497 34,026,376 76,345,150

0.4292321,251 8,706,899 20,284,820

0.445691

Ratio

0.1102241,558 13,856,468 125,711,847

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,017 18,252,769 05 Administrative and General 1,858 20,920,923

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,074 6,137,276

08/09 Laundry / Housekeeping 1,499 2,751,099 10/11 Dietary and Cafeteria 2,041 1,525,880

13 Nursing Administration 513 5,728,191 14 Central Service and Supply 0 -315,878

15 Pharmancy 1,147 3,112,160 16 Medical Records 1,174 1,689,254

Selected Revenue Departments

0.856804945 5,035,215 5,876,738

0.0685361,025 15,158,072 221,171,033

1,461

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 89: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050122

DAMERON HOSPITAL

525 WEST ACACIA STREET

STOCKTON, CA 95203

SAN JOAQUIN

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

57,635,495

Income Statement

56,420,856

807,621

114,863,972

29,760,344

10,236,508

74,867,120

114,863,972 -37.0%

1.4%

47.3

634.9

7.7%

15.5%

49.72

3.7

20.5%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

86.2%814,208,570Contract Allowance

Total Charges 944,424,186

13.8%

124.7%

-24.7%

5.2%

1.8%

-21.2%

Current Assets

Fixed Assets

130,215,616

162,376,837

-32,161,221

6,830,369

2,339,455

(27,670,307)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 194CR Beds 146

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,306 3,096,450 02 Capital Cost - Movable Equip 5,499 6

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,799 26,207,997 97,908,556

0.3503711,139 9,588,033 27,365,388

0.267678

Ratio

0.1738021,531 14,205,794 81,735,577

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,356 1,164,874 05 Administrative and General 1,202 38,071,339

06 Maintenance and Repairs 878 2,497,159 07 Operation of Plant 2,329 2,062,781

08/09 Laundry / Housekeeping 1,566 2,614,876 10/11 Dietary and Cafeteria 1,271 2,589,836

13 Nursing Administration 1,146 2,740,063 14 Central Service and Supply 947 1,389,712

15 Pharmancy 996 3,631,737 16 Medical Records 1,281 1,535,321

Selected Revenue Departments

0.0000000 0 0

0.1136621,030 15,121,959 133,043,574

1,880

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 90: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05106E

DANIS PSYCHIATRIC HOSP

45 E ALAMAR AVE

SANTA BARBARA, CA 93105

SANTA BARBARA

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 31CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 91: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054053

DEL AMO HOSPITAL

23700 CAMINO DEL SOL

TORRANCE, CA 90505

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

6,460,688

Income Statement

2,198,771

33,370

8,692,829

-134,661,305

0

143,354,134

8,692,829 9.4%

2.9%

23.5

48.1

2.9%

0.0%

7.1

80.7%

Key Performanace Ind.

0.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

51.6%51,069,773Contract Allowance

Total Charges 99,065,077

48.4%

72.3%

27.7%

0.2%

0.0%

27.9%

Current Assets

Fixed Assets

47,995,304

34,687,259

13,308,045

100,456

0

13,408,501

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 166CR Beds 166

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,372 289,835 02 Capital Cost - Movable Equip 4,623 245,484

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,678 29,027,901 93,213,027

0.0000000 0 0

0.311415

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,374 5,059,767 05 Administrative and General 3,537 5,905,641

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,364 2,011,814

08/09 Laundry / Housekeeping 2,918 929,132 10/11 Dietary and Cafeteria 2,411 1,194,701

13 Nursing Administration 2,204 1,215,209 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 2,681 520,314

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,056

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 92: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050608

DELANO REGIONAL MEDICAL CENTER

1401 GARCES HIGHWAY

DELANO, CA 93215

KERN

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

128,053,249

Income Statement

37,281,673

8,844,300

174,179,222

38,687,013

291,193

135,201,016

174,179,222 15.2%

4.8%

122.4

233.1

2.5%

8.7%

33.98

3.9

23.2%

Key Performanace Ind.

3.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

48.8%95,044,110Contract Allowance

Total Charges 194,767,680

51.2%

83.5%

16.5%

4.1%

0.0%

20.6%

Current Assets

Fixed Assets

99,723,570

83,219,495

16,504,075

4,058,714

0

20,562,789

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 156CR Beds 95

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,739 2,336,332 02 Capital Cost - Movable Equip 1,636 3,932,523

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,914 11,685,463 9,818,705

0.8072302,100 3,396,534 4,207,642

1.190123

Ratio

0.7454612,772 4,671,970 6,267,225

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,005 577,359 05 Administrative and General 2,680 10,675,285

06 Maintenance and Repairs 549 4,765,534 07 Operation of Plant 2,902 1,296,519

08/09 Laundry / Housekeeping 1,892 2,036,910 10/11 Dietary and Cafeteria 3,037 822,781

13 Nursing Administration 1,978 1,424,280 14 Central Service and Supply 2,626 139,623

15 Pharmancy 1,548 1,984,264 16 Medical Records 1,743 1,042,818

Selected Revenue Departments

0.8690371,880 1,221,936 1,406,081

0.2248062,226 6,215,247 27,647,184

2,182

17 Social Services 1,099 847,794 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 93: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054133

DEPT OF STATE HOSPITALS - METROPOLITAN - PSY

11401 S NORWALK BLVD

NORWALK, CA 90650

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Settled

Government - State

Psychiatric

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

44.24

314.9

66.6%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

224,634,162

-224,634,162

0

0

(224,634,162)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 46CR Beds 1,004

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,708 604,218 02 Capital Cost - Movable Equip 2,157 2,358,912

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

135 175,081,519 166,847,421

0.0000000 0 0

1.049351

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 392 43,848,319 05 Administrative and General 1,032 44,484,218

06 Maintenance and Repairs 723 3,436,989 07 Operation of Plant 1,405 4,436,404

08/09 Laundry / Housekeeping 1,048 3,979,554 10/11 Dietary and Cafeteria 158 8,843,178

13 Nursing Administration 0 0 14 Central Service and Supply 1,799 448,287

15 Pharmancy 1,092 3,276,122 16 Medical Records 989 2,009,795

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 94: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054122

DEPT OF STATE HOSPITALS - NAPA

2100 NAPA VALLEJO HIGHWAY

NAPA, CA 94558

NAPA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Settled

Government - State

Psychiatric

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

67.13

506.4

53.8%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

345,606,714

-345,606,714

0

0

(345,606,714)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 36CR Beds 49

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,647 1,327,312 02 Capital Cost - Movable Equip 1,982 2,819,767

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,191 19,183,843 18,434,000

0.0000000 0 0

1.040677

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 233 65,028,288 05 Administrative and General 643 66,318,414

06 Maintenance and Repairs 546 4,835,459 07 Operation of Plant 707 8,559,764

08/09 Laundry / Housekeeping 843 4,819,963 10/11 Dietary and Cafeteria 93 11,285,381

13 Nursing Administration 0 0 14 Central Service and Supply 367 3,920,854

15 Pharmancy 3,569 1,431 16 Medical Records 1,059 1,852,409

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050243

DESERT REGIONAL MEDICAL CENTER

1150 NORTH INDIAN CANYON DRIVE

PALM SPRINGS, CA 92262

RIVERSIDE

WISCONSIN PHYSICIANS SERVICE

5/31/2019 365 Days Amended

Proprietary - Corporation

General Short Term

Balance Sheet

204,377,215

Income Statement

84,420,532

30,244,386

319,042,133

69,542,957

5,574,418

243,924,758

319,042,133 33.1%

4.9%

26.0

408.9

3.9%

10.9%

45.84

4.6

74.5%

Key Performanace Ind.

2.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

86.0%3,483,089,060Contract Allowance

Total Charges 4,051,609,227

14.0%

85.9%

14.1%

0.2%

0.0%

14.2%

Current Assets

Fixed Assets

568,520,167

488,585,699

79,934,468

876,152

0

80,810,620

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 367CR Beds 264

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,338 6,616,594 02 Capital Cost - Movable Equip 784 9,827,719

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

399 101,796,563 442,134,930

0.170156376 26,221,488 154,102,992

0.230239

Ratio

0.072820765 27,798,489 381,744,570

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 494 36,912,133 05 Administrative and General 525 76,787,022

06 Maintenance and Repairs 600 4,272,910 07 Operation of Plant 979 6,708,722

08/09 Laundry / Housekeeping 1,013 4,161,156 10/11 Dietary and Cafeteria 660 4,146,516

13 Nursing Administration 1,047 3,058,402 14 Central Service and Supply 1,639 565,586

15 Pharmancy 532 6,610,336 16 Medical Records 525 3,477,762

Selected Revenue Departments

0.204280207 14,289,179 69,948,965

0.069852499 26,151,984 374,392,350

449

17 Social Services 714 1,508,105 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 331 13,665,457

Revenue Ranking -

All Providers

10:04 AM

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Page 96: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050709

DESERT VALLEY HOSPITAL

16850 BEAR VALLEY RD

VICTORVILLE, CA 92395

SAN BERNARDINO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

52,480,633

Income Statement

74,392,649

0

126,873,282

-84,804,401

107,879,324

103,798,359

126,873,282 26.3%

1.3%

12.2

324.7

1.3%

10.5%

31.71

4.2

77.3%

Key Performanace Ind.

(0.6)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

63.8%574,010,467Contract Allowance

Total Charges 899,399,604

36.2%

92.4%

7.6%

0.8%

0.0%

8.4%

Current Assets

Fixed Assets

325,389,137

300,637,097

24,752,040

2,506,024

0

27,258,064

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 148CR Beds 120

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 821 11,282,876 02 Capital Cost - Movable Equip 1,939 2,940,874

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,617 30,450,611 99,820,000

0.6020161,182 9,207,829 15,295,000

0.305055

Ratio

0.2233062,424 6,515,407 29,177,086

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,594 947,037 05 Administrative and General 2,235 14,948,870

06 Maintenance and Repairs 901 2,317,139 07 Operation of Plant 1,971 2,740,103

08/09 Laundry / Housekeeping 1,762 2,240,048 10/11 Dietary and Cafeteria 1,816 1,771,232

13 Nursing Administration 1,461 2,032,882 14 Central Service and Supply 1,553 632,645

15 Pharmancy 1,498 2,099,868 16 Medical Records 1,550 1,217,050

Selected Revenue Departments

0.0000000 0 0

0.1123971,198 13,295,423 118,290,355

907

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 97: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050785

DOCS SURGICAL HOSPITAL

6000 SAN VICENTE BLVD

LOS ANGELES, CA 90036

LOS ANGELES

Noridian (CA)

12/31/2019 232 Days Settled

Proprietary - Other

General Short Term

Balance Sheet

4,464,521

Income Statement

3,221,443

7,533,333

15,219,297

17,353,998

0

-2,134,701

15,219,297 7.4%

4.4%

58.5

131.5

0.5%

21.1%

31.63

1.6

9.4%

Key Performanace Ind.

0.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.9%27,733,687Contract Allowance

Total Charges 34,700,405

20.1%

102.6%

-2.6%

0.3%

0.0%

-2.3%

Current Assets

Fixed Assets

6,966,718

7,146,807

-180,089

22,934

0

(157,155)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 17CR Beds 17

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,776 1,234,580 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,472 2,450,000 1,279,970

0.0000000 0 0

1.914107

Ratio

0.0545613,953 1,001,579 18,357,058

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,408 244,870 05 Administrative and General 5,672 1,345,938

06 Maintenance and Repairs 2,003 111,061 07 Operation of Plant 4,994 256,983

08/09 Laundry / Housekeeping 5,774 86,119 10/11 Dietary and Cafeteria 5,869 68,538

13 Nursing Administration 5,250 87,339 14 Central Service and Supply 0 0

15 Pharmancy 3,415 88,205 16 Medical Records 5,498 27,244

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,187

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 98: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050118

DOCTORS HOSPITAL OF MANTECA

1205 E NORTH STREET

MANTECA, CA 95336

SAN JOAQUIN

Noridian (CA)

5/31/2019 365 Days Amended

Proprietary - Corporation

General Short Term

Balance Sheet

35,719,953

Income Statement

30,722,523

8,752,398

75,194,874

11,538,072

2,938,340

60,718,462

75,194,874 -17.1%

3.7%

19.7

467.5

7.9%

14.6%

46.02

4.1

58.7%

Key Performanace Ind.

3.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

91.5%1,015,160,362Contract Allowance

Total Charges 1,109,544,383

8.5%

111.2%

-11.2%

0.2%

0.0%

-11.0%

Current Assets

Fixed Assets

94,384,021

104,992,394

-10,608,373

224,246

0

(10,384,127)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 71CR Beds 65

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,566 1,399,922 02 Capital Cost - Movable Equip 1,878 3,123,199

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,006 22,230,407 91,706,969

0.2130811,774 4,842,356 22,725,387

0.242407

Ratio

0.0983441,975 9,597,115 97,587,354

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 1,580 26,986,558

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,728 3,341,473

08/09 Laundry / Housekeeping 2,298 1,477,471 10/11 Dietary and Cafeteria 3,720 591,742

13 Nursing Administration 2,081 1,339,733 14 Central Service and Supply 2,430 188,220

15 Pharmancy 1,539 2,004,781 16 Medical Records 1,634 1,128,318

Selected Revenue Departments

0.3001541,160 3,808,999 12,690,130

0.0448151,851 7,974,936 177,952,094

2,255

17 Social Services 0 0 18 Other General Service Cost 538 86,248

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 99: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050102

DOCTORS HOSPITAL OF RIVERSIDE, LLC

3865 JACKSON STREET

RIVERSIDE, CA 92503

RIVERSIDE

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 193CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 100: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050464

DOCTORS MEDICAL CENTER

1441 FLORIDA AVENUE

MODESTO, CA 95350

STANISLAUS

WISCONSIN PHYSICIANS SERVICE

5/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

310,760,292

Income Statement

81,875,137

24,530,691

417,166,120

80,471,571

9,286,515

327,408,034

417,166,120 34.4%

3.3%

20.7

441.1

2.9%

13.6%

50.71

5.1

85.2%

Key Performanace Ind.

3.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

88.7%5,461,965,913Contract Allowance

Total Charges 6,160,383,431

11.3%

84.0%

16.0%

0.1%

0.0%

16.1%

Current Assets

Fixed Assets

698,417,518

586,602,120

111,815,398

667,208

0

112,482,606

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 457CR Beds 291

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,936 4,127,184 02 Capital Cost - Movable Equip 916 8,421,282

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

214 141,590,332 841,654,453

0.170560467 21,925,513 128,550,216

0.168229

Ratio

0.094519429 42,067,815 445,071,786

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 230 137,185,507

06 Maintenance and Repairs 0 0 07 Operation of Plant 320 14,585,484

08/09 Laundry / Housekeeping 575 6,468,567 10/11 Dietary and Cafeteria 395 5,449,788

13 Nursing Administration 767 4,037,267 14 Central Service and Supply 472 3,123,908

15 Pharmancy 450 7,754,111 16 Medical Records 292 5,329,716

Selected Revenue Departments

0.271499219 13,969,549 51,453,462

0.057620395 29,744,263 516,213,161

324

17 Social Services 615 1,794,746 18 Other General Service Cost 207 2,697,601

19 Non Physician Anesthetists 0 0 20-23 Education Programs 758 3,472,004

Revenue Ranking -

All Providers

10:04 AM

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Page 101: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050242

DOMINICAN HOSPITAL

1555 SOQUEL DRIVE

SANTA CRUZ, CA 95065

SANTA CRUZ

Noridian (CA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

281,760,751

Income Statement

57,781,336

326,258,655

665,800,742

56,550,392

15,205,474

594,044,876

665,800,742 11.3%

6.3%

32.1

388.7

5.7%

18.5%

65.56

4.7

64.7%

Key Performanace Ind.

5.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.0%1,513,443,805Contract Allowance

Total Charges 1,966,666,272

23.0%

92.1%

7.9%

6.9%

0.0%

14.8%

Current Assets

Fixed Assets

453,222,467

417,418,291

35,804,176

31,361,553

0

67,165,729

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 222CR Beds 172

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,844 4,455,829 02 Capital Cost - Movable Equip 697 10,651,454

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

453 94,473,700 352,126,501

0.276250429 23,547,162 85,238,558

0.268295

Ratio

0.184539482 39,196,603 212,402,639

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 254 61,376,617 05 Administrative and General 701 62,293,763

06 Maintenance and Repairs 456 5,908,752 07 Operation of Plant 1,365 4,583,127

08/09 Laundry / Housekeeping 937 4,443,847 10/11 Dietary and Cafeteria 593 4,434,292

13 Nursing Administration 693 4,403,034 14 Central Service and Supply 791 1,779,099

15 Pharmancy 801 4,514,119 16 Medical Records 216 6,531,223

Selected Revenue Departments

0.477126552 8,473,962 17,760,440

0.162068523 25,351,301 156,424,217

617

17 Social Services 1,045 910,964 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 102: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050641

EAST LOS ANGELES DOCTORS HOSPITAL

4060 WHITTIER BLVD

LOS ANGELES, CA 90023

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

18,827,867

Income Statement

13,573,863

0

32,401,730

-21,393,232

23,274,295

30,520,667

32,401,730 41.4%

2.8%

49.9

310.8

0.8%

8.9%

39.98

4.3

37.6%

Key Performanace Ind.

(0.9)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.2%267,599,000Contract Allowance

Total Charges 342,333,701

21.8%

83.4%

16.6%

0.3%

0.0%

16.9%

Current Assets

Fixed Assets

74,734,701

62,329,951

12,404,750

217,196

0

12,621,946

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 102CR Beds 92

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,753 583,374 02 Capital Cost - Movable Equip 2,678 1,413,457

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,378 16,664,973 47,359,313

0.3269721,977 3,855,513 11,791,567

0.351884

Ratio

0.2349352,694 5,108,317 21,743,557

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,183 2,680,456 05 Administrative and General 1,918 19,788,888

06 Maintenance and Repairs 877 2,499,440 07 Operation of Plant 3,497 831,601

08/09 Laundry / Housekeeping 2,780 1,022,176 10/11 Dietary and Cafeteria 3,029 828,299

13 Nursing Administration 1,942 1,468,843 14 Central Service and Supply 2,798 106,458

15 Pharmancy 1,945 1,223,859 16 Medical Records 2,061 815,772

Selected Revenue Departments

0.2549831,077 4,287,948 16,816,616

0.1341252,731 4,402,301 32,822,365

2,517

17 Social Services 2,565 86,490 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 103: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051300

EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS

500 FIRST AVENUE

PORTOLA, CA 96122

PLUMAS

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

12,059,027

Income Statement

9,551,666

0

21,610,693

1,785,258

6,443,016

13,382,419

21,610,693 53.5%

1.0%

23.2

44.1

11.6%

0.0%

9.0

34.2%

Key Performanace Ind.

6.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

18.7%7,193,432Contract Allowance

Total Charges 38,376,059

81.3%

87.9%

12.1%

10.9%

0.0%

23.0%

Current Assets

Fixed Assets

31,182,627

27,401,180

3,781,447

3,383,909

0

7,165,356

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 9CR Beds 9

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,807 552,747 02 Capital Cost - Movable Equip 5,384 26,104

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,780 1,810,293 2,907,698

0.0000000 0 0

0.622586

Ratio

23.3035004,712 46,607 2,000

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,875 691,577 05 Administrative and General 4,117 4,300,536

06 Maintenance and Repairs 1,561 564,840 07 Operation of Plant 3,494 835,495

08/09 Laundry / Housekeeping 3,152 767,975 10/11 Dietary and Cafeteria 2,691 1,012,772

13 Nursing Administration 3,446 529,471 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 3,418 325,669

Selected Revenue Departments

0.0000000 0 0

0.8308453,822 2,135,727 2,570,549

3,639

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 104: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050488

EDEN MEDICAL CENTER

20103 LAKE CHABOT ROAD

CASTRO VALLEY, CA 94546

ALAMEDA

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

93,776,372

Income Statement

265,371,953

10,612,826

369,761,151

56,824,813

262,691,031

50,245,307

369,761,151 20.9%

4.1%

19.9

388.1

3.8%

15.6%

69.60

5.1

93.1%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.7%902,984,500Contract Allowance

Total Charges 1,260,244,415

28.3%

99.2%

0.8%

2.1%

0.0%

2.9%

Current Assets

Fixed Assets

357,259,915

354,433,676

2,826,239

7,651,862

0

10,478,101

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 155CR Beds 102

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 581 14,856,101 02 Capital Cost - Movable Equip 1,728 3,618,958

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

654 73,422,811 188,440,507

0.388562262 33,782,931 86,943,479

0.389634

Ratio

0.2232651,213 18,758,244 84,017,770

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 840 22,392,545 05 Administrative and General 1,031 44,540,146

06 Maintenance and Repairs 1,977 130,388 07 Operation of Plant 632 9,413,013

08/09 Laundry / Housekeeping 838 4,834,978 10/11 Dietary and Cafeteria 643 4,218,650

13 Nursing Administration 869 3,616,805 14 Central Service and Supply 508 2,949,299

15 Pharmancy 704 5,182,783 16 Medical Records 1,697 1,078,781

Selected Revenue Departments

0.418400570 8,241,580 19,697,842

0.134401392 30,005,042 223,250,118

815

17 Social Services 875 1,150,476 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 105: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050573

EISENHOWER MEDICAL CENTER

39-000 BOB HOPE DRIVE

RANCHO MIRAGE, CA 92270

RIVERSIDE

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

224,477,289

Income Statement

563,999,642

188,448,379

976,925,310

121,094,320

475,374,490

380,456,500

976,925,310 -1.3%

4.2%

18.6

213.5

17.8%

17.0%

37.93

3.5

50.8%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.4%3,128,755,624Contract Allowance

Total Charges 3,889,867,417

19.6%

108.8%

-8.8%

8.2%

0.0%

-0.6%

Current Assets

Fixed Assets

761,111,793

828,418,007

-67,306,214

62,389,437

0

(4,916,777)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 289CR Beds 311

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 139 39,009,994 02 Capital Cost - Movable Equip 142 29,529,988

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

475 91,728,428 426,776,113

0.258528569 18,867,937 72,982,156

0.214933

Ratio

0.111148375 46,111,199 414,863,195

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,422 4,881,332 05 Administrative and General 284 117,485,806

06 Maintenance and Repairs 655 3,840,656 07 Operation of Plant 402 12,830,347

08/09 Laundry / Housekeeping 441 7,578,236 10/11 Dietary and Cafeteria 514 4,753,751

13 Nursing Administration 686 4,469,657 14 Central Service and Supply 223 5,885,001

15 Pharmancy 965 3,755,180 16 Medical Records 364 4,559,145

Selected Revenue Departments

0.0000000 0 0

0.092499306 34,071,986 368,351,020

281

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 358 12,405,519

Revenue Ranking -

All Providers

10:04 AM

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Page 106: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050308

EL CAMINO HOSPITAL

2500 GRANT ROAD

MOUNTAIN VIEW, CA 94040

SANTA CLARA

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

640,707,340

Income Statement

686,825,885

888,889,328

2,216,422,553

162,053,994

559,603,872

1,494,764,687

2,216,422,553 10.6%

2.1%

50.8

48.2

5.9%

12.3%

71.72

3.7

58.1%

Key Performanace Ind.

4.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.2%2,580,945,022Contract Allowance

Total Charges 3,524,993,076

26.8%

88.5%

11.5%

7.9%

2.6%

16.8%

Current Assets

Fixed Assets

944,048,054

835,366,916

108,681,138

74,978,893

24,997,845

158,662,186

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 443CR Beds 303

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 249 27,026,522 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

184 152,506,498 429,417,927

0.31544187 64,950,761 205,904,827

0.355147

Ratio

0.120686223 62,557,196 518,345,609

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,109 6,459,527 05 Administrative and General 231 136,919,495

06 Maintenance and Repairs 555 4,667,475 07 Operation of Plant 68 33,253,958

08/09 Laundry / Housekeeping 76 18,477,326 10/11 Dietary and Cafeteria 106 10,571,414

13 Nursing Administration 84 16,896,575 14 Central Service and Supply 44 19,993,107

15 Pharmancy 207 14,957,655 16 Medical Records 361 4,586,842

Selected Revenue Departments

0.42544930 31,228,741 73,401,832

0.125028254 36,684,549 293,410,784

211

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 107: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050045

EL CENTRO REGIONAL MEDICAL CENTER

1415 ROSS AVENUE

EL CENTRO, CA 92243

IMPERIAL

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Other

General Short Term

Balance Sheet

57,389,518

Income Statement

87,304,693

90,253,211

234,947,422

21,543,966

115,299,784

98,103,672

234,947,422 -3.8%

2.1%

37.1

580.7

14.4%

14.9%

29.70

4.6

42.5%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.0%623,434,257Contract Allowance

Total Charges 779,464,486

20.0%

109.4%

-9.4%

7.0%

0.0%

-2.4%

Current Assets

Fixed Assets

156,030,229

170,652,790

-14,622,561

10,904,593

0

(3,717,968)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 153CR Beds 141

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,218 7,405,255 02 Capital Cost - Movable Equip 4,635 240,785

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,855 25,169,810 58,899,919

0.3892991,736 5,095,548 13,089,040

0.427332

Ratio

0.1913031,800 11,216,295 58,630,926

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,144 15,898,801 05 Administrative and General 1,760 23,137,568

06 Maintenance and Repairs 1,086 1,607,004 07 Operation of Plant 1,875 2,944,903

08/09 Laundry / Housekeeping 2,042 1,781,070 10/11 Dietary and Cafeteria 2,705 1,004,023

13 Nursing Administration 1,020 3,130,298 14 Central Service and Supply 1,318 854,952

15 Pharmancy 1,699 1,680,032 16 Medical Records 1,055 1,860,246

Selected Revenue Departments

0.866801897 5,326,895 6,145,468

0.189581847 17,616,788 92,924,810

1,679

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 108: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050597

EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL

250 S GRAND AVE

GLENDORA, CA 91740

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

41,632,073

Income Statement

31,701,220

51,134,191

124,467,484

18,812,479

4,056,306

101,598,699

124,467,484 11.1%

5.5%

33.2

72.2

3.1%

12.5%

41.45

4.4

62.7%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

70.3%270,823,586Contract Allowance

Total Charges 385,056,365

29.7%

94.5%

5.5%

4.9%

0.5%

9.9%

Current Assets

Fixed Assets

114,232,779

107,900,695

6,332,084

5,581,767

612,967

11,300,884

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 106CR Beds 87

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,660 2,462,305 02 Capital Cost - Movable Equip 1,473 4,671,343

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,954 23,244,104 39,995,486

0.4492521,238 8,822,705 19,638,656

0.581168

Ratio

0.2864981,817 11,052,750 38,578,865

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,658 73,728 05 Administrative and General 2,279 14,511,369

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,927 2,825,820

08/09 Laundry / Housekeeping 2,039 1,788,441 10/11 Dietary and Cafeteria 1,600 2,042,380

13 Nursing Administration 1,497 1,993,431 14 Central Service and Supply 942 1,409,675

15 Pharmancy 1,518 2,057,280 16 Medical Records 0 0

Selected Revenue Departments

1.3344101,926 1,112,507 833,707

0.2444321,291 12,282,866 50,250,690

2,019

17 Social Services 2,280 150,653 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,443 203,448

Revenue Ranking -

All Providers

10:04 AM

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Page 109: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050382

EMANATE HEALTH INTER-COMMUNITY HOSPITAL

210 W SAN BERNARDINO ROAD

COVINA, CA 91723

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

195,948,900

Income Statement

124,298,933

214,697,614

534,945,447

88,239,925

43,010,594

403,694,928

534,945,447 9.9%

4.5%

63.0

29.6

2.4%

12.7%

41.27

4.3

57.9%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

64.7%898,057,257Contract Allowance

Total Charges 1,387,006,887

35.3%

99.0%

1.0%

8.2%

1.1%

8.2%

Current Assets

Fixed Assets

488,949,630

483,827,416

5,122,214

40,192,077

5,253,142

40,061,149

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 193CR Beds 401

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,069 8,541,756 02 Capital Cost - Movable Equip 446 14,780,964

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

487 90,470,962 164,496,090

0.554538725 15,503,492 27,957,495

0.549989

Ratio

0.240522925 24,177,434 100,520,510

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,127 479,409 05 Administrative and General 763 58,463,489

06 Maintenance and Repairs 0 0 07 Operation of Plant 235 16,968,628

08/09 Laundry / Housekeeping 391 8,343,113 10/11 Dietary and Cafeteria 386 5,513,887

13 Nursing Administration 502 5,816,977 14 Central Service and Supply 354 4,020,790

15 Pharmancy 268 12,269,399 16 Medical Records 0 0

Selected Revenue Departments

0.861582307 12,019,700 13,950,726

0.226219365 30,937,451 136,759,141

556

17 Social Services 770 1,392,352 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 647 4,652,664

Revenue Ranking -

All Providers

10:04 AM

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Page 110: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050179

EMANUEL MEDICAL CENTER

825 DELBON AVE

TURLOCK, CA 95382

STANISLAUS

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

113,050,995

Income Statement

60,861,187

65,082,688

238,994,870

41,290,855

3,762,020

193,941,995

238,994,870 22.5%

7.0%

30.3

609.1

8.1%

12.7%

45.02

4.2

49.3%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

89.4%2,272,510,501Contract Allowance

Total Charges 2,542,589,667

10.6%

86.4%

13.6%

2.6%

0.0%

16.2%

Current Assets

Fixed Assets

270,079,166

233,402,450

36,676,716

6,983,821

0

43,660,537

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 354CR Beds 191

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,713 4,920,283 02 Capital Cost - Movable Equip 1,562 4,282,720

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

947 54,094,515 281,943,829

0.2374711,261 8,600,433 36,216,724

0.191863

Ratio

0.0454332,115 8,558,697 188,382,357

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,639 911,439 05 Administrative and General 977 46,694,723

06 Maintenance and Repairs 822 2,800,344 07 Operation of Plant 1,693 3,449,344

08/09 Laundry / Housekeeping 1,342 3,130,424 10/11 Dietary and Cafeteria 1,751 1,850,671

13 Nursing Administration 868 3,619,920 14 Central Service and Supply 1,234 955,545

15 Pharmancy 833 4,332,761 16 Medical Records 1,287 1,529,136

Selected Revenue Departments

0.114376840 5,677,150 49,635,639

0.034700908 16,735,255 482,286,685

1,086

17 Social Services 1,898 291,512 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 111: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050158

ENCINO HOSPITAL MEDICAL CENTER

16237 VENTURA BLVD

ENCINO, CA 91436

LOS ANGELES

BLUE CROSS (SOUTH CAROLINA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

24,051,747

Income Statement

19,814,649

1,681,002

45,547,398

16,269,762

51,443

29,226,193

45,547,398 -27.5%

3.5%

30.7

815.9

1.3%

18.6%

36.28

3.6

21.0%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.4%188,724,340Contract Allowance

Total Charges 240,713,556

21.6%

117.2%

-17.2%

1.7%

0.0%

-15.5%

Current Assets

Fixed Assets

51,989,216

60,914,786

-8,925,570

888,552

0

(8,037,018)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 150CR Beds 60

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,076 999,802 02 Capital Cost - Movable Equip 3,000 1,055,174

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,187 9,837,760 23,004,900

0.0000000 0 0

0.427638

Ratio

1.4340633,132 3,121,597 2,176,750

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,575 961,225 05 Administrative and General 2,522 12,121,889

06 Maintenance and Repairs 1,544 580,967 07 Operation of Plant 1,796 3,180,691

08/09 Laundry / Housekeeping 2,565 1,180,674 10/11 Dietary and Cafeteria 2,270 1,317,692

13 Nursing Administration 2,690 869,090 14 Central Service and Supply 2,248 242,345

15 Pharmancy 1,820 1,441,174 16 Medical Records 3,095 400,671

Selected Revenue Departments

0.0000000 0 0

0.2434192,857 4,023,356 16,528,529

2,958

17 Social Services 2,497 101,357 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 112: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053040

ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MODEST

1303 MABLE AVENUE

MODESTO, CA 95355

STANISLAUS

Noridian (CA)

9/30/2019 365 Days Amended

Proprietary - Corporation

Rehabilitation

Balance Sheet

1,238,855

Income Statement

1,743,629

11,253,731

14,236,215

2,167,397

10,000,605

2,068,213

14,236,215 -0.1%

17.4%

14.7

115.2

0.0%

0.0%

13.6

63.4%

Key Performanace Ind.

0.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

36.1%11,132,259Contract Allowance

Total Charges 30,834,558

63.9%

100.3%

-0.3%

0.3%

0.0%

0.0%

Current Assets

Fixed Assets

19,702,299

19,764,763

-62,464

60,696

0

(1,768)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 50CR Beds 50

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,323 1,622,419 02 Capital Cost - Movable Equip 3,213 851,930

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,732 13,055,456 18,903,845

0.0000000 0 0

0.690624

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,573 2,081,820 05 Administrative and General 4,201 4,119,276

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,730 717,833

08/09 Laundry / Housekeeping 4,849 260,973 10/11 Dietary and Cafeteria 4,064 502,520

13 Nursing Administration 3,241 602,546 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 5,009 91,691

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,374

17 Social Services 1,729 370,338 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 113: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053034

ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN

14851 YORBA STREET

TUSTIN, CA 92780

ORANGE

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Amended

Proprietary - Corporation

Rehabilitation

Balance Sheet

7,366,056

Income Statement

863,356

2,994,061

11,223,473

4,481,850

114,034

6,627,589

11,223,473 -1.6%

14.1%

21.9

70.3

0.0%

0.0%

38.32

11.8

79.1%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

36.5%14,034,185Contract Allowance

Total Charges 38,428,376

63.5%

100.6%

-0.6%

0.2%

0.0%

-0.4%

Current Assets

Fixed Assets

24,394,191

24,550,846

-156,655

47,544

0

(109,111)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 117CR Beds 48

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,776 4,698,051 02 Capital Cost - Movable Equip 3,460 685,012

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,443 15,772,680 25,011,281

0.0000000 0 0

0.630623

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,157 2,722,554 05 Administrative and General 4,005 4,564,531

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,901 648,925

08/09 Laundry / Housekeeping 4,730 285,075 10/11 Dietary and Cafeteria 3,318 715,094

13 Nursing Administration 2,949 728,338 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 4,832 113,392

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,032

17 Social Services 1,527 472,372 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 114: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053031

ENCOMPASS HEALTH REHABILITATON HOSPITAL OF BAKERS

5001 COMMERCE DRIVE

BAKERSFIELD, CA 93309

KERN

BLUE CROSS (ALABAMA)

12/31/2019 365 Days Amended

Proprietary - Corporation

Rehabilitation

Balance Sheet

15,890,103

Income Statement

7,068,803

15,215,966

38,174,872

5,860,886

7,099,592

25,214,394

38,174,872 15.0%

8.5%

22.9

110.5

0.0%

0.0%

38.69

12.6

74.1%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

33.1%20,319,005Contract Allowance

Total Charges 61,425,352

66.9%

91.1%

8.9%

0.3%

0.0%

9.2%

Current Assets

Fixed Assets

41,106,347

37,435,516

3,670,831

111,150

0

3,781,981

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 86CR Beds 86

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,790 2,279,938 02 Capital Cost - Movable Equip 3,508 658,039

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,067 21,260,401 35,229,807

0.0000000 0 0

0.603478

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,764 3,678,443 05 Administrative and General 3,213 7,224,747

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,271 983,893

08/09 Laundry / Housekeeping 3,524 594,957 10/11 Dietary and Cafeteria 2,707 1,003,487

13 Nursing Administration 2,866 768,234 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 4,912 104,158

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,245

17 Social Services 1,289 638,150 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 115: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050039

ENLOE MEDICAL CENTER

1531 ESPLANADE

CHICO, CA 95926

BUTTE

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

290,118,025

Income Statement

264,818,710

38,365,052

593,301,787

107,352,874

225,409,515

260,539,398

593,301,787 17.7%

0.9%

37.5

191.7

8.6%

17.0%

43.20

4.2

76.3%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.0%2,441,359,439Contract Allowance

Total Charges 3,128,210,432

22.0%

95.3%

4.7%

2.0%

0.0%

6.7%

Current Assets

Fixed Assets

686,850,993

654,256,727

32,594,266

13,430,813

0

46,025,079

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 298CR Beds 259

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 480 17,264,315 02 Capital Cost - Movable Equip 5,122 101,995

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

246 130,765,732 499,054,067

0.208353447 22,933,449 110,070,240

0.262027

Ratio

0.087288791 27,080,361 310,241,679

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 359 47,100,175 05 Administrative and General 486 81,136,527

06 Maintenance and Repairs 473 5,659,176 07 Operation of Plant 691 8,804,643

08/09 Laundry / Housekeeping 287 9,996,985 10/11 Dietary and Cafeteria 213 7,689,872

13 Nursing Administration 92 15,849,000 14 Central Service and Supply 373 3,848,833

15 Pharmancy 324 10,229,087 16 Medical Records 304 5,173,859

Selected Revenue Departments

0.303379619 7,653,905 25,228,826

0.080982371 30,791,610 380,227,826

331

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 116: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05087E

ERNEST COWELL MEM HOSP

STRAWBERRY CREEK + COLLEGE AVE

BERKELEY, CA 94704

ALAMEDA

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 88CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 117: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051316

FAIRCHILD MEDICAL CENTER

444 BRUCE STREET

YREKA, CA 96097

SISKIYOU

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

31,566,065

Income Statement

21,587,721

0

53,153,786

10,595,655

0

42,558,131

53,153,786 6.5%

7.4%

29.5

15.2

10.0%

0.0%

3.9

47.2%

Key Performanace Ind.

3.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

60.4%128,199,524Contract Allowance

Total Charges 212,121,523

39.6%

97.9%

2.1%

1.2%

0.0%

3.3%

Current Assets

Fixed Assets

83,921,999

82,146,932

1,775,067

998,363

0

2,773,430

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,200 903,759 02 Capital Cost - Movable Equip 1,576 4,244,557

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,484 8,163,088 9,686,739

0.3854492,485 2,025,010 5,253,643

0.842708

Ratio

0.1419662,457 6,340,150 44,659,750

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 2,704 10,517,609

06 Maintenance and Repairs 1,560 565,392 07 Operation of Plant 2,657 1,579,759

08/09 Laundry / Housekeeping 2,052 1,765,429 10/11 Dietary and Cafeteria 2,265 1,321,730

13 Nursing Administration 1,171 2,667,927 14 Central Service and Supply 1,416 749,333

15 Pharmancy 1,930 1,254,611 16 Medical Records 1,415 1,363,244

Selected Revenue Departments

1.1420932,172 614,936 538,429

1.1534461,977 7,358,315 6,379,421

2,394

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 118: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05062E

FAIRHAVEN HOME & HOSP

4360 63RD ST

SACRAMENTO, CA 95820

SACRAMENTO

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 12CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 119: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050548

FAIRVIEW DEVELOPMENTAL CENTER

2501 HARBOR BOULEVARD

COSTA MESA, CA 92626

ORANGE

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Settled

Government - State

General Short Term

Balance Sheet

42,740,366

Income Statement

50,738,210

0

93,478,576

15,326,853

0

78,151,723

93,478,576 -5.8%

4.6%

40.5

0.4

0.0%

0.3%

32.19

6.4

1.1%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 89,751,165

100.0%

105.1%

-5.1%

0.0%

0.0%

-5.1%

Current Assets

Fixed Assets

89,751,165

94,319,160

-4,567,995

0

0

(4,567,995)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 30CR Beds 30

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,919 2,109,181 02 Capital Cost - Movable Equip 4,507 278,376

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,049 5,897,093 6,042,742

0.0000000 0 0

0.975897

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 793 23,387,625 05 Administrative and General 1,437 31,003,817

06 Maintenance and Repairs 1,103 1,557,502 07 Operation of Plant 1,742 3,292,363

08/09 Laundry / Housekeeping 3,682 527,748 10/11 Dietary and Cafeteria 1,147 2,847,991

13 Nursing Administration 0 0 14 Central Service and Supply 2,004 332,986

15 Pharmancy 2,322 789,248 16 Medical Records 3,195 373,544

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,325

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 120: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05024F

FEDERAL CORRECTIONAL INSTITUTE HOSP

LOMPOC, CA 93436

SANTA BARBARA

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 121: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050780

FOOTHILL REGIONAL MEDICAL CENTER

14662 NEWPORT AVE

TUSTIN, CA 92780

ORANGE

NORIDIAN

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

-1,759,143

Income Statement

24,808,214

122,000

23,171,071

28,509,582

220,124

-5,558,635

23,171,071 -92.7%

12.6%

20.8

353.3

0.6%

16.7%

27.43

3.6

21.7%

Key Performanace Ind.

(0.1)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.5%303,376,650Contract Allowance

Total Charges 367,655,365

17.5%

223.6%

-123.6%

131.6%

0.0%

8.0%

Current Assets

Fixed Assets

64,278,715

143,696,103

-79,417,388

84,567,503

0

5,150,115

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 135CR Beds 120

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,537 1,425,688 02 Capital Cost - Movable Equip 1,658 3,832,801

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,450 15,725,875 41,056,555

0.1436981,581 6,094,066 42,408,873

0.383030

Ratio

0.1331922,466 6,295,188 47,264,060

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 1,783 22,647,796

06 Maintenance and Repairs 1,300 1,023,561 07 Operation of Plant 4,443 443,209

08/09 Laundry / Housekeeping 2,773 1,026,535 10/11 Dietary and Cafeteria 2,951 870,110

13 Nursing Administration 1,687 1,753,249 14 Central Service and Supply 3,471 20,906

15 Pharmancy 2,525 615,413 16 Medical Records 3,104 398,274

Selected Revenue Departments

0.0000000 0 0

0.2596642,829 4,094,615 15,768,894

2,714

17 Social Services 2,218 169,251 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 122: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050570

FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER

17100 EUCLID STREET

FOUNTAIN VALLEY, CA 92708

ORANGE

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

173,770,394

Income Statement

94,453,393

25,202,779

293,426,566

73,245,349

18,067,238

202,113,979

293,426,566 9.2%

5.1%

25.3

353.5

1.8%

15.7%

45.39

4.8

61.7%

Key Performanace Ind.

2.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

87.3%2,602,394,267Contract Allowance

Total Charges 2,980,829,448

12.7%

95.2%

4.8%

0.1%

0.0%

4.9%

Current Assets

Fixed Assets

378,435,181

360,431,498

18,003,683

563,089

0

18,566,772

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 389CR Beds 341

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 990 9,418,888 02 Capital Cost - Movable Equip 726 10,382,964

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

368 107,100,143 298,386,793

0.382555453 22,632,885 59,162,368

0.358931

Ratio

0.0772801,015 22,287,575 288,401,854

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 845 22,298,832 05 Administrative and General 717 61,268,724

06 Maintenance and Repairs 0 0 07 Operation of Plant 447 11,819,145

08/09 Laundry / Housekeeping 963 4,354,537 10/11 Dietary and Cafeteria 723 3,960,705

13 Nursing Administration 1,175 2,659,881 14 Central Service and Supply 1,767 464,622

15 Pharmancy 337 9,894,782 16 Medical Records 669 2,890,867

Selected Revenue Departments

0.217310238 13,496,294 62,106,086

0.0570321,161 13,554,923 237,672,465

763

17 Social Services 806 1,307,531 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,356 302,582

Revenue Ranking -

All Providers

10:04 AM

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 123: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054110

FREMONT HOSPITAL

39001 SUNDALE DRIVE

FREMONT, CA 94538

ALAMEDA

WISCONSIN PHYSICIANS SERVICE

7/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

7,877,316

Income Statement

31,531,444

67,334,313

106,743,073

3,310,770

-23,859,729

127,292,032

106,743,073 13.3%

4.1%

29.8

75.7

0.3%

0.0%

7.2

75.5%

Key Performanace Ind.

2.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

43.5%44,839,533Contract Allowance

Total Charges 103,190,120

56.5%

68.9%

31.1%

0.2%

2.2%

29.0%

Current Assets

Fixed Assets

58,350,587

40,217,698

18,132,889

87,551

1,286,330

16,934,110

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 96CR Beds 148

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,232 1,730,592 02 Capital Cost - Movable Equip 3,714 554,683

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,492 34,151,764 97,833,600

0.0000000 0 0

0.349080

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,663 3,983,136 05 Administrative and General 3,026 8,105,494

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,556 1,713,454

08/09 Laundry / Housekeeping 3,954 452,945 10/11 Dietary and Cafeteria 2,327 1,262,340

13 Nursing Administration 1,580 1,885,770 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 2,940 439,880

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,824

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 123

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Page 124: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050232

FRENCH HOSPITAL MEDICAL CENTER

1911 JOHNSON AVE

SAN LUIS OBISPO, CA 93401

SAN LUIS OBISPO

BLUE CROSS (CALIFORNIA)

12/31/2019 334 Days Submitted

Nonprofit - Church

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

21,455,038

Income Statement

67,105,884

37,843,286

126,404,208

14,026,868

82,453,382

29,923,958

126,404,208 71.3%

12.0%

35.2

600.1

11.3%

20.0%

48.64

4.1

58.9%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.4%578,143,946Contract Allowance

Total Charges 737,321,048

21.6%

97.9%

2.1%

11.3%

0.0%

13.4%

Current Assets

Fixed Assets

159,177,102

155,884,994

3,292,108

18,041,978

0

21,334,086

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 112CR Beds 87

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,678 2,126,866 02 Capital Cost - Movable Equip 1,067 7,278,694

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,983 22,656,211 79,209,199

0.4183431,287 8,309,289 19,862,399

0.286030

Ratio

0.1220631,491 14,762,109 120,938,653

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,296 13,671,513 05 Administrative and General 1,631 25,445,437

06 Maintenance and Repairs 496 5,390,726 07 Operation of Plant 4,561 405,384

08/09 Laundry / Housekeeping 2,092 1,716,482 10/11 Dietary and Cafeteria 2,549 1,105,782

13 Nursing Administration 2,035 1,370,371 14 Central Service and Supply 1,430 739,749

15 Pharmancy 1,550 1,982,100 16 Medical Records 860 2,340,477

Selected Revenue Departments

1.639222652 7,232,091 4,411,905

0.1658631,975 7,368,128 44,423,080

2,099

17 Social Services 2,384 124,819 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 124

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Page 125: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050232

FRENCH HOSPITAL MEDICAL CENTER

1911 JOHNSON AVE

SAN LUIS OBISPO, CA 93401

SAN LUIS OBISPO

BLUE CROSS (CALIFORNIA)

12/31/2019 334 Days Submitted

Nonprofit - Church

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

27,161,953

Income Statement

56,256,131

24,591,029

108,009,113

15,815,424

73,064,657

19,129,032

108,009,113 -28.1%

8.6%

59.7

1,244.1

21.5%

38.2%

48.64

4.1

58.9%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.9%353,950,092Contract Allowance

Total Charges 437,500,055

19.1%

118.9%

-18.9%

12.4%

0.0%

-6.4%

Current Assets

Fixed Assets

83,549,963

99,301,699

-15,751,736

10,379,922

0

(5,371,814)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 112CR Beds 87

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,678 2,438,537 02 Capital Cost - Movable Equip 1,067 4,013,743

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,983 16,138,183 46,982,217

0.4541291,287 5,716,098 12,586,940

0.343496

Ratio

0.1301361,491 9,415,082 72,347,848

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,296 9,372,361 05 Administrative and General 1,631 17,281,647

06 Maintenance and Repairs 496 3,919,774 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 2,092 981,605 10/11 Dietary and Cafeteria 2,549 706,877

13 Nursing Administration 2,035 748,752 14 Central Service and Supply 1,430 527,690

15 Pharmancy 1,550 1,168,727 16 Medical Records 860 1,434,686

Selected Revenue Departments

1.201286652 2,705,256 2,251,967

0.1574091,975 4,428,155 28,131,444

2,099

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 126: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050732

FRESNO HEART AND SURGICAL HOSPITAL

15 EAST AUDUBON DRIVE

FRESNO, CA 93720

FRESNO

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 57CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 126

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 127: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050708

FRESNO SURGICAL HOSPITAL

6125 NORTH FRESNO ST

FRESNO, CA 93710

FRESNO

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Partnership

General Short Term

Balance Sheet

15,231,231

Income Statement

14,424,365

2,269,410

31,925,006

8,771,494

10,012,441

13,141,071

31,925,006 46.6%

8.4%

18.7

230.7

17.5%

16.0%

35.37

1.7

30.4%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.8%238,523,807Contract Allowance

Total Charges 318,675,924

25.2%

93.0%

7.0%

0.7%

0.0%

7.6%

Current Assets

Fixed Assets

80,152,117

74,549,827

5,602,290

526,782

0

6,129,072

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 31CR Beds 27

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,454 6,008,653 02 Capital Cost - Movable Equip 1,990 2,798,872

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,932 11,517,853 7,823,400

0.0000000 0 0

1.472231

Ratio

0.187046633 31,933,501 170,725,104

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,203 5,969,639 05 Administrative and General 3,611 5,622,425

06 Maintenance and Repairs 1,529 603,974 07 Operation of Plant 2,644 1,596,552

08/09 Laundry / Housekeeping 2,553 1,198,887 10/11 Dietary and Cafeteria 3,232 742,359

13 Nursing Administration 3,428 535,089 14 Central Service and Supply 134 8,784,906

15 Pharmancy 1,875 1,343,503 16 Medical Records 2,542 574,425

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,446

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 127

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 128: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050230

GARDEN GROVE HOSPITAL & MEDICAL CENTER

12601 GARDEN GROVE BLVD

GARDEN GROVE, CA 92843

ORANGE

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

36,287,716

Income Statement

23,955,829

49,835,609

110,079,154

44,835,413

1,122,930

64,120,811

110,079,154 -4.9%

3.9%

60.1

577.6

1.4%

26.5%

38.08

4.2

31.8%

Key Performanace Ind.

0.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.5%255,641,553Contract Allowance

Total Charges 334,117,233

23.5%

105.4%

-5.4%

1.5%

0.0%

-4.0%

Current Assets

Fixed Assets

78,475,680

82,749,040

-4,273,360

1,156,413

0

(3,116,947)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 167CR Beds 143

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,812 1,209,084 02 Capital Cost - Movable Equip 2,140 2,406,898

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,021 21,941,450 45,741,350

0.3789811,575 6,140,395 16,202,400

0.479685

Ratio

0.1418252,787 4,626,577 32,621,834

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,096 497,894 05 Administrative and General 2,160 15,930,701

06 Maintenance and Repairs 1,453 733,479 07 Operation of Plant 1,919 2,850,863

08/09 Laundry / Housekeeping 2,096 1,710,192 10/11 Dietary and Cafeteria 2,076 1,494,890

13 Nursing Administration 1,409 2,127,570 14 Central Service and Supply 2,667 129,140

15 Pharmancy 1,504 2,085,286 16 Medical Records 1,804 986,143

Selected Revenue Departments

1.399009718 6,635,356 4,742,896

0.1887861,991 7,282,340 38,574,479

2,465

17 Social Services 2,418 117,009 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 128

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 129: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050575

GARDENS REGIONAL HOSPITAL AND MEDICAL CENTER

21530 S PIONEER BLVD

HAWAIIAN GARDENS, CA 90716

LOS ANGELES

NORIDIAN ADMIN SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 107CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 129

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 130: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050737

GARFIELD MEDICAL CENTER

525 N GARFIELD AVE

MONTEREY PARK, CA 91754

LOS ANGELES

Noridian (CA)

6/30/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

208,616,817

Income Statement

20,648,441

19,056,658

248,321,916

130,188,471

19,485,892

98,647,553

248,321,916 10.9%

8.0%

36.5

908.9

2.8%

17.4%

44.60

5.3

79.0%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

87.8%1,429,127,921Contract Allowance

Total Charges 1,627,915,663

12.2%

148.5%

-48.5%

53.9%

0.0%

5.4%

Current Assets

Fixed Assets

198,787,742

295,245,375

-96,457,633

107,194,881

105

10,737,143

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 210CR Beds 140

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,249 7,244,315 02 Capital Cost - Movable Equip 1,942 2,931,431

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,096 48,244,702 207,391,429

0.2072121,756 4,927,141 23,778,214

0.232626

Ratio

0.0835021,499 14,603,262 174,884,875

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 1,062 43,082,033

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,412 4,411,047

08/09 Laundry / Housekeeping 1,554 2,632,801 10/11 Dietary and Cafeteria 920 3,355,875

13 Nursing Administration 787 3,945,380 14 Central Service and Supply 1,600 594,481

15 Pharmancy 1,076 3,327,670 16 Medical Records 892 2,250,742

Selected Revenue Departments

0.203453662 7,121,019 35,000,827

0.0969771,795 8,331,232 85,909,484

1,411

17 Social Services 1,349 579,301 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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054028

GATEWAYS HOSP MENTAL HEALTH CTR

1891 EFFIE ST

LOS ANGELES, CA 90026

LOS ANGELES

Noridian (CA)

6/30/2019 365 Days Settled

Nonprofit - Other

Psychiatric

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 55CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 132: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050189

GEORGE L MEE MEMORIAL HOSPITAL

300 CANAL STREET

KING CITY, CA 93930

MONTEREY

Noridian (CA)

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

-10,624,199

Income Statement

5,737,665

0

-4,886,534

-10,408,070

-86,500

5,608,036

-4,886,534 100.0%

15.2%

17.3

69.6

1.6%

4.2%

38.57

10.4

40.4%

Key Performanace Ind.

1.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

63.6%123,967,777Contract Allowance

Total Charges 195,015,192

36.4%

99.1%

0.9%

7.0%

0.0%

7.9%

Current Assets

Fixed Assets

71,047,415

70,403,850

643,565

4,970,458

5,985

5,608,038

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 94CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,603 1,365,917 02 Capital Cost - Movable Equip 3,275 804,564

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,940 11,466,197 21,035,710

0.8958312,602 1,714,089 1,913,406

0.545082

Ratio

0.3907862,952 3,862,909 9,884,961

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,846 8,241,915 05 Administrative and General 2,844 9,408,765

06 Maintenance and Repairs 1,140 1,451,814 07 Operation of Plant 2,734 1,482,993

08/09 Laundry / Housekeeping 2,660 1,111,899 10/11 Dietary and Cafeteria 2,371 1,227,343

13 Nursing Administration 1,877 1,531,726 14 Central Service and Supply 2,607 144,263

15 Pharmancy 2,062 1,052,195 16 Medical Records 2,159 762,469

Selected Revenue Departments

0.5777041,655 1,839,284 3,183,784

0.1619562,671 4,603,902 28,426,926

2,593

17 Social Services 2,258 156,318 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 133: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05099E

GILMORE HOSP

384 W ESTUDILLO AVE

SAN LEANDRO, CA 94577

ALAMEDA

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 16CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 134: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050239

GLENDALE ADVENTIST MEDICAL CENTER

1509 E WILSON TERRACE

GLENDALE, CA 91206

LOS ANGELES

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

170,697,960

Income Statement

201,140,390

6,728,491

378,566,841

70,824,535

175,987,844

131,754,462

378,566,841 -15.1%

2.3%

30.8

883.5

4.8%

22.3%

43.92

4.2

63.4%

Key Performanace Ind.

2.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.6%2,377,931,773Contract Allowance

Total Charges 2,844,043,842

16.4%

107.7%

-7.7%

3.5%

0.0%

-4.3%

Current Assets

Fixed Assets

466,112,069

502,206,828

-36,094,759

16,202,220

0

(19,892,539)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 515CR Beds 277

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 645 13,810,007 02 Capital Cost - Movable Equip 4,134 402,134

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

431 97,135,019 359,113,500

0.0000000 0 0

0.270486

Ratio

0.093983943 23,822,160 253,474,179

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 679 27,714,888 05 Administrative and General 776 57,680,381

06 Maintenance and Repairs 126 15,153,296 07 Operation of Plant 520 10,614,431

08/09 Laundry / Housekeeping 321 9,383,147 10/11 Dietary and Cafeteria 567 4,539,268

13 Nursing Administration 74 17,774,390 14 Central Service and Supply 574 2,604,052

15 Pharmancy 464 7,516,422 16 Medical Records 2,137 771,621

Selected Revenue Departments

0.244997617 7,665,265 31,287,139

0.102203587 23,222,132 227,215,908

601

17 Social Services 0 0 18 Other General Service Cost 160 5,070,033

19 Non Physician Anesthetists 0 0 20-23 Education Programs 722 3,829,764

Revenue Ranking -

All Providers

10:04 AM

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Page 135: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050058

GLENDALE MEM HOSPITAL & HLTH CENTER

1420 S CENTRAL AVE

GLENDALE, CA 91204

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 334 Days Submitted

Nonprofit - Other

General Short Term

1/31/2019 215 Days Amended

Balance Sheet

27,828,122

Income Statement

69,293,167

50,432,198

147,553,487

32,580,442

292,869,340

-177,896,295

147,553,487 -3.0%

7.0%

40.6

1,181.1

4.4%

12.1%

49.10

4.2

37.5%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.4%735,497,297Contract Allowance

Total Charges 914,600,350

19.6%

119.3%

-19.3%

22.3%

0.0%

3.0%

Current Assets

Fixed Assets

179,103,053

213,686,008

-34,582,955

39,960,149

0

5,377,194

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 304CR Beds 204

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,001 1,058,074 02 Capital Cost - Movable Equip 1,216 6,160,437

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,348 38,889,736 101,649,954

0.274611941 11,696,385 42,592,542

0.382585

Ratio

0.0986201,683 12,371,290 125,444,163

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 768 24,066,756 05 Administrative and General 1,415 31,952,734

06 Maintenance and Repairs 514 5,198,115 07 Operation of Plant 1,824 3,115,053

08/09 Laundry / Housekeeping 1,530 2,694,174 10/11 Dietary and Cafeteria 1,784 1,805,612

13 Nursing Administration 1,492 1,998,929 14 Central Service and Supply 1,188 1,003,466

15 Pharmancy 1,293 2,616,610 16 Medical Records 768 2,556,944

Selected Revenue Departments

0.393446667 7,073,794 17,979,086

0.1452071,502 10,487,258 72,222,614

1,981

17 Social Services 1,746 362,536 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 136: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050058

GLENDALE MEM HOSPITAL & HLTH CENTER

1420 S CENTRAL AVE

GLENDALE, CA 91204

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 334 Days Submitted

Nonprofit - Other

General Short Term

1/31/2019 215 Days Amended

Balance Sheet

77,720,109

Income Statement

34,869,598

23,867,843

136,457,550

52,451,369

265,326,226

-181,320,045

136,457,550 6.9%

3.3%

119.0

2,222.1

6.9%

19.2%

49.10

4.2

37.5%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.8%447,866,216Contract Allowance

Total Charges 561,237,437

20.2%

119.6%

-19.6%

8.6%

0.0%

-11.0%

Current Assets

Fixed Assets

113,371,221

135,634,774

-22,263,553

9,794,783

0

(12,468,770)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 304CR Beds 204

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,001 635,954 02 Capital Cost - Movable Equip 1,216 3,809,805

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,348 24,215,449 62,124,189

0.287549941 7,182,976 24,980,018

0.389791

Ratio

0.1203661,683 5,428,394 45,098,916

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 768 14,730,897 05 Administrative and General 1,415 20,082,448

06 Maintenance and Repairs 514 3,292,228 07 Operation of Plant 1,824 1,964,782

08/09 Laundry / Housekeeping 1,530 1,607,965 10/11 Dietary and Cafeteria 1,784 1,065,254

13 Nursing Administration 1,492 1,018,360 14 Central Service and Supply 1,188 763,157

15 Pharmancy 1,293 1,645,751 16 Medical Records 768 1,645,698

Selected Revenue Departments

0.371533667 4,739,210 12,755,837

0.1429521,502 6,659,532 46,585,687

1,981

17 Social Services 1,746 256,985 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 137: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050205

GLENDORA COMMUNITY HOSPITAL

150 WEST ROUTE 66

GLENDORA, CA 91740

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

2,861,962

Income Statement

33,822,340

12,533,081

49,217,383

40,975,090

810,027

7,432,266

49,217,383 -128.4%

4.4%

13.7

282.0

0.5%

34.2%

28.43

4.9

11.2%

Key Performanace Ind.

0.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

68.1%42,351,199Contract Allowance

Total Charges 62,209,511

31.9%

141.0%

-41.0%

0.6%

7.6%

-48.0%

Current Assets

Fixed Assets

19,858,312

28,002,711

-8,144,399

112,638

1,509,756

(9,541,517)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 128CR Beds 97

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,931 2,095,440 02 Capital Cost - Movable Equip 4,041 433,185

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,105 5,629,884 11,512,746

1.1412582,641 1,587,535 1,391,040

0.489013

Ratio

2.2361803,299 2,482,200 1,110,018

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,365 282,105 05 Administrative and General 4,076 4,388,648

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,012 2,655,983

08/09 Laundry / Housekeeping 3,550 584,080 10/11 Dietary and Cafeteria 3,026 830,098

13 Nursing Administration 2,680 873,506 14 Central Service and Supply 0 0

15 Pharmancy 2,267 842,546 16 Medical Records 3,223 367,094

Selected Revenue Departments

0.0000000 0 0

0.4517523,790 2,195,023 4,858,916

4,366

17 Social Services 2,543 91,664 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 138: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051306

GLENN MEDICAL CENTER

1133 W SYCAMORE ST

WILLOWS, CA 95988

GLENN

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

1,051,895

Income Statement

1,093,660

95,278

2,240,833

5,641,802

2,236,156

-5,637,125

2,240,833 79.2%

0.8%

76.7

77.4

11.9%

0.0%

51.6

115.1%

Key Performanace Ind.

0.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

43.6%16,770,909Contract Allowance

Total Charges 38,500,206

56.4%

121.3%

-21.3%

0.7%

0.0%

-20.5%

Current Assets

Fixed Assets

21,729,297

26,350,580

-4,621,283

158,781

0

(4,462,502)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 47CR Beds 15

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,787 96,808 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,401 8,616,149 4,972,470

0.0000000 0 0

1.732770

Ratio

1.1586653,863 1,139,516 983,473

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,910 1,662,049 05 Administrative and General 2,816 9,645,492

06 Maintenance and Repairs 1,019 1,847,072 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 4,288 369,325 10/11 Dietary and Cafeteria 4,333 437,009

13 Nursing Administration 3,553 480,555 14 Central Service and Supply 0 0

15 Pharmancy 2,535 610,890 16 Medical Records 3,337 343,170

Selected Revenue Departments

0.0000000 0 0

0.8346762,457 5,273,669 6,318,220

4,233

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 139: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050357

GOLETA VALLEY COTTAGE HOSPITAL

351 S PATTERSON AVE

SANTA BARBARA, CA 93111

SANTA BARBARA

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

22,804,798

Income Statement

108,421,096

41,048,427

172,274,321

11,991,095

2,092,317

158,190,909

172,274,321 15.5%

3.8%

32.1

49.9

6.8%

12.2%

51.03

2.1

39.1%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

64.1%180,283,790Contract Allowance

Total Charges 281,242,486

35.9%

80.2%

19.8%

3.4%

-1.1%

24.3%

Current Assets

Fixed Assets

100,958,696

80,964,603

19,994,093

3,397,096

-1,122,677

24,513,866

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 67CR Beds 20

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,167 3,439,532 02 Capital Cost - Movable Equip 2,035 2,664,882

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,619 7,581,615 17,086,800

0.9358462,318 2,590,079 2,767,633

0.443712

Ratio

0.3064981,854 10,709,431 34,941,317

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,232 5,779,750 05 Administrative and General 2,836 9,492,491

06 Maintenance and Repairs 1,348 925,358 07 Operation of Plant 1,877 2,942,766

08/09 Laundry / Housekeeping 2,434 1,328,476 10/11 Dietary and Cafeteria 2,457 1,165,793

13 Nursing Administration 2,350 1,089,244 14 Central Service and Supply 2,683 125,541

15 Pharmancy 2,352 766,921 16 Medical Records 2,815 476,821

Selected Revenue Departments

0.0000000 0 0

0.2592411,774 8,453,766 32,609,686

2,165

17 Social Services 2,575 83,920 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 140: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050257

GOOD SAMARITAN HOSPITAL

901 OLIVE DRIVE

BAKERSFIELD, CA 93308

KERN

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Partnership

General Short Term

Balance Sheet

142,012,299

Income Statement

30,504,389

0

172,516,688

286,801,501

5,768,322

-120,053,135

172,516,688 2.1%

1.7%

471.9

2,742.4

1.1%

15.4%

27.87

3.9

30.2%

Key Performanace Ind.

0.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

37.6%17,669,778Contract Allowance

Total Charges 46,975,288

62.4%

112.1%

-12.1%

3.4%

0.0%

-8.7%

Current Assets

Fixed Assets

29,305,510

32,852,578

-3,547,068

1,008,992

0

(2,538,076)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 64CR Beds 39

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,297 841,974 02 Capital Cost - Movable Equip 3,387 728,062

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,505 8,065,896 16,871,822

2.0075042,985 378,302 188,444

0.478069

Ratio

0.5427393,059 3,402,910 6,269,878

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,758 784,324 05 Administrative and General 3,324 6,711,139

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,844 1,361,490

08/09 Laundry / Housekeeping 3,937 456,792 10/11 Dietary and Cafeteria 3,895 542,725

13 Nursing Administration 3,438 532,856 14 Central Service and Supply 0 0

15 Pharmancy 1,982 1,164,011 16 Medical Records 2,999 424,072

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,727

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 141: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050380

GOOD SAMARITAN HOSPITAL

2425 SAMARITAN DRIVE

SAN JOSE, CA 95124

SANTA CLARA

Noridian (CA)

1/31/2019 365 Days Amended

Proprietary - Corporation

General Short Term

Balance Sheet

122,854,696

Income Statement

155,637,990

27,853,646

306,346,332

44,221,691

-331,457,578

593,582,219

306,346,332 29.3%

4.2%

31.8

86.7

4.6%

13.6%

68.36

4.9

72.4%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

85.7%3,976,877,761Contract Allowance

Total Charges 4,641,558,761

14.3%

74.0%

26.0%

0.2%

0.0%

26.2%

Current Assets

Fixed Assets

664,681,000

491,936,719

172,744,281

1,132,535

0

173,876,816

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 404CR Beds 223

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 894 10,433,252 02 Capital Cost - Movable Equip 603 11,854,869

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

327 114,275,393 321,439,760

0.131532140 50,520,515 384,092,007

0.355511

Ratio

0.110968503 37,924,887 341,763,357

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 216 68,329,643 05 Administrative and General 596 69,733,412

06 Maintenance and Repairs 155 13,222,151 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 466 7,372,268 10/11 Dietary and Cafeteria 231 7,492,059

13 Nursing Administration 228 9,997,851 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 681 2,852,160

Selected Revenue Departments

0.22026270 24,081,190 109,329,872

0.077406524 25,296,903 326,806,756

345

17 Social Services 1,150 780,795 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 141

Healthcare Almanac 561-594-7551

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Page 142: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050471

GOOD SAMARITAN HOSPITAL

1225 WILSHIRE BOULEVARD

LOS ANGELES, CA 90017

LOS ANGELES

PALMETTO (CALIFORNIA)

8/31/2019 365 Days Amended

Nonprofit - Other

General Short Term

12/22/2019 113 Days Submitted

Balance Sheet

123,936,847

Income Statement

111,422,424

178,435,157

413,794,428

131,147,321

41,334,869

241,312,238

413,794,428 -6.0%

0.8%

57.8

469.9

4.0%

18.6%

50.13

6.1

62.7%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.9%1,518,541,188Contract Allowance

Total Charges 1,877,825,508

19.1%

109.3%

-9.3%

5.2%

0.0%

-4.1%

Current Assets

Fixed Assets

359,284,320

392,685,782

-33,401,462

18,835,506

17

(14,565,973)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 380CR Beds 248

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 547 15,705,009 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

691 70,599,754 230,468,251

0.242199323 28,721,245 118,585,190

0.306332

Ratio

0.1208831,501 14,581,794 120,627,166

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 831 22,483,879 05 Administrative and General 1,275 35,610,155

06 Maintenance and Repairs 648 3,882,379 07 Operation of Plant 1,038 6,307,015

08/09 Laundry / Housekeeping 496 6,997,987 10/11 Dietary and Cafeteria 1,206 2,729,538

13 Nursing Administration 618 4,920,949 14 Central Service and Supply 256 5,202,831

15 Pharmancy 519 6,754,522 16 Medical Records 240 6,137,608

Selected Revenue Departments

0.355007365 10,944,811 30,829,827

0.141983754 19,194,669 135,190,135

1,065

17 Social Services 265 3,900,351 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,284 429,202

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 142

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Page 143: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050471

GOOD SAMARITAN HOSPITAL

1225 WILSHIRE BOULEVARD

LOS ANGELES, CA 90017

LOS ANGELES

PALMETTO (CALIFORNIA)

8/31/2019 365 Days Amended

Nonprofit - Other

General Short Term

12/22/2019 113 Days Submitted

Balance Sheet

109,267,733

Income Statement

110,908,067

180,098,684

400,274,484

78,859,556

88,380,248

233,034,680

400,274,484 -5.1%

0.8%

173.6

1,833.9

14.1%

66.4%

50.13

6.1

62.7%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.7%516,966,812Contract Allowance

Total Charges 617,723,558

16.3%

120.7%

-20.7%

8.9%

0.0%

-11.8%

Current Assets

Fixed Assets

100,756,746

121,645,150

-20,888,404

8,993,845

0

(11,894,559)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 380CR Beds 248

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 547 4,817,874 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

691 22,960,158 77,651,482

0.227030323 9,644,278 42,480,214

0.295682

Ratio

0.1070131,501 4,435,218 41,445,784

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 831 7,412,844 05 Administrative and General 1,275 12,260,868

06 Maintenance and Repairs 648 1,329,910 07 Operation of Plant 1,038 2,031,245

08/09 Laundry / Housekeeping 496 2,125,000 10/11 Dietary and Cafeteria 1,206 1,026,010

13 Nursing Administration 618 1,328,882 14 Central Service and Supply 256 1,944,411

15 Pharmancy 519 2,532,619 16 Medical Records 240 1,346,828

Selected Revenue Departments

0.350562365 3,380,667 9,643,572

0.122791754 5,903,958 48,081,447

1,065

17 Social Services 265 1,601,718 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,284 137,402

Revenue Ranking -

All Providers

10:04 AM

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Page 144: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050738

GREATER EL MONTE COMMUNITY HOSPITAL

1701 SANTA ANITA AVE

SOUTH EL MONTE, CA 91733

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

41,977,626

Income Statement

2,370,992

185,036

44,533,654

22,527,240

832,551

21,173,863

44,533,654 28.9%

6.5%

26.7

512.0

0.7%

12.1%

41.55

4.7

38.9%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.1%249,606,323Contract Allowance

Total Charges 323,789,343

22.9%

92.4%

7.6%

0.6%

0.0%

8.3%

Current Assets

Fixed Assets

74,183,020

68,520,029

5,662,991

468,459

4,027

6,127,423

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 104CR Beds 94

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,662 1,314,133 02 Capital Cost - Movable Equip 3,334 768,249

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,550 14,654,250 32,949,438

0.4737071,787 4,778,527 10,087,515

0.444750

Ratio

0.2032713,494 1,937,431 9,531,278

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,375 276,372 05 Administrative and General 2,443 12,868,796

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,229 2,256,657

08/09 Laundry / Housekeeping 3,069 817,261 10/11 Dietary and Cafeteria 2,433 1,177,747

13 Nursing Administration 1,292 2,412,815 14 Central Service and Supply 2,811 103,810

15 Pharmancy 1,395 2,327,573 16 Medical Records 2,298 689,978

Selected Revenue Departments

1.6604721,624 1,914,076 1,152,730

0.1881752,327 5,773,474 30,681,472

2,535

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 145: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059815

GREEN HOSPITAL OF SCRIPPS CLINIC

10666 NORTH TORREY PINES ROAD

LA JOLLA, CA 92037

SAN DIEGO

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 146: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050026

GROSSMONT HOSPITAL

5555 GROSSMONT CENTER DRIVE BOX 58

LA MESA, CA 91942

SAN DIEGO

Noridian (CA)

9/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

200,328,246

Income Statement

404,235,288

536,454,796

1,141,018,330

79,424,440

96,209,471

965,384,419

1,141,018,330 2.5%

5.2%

28.7

280.5

4.3%

14.9%

46.11

4.4

74.8%

Key Performanace Ind.

2.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

81.6%3,195,400,551Contract Allowance

Total Charges 3,917,748,571

18.4%

104.9%

-4.9%

8.3%

0.0%

3.4%

Current Assets

Fixed Assets

722,348,020

757,672,395

-35,324,375

59,803,844

0

24,479,469

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 536CR Beds 358

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 362 21,530,650 02 Capital Cost - Movable Equip 364 16,517,326

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

192 149,412,942 637,508,107

0.239827208 39,470,711 164,579,649

0.234370

Ratio

0.132195287 54,307,952 410,817,105

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 297 55,269,843 05 Administrative and General 334 101,546,741

06 Maintenance and Repairs 261 9,485,838 07 Operation of Plant 508 10,821,467

08/09 Laundry / Housekeeping 193 12,402,004 10/11 Dietary and Cafeteria 144 9,277,250

13 Nursing Administration 289 8,839,980 14 Central Service and Supply 366 3,954,712

15 Pharmancy 111 23,961,411 16 Medical Records 80 11,302,819

Selected Revenue Departments

0.462596176 15,450,815 33,400,248

0.12453096 56,497,100 453,684,292

308

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 147: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050296

HAZEL HAWKINS MEMORIAL HOSPITAL

911 SUNSET DRIVE

HOLLISTER, CA 95023

SAN BENITO

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

30,297,762

Income Statement

61,563,897

9,101,591

100,963,250

14,603,665

60,664,065

25,695,520

100,963,250 -3.2%

1.7%

38.4

235.7

3.3%

7.1%

49.60

3.8

38.5%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

67.8%235,807,827Contract Allowance

Total Charges 348,044,552

32.2%

110.9%

-10.9%

10.2%

0.0%

-0.7%

Current Assets

Fixed Assets

112,236,725

124,523,268

-12,286,543

11,457,670

0

(828,873)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 181CR Beds 41

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,043 3,825,826 02 Capital Cost - Movable Equip 5,266 54,069

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,827 12,294,175 20,649,891

0.2642382,058 3,583,936 13,563,291

0.595363

Ratio

0.2247442,192 8,188,907 36,436,615

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,666 881,417 05 Administrative and General 2,392 13,334,299

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,624 3,657,266

08/09 Laundry / Housekeeping 1,213 3,483,592 10/11 Dietary and Cafeteria 953 3,280,416

13 Nursing Administration 1,044 3,070,340 14 Central Service and Supply 1,621 582,649

15 Pharmancy 1,911 1,285,892 16 Medical Records 1,613 1,150,011

Selected Revenue Departments

0.6308241,418 2,626,753 4,164,001

0.3343001,529 10,193,414 30,491,845

2,037

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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051321

HEALDSBURG DISTRICT HOSPITAL

1375 UNIVERSITY AVENUE

HEALDSBURG, CA 95448

SONOMA

Noridian (CA)

12/31/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

20,333,860

Income Statement

10,098,020

5,345,345

35,777,225

9,379,925

11,999,000

14,398,300

35,777,225 7.9%

8.6%

41.9

69.4

15.2%

0.0%

3.5

27.2%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

55.5%65,510,568Contract Allowance

Total Charges 118,138,535

44.5%

109.3%

-9.3%

11.3%

-0.1%

2.2%

Current Assets

Fixed Assets

52,627,967

57,497,986

-4,870,019

5,958,927

-54,336

1,143,244

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 26CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,709 604,042 02 Capital Cost - Movable Equip 2,437 1,767,726

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,171 5,420,594 5,421,870

1.0253192,472 2,050,248 1,999,620

0.999765

Ratio

0.3447682,522 5,883,725 17,065,770

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,359 5,125,332 05 Administrative and General 3,754 5,151,737

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,850 1,351,532

08/09 Laundry / Housekeeping 3,111 790,900 10/11 Dietary and Cafeteria 3,739 586,371

13 Nursing Administration 1,431 2,083,530 14 Central Service and Supply 1,647 559,170

15 Pharmancy 2,191 919,915 16 Medical Records 2,266 708,952

Selected Revenue Departments

0.0000000 0 0

0.3207252,713 4,470,979 13,940,234

2,940

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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053308

HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE

393 S TUSTIN STREET

ORANGE, CA 92866

ORANGE

NORIDIAN

8/31/2019 365 Days Settled

Proprietary - Corporation

Children

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 6CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050390

HEMET VALLEY MEDICAL CENTER

1117 EAST DEVONSHIRE

HEMET, CA 92543

RIVERSIDE

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

58,312,835

Income Statement

22,669,275

1,200,429

82,182,539

-63,183,162

24,756

145,340,945

82,182,539 17.4%

9.0%

(285.7)

444.9

3.1%

19.9%

36.23

4.1

47.8%

Key Performanace Ind.

(0.9)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.8%638,515,850Contract Allowance

Total Charges 810,101,581

21.2%

85.5%

14.5%

0.3%

0.0%

14.7%

Current Assets

Fixed Assets

171,585,731

146,755,363

24,830,368

460,094

0

25,290,462

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 433CR Beds 4

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,771 2,298,301 02 Capital Cost - Movable Equip 3,192 866,104

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,163 45,350,288 106,529,160

0.349083980 11,240,992 32,201,460

0.425708

Ratio

0.0976952,397 6,699,324 68,574,056

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 1,158 39,605,046

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,115 5,830,079

08/09 Laundry / Housekeeping 782 5,173,966 10/11 Dietary and Cafeteria 716 3,978,253

13 Nursing Administration 1,799 1,613,213 14 Central Service and Supply 1,613 587,416

15 Pharmancy 1,059 3,384,011 16 Medical Records 849 2,360,076

Selected Revenue Departments

0.310666985 4,809,955 15,482,705

0.1188611,049 14,877,243 125,164,541

1,574

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 578 5,608,752

Revenue Ranking -

All Providers

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050624

HENRY MAYO NEWHALL HOSPITAL

23845 MCBEAN PKWY

VALENCIA, CA 91355

LOS ANGELES

PALMETTO (CALIFORNIA)

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

221,208,747

Income Statement

306,787,247

2,870,245

530,866,239

90,214,539

234,914,773

205,736,927

530,866,239 9.6%

3.3%

49.5

113.3

3.5%

11.1%

43.03

4.3

66.7%

Key Performanace Ind.

2.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.0%1,385,579,391Contract Allowance

Total Charges 1,732,741,936

20.0%

98.0%

2.0%

3.6%

0.0%

5.7%

Current Assets

Fixed Assets

347,162,545

340,137,825

7,024,720

12,641,513

0

19,666,233

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 238CR Beds 167

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 652 13,560,936 02 Capital Cost - Movable Equip 786 9,802,903

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

546 83,190,908 191,190,995

0.252319658 16,795,530 66,564,574

0.435119

Ratio

0.146971797 26,954,120 183,397,307

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 829 22,491,277 05 Administrative and General 1,077 42,435,801

06 Maintenance and Repairs 454 5,945,995 07 Operation of Plant 1,430 4,331,280

08/09 Laundry / Housekeeping 659 5,877,202 10/11 Dietary and Cafeteria 736 3,916,078

13 Nursing Administration 607 4,987,780 14 Central Service and Supply 177 7,072,574

15 Pharmancy 561 6,307,113 16 Medical Records 471 3,762,131

Selected Revenue Departments

0.571049545 8,569,333 15,006,298

0.110658572 23,740,635 214,540,304

838

17 Social Services 1,239 682,560 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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054104

HERITAGE OAKS HOSPITAL

4250 AUBURN BLVD

SACRAMENTO, CA 95841

SACRAMENTO

WISCONSIN PHYSICIANS SERVICE

1/31/2019 365 Days Settled

Proprietary - Corporation

Psychiatric

Balance Sheet

8,937,440

Income Statement

13,880,177

48,414,687

71,232,304

-54,002,717

0

125,235,021

71,232,304 11.7%

3.0%

23.4

70.2

2.6%

0.0%

9.9

91.0%

Key Performanace Ind.

(0.2)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

40.7%31,491,299Contract Allowance

Total Charges 77,421,392

59.3%

69.7%

30.3%

1.5%

0.0%

31.8%

Current Assets

Fixed Assets

45,930,093

32,026,489

13,903,604

690,537

0

14,594,141

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 125CR Beds 125

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,365 798,683 02 Capital Cost - Movable Equip 5,058 122,767

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,085 21,014,719 66,468,665

0.0000000 0 0

0.316160

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,028 2,992,208 05 Administrative and General 3,874 4,869,054

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,148 1,085,594

08/09 Laundry / Housekeeping 3,563 577,493 10/11 Dietary and Cafeteria 3,024 831,155

13 Nursing Administration 2,117 1,304,739 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 2,737 499,023

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,119

17 Social Services 931 1,059,526 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050279

HI-DESERT MEDICAL CENTER

6601 WHITE FEATHER ROAD

JOSHUA TREE, CA 92252

SAN BERNARDINO

BLUE CROSS (CALIFORNIA)

5/31/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

17,318,014

Income Statement

6,296,558

23,247,105

46,861,677

5,984,098

19,539,763

21,337,816

46,861,677 26.5%

27.1%

14.3

276.7

4.0%

7.4%

32.93

2.8

27.3%

Key Performanace Ind.

2.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.0%248,384,523Contract Allowance

Total Charges 318,620,221

22.0%

92.5%

7.5%

0.5%

0.0%

8.1%

Current Assets

Fixed Assets

70,235,698

64,961,785

5,273,913

385,746

0

5,659,659

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 55CR Beds 51

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,359 3,016,024 02 Capital Cost - Movable Equip 2,987 1,066,206

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,448 8,350,850 21,430,127

0.2931732,421 2,255,837 7,694,562

0.389678

Ratio

0.2229663,069 3,349,207 15,021,146

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,939 7,492,664 05 Administrative and General 2,452 12,754,690

06 Maintenance and Repairs 1,323 978,745 07 Operation of Plant 2,594 1,662,006

08/09 Laundry / Housekeeping 2,277 1,501,680 10/11 Dietary and Cafeteria 2,500 1,134,936

13 Nursing Administration 1,944 1,464,800 14 Central Service and Supply 2,506 169,607

15 Pharmancy 1,926 1,261,202 16 Medical Records 2,115 781,153

Selected Revenue Departments

0.3313821,562 2,090,682 6,308,988

0.1278771,948 7,524,195 58,839,216

2,609

17 Social Services 2,306 144,617 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050320

HIGHLAND HOSPITAL

1411 EAST 31ST STREET

OAKLAND, CA 94602

ALAMEDA

Noridian (CA)

6/30/2019 365 Days Amended

Government - County

General Short Term

Balance Sheet

229,148,753

Income Statement

69,851,095

196,657,140

495,656,988

127,385,989

632,761,294

-264,490,295

495,656,988 4.3%

14.5%

36.7

1,993.7

6.4%

23.6%

60.10

5.6

96.2%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

88.7%2,010,982,276Contract Allowance

Total Charges 2,266,576,608

11.3%

337.7%

-237.7%

233.2%

0.0%

-4.5%

Current Assets

Fixed Assets

255,594,332

863,127,781

-607,533,449

596,033,542

0

(11,499,907)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 613CR Beds 137

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 36 70,736,919 02 Capital Cost - Movable Equip 1,731 3,610,436

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

250 129,848,439 399,937,561

0.276646230 36,672,159 132,560,029

0.324672

Ratio

0.381792798 26,927,415 70,529,082

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 46 173,485,775 05 Administrative and General 321 104,904,661

06 Maintenance and Repairs 157 13,187,953 07 Operation of Plant 1,101 5,899,082

08/09 Laundry / Housekeeping 204 12,011,219 10/11 Dietary and Cafeteria 121 9,990,032

13 Nursing Administration 285 8,897,674 14 Central Service and Supply 303 4,585,850

15 Pharmancy 424 8,152,315 16 Medical Records 236 6,161,034

Selected Revenue Departments

1.401270134 17,591,089 12,553,680

0.29744214 104,203,487 350,331,860

1,150

17 Social Services 577 1,921,126 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 393 10,732,895

Revenue Ranking -

All Providers

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Page 155: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050224

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

ONE HOAG DRIVE

NEWPORT BEACH, CA 92663

ORANGE

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

816,257,019

Income Statement

796,876,539

1,926,015,534

3,539,149,092

639,436,132

555,734,145

2,343,978,815

3,539,149,092 13.5%

4.8%

40.9

209.4

6.6%

11.0%

43.44

4.3

75.5%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

68.1%2,364,766,053Contract Allowance

Total Charges 3,473,602,625

31.9%

101.4%

-1.4%

30.0%

0.0%

28.6%

Current Assets

Fixed Assets

1,108,836,572

1,123,876,047

-15,039,475

332,358,749

0

317,319,274

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 409CR Beds 436

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 109 44,008,370 02 Capital Cost - Movable Equip 124 32,247,982

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

119 182,089,910 275,206,689

0.636990369 26,564,100 41,702,543

0.661648

Ratio

0.187851119 84,706,918 450,926,512

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 349 48,072,284 05 Administrative and General 179 160,802,788

06 Maintenance and Repairs 122 15,517,992 07 Operation of Plant 436 12,047,846

08/09 Laundry / Housekeeping 79 18,007,349 10/11 Dietary and Cafeteria 89 11,457,327

13 Nursing Administration 64 19,025,047 14 Central Service and Supply 145 8,460,640

15 Pharmancy 220 14,439,024 16 Medical Records 119 9,089,425

Selected Revenue Departments

0.30370632 30,323,071 99,843,640

0.24564289 57,975,989 236,017,988

162

17 Social Services 115 6,616,017 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,226 567,593

Revenue Ranking -

All Providers

10:04 AM

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Page 156: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050769

HOAG ORTHOPEDIC INSTITUTE

16250 SAND CANYON AVENUE

IRVINE, CA 92618

ORANGE

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Partnership

General Short Term

Balance Sheet

62,622,146

Income Statement

4,740,816

1,081,506

68,444,468

18,917,541

6,856,309

42,670,618

68,444,468 84.0%

69.5%

30.9

79.8

1.8%

23.1%

48.77

1.7

31.2%

Key Performanace Ind.

3.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

70.7%322,766,465Contract Allowance

Total Charges 456,279,945

29.3%

73.7%

26.3%

0.6%

0.0%

26.8%

Current Assets

Fixed Assets

133,513,480

98,450,775

35,062,705

763,889

0

35,826,594

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 70CR Beds 70

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,033 8,919,245 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,239 18,504,800 25,874,374

0.0000000 0 0

0.715179

Ratio

0.128810980 22,990,472 178,483,481

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 2,234 14,970,570

06 Maintenance and Repairs 1,894 215,487 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 2,947 902,661 10/11 Dietary and Cafeteria 2,666 1,028,013

13 Nursing Administration 3,375 551,292 14 Central Service and Supply 0 0

15 Pharmancy 1,756 1,573,300 16 Medical Records 4,699 130,672

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

1,853

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 157: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050063

HOLLYWOOD PRESBYTERIAN MEDICAL CENTER

1300 N VERMONT AVE

LOS ANGELES, CA 90027

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

152,000,462

Income Statement

174,851,772

46,508,269

373,360,503

70,934,776

130,134,068

172,291,659

373,360,503 6.0%

2.5%

61.5

374.9

1.9%

12.7%

46.52

4.3

47.0%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.6%850,821,458Contract Allowance

Total Charges 1,156,433,683

26.4%

96.9%

3.1%

0.2%

0.0%

3.4%

Current Assets

Fixed Assets

305,612,225

296,083,918

9,528,307

753,529

0

10,281,836

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 345CR Beds 266

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,362 3,006,894 02 Capital Cost - Movable Equip 2,068 2,569,360

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

863 58,217,015 142,216,854

0.313654715 15,657,233 49,918,874

0.409354

Ratio

0.1425242,036 9,144,185 64,158,740

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,534 2,128,064 05 Administrative and General 587 70,861,755

06 Maintenance and Repairs 0 0 07 Operation of Plant 478 11,323,684

08/09 Laundry / Housekeeping 855 4,768,000 10/11 Dietary and Cafeteria 509 4,760,073

13 Nursing Administration 557 5,364,026 14 Central Service and Supply 1,096 1,133,198

15 Pharmancy 930 3,889,337 16 Medical Records 579 3,264,309

Selected Revenue Departments

0.581646187 15,007,808 25,802,316

0.136159948 16,172,737 118,778,672

969

17 Social Services 1,423 533,850 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,456 186,500

Revenue Ranking -

All Providers

10:04 AM

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Page 158: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050526

HUNTINGTON BEACH HOSPITAL

17772 BEACH BLVD

HUNTINGTON BEACH, CA 92647

ORANGE

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

23,668,809

Income Statement

56,781,942

10,636,557

91,087,308

14,246,623

1,284,662

75,556,023

91,087,308 -6.9%

4.8%

30.3

604.7

3.8%

20.1%

37.10

4.1

38.1%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.9%165,511,836Contract Allowance

Total Charges 223,817,025

26.1%

109.5%

-9.5%

0.6%

0.0%

-8.9%

Current Assets

Fixed Assets

58,305,189

63,862,191

-5,557,002

346,611

0

(5,210,391)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 131CR Beds 70

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,204 3,329,163 02 Capital Cost - Movable Equip 2,580 1,537,304

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,216 18,808,693 37,222,187

0.4218961,920 4,160,758 9,862,050

0.505309

Ratio

0.1752773,336 2,353,547 13,427,614

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,143 468,894 05 Administrative and General 2,810 9,678,075

06 Maintenance and Repairs 1,499 656,843 07 Operation of Plant 2,228 2,259,514

08/09 Laundry / Housekeeping 2,581 1,162,410 10/11 Dietary and Cafeteria 1,814 1,775,813

13 Nursing Administration 1,683 1,755,520 14 Central Service and Supply 2,416 193,795

15 Pharmancy 1,896 1,311,260 16 Medical Records 2,507 589,922

Selected Revenue Departments

0.0000000 0 0

0.2925281,811 8,233,550 28,146,230

2,826

17 Social Services 2,432 114,198 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 159: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050438

HUNTINGTON MEMORIAL HOSPITAL

100 W CALIFORNIA BLVD

PASADENA, CA 91109

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

328,798,181

Income Statement

575,825,263

234,540,623

1,139,164,067

135,222,886

413,102,259

590,838,922

1,139,164,067 -0.3%

1.8%

24.9

54.6

3.6%

16.8%

45.26

4.2

66.8%

Key Performanace Ind.

2.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.8%2,737,064,650Contract Allowance

Total Charges 3,386,340,656

19.2%

108.0%

-8.0%

7.7%

0.0%

-0.2%

Current Assets

Fixed Assets

649,276,006

701,016,476

-51,740,470

50,154,169

0

(1,586,301)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 625CR Beds 422

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,044 8,790,398 02 Capital Cost - Movable Equip 1,403 5,082,349

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

183 152,975,199 486,850,120

0.259401195 41,004,859 158,075,391

0.314214

Ratio

0.207320221 62,757,569 302,708,844

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 259 60,688,363 05 Administrative and General 335 101,442,781

06 Maintenance and Repairs 164 12,569,963 07 Operation of Plant 562 10,089,540

08/09 Laundry / Housekeeping 295 9,806,507 10/11 Dietary and Cafeteria 187 8,202,257

13 Nursing Administration 496 5,850,457 14 Central Service and Supply 218 5,950,562

15 Pharmancy 298 10,959,404 16 Medical Records 251 5,942,049

Selected Revenue Departments

0.260184128 18,027,714 69,288,316

0.128101256 36,615,575 285,833,839

359

17 Social Services 482 2,339,911 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 512 6,896,842

Revenue Ranking -

All Providers

10:04 AM

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Page 160: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051309

JEROLD PHELPS COMMUNITY HOSPITAL

733 CEDAR ST

GARBERVILLE, CA 95542

HUMBOLDT

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Amended

Government - Hospital Dis

General Short Term

Balance Sheet

6,409,816

Income Statement

4,065,412

68,087

10,543,315

1,252,430

613,575

8,677,310

10,543,315 28.4%

7.0%

30.1

343.2

17.1%

0.0%

20.9

34.9%

Key Performanace Ind.

5.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

45.2%6,114,517Contract Allowance

Total Charges 13,524,543

54.8%

167.4%

-67.4%

100.7%

0.0%

33.3%

Current Assets

Fixed Assets

7,410,026

12,406,652

-4,996,626

7,464,883

0

2,468,257

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 16CR Beds 9

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,444 751,942 02 Capital Cost - Movable Equip 5,439 12,132

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,494 2,411,977 518,094

0.0000000 0 0

4.655481

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 4,589 3,325,621

06 Maintenance and Repairs 0 0 07 Operation of Plant 4,372 468,928

08/09 Laundry / Housekeeping 5,221 196,735 10/11 Dietary and Cafeteria 4,908 302,003

13 Nursing Administration 3,696 429,599 14 Central Service and Supply 2,371 206,138

15 Pharmancy 0 0 16 Medical Records 3,605 289,726

Selected Revenue Departments

0.0000000 0 0

0.4844553,699 2,343,970 4,838,365

5,501

17 Social Services 2,958 20,026 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 161: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05127E

JERRY PETTIS MEM VETERANS HOSP

11201 BENTON ST

LOMA LINDA, CA 92357

SAN BERNARDINO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 162: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054089

JEWISH HOME & REHAB CENTER

302 SILVER AVENUE

SAN FRANCISCO, CA 94112

SAN FRANCISCO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

Psychiatric

Balance Sheet

99,915,483

Income Statement

138,984,869

94,044,365

332,944,717

13,308,939

151,718,013

167,917,765

332,944,717 4.4%

1.6%

52.5

78.2

0.0%

0.0%

21.1

80.8%

Key Performanace Ind.

7.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

29.5%28,850,658Contract Allowance

Total Charges 97,811,093

70.5%

115.6%

-15.6%

26.4%

0.1%

10.8%

Current Assets

Fixed Assets

68,960,435

79,691,524

-10,731,089

18,229,707

34,752

7,463,866

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 13CR Beds 13

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,353 3,024,198 02 Capital Cost - Movable Equip 5,094 110,349

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,297 5,043,557 11,066,481

0.0000000 0 0

0.455751

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,810 8,464,147 05 Administrative and General 2,485 12,438,863

06 Maintenance and Repairs 847 2,655,936 07 Operation of Plant 2,643 1,599,797

08/09 Laundry / Housekeeping 1,263 3,343,605 10/11 Dietary and Cafeteria 626 4,259,481

13 Nursing Administration 777 3,982,573 14 Central Service and Supply 2,659 131,426

15 Pharmancy 2,708 485,500 16 Medical Records 4,224 192,705

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,640

17 Social Services 1,089 853,462 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 163: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051304

JOHN C FREMONT HEALTHCARE DISTRICT

5189 HOSPITAL ROAD

MARIPOSA, CA 95338

MARIPOSA

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Amended

Government - Hospital Dis

General Short Term

Balance Sheet

12,849,593

Income Statement

3,393,224

162,307

16,405,124

4,487,234

2,853,266

9,064,624

16,405,124 40.3%

6.1%

26.3

276.9

8.7%

0.0%

15.1

71.0%

Key Performanace Ind.

2.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

40.1%16,741,534Contract Allowance

Total Charges 41,706,795

59.9%

102.9%

-2.9%

17.5%

0.0%

14.6%

Current Assets

Fixed Assets

24,965,261

25,681,382

-716,121

4,371,565

0

3,655,444

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 34CR Beds 18

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,593 675,440 02 Capital Cost - Movable Equip 3,586 617,865

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,789 3,790,434 5,491,346

0.0000000 0 0

0.690256

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,665 1,948,001 05 Administrative and General 4,238 4,041,256

06 Maintenance and Repairs 1,882 223,515 07 Operation of Plant 4,512 419,495

08/09 Laundry / Housekeeping 4,056 424,684 10/11 Dietary and Cafeteria 3,347 704,842

13 Nursing Administration 4,291 248,677 14 Central Service and Supply 3,497 17,481

15 Pharmancy 3,390 107,201 16 Medical Records 3,367 336,601

Selected Revenue Departments

0.0000000 0 0

0.5860913,250 3,187,045 5,437,798

3,996

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 164: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050534

JOHN F KENNEDY MEMORIAL HOSPITAL

47111 MONROE STREET

INDIO, CA 92201

RIVERSIDE

WISCONSIN PHYSICIANS SERVICE

5/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

50,310,374

Income Statement

27,948,062

11,657,708

89,916,144

16,199,371

2,240,123

71,476,650

89,916,144 -4.6%

4.4%

24.7

298.9

3.1%

10.3%

46.55

3.2

44.8%

Key Performanace Ind.

3.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

88.7%949,788,889Contract Allowance

Total Charges 1,070,601,070

11.3%

102.9%

-2.9%

0.2%

0.0%

-2.7%

Current Assets

Fixed Assets

120,812,181

124,328,386

-3,516,205

210,844

0

(3,305,361)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 156CR Beds 114

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,218 1,744,498 02 Capital Cost - Movable Equip 1,868 3,153,817

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,723 27,890,184 62,312,661

0.2349571,269 8,504,268 36,194,941

0.447585

Ratio

0.0764601,851 10,798,661 141,233,423

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,461 11,796,122 05 Administrative and General 1,705 23,970,544

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,337 4,708,117

08/09 Laundry / Housekeeping 2,218 1,560,108 10/11 Dietary and Cafeteria 2,284 1,303,410

13 Nursing Administration 2,562 946,892 14 Central Service and Supply 1,265 922,222

15 Pharmancy 1,750 1,591,228 16 Medical Records 1,038 1,896,071

Selected Revenue Departments

0.291239530 8,743,723 30,022,507

0.0790191,141 13,784,751 174,448,087

1,962

17 Social Services 1,698 384,026 18 Other General Service Cost 453 269,569

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 165: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054131

JOHN MUIR BEHAVIORAL HEALTH CENTER

2740 GRANT STREET

CONCORD, CA 94524

CONTRA COSTA

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Settled

Nonprofit - Other

Psychiatric

Balance Sheet

12,906,451

Income Statement

16,848,877

2,049,622

31,804,950

11,691,687

88,533

20,024,730

31,804,950 -25.2%

1.8%

39.7

349.2

0.0%

0.0%

6.2

58.2%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

56.0%42,937,781Contract Allowance

Total Charges 76,688,700

44.0%

115.8%

-15.8%

0.9%

0.0%

-14.9%

Current Assets

Fixed Assets

33,750,919

39,087,572

-5,336,653

292,569

1

(5,044,085)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 73CR Beds 73

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,007 1,989,970 02 Capital Cost - Movable Equip 5,390 24,521

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,728 27,762,382 45,546,855

0.0000000 0 0

0.609535

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,702 845,792 05 Administrative and General 2,876 9,091,076

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,893 650,577

08/09 Laundry / Housekeeping 3,338 675,101 10/11 Dietary and Cafeteria 1,676 1,932,014

13 Nursing Administration 1,529 1,948,848 14 Central Service and Supply 3,649 65

15 Pharmancy 2,095 1,024,939 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,525

17 Social Services 809 1,302,309 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 166: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050496

JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS

2540 EAST ST

CONCORD, CA 94520

CONTRA COSTA

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

86,540,665

Income Statement

229,984,890

11,943,585

328,469,140

64,978,957

66,834,942

196,655,241

328,469,140 6.6%

3.2%

28.7

507.7

5.9%

19.7%

69.08

4.6

61.8%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.0%2,647,685,097Contract Allowance

Total Charges 3,152,080,910

16.0%

98.8%

1.2%

1.4%

0.0%

2.6%

Current Assets

Fixed Assets

504,395,813

498,253,521

6,142,292

6,828,379

3

12,970,668

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 303CR Beds 208

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 556 15,566,123 02 Capital Cost - Movable Equip 3,418 709,295

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

364 107,330,450 443,605,934

0.227252112 56,897,077 250,369,823

0.241950

Ratio

0.105224651 31,267,725 297,154,455

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,302 13,618,785 05 Administrative and General 443 85,051,282

06 Maintenance and Repairs 1,271 1,077,824 07 Operation of Plant 391 13,020,486

08/09 Laundry / Housekeeping 567 6,555,356 10/11 Dietary and Cafeteria 447 5,115,396

13 Nursing Administration 273 9,041,243 14 Central Service and Supply 249 5,332,360

15 Pharmancy 394 8,735,273 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.104103393 29,897,350 287,189,883

533

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 445 8,953,076

Revenue Ranking -

All Providers

10:04 AM

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Healthcare Almanac 561-594-7551

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Page 167: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050180

JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS

1601 YGNACIO VALLEY RD

WALNUT CREEK, CA 94598

CONTRA COSTA

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

195,237,210

Income Statement

504,059,836

201,101,598

900,398,644

579,423,628

10,623,988

310,351,028

900,398,644 34.7%

3.5%

22.3

415.6

2.9%

12.0%

66.48

5.0

51.1%

Key Performanace Ind.

0.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.5%3,584,647,688Contract Allowance

Total Charges 4,569,167,612

21.5%

91.1%

8.9%

2.1%

0.0%

10.9%

Current Assets

Fixed Assets

984,519,924

897,023,360

87,496,564

20,281,613

0

107,778,177

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 296CR Beds 391

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 201 30,535,077 02 Capital Cost - Movable Equip 1,567 4,266,260

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

109 188,454,659 717,404,452

0.24620853 81,758,752 332,071,593

0.262690

Ratio

0.114187298 53,597,903 469,388,721

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 925 20,367,244 05 Administrative and General 142 176,942,322

06 Maintenance and Repairs 0 0 07 Operation of Plant 153 21,867,028

08/09 Laundry / Housekeeping 315 9,435,276 10/11 Dietary and Cafeteria 195 8,054,169

13 Nursing Administration 145 12,618,925 14 Central Service and Supply 575 2,602,579

15 Pharmancy 218 14,457,353 16 Medical Records 2,460 616,825

Selected Revenue Departments

0.43309447 27,058,555 62,477,314

0.145981113 51,803,106 354,861,991

197

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,191 679,056

Revenue Ranking -

All Providers

10:04 AM

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Page 168: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054147

JOYCE EISENBERG KEEFER MEDICAL CENTER

7150 TAMPA AVENUE

RESEDA, CA 91335

LOS ANGELES

BLUE CROSS (CALIFORNIA)

8/31/2019 365 Days Settled

Nonprofit - Other

Psychiatric

Balance Sheet

4,829,733

Income Statement

52,583,014

518,462

57,931,209

307,655

265,083

57,358,471

57,931,209 -3.2%

2.9%

0.0

43.2

0.0%

0.0%

22.89

20.3

60.5%

Key Performanace Ind.

15.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

19.0%9,384,773Contract Allowance

Total Charges 49,307,396

81.0%

106.1%

-6.1%

1.5%

0.0%

-4.6%

Current Assets

Fixed Assets

39,922,623

42,359,174

-2,436,551

607,051

0

(1,829,500)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 10CR Beds 10

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,990 2,009,078 02 Capital Cost - Movable Equip 4,360 324,881

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,690 4,006,622 3,106,656

0.0000000 0 0

1.289690

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,540 992,473 05 Administrative and General 3,675 5,415,298

06 Maintenance and Repairs 1,404 803,654 07 Operation of Plant 3,149 1,085,358

08/09 Laundry / Housekeeping 933 4,457,185 10/11 Dietary and Cafeteria 862 3,517,044

13 Nursing Administration 3,887 361,311 14 Central Service and Supply 2,853 96,912

15 Pharmancy 2,305 803,737 16 Medical Records 2,796 482,138

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,291

17 Social Services 690 1,579,441 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 169: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050674

KAISER FOUNDATION HOSP SO SACRAMENTO

6600 BRUCEVILLE ROAD

SACRAMENTO, CA 95823

SACRAMENTO

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

70.53

3.9

72.3%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

694,764,328

-694,764,328

0

0

(694,764,328)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 241CR Beds 203

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 542 15,906,445 02 Capital Cost - Movable Equip 1,146 6,706,177

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

116 183,627,714 287,243,324

0.437718136 51,549,475 117,768,792

0.639276

Ratio

0.115996246 59,744,480 515,057,428

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 82 132,440,538 05 Administrative and General 357 98,155,276

06 Maintenance and Repairs 561 4,619,170 07 Operation of Plant 431 12,254,139

08/09 Laundry / Housekeeping 798 5,061,168 10/11 Dietary and Cafeteria 996 3,172,030

13 Nursing Administration 1,273 2,434,630 14 Central Service and Supply 305 4,559,160

15 Pharmancy 292 11,124,849 16 Medical Records 2,767 490,135

Selected Revenue Departments

0.85658749 26,824,151 31,315,153

0.20668724 90,099,437 435,922,567

5,877

17 Social Services 444 2,573,043 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 977 1,725,466

Revenue Ranking -

All Providers

10:04 AM

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Page 170: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050510

KAISER FOUNDATION HOSPITAL

99 MONTECILLO RD

SAN RAFAEL, CA 94903

MARIN

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

65.69

4.0

35.5%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

309,656,304

-309,656,304

0

0

(309,656,304)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 120CR Beds 104

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,655 5,155,450 02 Capital Cost - Movable Equip 2,187 2,279,222

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

710 69,035,803 75,407,990

0.557865666 16,603,138 29,761,922

0.915497

Ratio

0.136183954 23,549,712 172,926,737

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 346 48,422,430 05 Administrative and General 1,201 38,152,951

06 Maintenance and Repairs 1,101 1,558,833 07 Operation of Plant 1,354 4,634,013

08/09 Laundry / Housekeeping 2,657 1,112,854 10/11 Dietary and Cafeteria 2,331 1,261,052

13 Nursing Administration 1,803 1,610,112 14 Central Service and Supply 568 2,642,213

15 Pharmancy 1,040 3,437,243 16 Medical Records 3,723 269,057

Selected Revenue Departments

0.0009702,726 2 2,062

0.247280620 22,139,272 89,531,168

5,877

17 Social Services 993 967,093 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,462 183,591

Revenue Ranking -

All Providers

10:04 AM

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Page 171: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050765

KAISER FOUNDATION HOSPITAL-MORENO VALLEY

27300 IRIS AVENUE

MORENO VALLEY, CA 92555

RIVERSIDE

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

58.18

3.1

44.5%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

149,978,108

-149,978,108

0

0

(149,978,108)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 101CR Beds 84

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,109 3,617,937 02 Capital Cost - Movable Equip 3,385 730,189

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,267 41,637,742 53,078,511

0.457279841 13,209,449 28,887,048

0.784456

Ratio

0.1219491,762 11,558,569 94,781,906

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 610 30,067,999 05 Administrative and General 1,393 32,554,906

06 Maintenance and Repairs 1,776 311,777 07 Operation of Plant 1,366 4,579,780

08/09 Laundry / Housekeeping 1,560 2,620,799 10/11 Dietary and Cafeteria 2,173 1,396,387

13 Nursing Administration 1,165 2,697,138 14 Central Service and Supply 802 1,752,541

15 Pharmancy 1,178 2,994,104 16 Medical Records 5,597 3,020

Selected Revenue Departments

0.948345258 13,079,138 13,791,538

0.233908606 22,514,099 96,252,113

5,877

17 Social Services 1,431 527,516 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 172: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050604

KAISER FOUNDATION HOSPITAL-SAN JOSE

250 HOSPITAL PARKWAY

SAN JOSE, CA 95119

SANTA CLARA

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

67.34

3.7

51.2%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

518,961,874

-518,961,874

0

0

(518,961,874)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 247CR Beds 211

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 979 9,503,396 02 Capital Cost - Movable Equip 1,469 4,696,682

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

148 171,565,495 221,299,070

0.765544257 34,129,195 44,581,603

0.775265

Ratio

0.111862353 47,596,821 425,495,622

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 62 154,335,553 05 Administrative and General 520 77,483,678

06 Maintenance and Repairs 1,194 1,275,114 07 Operation of Plant 622 9,506,908

08/09 Laundry / Housekeeping 849 4,798,533 10/11 Dietary and Cafeteria 1,314 2,515,935

13 Nursing Administration 162 11,906,356 14 Central Service and Supply 219 5,938,582

15 Pharmancy 505 6,897,011 16 Medical Records 3,255 360,139

Selected Revenue Departments

0.81200961 25,106,818 30,919,392

0.231424129 49,825,991 215,301,991

5,877

17 Social Services 786 1,342,005 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,193 667,236

Revenue Ranking -

All Providers

10:04 AM

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Page 173: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050071

KAISER FOUNDATION HOSPITAL-SANTA CLARA

700 LAWRENCE EXPRESSWAY

SANTA CLARA, CA 95051

SANTA CLARA

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

66.57

4.5

70.3%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

944,682,374

-944,682,374

0

0

(944,682,374)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 327CR Beds 263

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 471 17,750,238 02 Capital Cost - Movable Equip 1,921 2,973,782

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

51 248,811,169 383,437,835

0.54491262 76,917,232 141,155,246

0.648896

Ratio

0.112277125 83,309,959 742,004,870

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 23 213,131,004 05 Administrative and General 225 138,985,558

06 Maintenance and Repairs 415 6,404,365 07 Operation of Plant 457 11,646,913

08/09 Laundry / Housekeeping 366 8,639,666 10/11 Dietary and Cafeteria 768 3,792,954

13 Nursing Administration 872 3,602,432 14 Central Service and Supply 181 6,978,187

15 Pharmancy 169 17,674,513 16 Medical Records 2,238 726,095

Selected Revenue Departments

0.67681312 41,013,733 60,598,336

0.25457166 63,343,196 248,823,651

5,877

17 Social Services 526 2,139,411 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 430 9,241,998

Revenue Ranking -

All Providers

10:04 AM

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 174: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050690

KAISER FOUNDATION HOSPITAL-SANTA ROSA

401 BICENTENNIAL WAY

SANTA ROSA, CA 95403

SONOMA

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

67.99

3.8

57.9%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

424,748,569

-424,748,569

0

0

(424,748,569)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 173CR Beds 142

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 676 13,207,894 02 Capital Cost - Movable Equip 1,272 5,832,978

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

302 118,755,639 184,708,040

0.646592632 17,333,958 26,808,180

0.642937

Ratio

0.102684622 32,709,881 318,549,149

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 155 89,605,272 05 Administrative and General 705 62,158,221

06 Maintenance and Repairs 882 2,472,864 07 Operation of Plant 755 8,158,813

08/09 Laundry / Housekeeping 1,498 2,751,620 10/11 Dietary and Cafeteria 1,496 2,184,895

13 Nursing Administration 1,550 1,920,956 14 Central Service and Supply 603 2,523,284

15 Pharmancy 506 6,895,360 16 Medical Records 3,509 306,439

Selected Revenue Departments

0.851500123 18,361,673 21,563,904

0.237794222 39,637,294 166,687,440

5,877

17 Social Services 729 1,487,759 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,068 1,187,881

Revenue Ranking -

All Providers

10:04 AM

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Page 175: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050760

KAISER FOUNDATION HOSPITAL - ANTIOCH

4501 SAND CREEK ROAD

ANTIOCH, CA 94531

CONTRA COSTA

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

69.73

3.2

47.3%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

364,334,510

-364,334,510

0

0

(364,334,510)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 150CR Beds 122

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,276 7,040,852 02 Capital Cost - Movable Equip 1,649 3,863,497

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

373 106,200,731 116,238,530

0.752307646 17,100,309 22,730,482

0.913645

Ratio

0.095501742 28,636,855 299,859,275

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 195 74,149,659 05 Administrative and General 772 58,085,604

06 Maintenance and Repairs 1,332 950,688 07 Operation of Plant 932 6,977,512

08/09 Laundry / Housekeeping 1,781 2,213,667 10/11 Dietary and Cafeteria 1,584 2,062,741

13 Nursing Administration 253 9,419,036 14 Central Service and Supply 317 4,400,186

15 Pharmancy 750 4,837,072 16 Medical Records 2,816 476,735

Selected Revenue Departments

0.99168279 22,063,792 22,248,863

0.234139206 41,333,725 176,534,770

5,877

17 Social Services 916 1,076,776 18 Other General Service Cost 0 (1)

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,596 47,447

Revenue Ranking -

All Providers

10:04 AM

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Page 176: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050723

KAISER FOUNDATION HOSPITAL - BALDWIN PARK

1011 BALDWIN PARK BLVD

BALDWIN PARK, CA 91706

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

52.99

3.9

42.7%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

547,584,933

-547,584,933

1,761,546

0

(545,823,387)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 269CR Beds 225

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 422 19,183,504 02 Capital Cost - Movable Equip 2,270 2,097,688

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

262 125,680,443 147,686,078

0.523699284 32,139,197 61,369,623

0.850997

Ratio

0.189289187 70,890,569 374,510,647

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 147 92,781,237 05 Administrative and General 328 103,096,698

06 Maintenance and Repairs 1,462 706,623 07 Operation of Plant 179 20,224,155

08/09 Laundry / Housekeeping 382 8,442,599 10/11 Dietary and Cafeteria 832 3,614,024

13 Nursing Administration 653 4,662,583 14 Central Service and Supply 255 5,232,442

15 Pharmancy 535 6,551,606 16 Medical Records 1,109 1,777,814

Selected Revenue Departments

0.86029668 24,113,593 28,029,416

0.296373128 49,887,339 168,326,200

5,877

17 Social Services 377 3,012,787 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,453 192,239

Revenue Ranking -

All Providers

10:04 AM

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Page 177: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050139

KAISER FOUNDATION HOSPITAL - DOWNEY

9333 IMPERIAL HIGHWAY

DOWNEY, CA 90242

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

53.67

4.3

53.7%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

667,615,217

-667,615,217

0

0

(667,615,217)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 352CR Beds 265

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 197 31,008,822 02 Capital Cost - Movable Equip 1,838 3,260,895

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

102 194,028,893 201,486,342

0.37018867 74,673,223 201,717,263

0.962988

Ratio

0.139884151 78,499,474 561,175,704

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 59 158,777,710 05 Administrative and General 214 144,342,764

06 Maintenance and Repairs 1,402 806,668 07 Operation of Plant 87 28,968,370

08/09 Laundry / Housekeeping 107 16,548,215 10/11 Dietary and Cafeteria 769 3,782,510

13 Nursing Administration 432 6,481,574 14 Central Service and Supply 153 8,066,774

15 Pharmancy 316 10,420,923 16 Medical Records 746 2,627,091

Selected Revenue Departments

0.64885424 33,856,840 52,179,437

0.29355539 76,279,213 259,846,010

5,877

17 Social Services 187 4,940,396 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,326 355,156

Revenue Ranking -

All Providers

10:04 AM

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Page 178: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050512

KAISER FOUNDATION HOSPITAL - FREMONT

39400 PASEO PADRE PKWY

FREMONT, CA 94538

ALAMEDA

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

65.82

3.6

37.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

244,449,589

-244,449,589

0

0

(244,449,589)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 193CR Beds 90

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,233 7,340,760 02 Capital Cost - Movable Equip 2,023 2,704,265

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

666 72,630,722 72,241,192

0.601417760 14,613,599 24,298,603

1.005392

Ratio

0.111482991 22,736,904 203,951,991

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 266 60,119,416 05 Administrative and General 1,089 41,974,402

06 Maintenance and Repairs 1,052 1,719,071 07 Operation of Plant 1,243 5,134,213

08/09 Laundry / Housekeeping 1,854 2,088,961 10/11 Dietary and Cafeteria 1,973 1,602,026

13 Nursing Administration 1,538 1,934,558 14 Central Service and Supply 670 2,204,406

15 Pharmancy 836 4,322,835 16 Medical Records 4,409 165,096

Selected Revenue Departments

0.0000000 0 0

0.236619377 30,562,613 129,163,670

5,877

17 Social Services 1,412 541,929 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,534 108,332

Revenue Ranking -

All Providers

10:04 AM

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Page 179: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050710

KAISER FOUNDATION HOSPITAL - FRESNO

7300 NORTH FRESNO ST

FRESNO, CA 93720

FRESNO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

68.12

3.7

51.6%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

362,760,153

-362,760,153

0

0

(362,760,153)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 169CR Beds 145

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,301 3,118,110 02 Capital Cost - Movable Equip 1,223 6,125,519

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

494 89,994,240 154,598,484

0.677611424 23,617,124 34,853,510

0.582116

Ratio

0.100273721 29,249,556 291,698,665

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 204 71,352,851 05 Administrative and General 1,016 44,913,316

06 Maintenance and Repairs 1,122 1,502,594 07 Operation of Plant 1,343 4,683,167

08/09 Laundry / Housekeeping 1,724 2,291,922 10/11 Dietary and Cafeteria 1,447 2,277,722

13 Nursing Administration 1,995 1,401,443 14 Central Service and Supply 551 2,763,392

15 Pharmancy 646 5,597,762 16 Medical Records 4,082 211,086

Selected Revenue Departments

1.01076596 20,482,494 20,264,354

0.183119483 26,585,878 145,183,954

5,877

17 Social Services 862 1,185,388 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,652 1,689

Revenue Ranking -

All Providers

10:04 AM

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Page 180: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050138

KAISER FOUNDATION HOSPITAL - LOS ANGELES

4867 SUNSET BLVD

LOS ANGELES, CA 90027

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

52.17

5.1

73.4%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

980,010,939

-980,010,939

0

0

(980,010,939)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 507CR Beds 299

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 268 25,978,738 02 Capital Cost - Movable Equip 1,241 6,001,934

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

63 227,822,198 344,953,375

0.47926015 131,263,563 273,887,978

0.660443

Ratio

0.12311556 113,690,117 923,443,516

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 22 215,198,575 05 Administrative and General 138 180,310,595

06 Maintenance and Repairs 1,131 1,474,744 07 Operation of Plant 79 30,429,391

08/09 Laundry / Housekeeping 98 17,169,828 10/11 Dietary and Cafeteria 241 7,131,415

13 Nursing Administration 171 11,635,982 14 Central Service and Supply 75 12,943,220

15 Pharmancy 154 18,311,895 16 Medical Records 2,244 724,022

Selected Revenue Departments

0.70969777 22,385,286 31,542,046

0.341959139 49,197,026 143,868,225

5,877

17 Social Services 93 7,705,335 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 278 16,114,323

Revenue Ranking -

All Providers

10:04 AM

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Page 181: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050075

KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND

275 WEST MACARTHUR BOULEVARD

OAKLAND, CA 94611

ALAMEDA

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

67.56

4.3

70.2%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

1,121,173,951

-1,121,173,951

0

0

(1,121,173,951)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 348CR Beds 291

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 142 38,462,208 02 Capital Cost - Movable Equip 708 10,514,423

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

22 320,684,618 454,594,625

0.61763130 99,698,617 161,421,128

0.705430

Ratio

0.12342261 109,341,355 885,913,162

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 18 237,615,256 05 Administrative and General 149 173,385,979

06 Maintenance and Repairs 273 9,181,069 07 Operation of Plant 214 17,882,553

08/09 Laundry / Housekeeping 68 18,794,685 10/11 Dietary and Cafeteria 203 7,897,185

13 Nursing Administration 472 6,058,445 14 Central Service and Supply 102 11,042,059

15 Pharmancy 229 13,998,844 16 Medical Records 2,035 834,047

Selected Revenue Departments

0.78390021 34,777,074 44,364,164

0.27731816 102,067,330 368,052,042

5,877

17 Social Services 456 2,478,808 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 316 14,631,529

Revenue Ranking -

All Providers

10:04 AM

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Page 182: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050609

KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHE

3440 E LA PALMA AVE

ANAHEIM, CA 92806

ORANGE

NORIDIAN

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

55.68

4.2

59.7%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

865,096,619

-865,096,619

0

0

(865,096,619)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 261CR Beds 382

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 187 32,039,437 02 Capital Cost - Movable Equip 1,379 5,249,347

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

43 261,589,725 399,535,958

0.55332139 90,894,744 164,271,246

0.654734

Ratio

0.116953104 91,034,974 778,386,506

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 31 195,963,488 05 Administrative and General 133 181,569,448

06 Maintenance and Repairs 1,221 1,213,405 07 Operation of Plant 67 33,777,671

08/09 Laundry / Housekeeping 181 12,768,056 10/11 Dietary and Cafeteria 325 6,028,230

13 Nursing Administration 219 10,241,968 14 Central Service and Supply 122 9,762,049

15 Pharmancy 243 13,459,959 16 Medical Records 2,002 857,868

Selected Revenue Departments

0.7974915 52,605,090 65,963,253

0.23782955 66,651,852 280,250,922

5,877

17 Social Services 236 4,221,763 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,157 817,217

Revenue Ranking -

All Providers

10:04 AM

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Page 183: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050137

KAISER FOUNDATION HOSPITAL - PANORAMA CITY

13652 CANTARA ST

PANORAMA CITY, CA 91402

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

52.85

3.9

41.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

276,146,853

-276,146,853

0

0

(276,146,853)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 325CR Beds 170

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,027 9,002,755 02 Capital Cost - Movable Equip 3,704 558,212

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

454 94,429,608 96,459,627

0.369615289 31,588,082 85,462,074

0.978955

Ratio

0.123415531 36,767,408 297,916,881

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 199 73,847,297 05 Administrative and General 658 65,283,063

06 Maintenance and Repairs 2,112 406 07 Operation of Plant 726 8,392,513

08/09 Laundry / Housekeeping 261 10,729,024 10/11 Dietary and Cafeteria 1,205 2,729,983

13 Nursing Administration 488 5,915,568 14 Central Service and Supply 327 4,330,089

15 Pharmancy 503 6,913,473 16 Medical Records 1,821 974,819

Selected Revenue Departments

0.735625110 19,348,674 26,302,378

0.231460265 36,006,464 155,562,410

5,877

17 Social Services 501 2,257,766 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 184: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050541

KAISER FOUNDATION HOSPITAL - REDWOOD CITY

1100 VETERANS BOULEVARD

REDWOOD CITY, CA 94063

SAN MATEO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

67.41

3.6

55.6%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

354,812,265

-354,812,265

0

0

(354,812,265)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 213CR Beds 125

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,748 2,326,800 02 Capital Cost - Movable Equip 629 11,464,831

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

471 92,110,796 136,176,723

0.463097389 25,599,053 55,277,936

0.676406

Ratio

0.108026655 31,202,211 288,840,261

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 219 67,851,309 05 Administrative and General 837 54,026,170

06 Maintenance and Repairs 744 3,291,958 07 Operation of Plant 1,267 5,030,332

08/09 Laundry / Housekeeping 1,536 2,686,043 10/11 Dietary and Cafeteria 1,051 3,087,074

13 Nursing Administration 1,224 2,534,592 14 Central Service and Supply 855 1,604,565

15 Pharmancy 775 4,718,711 16 Medical Records 2,892 451,402

Selected Revenue Departments

0.90432797 20,350,441 22,503,399

0.254187456 27,574,088 108,479,552

5,877

17 Social Services 808 1,303,013 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,610 34,020

Revenue Ranking -

All Providers

10:04 AM

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Page 185: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050772

KAISER FOUNDATION HOSPITAL - ROSEVILLE

1600 EUREKA ROAD

ROSEVILLE, CA 95661

PLACER

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

74.31

4.1

77.3%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

934,917,738

-934,917,738

0

0

(934,917,738)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 340CR Beds 262

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 347 21,850,541 02 Capital Cost - Movable Equip 1,275 5,809,463

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

55 245,333,170 408,426,925

0.68190521 117,128,556 171,766,704

0.600678

Ratio

0.120414207 65,210,384 541,550,279

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 29 200,048,933 05 Administrative and General 256 127,836,075

06 Maintenance and Repairs 587 4,437,685 07 Operation of Plant 718 8,474,027

08/09 Laundry / Housekeeping 213 11,845,507 10/11 Dietary and Cafeteria 515 4,753,667

13 Nursing Administration 126 13,543,569 14 Central Service and Supply 216 5,984,010

15 Pharmancy 212 14,694,991 16 Medical Records 1,933 903,333

Selected Revenue Departments

0.8124622 66,541,292 81,900,841

0.24011626 88,608,527 369,024,186

5,877

17 Social Services 462 2,423,450 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 186: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050425

KAISER FOUNDATION HOSPITAL - SACRAMENTO

2025 MORSE AVENUE

SACRAMENTO, CA 95825

SACRAMENTO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

67.67

4.1

47.7%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

750,791,116

-750,791,116

0

0

(750,791,116)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 628CR Beds 253

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,071 8,537,202 02 Capital Cost - Movable Equip 767 9,997,106

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

223 138,447,656 253,177,623

0.572605124 53,874,182 94,086,076

0.546840

Ratio

0.116227168 74,844,469 643,951,475

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 76 142,126,578 05 Administrative and General 386 94,057,808

06 Maintenance and Repairs 1,247 1,132,920 07 Operation of Plant 334 14,101,078

08/09 Laundry / Housekeeping 1,145 3,653,986 10/11 Dietary and Cafeteria 1,237 2,665,594

13 Nursing Administration 141 12,757,277 14 Central Service and Supply 168 7,410,352

15 Pharmancy 314 10,491,456 16 Medical Records 5,383 44,911

Selected Revenue Departments

0.0000000 0 0

0.20823748 69,247,300 332,540,236

5,877

17 Social Services 731 1,477,184 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 794 3,094,710

Revenue Ranking -

All Providers

10:04 AM

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Page 187: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050076

KAISER FOUNDATION HOSPITAL - SAN FRANCISCO

2425 GEARY BLVD

SAN FRANCISCO, CA 94115

SAN FRANCISCO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

70.32

5.0

68.3%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

734,601,400

-734,601,400

0

0

(734,601,400)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 239CR Beds 185

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 807 11,435,195 02 Capital Cost - Movable Equip 983 7,910,506

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

149 170,598,877 263,701,747

0.66402679 68,789,651 103,594,837

0.646939

Ratio

0.111201233 61,051,658 549,019,949

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 71 146,736,555 05 Administrative and General 339 99,747,698

06 Maintenance and Repairs 397 6,650,494 07 Operation of Plant 862 7,371,805

08/09 Laundry / Housekeeping 452 7,468,493 10/11 Dietary and Cafeteria 904 3,405,203

13 Nursing Administration 1,256 2,472,439 14 Central Service and Supply 229 5,683,172

15 Pharmancy 278 11,745,244 16 Medical Records 2,512 587,578

Selected Revenue Departments

0.91813625 33,689,404 36,693,264

0.244915397 29,682,549 121,195,253

5,877

17 Social Services 866 1,169,530 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 423 9,610,523

Revenue Ranking -

All Providers

10:04 AM

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Page 188: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050777

KAISER FOUNDATION HOSPITAL - SAN LEANDRO

2500 MERCED STREET

SAN LEANDRO, CA 94577

ALAMEDA

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

69.49

3.9

62.3%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

561,250,116

-561,250,116

0

0

(561,250,116)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 108CR Beds 166

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,726 2,363,901 02 Capital Cost - Movable Equip 1,269 5,867,909

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

226 136,953,561 197,183,307

0.689546123 53,940,746 78,226,458

0.694549

Ratio

0.093016644 31,575,766 339,466,853

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 137 97,748,621 05 Administrative and General 440 85,190,239

06 Maintenance and Repairs 665 3,797,516 07 Operation of Plant 543 10,295,479

08/09 Laundry / Housekeeping 523 6,829,158 10/11 Dietary and Cafeteria 727 3,938,849

13 Nursing Administration 550 5,403,057 14 Central Service and Supply 441 3,324,837

15 Pharmancy 564 6,297,027 16 Medical Records 2,476 607,845

Selected Revenue Departments

0.76668419 36,332,576 47,389,233

0.190683178 43,582,944 228,562,053

5,877

17 Social Services 618 1,790,785 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,592 49,599

Revenue Ranking -

All Providers

10:04 AM

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Page 189: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050411

KAISER FOUNDATION HOSPITAL - SOUTH BAY

25825 SOUTH VERMONT AVENUE

HARBOR CITY, CA 90710

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

52.74

3.9

43.1%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

453,263,855

-453,263,855

0

0

(453,263,855)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 251CR Beds 227

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 254 26,625,298 02 Capital Cost - Movable Equip 1,768 3,522,299

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

218 140,037,197 169,825,892

0.524294481 21,344,166 40,710,273

0.824593

Ratio

0.182588226 62,017,582 339,657,997

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 170 81,545,668 05 Administrative and General 398 91,760,369

06 Maintenance and Repairs 1,479 681,721 07 Operation of Plant 271 15,796,506

08/09 Laundry / Housekeeping 292 9,888,516 10/11 Dietary and Cafeteria 918 3,360,287

13 Nursing Administration 796 3,916,642 14 Central Service and Supply 292 4,715,313

15 Pharmancy 541 6,519,033 16 Medical Records 2,116 780,508

Selected Revenue Departments

0.75546988 21,176,868 28,031,405

0.244542196 41,739,170 170,683,353

5,877

17 Social Services 307 3,483,133 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,289 417,100

Revenue Ranking -

All Providers

10:04 AM

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Page 190: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050070

KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO

1200 EL CAMINO REAL

SOUTH SAN FRANCISCO, CA 94080

SAN MATEO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

67.39

3.7

46.2%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

329,071,225

-329,071,225

0

0

(329,071,225)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 120CR Beds 105

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,718 4,905,484 02 Capital Cost - Movable Equip 1,777 3,473,117

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

651 73,667,939 107,470,818

0.704986574 18,703,381 26,530,164

0.685469

Ratio

0.145472786 27,274,087 187,487,025

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 348 48,281,046 05 Administrative and General 1,114 41,147,633

06 Maintenance and Repairs 835 2,741,923 07 Operation of Plant 1,348 4,663,629

08/09 Laundry / Housekeeping 1,348 3,115,708 10/11 Dietary and Cafeteria 1,781 1,809,248

13 Nursing Administration 817 3,821,339 14 Central Service and Supply 619 2,433,541

15 Pharmancy 749 4,850,143 16 Medical Records 3,825 251,700

Selected Revenue Departments

0.0000000 0 0

0.211025506 25,946,186 122,952,980

5,877

17 Social Services 1,111 825,672 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,598 46,275

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 190

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 191: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050767

KAISER FOUNDATION HOSPITAL - VACAVILLE

1 QUALITY DRIVE

VACAVILLE, CA 95688

SOLANO

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

70.72

4.2

52.6%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

338,408,932

-338,408,932

0

0

(338,408,932)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 72CR Beds 124

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,104 8,236,712 02 Capital Cost - Movable Equip 2,041 2,650,878

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

344 112,500,726 135,879,090

0.546364350 27,519,945 50,369,288

0.827947

Ratio

0.086525713 29,478,372 340,690,977

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 166 84,146,706 05 Administrative and General 905 49,964,347

06 Maintenance and Repairs 1,072 1,663,040 07 Operation of Plant 1,126 5,767,533

08/09 Laundry / Housekeeping 958 4,369,739 10/11 Dietary and Cafeteria 1,603 2,039,391

13 Nursing Administration 587 5,075,402 14 Central Service and Supply 594 2,545,757

15 Pharmancy 858 4,230,519 16 Medical Records 4,049 214,562

Selected Revenue Departments

1.45150973 23,132,893 15,937,137

0.208635324 33,087,585 158,591,010

5,877

17 Social Services 848 1,217,865 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 192: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050072

KAISER FOUNDATION HOSPITAL - WALNUT CREEK

1425 S MAIN STREET

WALNUT CREEK, CA 94596

CONTRA COSTA

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

69.24

2.7

59.3%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

709,261,256

-709,261,256

0

0

(709,261,256)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 362CR Beds 184

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 795 11,547,190 02 Capital Cost - Movable Equip 1,162 6,602,163

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

117 182,760,216 215,445,817

0.569457104 58,912,948 103,454,648

0.848289

Ratio

0.134074341 48,503,414 361,764,972

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 74 143,435,171 05 Administrative and General 356 98,157,698

06 Maintenance and Repairs 699 3,574,867 07 Operation of Plant 474 11,381,642

08/09 Laundry / Housekeeping 307 9,597,594 10/11 Dietary and Cafeteria 881 3,473,098

13 Nursing Administration 1,051 3,034,801 14 Central Service and Supply 251 5,317,538

15 Pharmancy 363 9,358,512 16 Medical Records 2,260 714,843

Selected Revenue Departments

0.71313339 28,327,709 39,722,911

0.270101105 55,034,628 203,755,793

5,877

17 Social Services 708 1,523,421 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,446 201,883

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 192

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 193: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050561

KAISER FOUNDATION HOSPITAL - WEST LA

6041 CADILLAC AVE

LOS ANGELES, CA 90034

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

51.50

3.8

35.3%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

460,273,350

-460,273,350

0

0

(460,273,350)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 293CR Beds 222

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 490 17,120,267 02 Capital Cost - Movable Equip 3,067 981,652

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

278 122,950,138 157,645,715

1.080539397 25,012,309 23,148,000

0.779914

Ratio

0.159250320 50,247,613 315,526,866

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 193 75,368,858 05 Administrative and General 478 81,739,658

06 Maintenance and Repairs 1,540 592,196 07 Operation of Plant 189 19,532,179

08/09 Laundry / Housekeeping 228 11,555,925 10/11 Dietary and Cafeteria 787 3,730,638

13 Nursing Administration 592 5,062,481 14 Central Service and Supply 290 4,728,513

15 Pharmancy 571 6,155,261 16 Medical Records 3,945 232,246

Selected Revenue Departments

1.13300395 20,569,308 18,154,674

0.30634597 56,102,954 183,136,287

5,877

17 Social Services 226 4,341,085 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,059 1,230,153

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 193

Healthcare Almanac 561-594-7551

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Page 194: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050677

KAISER FOUNDATION HOSPITAL - WOODLAND HILLS

5601 DE SOTO AVENUE

WOODLAND HILLS, CA 91367

LOS ANGELES

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

52.01

3.9

29.7%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

419,156,130

-419,156,130

0

0

(419,156,130)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 218CR Beds 240

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 171 34,331,477 02 Capital Cost - Movable Equip 2,539 1,590,212

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

362 108,215,066 91,824,293

0.543368498 20,775,494 38,234,700

1.178501

Ratio

0.191844421 42,584,866 221,976,505

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 209 70,514,114 05 Administrative and General 533 76,323,427

06 Maintenance and Repairs 1,730 350,224 07 Operation of Plant 258 16,196,495

08/09 Laundry / Housekeeping 432 7,688,109 10/11 Dietary and Cafeteria 1,279 2,571,767

13 Nursing Administration 563 5,295,297 14 Central Service and Supply 267 5,045,358

15 Pharmancy 597 5,948,940 16 Medical Records 2,984 428,249

Selected Revenue Departments

0.909346175 15,460,619 17,001,915

0.299095390 30,100,116 100,637,456

5,877

17 Social Services 333 3,289,594 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,102 1,041,257

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 194

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Page 195: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050515

KAISER FOUNDATION HOSPITAL - ZION

4647 ZION AVE

SAN DIEGO, CA 92120

SAN DIEGO

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

54.76

4.2

52.8%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

1,113,135,612

-1,113,135,612

0

0

(1,113,135,612)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 659CR Beds 490

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 57 57,575,474 02 Capital Cost - Movable Equip 757 10,076,232

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

36 281,229,725 432,712,824

0.55083768 74,652,146 135,525,000

0.649922

Ratio

0.13763045 125,360,761 910,852,597

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 19 228,559,280 05 Administrative and General 80 233,507,097

06 Maintenance and Repairs 938 2,178,127 07 Operation of Plant 36 46,360,557

08/09 Laundry / Housekeeping 102 16,732,832 10/11 Dietary and Cafeteria 278 6,556,354

13 Nursing Administration 269 9,137,124 14 Central Service and Supply 69 13,432,011

15 Pharmancy 147 19,182,023 16 Medical Records 678 2,867,140

Selected Revenue Departments

0.9163347 45,671,051 49,841,073

0.32926720 100,331,092 304,710,157

5,877

17 Social Services 252 4,061,434 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 877 2,427,663

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 195

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Page 196: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050073

KAISER FOUNDATION HOSPITAL AND REHAB CENTER

975 SERENO DR

VALLEJO, CA 94589

SOLANO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

67.09

4.3

50.4%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

510,004,534

-510,004,534

2,943,822

0

(507,060,712)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 248CR Beds 160

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 619 14,250,928 02 Capital Cost - Movable Equip 1,405 5,075,724

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

310 117,090,278 176,705,334

0.576103410 24,328,377 42,229,206

0.662630

Ratio

0.126131661 31,081,708 246,424,127

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 108 110,366,480 05 Administrative and General 488 80,921,224

06 Maintenance and Repairs 638 3,944,485 07 Operation of Plant 640 9,326,011

08/09 Laundry / Housekeeping 404 8,142,302 10/11 Dietary and Cafeteria 944 3,300,138

13 Nursing Administration 196 10,803,996 14 Central Service and Supply 364 3,957,381

15 Pharmancy 549 6,414,969 16 Medical Records 3,136 388,661

Selected Revenue Departments

0.843679122 18,420,438 21,833,474

0.228780221 39,661,075 173,359,030

5,877

17 Social Services 797 1,325,755 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 875 2,431,586

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 196

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Page 197: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050140

KAISER FOUNDATION HOSPITAL FONTANA

9961 SIERRA AVE

FONTANA, CA 92335

SAN BERNARDINO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

53.67

4.3

59.3%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

1,169,195,613

-1,169,195,613

0

0

(1,169,195,613)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 438CR Beds 510

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 74 53,554,568 02 Capital Cost - Movable Equip 1,035 7,498,511

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

30 295,117,209 475,067,882

0.42113112 135,617,191 322,030,992

0.621211

Ratio

0.15752321 159,822,014 1,014,596,027

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 17 243,611,869 05 Administrative and General 85 228,269,340

06 Maintenance and Repairs 1,188 1,296,172 07 Operation of Plant 45 42,821,732

08/09 Laundry / Housekeeping 43 24,663,413 10/11 Dietary and Cafeteria 376 5,577,229

13 Nursing Administration 133 13,111,681 14 Central Service and Supply 87 12,084,904

15 Pharmancy 163 17,940,796 16 Medical Records 2,318 675,916

Selected Revenue Departments

0.7058576 50,855,877 72,048,447

0.26176618 101,423,787 387,459,608

5,877

17 Social Services 200 4,767,033 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 545 6,298,106

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 197

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 198: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050748

KAISER FOUNDATION HOSPITAL MANTECA

1777 WEST YOSEMITE AVE

MANTECA, CA 95337

SAN JOAQUIN

Noridian (CA)

12/31/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

69.62

3.8

63.5%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

552,975,749

-552,975,749

0

0

(552,975,749)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 224CR Beds 163

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 951 9,734,878 02 Capital Cost - Movable Equip 1,338 5,488,744

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

211 142,613,757 228,453,393

0.728235126 53,762,968 73,826,382

0.624258

Ratio

0.114924411 43,429,947 377,901,580

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 100 116,134,928 05 Administrative and General 477 82,454,864

06 Maintenance and Repairs 1,125 1,490,208 07 Operation of Plant 527 10,518,286

08/09 Laundry / Housekeeping 468 7,350,686 10/11 Dietary and Cafeteria 991 3,181,838

13 Nursing Administration 937 3,363,053 14 Central Service and Supply 324 4,337,711

15 Pharmancy 359 9,394,166 16 Medical Records 2,382 649,221

Selected Revenue Departments

0.76943720 35,996,517 46,782,901

0.19784677 60,910,860 307,869,592

5,877

17 Social Services 744 1,449,274 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,512 129,517

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 198

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 199: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050686

KAISER FOUNDATION HOSPITAL, RIVERSIDE

10800 MAGNOLIA AVENUE

RIVERSIDE, CA 92505

RIVERSIDE

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

52.86

4.3

54.8%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

533,353,098

-533,353,098

0

0

(533,353,098)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 226CR Beds 185

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 349 21,836,688 02 Capital Cost - Movable Equip 1,924 2,968,780

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

260 126,044,248 123,273,339

0.421928156 47,491,271 112,557,696

1.022478

Ratio

0.134591452 40,769,377 302,913,084

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 120 106,889,052 05 Administrative and General 326 103,174,387

06 Maintenance and Repairs 1,413 798,903 07 Operation of Plant 290 15,178,341

08/09 Laundry / Housekeeping 257 10,839,042 10/11 Dietary and Cafeteria 1,267 2,598,185

13 Nursing Administration 435 6,472,109 14 Central Service and Supply 349 4,066,966

15 Pharmancy 480 7,246,696 16 Medical Records 3,349 341,065

Selected Revenue Departments

0.71224769 24,097,285 33,832,745

0.280481318 33,349,596 118,901,271

5,877

17 Social Services 255 4,045,524 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 819 2,859,010

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 199

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Page 200: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054150

KAISER PERMANENTE PSYCHIATRIC HEALTH FACILITY-SANT

3840 HOMESTEAD ROAD

SANTA CLARA, CA 95051

SANTA CLARA

Noridian (CA)

12/31/2019 365 Days Settled

Nonprofit - Other

Psychiatric

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 24CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050057

KAWEAH DELTA MEDICAL CENTER

400 W MINERAL KING AVE

VISALIA, CA 93291

TULARE

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

281,755,319

Income Statement

294,059,679

381,280,604

957,095,602

147,539,159

321,308,027

488,248,416

957,095,602 7.3%

4.4%

47.6

616.4

5.1%

18.7%

33.27

4.9

78.6%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.4%1,578,359,434Contract Allowance

Total Charges 2,210,689,968

28.6%

114.6%

-14.6%

20.2%

0.0%

5.6%

Current Assets

Fixed Assets

632,330,534

724,591,540

-92,261,006

127,869,333

0

35,608,327

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 448CR Beds 347

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 737 12,310,900 02 Capital Cost - Movable Equip 262 20,407,966

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

287 121,273,532 203,808,927

0.551298418 23,905,853 43,362,837

0.595035

Ratio

0.227371399 43,977,263 193,416,738

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 185 77,409,235 05 Administrative and General 514 77,937,223

06 Maintenance and Repairs 38 31,334,775 07 Operation of Plant 1,282 4,969,214

08/09 Laundry / Housekeeping 562 6,588,727 10/11 Dietary and Cafeteria 518 4,728,636

13 Nursing Administration 382 7,115,252 14 Central Service and Supply 546 2,804,318

15 Pharmancy 306 10,633,472 16 Medical Records 224 6,350,388

Selected Revenue Departments

0.590988159 16,301,598 27,583,625

0.135737169 44,604,060 328,605,868

376

17 Social Services 556 1,997,610 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 453 8,658,348

Revenue Ranking -

All Providers

10:04 AM

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050696

KECK HOSPITAL OF USC

1500 SAN PABLO STREET

LOS ANGELES, CA 90033

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

534,060,934

Income Statement

467,997,626

27,182,467

1,029,241,027

-80,267,011

316,130,301

793,377,737

1,029,241,027 -0.5%

6.1%

38.6

210.8

7.3%

17.6%

50.90

6.7

71.4%

Key Performanace Ind.

(6.7)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

69.5%2,608,517,498Contract Allowance

Total Charges 3,753,047,851

30.5%

106.4%

-6.4%

6.0%

0.0%

-0.4%

Current Assets

Fixed Assets

1,144,530,353

1,217,269,337

-72,738,984

68,692,869

0

(4,046,115)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 261CR Beds 219

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 147 37,749,283 02 Capital Cost - Movable Equip 85 39,536,923

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

236 134,074,975 227,922,089

0.40603454 81,642,998 201,074,087

0.588249

Ratio

0.181694110 88,473,300 486,936,173

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 97 219,963,749

06 Maintenance and Repairs 0 0 07 Operation of Plant 326 14,398,824

08/09 Laundry / Housekeeping 252 10,957,143 10/11 Dietary and Cafeteria 209 7,739,206

13 Nursing Administration 87 16,347,319 14 Central Service and Supply 207 6,110,823

15 Pharmancy 192 15,934,151 16 Medical Records 95 10,319,518

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

147

17 Social Services 852 1,213,375 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 209 22,352,142

Revenue Ranking -

All Providers

10:04 AM

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Page 203: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059819

KECK HOSPITAL OF USC

1500 SAN PABLO STREET

LOS ANGELES, CA 90033

LOS ANGELES

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 204: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054083

KEDREN COMMUNITY MENTAL HEALTH CENTER

4211 SOUTH AVALON BLVD

LOS ANGELES, CA 90011

LOS ANGELES

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Settled

Nonprofit - Other

Psychiatric

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 72CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 205: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052043

KENTFIELD HOSPITAL

1125 SIR FRANCIS DRAKE BLVD

KENTFIELD, CA 94904

MARIN

CGS (KENTUCKY)

6/30/2019 365 Days Settled

Proprietary - Corporation

General Long Term

Balance Sheet

19,643,183

Income Statement

841,104

1,737,094

22,221,381

4,003,712

26,119,495

-7,901,826

22,221,381 -40.6%

50.3%

28.4

91.4

1.0%

0.0%

49.7

78.3%

Key Performanace Ind.

4.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

56.6%91,597,857Contract Allowance

Total Charges 161,951,790

43.4%

95.8%

4.2%

0.4%

0.0%

4.6%

Current Assets

Fixed Assets

70,353,933

67,404,304

2,949,629

259,642

0

3,209,271

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 42CR Beds 100

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,219 7,393,796 02 Capital Cost - Movable Equip 2,518 1,625,073

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,208 43,967,339 104,163,678

0.0000000 0 0

0.422099

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,892 7,905,768 05 Administrative and General 3,049 8,039,251

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,403 891,007

08/09 Laundry / Housekeeping 2,763 1,035,924 10/11 Dietary and Cafeteria 2,701 1,007,226

13 Nursing Administration 1,858 1,549,782 14 Central Service and Supply 1,015 1,263,679

15 Pharmancy 1,786 1,507,568 16 Medical Records 3,294 352,456

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,606

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 206: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050315

KERN MEDICAL CENTER

1700 MOUNT VERNON AVENUE

BAKERSFIELD, CA 93306

KERN

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

219,393,483

Income Statement

53,097,342

107,555,203

380,046,028

169,072,400

406,557,360

-195,583,732

380,046,028 -28.3%

1.7%

84.2

783.2

2.8%

9.8%

42.06

5.1

63.1%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.9%645,050,176Contract Allowance

Total Charges 849,791,859

24.1%

198.5%

-98.5%

125.5%

0.0%

27.0%

Current Assets

Fixed Assets

204,741,683

406,418,919

-201,677,236

257,042,467

0

55,365,231

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 222CR Beds 182

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,480 2,797,607 02 Capital Cost - Movable Equip 5,283 49,411

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

784 63,615,407 141,034,186

0.4432121,221 8,942,913 20,177,490

0.451064

Ratio

0.700791990 22,764,236 32,483,614

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,525 4,499,648 05 Administrative and General 670 64,022,164

06 Maintenance and Repairs 534 4,946,243 07 Operation of Plant 1,248 5,116,537

08/09 Laundry / Housekeeping 545 6,668,717 10/11 Dietary and Cafeteria 739 3,908,270

13 Nursing Administration 852 3,690,708 14 Central Service and Supply 656 2,263,237

15 Pharmancy 470 7,429,111 16 Medical Records 180 7,626,128

Selected Revenue Departments

0.749335259 13,054,230 17,421,083

0.152881580 23,454,837 153,419,076

1,389

17 Social Services 650 1,684,493 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 281 15,859,457

Revenue Ranking -

All Providers

10:04 AM

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Page 207: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051314

KERN VALLEY HEALTHCARE DISTRICT

6412 LAUREL AVE

LAKE ISABELLA, CA 93240

KERN

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

11,314,826

Income Statement

4,536,964

7,848,669

23,700,459

5,750,179

19,022,934

-1,072,654

23,700,459 -46.9%

1.5%

48.3

406.8

1.7%

0.0%

4.0

19.3%

Key Performanace Ind.

2.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.9%82,255,803Contract Allowance

Total Charges 109,762,400

25.1%

101.1%

-1.1%

3.8%

0.9%

1.8%

Current Assets

Fixed Assets

27,506,597

27,809,503

-302,906

1,049,304

243,168

503,230

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 24

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,734 591,127 02 Capital Cost - Movable Equip 4,313 342,787

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,424 2,535,962 3,909,602

0.0000000 0 0

0.648650

Ratio

0.5300524,241 498,233 939,970

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,303 330,906 05 Administrative and General 4,511 3,473,022

06 Maintenance and Repairs 1,355 915,970 07 Operation of Plant 4,231 528,029

08/09 Laundry / Housekeeping 3,559 579,394 10/11 Dietary and Cafeteria 2,801 945,398

13 Nursing Administration 1,925 1,483,142 14 Central Service and Supply 3,552 9,972

15 Pharmancy 2,174 940,626 16 Medical Records 2,919 445,620

Selected Revenue Departments

0.0000000 0 0

0.2484933,304 3,101,580 12,481,552

3,842

17 Social Services 2,235 164,039 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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052038

KINDRED HOSPITAL -- LA MIRADA

14900 E IMPERIAL HWY

LA MIRADA, CA 90638

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

8/31/2019 365 Days Settled

Proprietary - Corporation

General Long Term

Balance Sheet

20,374,551

Income Statement

15,059,450

2,478,355

37,912,356

11,275,653

16,112,147

10,524,556

37,912,356 98.5%

6.2%

29.9

102.3

-0.1%

0.0%

36.50

26.6

61.2%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.8%296,902,260Contract Allowance

Total Charges 396,903,442

25.2%

89.9%

10.1%

0.2%

0.0%

10.4%

Current Assets

Fixed Assets

100,001,182

89,874,641

10,126,541

242,186

0

10,368,727

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 277CR Beds 197

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,519 2,736,703 02 Capital Cost - Movable Equip 2,625 1,467,870

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,266 41,643,770 143,997,490

0.2800141,192 9,177,714 32,775,965

0.289198

Ratio

1.1367933,232 2,700,403 2,375,457

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,067 6,670,031 05 Administrative and General 2,256 14,702,940

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,769 3,216,768

08/09 Laundry / Housekeeping 2,020 1,811,824 10/11 Dietary and Cafeteria 1,991 1,582,893

13 Nursing Administration 1,081 2,941,676 14 Central Service and Supply 1,961 349,939

15 Pharmancy 1,407 2,293,641 16 Medical Records 1,092 1,817,839

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,179

17 Social Services 891 1,117,531 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,430 213,736

Revenue Ranking -

All Providers

10:04 AM

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Page 209: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052032

KINDRED HOSPITAL - LOS ANGELES

5525 W SLAUSON AVENUE

LOS ANGELES, CA 90056

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Settled

Proprietary - Corporation

General Long Term

Balance Sheet

11,036,156

Income Statement

7,743,518

183,479

18,963,153

5,875,128

2,505,893

10,582,132

18,963,153 87.2%

5.4%

27.5

110.3

-0.5%

0.0%

36.42

54.9

92.8%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.6%237,069,187Contract Allowance

Total Charges 294,303,094

19.4%

84.2%

15.8%

0.3%

0.0%

16.1%

Current Assets

Fixed Assets

57,233,907

48,186,401

9,047,506

184,779

0

9,232,285

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 81CR Beds 76

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,955 482,573 02 Capital Cost - Movable Equip 3,078 969,436

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,893 24,258,728 122,967,032

0.2652052,063 3,555,421 13,406,289

0.197278

Ratio

0.3693524,159 644,543 1,745,065

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,898 3,277,474 05 Administrative and General 3,256 7,050,931

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,044 1,164,931

08/09 Laundry / Housekeeping 3,223 733,663 10/11 Dietary and Cafeteria 3,120 781,605

13 Nursing Administration 2,175 1,245,364 14 Central Service and Supply 3,101 65,575

15 Pharmancy 1,944 1,228,103 16 Medical Records 1,825 974,001

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,852

17 Social Services 1,223 694,112 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 210: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052036

KINDRED HOSPITAL - SAN DIEGO

1940 EL CAJON BLVD

SAN DIEGO, CA 92104

SAN DIEGO

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Settled

Proprietary - Corporation

General Long Term

Balance Sheet

9,459,081

Income Statement

1,313,679

7,314

10,780,074

2,951,530

7,472,579

355,965

10,780,074 104.7%

25.8%

19.6

157.2

0.8%

0.0%

38.61

36.9

77.0%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

69.3%89,749,284Contract Allowance

Total Charges 129,442,220

30.7%

99.6%

0.4%

0.5%

0.0%

0.9%

Current Assets

Fixed Assets

39,692,936

39,531,875

161,061

211,624

0

372,685

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 70CR Beds 62

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,154 3,471,995 02 Capital Cost - Movable Equip 3,423 705,992

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,261 18,302,560 54,350,101

0.4059771,735 5,102,213 12,567,752

0.336753

Ratio

2.0627773,846 1,173,264 568,779

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,310 2,444,745 05 Administrative and General 3,584 5,730,995

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,712 1,513,713

08/09 Laundry / Housekeeping 3,166 759,641 10/11 Dietary and Cafeteria 3,612 622,187

13 Nursing Administration 1,820 1,592,587 14 Central Service and Supply 2,586 149,193

15 Pharmancy 2,200 909,447 16 Medical Records 2,366 655,365

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,300

17 Social Services 1,302 625,608 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 211: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052034

KINDRED HOSPITAL - SAN FRANCISCO BAY AREA

2800 BENEDICT DRIVE

SAN LEANDRO, CA 94577

ALAMEDA

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Settled

Proprietary - Corporation

General Long Term

Balance Sheet

21,672,627

Income Statement

2,965,223

92,195

24,730,045

6,241,191

16,842,100

1,646,754

24,730,045 43.3%

15.6%

20.2

165.1

0.8%

0.0%

46.67

58.9

78.6%

Key Performanace Ind.

3.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.6%179,089,849Contract Allowance

Total Charges 243,246,915

26.4%

99.3%

0.7%

0.4%

0.0%

1.1%

Current Assets

Fixed Assets

64,157,066

63,719,524

437,542

275,718

0

713,260

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 99CR Beds 89

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 975 9,532,118 02 Capital Cost - Movable Equip 3,163 893,568

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,483 34,426,933 115,606,500

0.3026211,781 4,802,510 15,869,693

0.297794

Ratio

0.6699913,496 1,928,466 2,878,347

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,789 3,603,579 05 Administrative and General 3,032 8,091,428

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,018 2,638,588

08/09 Laundry / Housekeeping 2,724 1,060,857 10/11 Dietary and Cafeteria 3,258 734,221

13 Nursing Administration 2,160 1,256,153 14 Central Service and Supply 2,745 113,484

15 Pharmancy 1,937 1,240,387 16 Medical Records 1,765 1,028,722

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,718

17 Social Services 1,031 931,032 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 211

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Page 212: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052045

KINDRED HOSPITAL BALDWIN PARK

14148 FRANCISQUITO AVENUE

BALDWIN PARK, CA 91706

LOS ANGELES

PALMETTO (CALIFORNIA)

8/31/2019 365 Days Submitted

Proprietary - Corporation

General Long Term

Balance Sheet

5,473,819

Income Statement

1,531,549

21,514,174

28,519,542

3,603,062

21,383,099

3,533,381

28,519,542 64.3%

40.5%

23.5

63.1

0.7%

0.0%

36.41

29.2

71.4%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.7%168,551,908Contract Allowance

Total Charges 216,823,155

22.3%

95.6%

4.4%

0.3%

0.0%

4.7%

Current Assets

Fixed Assets

48,271,247

46,158,677

2,112,570

159,604

0

2,272,174

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 95CR Beds 83

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,119 8,114,284 02 Capital Cost - Movable Equip 2,805 1,264,068

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,906 24,111,245 89,378,054

0.4527121,837 4,467,452 9,868,207

0.269767

Ratio

2.6834723,607 1,652,812 615,923

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,164 2,714,663 05 Administrative and General 3,426 6,263,950

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,874 1,321,561

08/09 Laundry / Housekeeping 3,219 735,975 10/11 Dietary and Cafeteria 3,557 636,954

13 Nursing Administration 2,433 1,033,881 14 Central Service and Supply 2,869 94,954

15 Pharmancy 1,868 1,350,434 16 Medical Records 1,969 879,712

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,050

17 Social Services 1,134 799,798 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 213: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052039

KINDRED HOSPITAL BREA

875 N BREA BLVD

BREA, CA 92821

ORANGE

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Settled

Proprietary - Corporation

General Long Term

Balance Sheet

6,732,475

Income Statement

1,718,413

0

8,450,888

3,122,935

2,671,064

2,656,889

8,450,888 92.0%

22.2%

24.2

99.2

0.0%

0.0%

33.60

33.0

81.3%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.0%95,420,371Contract Allowance

Total Charges 134,456,854

29.0%

93.9%

6.1%

0.2%

0.0%

6.3%

Current Assets

Fixed Assets

39,036,483

36,654,828

2,381,655

62,405

0

2,444,060

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 48CR Beds 44

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,563 2,644,271 02 Capital Cost - Movable Equip 3,752 539,183

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,746 12,898,542 46,071,033

0.3668642,387 2,347,262 6,398,172

0.279971

Ratio

1.8091444,064 802,663 443,670

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,264 2,522,169 05 Administrative and General 3,988 4,597,529

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,336 938,928

08/09 Laundry / Housekeeping 3,214 737,568 10/11 Dietary and Cafeteria 4,237 460,649

13 Nursing Administration 2,634 897,666 14 Central Service and Supply 2,925 87,728

15 Pharmancy 2,271 839,715 16 Medical Records 2,618 544,699

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,321

17 Social Services 2,078 212,567 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 213

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Page 214: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052037

KINDRED HOSPITAL ONTARIO

550 NORTH MONTEREY

ONTARIO, CA 91764

SAN BERNARDINO

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Settled

Proprietary - Corporation

General Long Term

Balance Sheet

14,579,052

Income Statement

2,311,999

1,934,024

18,825,075

5,555,613

12,189,525

1,079,937

18,825,075 45.8%

13.1%

24.8

189.1

0.0%

0.0%

36.57

46.6

79.9%

Key Performanace Ind.

2.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.0%218,774,065Contract Allowance

Total Charges 273,351,217

20.0%

99.5%

0.5%

0.4%

0.0%

0.9%

Current Assets

Fixed Assets

54,577,152

54,279,725

297,427

197,429

0

494,856

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 91CR Beds 84

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,005 9,226,286 02 Capital Cost - Movable Equip 3,330 770,328

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,844 25,442,641 90,696,643

0.2920822,005 3,777,092 12,931,597

0.280525

Ratio

0.5421823,649 1,547,359 2,853,945

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,950 3,144,206 05 Administrative and General 3,208 7,254,951

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,751 1,466,700

08/09 Laundry / Housekeeping 3,313 690,352 10/11 Dietary and Cafeteria 3,808 568,988

13 Nursing Administration 2,560 948,477 14 Central Service and Supply 2,627 139,321

15 Pharmancy 1,903 1,301,930 16 Medical Records 1,872 942,282

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,909

17 Social Services 1,425 531,340 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 215: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052046

KINDRED HOSPITAL PARAMOUNT

16453 COLORADO AVENUE

PARAMOUNT, CA 90723

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

5/1/2019 305 Days Submitted

Proprietary - Corporation

General Long Term

8/31/2019 122 Days Submitted

Balance Sheet

11,233,911

Income Statement

0

0

11,233,911

59,136,993

3,166,915

-51,069,997

11,233,911 -26.8%

0.0%

111.0

81.7

0.8%

0.0%

39.23

66.0

48.3%

Key Performanace Ind.

0.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.3%194,240,867Contract Allowance

Total Charges 251,131,148

22.7%

105.7%

-5.7%

1.8%

-28.0%

24.1%

Current Assets

Fixed Assets

56,890,281

60,145,325

-3,255,044

1,011,784

-15,941,064

13,697,804

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 177CR Beds 163

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,173 3,422,297 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,464 34,842,495 66,962,557

0.0000000 0 0

0.520328

Ratio

1.0501082,995 3,656,773 3,482,284

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,180 6,046,008 05 Administrative and General 1,992 18,450,050

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,580 1,678,124

08/09 Laundry / Housekeeping 2,784 1,019,211 10/11 Dietary and Cafeteria 2,703 1,005,768

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,908 920,533

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,039

17 Social Services 2,237 146,865 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 216: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052046

KINDRED HOSPITAL PARAMOUNT

16453 COLORADO AVENUE

PARAMOUNT, CA 90723

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

5/1/2019 305 Days Submitted

Proprietary - Corporation

General Long Term

8/31/2019 122 Days Submitted

Balance Sheet

21,490,016

Income Statement

3,647,467

10,580,355

35,717,838

5,262,761

29,383,817

1,071,260

35,717,838 81.7%

29.2%

102.1

566.3

2.1%

0.0%

39.23

66.0

48.3%

Key Performanace Ind.

4.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.4%72,502,770Contract Allowance

Total Charges 94,848,502

23.6%

96.3%

3.7%

0.2%

0.0%

3.9%

Current Assets

Fixed Assets

22,345,732

21,511,380

834,352

40,457

0

874,809

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 177CR Beds 163

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,173 961,833 02 Capital Cost - Movable Equip 2,499 1,659,496

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,464 11,158,423 22,484,900

0.4459862,428 2,231,099 5,002,620

0.496263

Ratio

0.6649032,995 590,832 888,599

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,180 1,648,846 05 Administrative and General 1,992 3,096,002

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,580 728,570

08/09 Laundry / Housekeeping 2,784 496,032 10/11 Dietary and Cafeteria 2,703 453,318

13 Nursing Administration 2,989 709,674 14 Central Service and Supply 2,934 86,561

15 Pharmancy 2,695 492,137 16 Medical Records 1,908 446,071

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,039

17 Social Services 2,237 163,945 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 217: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052049

KINDRED HOSPITAL RANCHO

10841 WHITE OAK AVENUE

RANCHO CUCAMONGA, CA 91730

SAN BERNARDINO

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Submitted

Proprietary - Corporation

General Long Term

Balance Sheet

7,787,051

Income Statement

16,627,598

126,181

24,540,830

4,155,345

16,503,755

3,881,730

24,540,830 2.5%

11.2%

31.9

117.0

1.2%

0.0%

35.53

27.0

89.5%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

81.8%166,615,139Contract Allowance

Total Charges 203,613,070

18.2%

100.5%

-0.5%

0.7%

0.0%

0.3%

Current Assets

Fixed Assets

36,997,931

37,172,145

-174,214

269,361

0

95,147

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 55CR Beds 47

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,118 1,842,406 02 Capital Cost - Movable Equip 2,880 1,170,170

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,628 13,922,534 65,040,198

0.2933022,043 3,665,056 12,495,834

0.214060

Ratio

0.2424152,910 4,008,094 16,534,000

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,288 2,471,578 05 Administrative and General 3,522 5,953,083

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,598 1,658,748

08/09 Laundry / Housekeeping 3,625 550,566 10/11 Dietary and Cafeteria 3,568 633,682

13 Nursing Administration 2,400 1,055,578 14 Central Service and Supply 2,951 84,383

15 Pharmancy 2,177 937,102 16 Medical Records 2,207 740,794

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,383

17 Social Services 2,038 226,740 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 217

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Page 218: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052052

KINDRED HOSPITAL RIVERSIDE

2224 MEDICAL CENTER DRIVE

PERRIS, CA 92571

RIVERSIDE

NATIONAL GOVERNMENT SERVICES

8/31/2019 365 Days Submitted

Proprietary - Corporation

General Long Term

Balance Sheet

4,459,403

Income Statement

1,191,797

3,029,245

8,680,445

2,435,459

6,918,891

-673,905

8,680,445 80.9%

12.9%

25.4

74.5

0.6%

0.0%

40.09

30.7

84.6%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.3%99,089,794Contract Allowance

Total Charges 124,988,187

20.7%

102.3%

-2.3%

0.1%

0.0%

-2.1%

Current Assets

Fixed Assets

25,898,393

26,481,474

-583,081

37,860

0

(545,221)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 40CR Beds 32

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,866 1,165,322 02 Capital Cost - Movable Equip 3,977 455,486

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,063 10,571,998 46,522,740

0.3352111,891 4,270,921 12,740,987

0.227244

Ratio

0.7536593,836 1,180,230 1,565,999

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,817 1,769,900 05 Administrative and General 4,026 4,494,837

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,407 888,400

08/09 Laundry / Housekeeping 4,369 352,673 10/11 Dietary and Cafeteria 3,204 750,975

13 Nursing Administration 2,528 965,996 14 Central Service and Supply 3,213 52,626

15 Pharmancy 2,398 724,164 16 Medical Records 2,959 434,896

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,940

17 Social Services 1,656 406,863 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 219: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052050

KINDRED HOSPITAL SOUTH BAY

1246 WEST 155TH STREET

GARDENA, CA 90247

LOS ANGELES

PALMETTO (CALIFORNIA)

8/31/2019 365 Days Submitted

Proprietary - Corporation

General Long Term

Balance Sheet

10,025,801

Income Statement

1,300,451

1,182,464

12,508,716

3,596,565

5,583,737

3,328,414

12,508,716 95.9%

13.2%

28.5

147.0

1.3%

0.0%

36.46

35.6

89.8%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.2%133,227,660Contract Allowance

Total Charges 170,271,601

21.8%

91.7%

8.3%

0.3%

0.0%

8.6%

Current Assets

Fixed Assets

37,043,941

33,952,118

3,091,823

101,306

0

3,193,129

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 38CR Beds 50

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,885 2,152,043 02 Capital Cost - Movable Equip 3,216 845,768

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,423 16,020,998 68,860,293

0.3835542,213 2,955,057 7,704,407

0.232659

Ratio

0.3364853,535 1,826,978 5,429,604

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,668 1,942,755 05 Administrative and General 3,603 5,641,862

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,330 943,636

08/09 Laundry / Housekeeping 3,637 544,124 10/11 Dietary and Cafeteria 3,493 653,920

13 Nursing Administration 2,601 921,043 14 Central Service and Supply 3,138 61,647

15 Pharmancy 2,144 965,989 16 Medical Records 2,652 530,018

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,381

17 Social Services 1,587 440,954 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 220: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052035

KINDRED HOSPITAL WESTMINSTER

200 HOSPITAL CIRCLE

WESTMINSTER, CA 92683

ORANGE

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Settled

Proprietary - Corporation

General Long Term

Balance Sheet

15,494,635

Income Statement

2,191,191

0

17,685,826

4,293,278

12,128,363

1,264,185

17,685,826 95.7%

17.2%

20.6

163.5

-0.7%

0.0%

38.33

36.3

78.7%

Key Performanace Ind.

3.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.3%309,563,044Contract Allowance

Total Charges 376,223,672

17.7%

98.3%

1.7%

0.1%

0.0%

1.8%

Current Assets

Fixed Assets

66,660,628

65,545,274

1,115,354

95,056

0

1,210,410

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 109CR Beds 93

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,273 7,062,809 02 Capital Cost - Movable Equip 3,006 1,050,464

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,731 27,724,692 141,381,813

0.2574511,131 9,691,410 37,643,756

0.196098

Ratio

0.4224173,486 1,955,634 4,629,626

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,647 4,037,514 05 Administrative and General 2,644 11,000,466

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,487 1,811,396

08/09 Laundry / Housekeeping 3,026 846,733 10/11 Dietary and Cafeteria 2,645 1,039,532

13 Nursing Administration 2,368 1,073,821 14 Central Service and Supply 2,792 107,145

15 Pharmancy 1,698 1,683,593 16 Medical Records 1,501 1,272,838

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,676

17 Social Services 1,348 579,442 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 220

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Page 221: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050763

L A DOWNTOWN MEDICAL CENTER

1711 WEST TEMPLE STREET

LOS ANGELES, CA 90026

LOS ANGELES

Noridian (CA)

12/31/2019 303 Days Submitted

Proprietary - Corporation

General Short Term

3/3/2019 62 Days Submitted

Balance Sheet

52,027,566

Income Statement

9,817,354

1,408,656

63,253,576

40,044,106

28,864,154

-5,654,684

63,253,576 19.2%

0.4%

346.1

5,243.2

3.3%

64.9%

24.89

8.9

62.3%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.4%31,224,881Contract Allowance

Total Charges 39,809,307

21.6%

141.4%

-41.4%

28.8%

0.0%

-12.6%

Current Assets

Fixed Assets

8,584,426

12,142,661

-3,558,235

2,472,837

0

(1,085,398)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 187CR Beds 222

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,293 1,884,439 02 Capital Cost - Movable Equip 4,804 194,293

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,652 8,885,637 21,757,450

0.7047742,298 608,044 862,750

0.408395

Ratio

0.5128412,543 787,998 1,536,536

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,637 643,756 05 Administrative and General 2,855 7,275,964

06 Maintenance and Repairs 745 603,428 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 2,162 301,384 10/11 Dietary and Cafeteria 1,951 309,372

13 Nursing Administration 1,966 343,145 14 Central Service and Supply 1,938 56,673

15 Pharmancy 2,173 217,042 16 Medical Records 1,907 266,437

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,655

17 Social Services 1,124 190,944 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,500 36,994

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 221

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Page 222: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050763

L A DOWNTOWN MEDICAL CENTER

1711 WEST TEMPLE STREET

LOS ANGELES, CA 90026

LOS ANGELES

Noridian (CA)

12/31/2019 303 Days Submitted

Proprietary - Corporation

General Short Term

3/3/2019 62 Days Submitted

Balance Sheet

15,411,185

Income Statement

2,543,649

53,429,933

71,384,767

19,278,907

51,940,947

164,913

71,384,767 99.4%

2.0%

92.5

815.3

0.4%

8.2%

24.89

8.9

62.3%

Key Performanace Ind.

0.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

68.3%146,691,203Contract Allowance

Total Charges 214,775,484

31.7%

102.2%

-2.2%

2.5%

0.0%

0.2%

Current Assets

Fixed Assets

68,084,281

69,606,204

-1,521,923

1,685,836

0

163,913

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 187CR Beds 222

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,293 6,923,593 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,652 29,586,887 109,985,662

0.3929592,298 2,666,190 6,784,903

0.269007

Ratio

0.3129232,543 5,776,177 18,458,787

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,637 4,075,918 05 Administrative and General 2,855 9,242,945

06 Maintenance and Repairs 745 3,290,452 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 2,162 1,619,858 10/11 Dietary and Cafeteria 1,951 1,621,550

13 Nursing Administration 1,966 1,443,614 14 Central Service and Supply 1,938 367,094

15 Pharmancy 2,173 941,341 16 Medical Records 1,907 920,726

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,655

17 Social Services 1,124 810,792 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,500 140,712

Revenue Ranking -

All Providers

10:04 AM

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Page 223: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050580

LA PALMA INTERCOMMUNITY HOSPITAL

7901 WALKER STREET

LA PALMA, CA 90623

ORANGE

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

18,484,577

Income Statement

29,813,412

6,880,471

55,178,460

8,541,639

712,559

45,924,262

55,178,460 -5.3%

6.6%

29.9

656.1

2.8%

28.7%

38.26

1.0

23.5%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

72.7%133,562,077Contract Allowance

Total Charges 183,776,761

27.3%

105.7%

-5.7%

0.8%

0.0%

-4.9%

Current Assets

Fixed Assets

50,214,684

53,075,183

-2,860,499

406,932

819

(2,454,386)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 129CR Beds 116

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,719 2,370,410 02 Capital Cost - Movable Equip 2,701 1,384,558

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,668 13,585,312 36,293,250

0.4956512,010 3,759,610 7,585,200

0.374321

Ratio

0.1930973,241 2,684,037 13,899,977

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,313 325,994 05 Administrative and General 2,791 9,824,545

06 Maintenance and Repairs 1,349 924,417 07 Operation of Plant 3,107 1,116,748

08/09 Laundry / Housekeeping 2,823 989,143 10/11 Dietary and Cafeteria 2,373 1,226,610

13 Nursing Administration 2,297 1,136,761 14 Central Service and Supply 2,832 100,048

15 Pharmancy 2,014 1,124,559 16 Medical Records 2,629 538,223

Selected Revenue Departments

0.0000000 0 0

0.2278522,369 5,620,808 24,668,669

2,994

17 Social Services 2,240 162,722 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 224: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059818

LAC HARBOR-UCLA MEDICAL CENTER

1000 W CARSON STREET

TORRANCE, CA 90509

LOS ANGELES

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 224

Healthcare Almanac 561-594-7551

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Page 225: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050376

LAC/HARBOR-UCLA MED CENTER

1000 W CARSON ST

TORRANCE, CA 90502

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

379,072,339

Income Statement

307,016,047

196,495,269

882,583,655

306,783,789

1,770,301,242

-1,194,501,376

882,583,655 27.1%

7.2%

48.5

2,436.8

1.5%

6.7%

45.18

5.2

63.6%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

65.0%1,425,447,553Contract Allowance

Total Charges 2,191,560,968

35.0%

143.0%

-43.0%

0.7%

0.0%

-42.3%

Current Assets

Fixed Assets

766,113,415

1,095,484,694

-329,371,279

5,463,433

0

(323,907,846)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 538CR Beds 311

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 81 51,867,607 02 Capital Cost - Movable Equip 782 9,862,761

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

217 140,258,215 71,814

3,547.541034

142 49,970,663 14,086

1,953.076211

Ratio

5.629654344 48,185,979 8,559,315

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 485 37,384,305 05 Administrative and General 177 161,891,932

06 Maintenance and Repairs 23 38,911,268 07 Operation of Plant 1,141 5,706,500

08/09 Laundry / Housekeeping 215 11,780,943 10/11 Dietary and Cafeteria 365 5,694,849

13 Nursing Administration 46 21,596,666 14 Central Service and Supply 523 2,885,756

15 Pharmancy 171 17,472,928 16 Medical Records 123 8,995,818

Selected Revenue Departments

59.870816317 11,760,185 196,426

1,012.975406

22 94,071,987 92,867

278

17 Social Services 386 2,934,459 18 Other General Service Cost 124 7,227,422

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 225

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Page 226: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

19 Non Physician Anesthetists 0 0 20-23 Education Programs 83 55,293,896

050040

LAC/OLIVE VIEW-UCLA MEDICAL CENTER

14445 OLIVE VIEW DRIVE

SYLMAR, CA 91342

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0

0.0%

0.0%

44.97

4.8

53.7%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

664,827,553

-664,827,553

0

0

(664,827,553)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 324CR Beds 238

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 546 15,721,427 02 Capital Cost - Movable Equip 1,018 7,622,475

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

435 96,608,768 45,637

5,066.365497

313 29,455,849 5,814

2,116.895677

Ratio

4.1727081,426 15,548,198 3,726,165

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 676 27,822,615 05 Administrative and General 271 121,178,991

06 Maintenance and Repairs 47 27,153,538 07 Operation of Plant 884 7,234,177

08/09 Laundry / Housekeeping 308 9,562,338 10/11 Dietary and Cafeteria 722 3,963,600

13 Nursing Administration 326 8,140,220 14 Central Service and Supply 491 3,041,294

15 Pharmancy 225 14,229,083 16 Medical Records 200 7,016,895

Selected Revenue Departments

44.856179517 8,898,524 198,379

961.190241

45 72,685,206 75,620

5,877Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 226

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Page 227: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

17 Social Services 498 2,269,224 18 Other General Service Cost 139 6,351,531

19 Non Physician Anesthetists 0 0 20-23 Education Programs 242 20,137,720

050717

LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR

7601 EAST IMPERIAL HIGHWAY

DOWNEY, CA 90242

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

203,292,972

Income Statement

89,688,737

0

292,981,709

-293,375,841

0

-18,292,658

-311,668,499 -368.7%

2.4%

(60.9)

188.0

0.6%

2.5%

40.97

10.3

52.8%

Key Performanace Ind.

(0.7)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

58.4%449,285,774Contract Allowance

Total Charges 769,509,863

41.6%

79.7%

20.3%

0.8%

0.0%

21.1%

Current Assets

Fixed Assets

320,224,089

255,261,225

64,962,864

2,475,186

0

67,438,050

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 289CR Beds 102

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 576 14,978,203 02 Capital Cost - Movable Equip 1,525 4,422,856

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,049 49,698,916 21,281

8,997.449357

1,551 6,307,212 701

2,335.365631

Ratio

11.2734581,694 12,275,274 1,088,865

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,189 15,134,661 05 Administrative and General 704 62,173,235

06 Maintenance and Repairs 168 12,411,744 07 Operation of Plant 1,106 5,877,901

08/09 Laundry / Housekeeping 471 7,279,942 10/11 Dietary and Cafeteria 811 3,665,956

13 Nursing Administration 202 10,655,070 14 Central Service and Supply 1,735 486,462

15 Pharmancy 473 7,388,989 16 Medical Records 623 3,085,293

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

926Revenue Ranking -

All Providers

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Page 228: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

17 Social Services 510 2,207,605 18 Other General Service Cost 237 2,139,967

19 Non Physician Anesthetists 0 0 20-23 Education Programs 965 1,806,317

050373

LAC+USC MEDICAL CENTER

1200 N STATE ST, ROOM C2K100

LOS ANGELES, CA 90033

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

1,296,626,061

Income Statement

102,242,807

0

1,398,868,868

484,732,858

0

-87,354,044

397,378,814 -1,439.9%

14.6%

(38.6)

145.7

0.6%

2.6%

38.70

5.8

81.1%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

26.6%1,057,129,952Contract Allowance

Total Charges 3,977,954,213

73.4%

58.3%

41.7%

1.3%

0.0%

43.1%

Current Assets

Fixed Assets

2,920,824,261

1,701,923,832

1,218,900,429

38,939,378

0

1,257,839,807

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 1,395CR Beds 396

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 194 31,552,283 02 Capital Cost - Movable Equip 517 13,094,966

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

31 294,926,146 133,539

3,499.403522

19 122,997,035 35,148

2,208.539423

Ratio

4.154518322 50,127,421 12,065,760

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 194 74,350,785 05 Administrative and General 35 307,494,231

06 Maintenance and Repairs 8 61,876,471 07 Operation of Plant 123 24,595,833

08/09 Laundry / Housekeeping 25 28,922,144 10/11 Dietary and Cafeteria 52 13,732,577

13 Nursing Administration 9 43,417,748 14 Central Service and Supply 540 2,836,917

Selected Revenue Departments

57.114737112 18,997,618 332,622

698.411230

11 109,341,167 156,557

16Revenue Ranking -

All Providers

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Page 229: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

15 Pharmancy 66 33,920,502 16 Medical Records 15 21,163,119

17 Social Services 243 4,145,781 18 Other General Service Cost 80 15,238,590

19 Non Physician Anesthetists 0 0 20-23 Education Programs 55 71,847,988

All Providers

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Page 230: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050668

LAGUNA HONDA HOSPITAL & REHABILITATION CENTER

375 LAGUNA HONDA BLVD

SAN FRANCISCO, CA 94116

SAN FRANCISCO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - City-County

General Short Term

Balance Sheet

146,067,059

Income Statement

488,717,073

89,593,198

724,377,330

107,142,648

457,286,240

159,948,442

724,377,330 38.9%

2.2%

38.6

119.0

0.2%

0.2%

49.41

3.9

4.2%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

57.6%243,692,917Contract Allowance

Total Charges 423,268,047

42.4%

149.4%

-49.4%

88.2%

4.1%

34.7%

Current Assets

Fixed Assets

179,575,130

268,208,097

-88,632,967

158,298,700

7,378,517

62,287,216

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 11CR Beds 6

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 285 25,224,280 02 Capital Cost - Movable Equip 2,130 2,431,383

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

6,048 184,768 612,498

0.0000000 0 0

0.301663

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,209 14,836,280 05 Administrative and General 1,533 28,120,587

06 Maintenance and Repairs 108 16,251,199 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 153 13,948,590 10/11 Dietary and Cafeteria 50 13,964,413

13 Nursing Administration 220 10,240,266 14 Central Service and Supply 1,671 539,333

15 Pharmancy 673 5,367,135 16 Medical Records 711 2,744,274

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

1,519

17 Social Services 96 7,483,570 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 231: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050581

LAKEWOOD REGIONAL MEDICAL CENTER

3700 E SOUTH ST

LAKEWOOD, CA 90712

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

5/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

71,342,645

Income Statement

38,798,537

7,821,834

117,963,016

22,619,409

389,020

94,954,587

117,963,016 25.5%

3.1%

23.7

350.0

3.1%

14.5%

46.64

4.7

65.1%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

86.8%1,392,015,176Contract Allowance

Total Charges 1,603,301,087

13.2%

88.6%

11.4%

0.0%

0.0%

11.4%

Current Assets

Fixed Assets

211,285,911

187,199,120

24,086,791

104,350

0

24,191,141

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 170CR Beds 140

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,410 1,540,902 02 Capital Cost - Movable Equip 1,495 4,561,492

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,067 49,272,691 161,585,136

0.302523556 19,080,748 63,071,982

0.304933

Ratio

0.0889251,559 13,833,624 155,565,848

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 975 46,756,777

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,196 5,426,085

08/09 Laundry / Housekeeping 1,841 2,108,548 10/11 Dietary and Cafeteria 1,552 2,090,564

13 Nursing Administration 1,365 2,231,544 14 Central Service and Supply 1,936 367,459

15 Pharmancy 980 3,705,718 16 Medical Records 883 2,270,035

Selected Revenue Departments

0.0000000 0 0

0.0753781,216 13,093,693 173,707,677

1,367

17 Social Services 0 0 18 Other General Service Cost 420 379,836

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,435 208,504

Revenue Ranking -

All Providers

10:04 AM

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Page 232: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054144

LANGLEY PORTER PSYCHIATRIC INSTITUTE

401 PARNASSUS AVENUE

SAN FRANCISCO, CA 94143

SAN FRANCISCO

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - State

Psychiatric

Balance Sheet

-28,581,886

Income Statement

1,717,317

7,042,240

-19,822,329

-1,460,280

-23,321,371

32,178,684

7,397,033 -40.6%

0.0%

(9.8)

41.8

4.2%

0.0%

9.3

26.7%

Key Performanace Ind.

19.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

60.4%40,185,749Contract Allowance

Total Charges 66,571,181

39.6%

159.0%

-59.0%

9.5%

0.0%

-49.5%

Current Assets

Fixed Assets

26,385,432

41,955,542

-15,570,110

2,509,283

0

(13,060,827)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 67CR Beds 56

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,720 126,941 02 Capital Cost - Movable Equip 5,343 36,059

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,589 14,229,629 19,190,333

0.0000000 0 0

0.741500

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,365 2,346,982 05 Administrative and General 2,969 8,422,025

06 Maintenance and Repairs 1,267 1,084,369 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 5,150 209,263 10/11 Dietary and Cafeteria 4,070 500,023

13 Nursing Administration 3,601 463,677 14 Central Service and Supply 0 0

15 Pharmancy 2,333 783,766 16 Medical Records 3,494 309,818

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,908

17 Social Services 2,231 164,493 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 860 2,518,555

Revenue Ranking -

All Providers

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Page 233: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05098E

LAS ENCINAS HOSP

2900 E DEL MAR BLVD

PASADENA, CA 91107

LOS ANGELES

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 125CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 234: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054093

LOMA LINDA UNIVERSITY BEHAVIORAL MED CTR

1710 BARTON ROAD

REDLANDS, CA 92373

SAN BERNARDINO

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Church

Psychiatric

Balance Sheet

30,342,949

Income Statement

24,969,932

0

55,312,881

43,846,614

21,396,184

-9,929,917

55,312,881 61.8%

4.2%

61.3

206.5

1.5%

0.0%

6.5

80.7%

Key Performanace Ind.

0.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

64.4%66,185,386Contract Allowance

Total Charges 102,694,539

35.6%

120.0%

-20.0%

3.2%

0.0%

-16.8%

Current Assets

Fixed Assets

36,509,153

43,815,285

-7,306,132

1,167,006

0

(6,139,126)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 89CR Beds 89

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,199 1,757,316 02 Capital Cost - Movable Equip 4,181 383,081

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,091 20,930,906 51,672,552

0.0000000 0 0

0.405068

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,392 258,606 05 Administrative and General 2,870 9,128,844

06 Maintenance and Repairs 0 0 07 Operation of Plant 4,138 558,304

08/09 Laundry / Housekeeping 0 (27,234) 10/11 Dietary and Cafeteria 0 -370

13 Nursing Administration 3,574 471,407 14 Central Service and Supply 0 0

15 Pharmancy 0 (78,637) 16 Medical Records 5,607 2,099

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,397

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,266 468,940

Revenue Ranking -

All Providers

10:04 AM

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Page 235: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050778

LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL

11234 ANDERSON STREET SUITE A

LOMA LINDA, CA 92354

SAN BERNARDINO

DUMMY FOR MEDICAID HHA

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

243,976,659

Income Statement

32,798,603

1,140,340,482

1,417,115,744

812,867,116

290,778,161

313,470,467

1,417,115,744 119.2%

40.0%

124.0

437.0

0.0%

0.2%

71.80

8.2

71.1%

Key Performanace Ind.

0.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

72.1%1,678,488,502Contract Allowance

Total Charges 2,326,857,628

27.9%

67.4%

32.6%

25.0%

0.0%

57.6%

Current Assets

Fixed Assets

648,369,126

436,840,573

211,528,553

162,105,208

0

373,633,761

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 343CR Beds 160

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 439 18,682,484 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

700 69,809,572 217,107,771

0.0000000 0 0

0.321543

Ratio

0.0649281,795 11,271,738 173,604,941

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,447 11,982,173 05 Administrative and General 559 73,536,720

06 Maintenance and Repairs 501 5,347,646 07 Operation of Plant 3,872 658,397

08/09 Laundry / Housekeeping 571 6,500,164 10/11 Dietary and Cafeteria 749 3,874,809

13 Nursing Administration 67 18,573,626 14 Central Service and Supply 1,913 375,818

15 Pharmancy 48 39,065,128 16 Medical Records 1,619 1,141,630

Selected Revenue Departments

0.61771680 21,754,231 35,217,178

46,146,430,000,000.000000

2,664 4,614,643 0

361

17 Social Services 631 1,765,373 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 432 9,216,793

Revenue Ranking -

All Providers

10:04 AM

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Page 236: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050327

LOMA LINDA UNIVERSITY MEDICAL CENTER

11234 ANDERSON ST

LOMA LINDA, CA 92354

SAN BERNARDINO

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

445,887,509

Income Statement

743,361,219

3,628,959,489

4,818,208,217

1,957,922,207

1,851,609,486

-754,297,980

3,055,233,713 -8.2%

0.4%

68.3

691.8

5.9%

14.6%

43.96

5.3

71.0%

Key Performanace Ind.

0.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.2%4,855,888,764Contract Allowance

Total Charges 5,905,346,897

17.8%

123.3%

-23.3%

29.2%

0.0%

5.9%

Current Assets

Fixed Assets

1,049,458,133

1,293,679,238

-244,221,105

306,038,983

0

61,817,878

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 881CR Beds 339

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 146 38,002,065 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

249 130,497,061 440,731,447

0.147882199 40,594,293 274,505,324

0.296092

Ratio

0.085095149 78,759,355 925,545,697

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 (190,202) 05 Administrative and General 147 173,902,892

06 Maintenance and Repairs 83 19,855,995 07 Operation of Plant 2,282 2,152,944

08/09 Laundry / Housekeeping 105 16,665,351 10/11 Dietary and Cafeteria 59 13,399,062

13 Nursing Administration 63 19,081,201 14 Central Service and Supply 0 -5,195,607

15 Pharmancy 89 28,427,992 16 Medical Records 538 3,430,841

Selected Revenue Departments

0.0015112,724 51 33,752

0.15129052 67,073,988 443,346,996

178

17 Social Services 197 4,815,927 18 Other General Service Cost 47 28,425,749

19 Non Physician Anesthetists 0 0 20-23 Education Programs 143 35,169,466

Revenue Ranking -

All Providers

10:04 AM

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Page 237: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050770

LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA

28062 BAXTER ROAD

MURRIETA, CA 92563

RIVERSIDE

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

122,728,690

Income Statement

24,707,622

20,231,174

167,667,486

140,204,800

201,096,575

-173,633,889

167,667,486 6.8%

-11.6%

43.8

815.7

5.4%

14.5%

41.97

4.2

91.7%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.0%919,472,727Contract Allowance

Total Charges 1,121,594,844

18.0%

112.7%

-12.7%

6.8%

0.0%

-5.8%

Current Assets

Fixed Assets

202,122,117

227,765,252

-25,643,135

13,829,231

0

(11,813,904)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 106CR Beds 93

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 578 14,921,704 02 Capital Cost - Movable Equip 3,336 766,921

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,165 45,263,813 151,241,445

0.2561361,063 10,372,108 40,494,546

0.299282

Ratio

0.1487941,085 20,966,270 140,907,993

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,170 6,079,157 05 Administrative and General 1,676 24,548,532

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,476 4,206,847

08/09 Laundry / Housekeeping 1,604 2,544,131 10/11 Dietary and Cafeteria 982 3,213,784

13 Nursing Administration 604 4,997,598 14 Central Service and Supply 1,700 515,659

15 Pharmancy 1,216 2,878,906 16 Medical Records 1,402 1,382,558

Selected Revenue Departments

0.412283903 5,280,502 12,807,961

0.202612765 18,890,059 93,232,651

1,398

17 Social Services 598 1,860,779 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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059814

LOMA LINDA UNIVERSITY MEDICAL CENTER, TRANSPLANT I

11234 ANDERSON STREET

LOMA LINDA, CA 92354

SAN BERNARDINO

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 239: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050110

LOMPOC VALLEY MEDICAL CENTER

1515 E OCEAN AVENUE

LOMPOC, CA 93436

SANTA BARBARA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

46,431,569

Income Statement

79,103,331

4,571,236

130,106,136

13,656,474

72,361,711

44,087,951

130,106,136 -6.1%

2.3%

37.2

83.7

5.3%

9.1%

31.02

4.0

33.2%

Key Performanace Ind.

3.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

47.7%85,382,208Contract Allowance

Total Charges 179,169,201

52.3%

110.7%

-10.7%

7.8%

0.0%

-2.9%

Current Assets

Fixed Assets

93,786,993

103,803,356

-10,016,363

7,320,611

0

(2,695,752)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 170CR Beds 54

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,514 5,724,570 02 Capital Cost - Movable Equip 5,490 1,041

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,055 10,635,073 7,673,950

0.9013642,178 3,071,284 3,407,372

1.385867

Ratio

0.5725922,102 8,623,744 15,060,899

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,248 370,735 05 Administrative and General 2,462 12,589,037

06 Maintenance and Repairs 1,286 1,047,593 07 Operation of Plant 3,053 1,155,087

08/09 Laundry / Housekeeping 1,772 2,230,981 10/11 Dietary and Cafeteria 2,222 1,353,708

13 Nursing Administration 1,439 2,068,993 14 Central Service and Supply 2,008 331,142

15 Pharmancy 1,913 1,284,464 16 Medical Records 1,576 1,188,159

Selected Revenue Departments

1.5034842,146 665,833 442,860

0.3556421,662 9,144,216 25,711,850

2,268

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 240: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050485

LONG BEACH MEMORIAL MEDICAL CENTER

2801 ATLANTIC AVE

LONG BEACH, CA 90806

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

1,311,745,010

Income Statement

102,834,618

5,542,862

1,420,122,490

133,108,231

24,657,139

1,262,357,120

1,420,122,490 4.8%

1.7%

33.2

1,122.6

3.7%

13.0%

44.28

4.5

64.7%

Key Performanace Ind.

9.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.8%2,037,078,375Contract Allowance

Total Charges 2,723,887,771

25.2%

96.4%

3.6%

5.3%

0.0%

8.9%

Current Assets

Fixed Assets

686,809,396

662,279,066

24,530,330

36,487,670

0

61,018,000

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 528CR Beds 309

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,278 7,021,271 02 Capital Cost - Movable Equip 3,267 808,287

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

369 106,562,835 394,266,775

0.294147220 38,405,228 130,564,891

0.270281

Ratio

0.160680325 50,003,750 311,200,507

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 630 29,399,047 05 Administrative and General 338 99,792,345

06 Maintenance and Repairs 1,503 646,518 07 Operation of Plant 659 9,093,773

08/09 Laundry / Housekeeping 399 8,259,994 10/11 Dietary and Cafeteria 636 4,240,139

13 Nursing Administration 172 11,622,635 14 Central Service and Supply 370 3,883,252

15 Pharmancy 149 18,904,298 16 Medical Records 1,638 1,124,678

Selected Revenue Departments

0.0000000 0 0

0.169039229 39,076,138 231,166,441

332

17 Social Services 625 1,780,151 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 565 5,929,686

Revenue Ranking -

All Providers

10:04 AM

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Page 241: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050551

LOS ALAMITOS MEDICAL CENTER

3751 KATELLA AVENUE

LOS ALAMITOS, CA 90720

ORANGE

WISCONSIN PHYSICIANS SERVICE

5/31/2019 365 Days Amended

Proprietary - Corporation

General Short Term

Balance Sheet

62,997,122

Income Statement

76,835,412

23,903,587

163,736,121

23,143,530

20,460,884

120,131,707

163,736,121 16.0%

3.8%

22.1

397.2

5.6%

13.9%

47.28

4.7

77.9%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

87.9%1,562,934,156Contract Allowance

Total Charges 1,778,551,493

12.1%

91.8%

8.2%

0.7%

0.0%

8.9%

Current Assets

Fixed Assets

215,617,337

197,900,517

17,716,820

1,487,882

0

19,204,702

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 146CR Beds 129

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,678 5,047,039 02 Capital Cost - Movable Equip 1,287 5,754,095

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,115 47,383,540 190,040,177

0.225276655 16,858,103 74,833,014

0.249334

Ratio

0.0676511,556 13,888,962 205,304,566

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,147 15,845,743 05 Administrative and General 1,238 36,988,130

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,250 5,113,562

08/09 Laundry / Housekeeping 1,561 2,620,323 10/11 Dietary and Cafeteria 1,907 1,669,190

13 Nursing Administration 1,740 1,683,517 14 Central Service and Supply 1,591 599,330

15 Pharmancy 1,579 1,922,645 16 Medical Records 1,002 1,976,215

Selected Revenue Departments

0.448266831 5,785,373 12,906,122

0.0772091,460 10,903,432 141,219,849

1,346

17 Social Services 0 0 18 Other General Service Cost 369 560,553

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 242: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050663

LOS ANGELES COMMUNITY HOSPITAL

4081 E OLYMPIC BLVD

LOS ANGELES, CA 90023

LOS ANGELES

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

555,372,627

Income Statement

45,524,519

1,070,000

601,967,146

29,629,205

2,248,294

570,089,647

601,967,146 9.2%

8.8%

59.5

54.7

0.6%

18.7%

34.88

5.1

49.1%

Key Performanace Ind.

18.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.8%444,109,430Contract Allowance

Total Charges 618,824,997

28.2%

70.4%

29.6%

0.6%

0.0%

30.1%

Current Assets

Fixed Assets

174,715,567

123,073,102

51,642,465

981,704

0

52,624,169

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 150CR Beds 263

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,292 3,143,242 02 Capital Cost - Movable Equip 1,688 3,736,127

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,014 51,161,187 143,972,392

0.5182661,127 9,705,803 18,727,445

0.355354

Ratio

0.2054572,476 6,234,845 30,346,262

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 1,130 40,482,162

06 Maintenance and Repairs 911 2,270,944 07 Operation of Plant 3,524 818,926

08/09 Laundry / Housekeeping 1,753 2,257,234 10/11 Dietary and Cafeteria 1,298 2,552,911

13 Nursing Administration 809 3,867,742 14 Central Service and Supply 2,269 236,086

15 Pharmancy 1,593 1,893,732 16 Medical Records 1,922 911,839

Selected Revenue Departments

0.0000000 0 0

0.2378501,603 9,629,523 40,485,633

1,548

17 Social Services 1,340 586,566 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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05101E

LOS BANOS EMERGENCY HOSP

925 PACHECO HWY

LOS BANOS, CA 93635

MERCED

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 10CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 244: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050549

LOS ROBLES HOSPITAL & MEDICAL CENTER

215 W JANSS RD

THOUSAND OAKS, CA 91360

VENTURA

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

100,736,753

Income Statement

188,862,564

48,579,576

338,178,893

37,655,739

-158,891,133

459,414,287

338,178,893 26.3%

4.4%

31.5

82.5

4.5%

19.1%

54.61

4.8

73.6%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

85.2%3,023,052,300Contract Allowance

Total Charges 3,549,419,860

14.8%

77.3%

22.7%

0.2%

0.0%

22.9%

Current Assets

Fixed Assets

526,367,560

406,626,235

119,741,325

1,023,510

10

120,764,825

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 231CR Beds 239

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 588 14,667,617 02 Capital Cost - Movable Equip 744 10,220,146

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

426 97,521,130 200,117,260

0.306146401 24,894,092 81,314,534

0.487320

Ratio

0.080151506 37,795,550 471,557,133

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 510 36,120,662 05 Administrative and General 678 63,623,491

06 Maintenance and Repairs 531 4,961,877 07 Operation of Plant 1,713 3,391,959

08/09 Laundry / Housekeeping 675 5,780,707 10/11 Dietary and Cafeteria 350 5,820,795

13 Nursing Administration 425 6,537,699 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 951 2,102,063

Selected Revenue Departments

0.309983491 9,171,803 29,588,119

0.072445855 17,483,578 241,335,543

502

17 Social Services 1,682 391,015 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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059804

LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANF

725 WELCH ROAD

PALO ALTO, CA 94304

SANTA CLARA

Noridian (CA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 246: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053305

LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD

725 WELCH ROAD

PALO ALTO, CA 94304

SANTA CLARA

NATIONAL GOVERNMENT SERVICES

8/31/2019 365 Days Amended

Nonprofit - Other

Children

Balance Sheet

1,516,422,726

Income Statement

1,926,219,497

68,404,790

3,511,047,013

233,109,819

918,916,569

2,359,020,625

3,511,047,013 4.8%

0.6%

40.1

175.5

0.1%

0.0%

7.3

79.8%

Key Performanace Ind.

6.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

67.6%3,639,645,672Contract Allowance

Total Charges 5,381,535,964

32.4%

100.3%

-0.3%

6.8%

0.0%

6.5%

Current Assets

Fixed Assets

1,741,890,292

1,747,055,004

-5,164,712

118,389,448

0

113,224,736

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 287CR Beds 233

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 86 50,857,141 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

69 223,893,209 917,037,428

0.0000000 0 0

0.244148

Ratio

0.158336165 75,602,470 477,480,048

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,182 15,267,244 05 Administrative and General 26 335,163,284

06 Maintenance and Repairs 0 0 07 Operation of Plant 30 51,141,114

08/09 Laundry / Housekeeping 101 16,761,050 10/11 Dietary and Cafeteria 100 10,944,856

13 Nursing Administration 35 25,607,997 14 Central Service and Supply 1,307 867,601

15 Pharmancy 84 29,215,673 16 Medical Records 205 6,777,075

Selected Revenue Departments

0.30389414 40,061,795 131,828,067

0.0000000 0 0

59

17 Social Services 44 11,300,348 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 200 25,516,987

Revenue Ranking -

All Providers

10:04 AM

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Page 247: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050028

MAD RIVER COMMUNITY HOSPITAL

3800 JANES RD

ARCATA, CA 95521

HUMBOLDT

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

14,384,468

Income Statement

9,054,492

70,645

23,509,605

6,946,232

3,365,588

13,197,785

23,509,605 2.4%

2.4%

26.0

412.8

7.6%

10.8%

29.75

4.7

48.2%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.3%161,054,536Contract Allowance

Total Charges 219,838,348

26.7%

107.6%

-7.6%

8.1%

0.0%

0.5%

Current Assets

Fixed Assets

58,783,812

63,241,405

-4,457,593

4,770,378

0

312,785

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 80CR Beds 41

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,855 531,130 02 Capital Cost - Movable Equip 2,558 1,567,651

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,150 10,054,178 15,043,507

0.5397532,266 2,776,310 5,143,664

0.668340

Ratio

0.2216052,448 6,396,059 28,862,410

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,345 302,213 05 Administrative and General 3,040 8,067,754

06 Maintenance and Repairs 987 1,978,533 07 Operation of Plant 3,754 705,528

08/09 Laundry / Housekeeping 2,423 1,341,939 10/11 Dietary and Cafeteria 2,718 995,481

13 Nursing Administration 3,174 627,479 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,515 1,256,370

Selected Revenue Departments

0.6833181,641 1,873,296 2,741,470

0.1071062,643 4,667,376 43,577,003

2,817

17 Social Services 1,632 415,540 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 248: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050568

MADERA COMMUNITY HOSPITAL

1250 E ALMOND AVE

MADERA, CA 93637

MADERA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

47,523,478

Income Statement

26,877,134

20,279,736

94,680,348

17,757,387

8,918,331

68,004,630

94,680,348 2.7%

7.4%

15.6

104.7

3.9%

14.0%

29.88

4.3

40.4%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

54.9%113,036,046Contract Allowance

Total Charges 205,807,565

45.1%

100.9%

-0.9%

2.9%

0.0%

2.0%

Current Assets

Fixed Assets

92,771,519

93,635,544

-864,025

2,680,536

0

1,816,511

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 106CR Beds 96

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,011 1,986,477 02 Capital Cost - Movable Equip 5,497 258

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,659 13,671,671 18,391,938

0.7528081,984 3,841,603 5,103,031

0.743351

Ratio

0.4077301,685 12,350,489 30,290,817

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,517 1,009,778 05 Administrative and General 2,544 11,948,739

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,911 2,864,123

08/09 Laundry / Housekeeping 1,698 2,340,719 10/11 Dietary and Cafeteria 1,629 2,003,796

13 Nursing Administration 2,042 1,363,116 14 Central Service and Supply 2,032 318,523

15 Pharmancy 1,686 1,700,743 16 Medical Records 1,466 1,308,133

Selected Revenue Departments

0.9876271,275 3,237,026 3,277,579

0.4722101,277 12,447,762 26,360,639

2,280

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 249: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051303

MAMMOTH HOSPITAL

85 SIERRA PARK ROAD PO BOX 660

MAMMOTH LAKES, CA 93546

MONO

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

85,120,928

Income Statement

36,028,099

13,186,578

134,335,605

9,367,358

23,780,572

101,187,675

134,335,605 14.7%

1.7%

37.0

54.5

2.8%

0.0%

2.2

29.6%

Key Performanace Ind.

9.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

35.3%43,597,840Contract Allowance

Total Charges 123,457,422

64.7%

92.2%

7.8%

10.5%

-0.2%

18.6%

Current Assets

Fixed Assets

79,859,582

73,592,677

6,266,905

8,425,092

-185,599

14,877,596

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 17CR Beds 15

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,702 1,290,022 02 Capital Cost - Movable Equip 4,299 345,469

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,470 4,521,305 4,872,104

0.7544582,942 588,799 780,426

0.927998

Ratio

0.2934112,174 8,275,914 28,205,860

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,115 6,413,853 05 Administrative and General 2,688 10,605,513

06 Maintenance and Repairs 1,282 1,057,947 07 Operation of Plant 2,461 1,845,853

08/09 Laundry / Housekeeping 2,758 1,039,144 10/11 Dietary and Cafeteria 4,035 507,553

13 Nursing Administration 1,786 1,628,522 14 Central Service and Supply 0 0

15 Pharmancy 2,339 780,473 16 Medical Records 2,005 850,364

Selected Revenue Departments

2.5783421,885 1,212,450 470,244

0.7247042,135 6,616,188 9,129,504

2,448

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 250: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050107

MARIAN REGIONAL MEDICAL CENTER

1400 E CHURCH ST

SANTA MARIA, CA 93454

SANTA BARBARA

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

154,550,475

Income Statement

258,154,460

33,635,828

446,340,763

58,729,154

212,583,463

175,028,146

446,340,763 21.1%

6.7%

21.8

427.4

9.1%

13.5%

44.05

4.1

61.0%

Key Performanace Ind.

2.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.9%1,896,439,502Contract Allowance

Total Charges 2,435,811,499

22.1%

105.0%

-5.0%

11.8%

0.0%

6.8%

Current Assets

Fixed Assets

539,371,997

566,352,161

-26,980,164

63,907,207

0

36,927,043

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 132CR Beds 224

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 889 10,491,681 02 Capital Cost - Movable Equip 346 16,906,240

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

626 75,054,444 225,697,905

0.309997317 29,064,114 93,756,022

0.332544

Ratio

0.136083532 36,734,216 269,940,131

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 271 59,596,046 05 Administrative and General 400 91,605,280

06 Maintenance and Repairs 134 14,502,125 07 Operation of Plant 974 6,740,061

08/09 Laundry / Housekeeping 677 5,770,647 10/11 Dietary and Cafeteria 576 4,504,694

13 Nursing Administration 574 5,203,882 14 Central Service and Supply 681 2,163,254

15 Pharmancy 511 6,842,788 16 Medical Records 190 7,397,638

Selected Revenue Departments

0.311623226 13,840,619 44,414,664

0.170310326 32,997,823 193,751,469

487

17 Social Services 1,279 648,861 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 582 5,513,742

Revenue Ranking -

All Providers

10:04 AM

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050016

MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE

345 S HALCYON RD

ARROYO GRANDE, CA 93420

SAN LUIS OBISPO

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 53CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 252: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050360

MARINHEALTH MEDICAL CENTER

250 BON AIR ROAD, PO BOX 8010

GREENBRAE, CA 94904

MARIN

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

268,322,472

Income Statement

109,040,712

112,923,977

490,287,161

79,013,435

223,597,575

187,676,151

490,287,161 -1.9%

8.3%

47.9

295.0

9.5%

16.5%

62.62

4.3

48.4%

Key Performanace Ind.

3.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.9%1,991,846,418Contract Allowance

Total Charges 2,373,921,397

16.1%

108.4%

-8.4%

12.8%

5.4%

-0.9%

Current Assets

Fixed Assets

382,074,979

414,012,869

-31,937,890

49,025,396

20,611,825

(3,524,319)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 235CR Beds 164

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 551 15,617,194 02 Capital Cost - Movable Equip 302 18,433,548

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

795 62,830,448 189,400,876

0.304010642 17,149,670 56,411,448

0.331733

Ratio

0.095184577 34,857,493 366,211,548

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 249 62,543,437 05 Administrative and General 751 58,924,791

06 Maintenance and Repairs 0 0 07 Operation of Plant 359 13,670,209

08/09 Laundry / Housekeeping 666 5,812,939 10/11 Dietary and Cafeteria 905 3,404,406

13 Nursing Administration 316 8,227,613 14 Central Service and Supply 285 4,777,929

15 Pharmancy 665 5,419,960 16 Medical Records 597 3,188,018

Selected Revenue Departments

0.332972247 13,278,077 39,877,445

0.111076641 21,290,282 191,673,203

756

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 253: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051332

MARK TWAIN MEDICAL CENTER

768 MOUNTAIN RANCH RD

SAN ANDREAS, CA 95249

CALAVERAS

Noridian (CA)

6/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

18,787,051

Income Statement

9,932,413

15,649,876

44,369,340

6,587,775

7,051,143

30,730,422

44,369,340 -6.2%

7.4%

30.6

260.4

7.4%

0.0%

3.4

34.4%

Key Performanace Ind.

2.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

64.6%121,981,406Contract Allowance

Total Charges 188,753,012

35.4%

103.8%

-3.8%

1.0%

0.0%

-2.8%

Current Assets

Fixed Assets

66,771,606

69,334,556

-2,562,950

662,727

0

(1,900,223)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 25

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,042 1,950,435 02 Capital Cost - Movable Equip 2,212 2,214,443

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,389 8,672,633 22,121,220

0.0000000 0 0

0.392050

Ratio

0.1612312,666 5,218,861 32,368,831

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,001 7,071,273 05 Administrative and General 2,723 10,378,462

06 Maintenance and Repairs 809 2,849,944 07 Operation of Plant 5,122 204,234

08/09 Laundry / Housekeeping 3,096 799,796 10/11 Dietary and Cafeteria 4,378 422,573

13 Nursing Administration 2,647 888,691 14 Central Service and Supply 2,149 272,358

15 Pharmancy 2,178 934,148 16 Medical Records 1,739 1,044,870

Selected Revenue Departments

0.0000000 0 0

0.3646902,225 6,215,672 17,043,705

2,674

17 Social Services 2,951 21,909 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 253

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Page 254: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050254

MARSHALL MEDICAL CENTER

1100 MARSHALL WAY

PLACERVILLE, CA 95667

EL DORADO

Noridian (CA)

10/31/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

71,114,453

Income Statement

111,255,581

42,065,242

224,435,276

34,233,857

113,026,144

77,175,275

224,435,276 -27.2%

4.6%

25.9

233.4

11.3%

12.3%

43.25

4.0

50.5%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.0%987,392,543Contract Allowance

Total Charges 1,266,545,542

22.0%

97.9%

2.1%

2.2%

11.8%

-7.5%

Current Assets

Fixed Assets

279,152,999

273,260,823

5,892,176

6,217,650

33,064,849

(20,955,023)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 93CR Beds 91

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,504 5,772,528 02 Capital Cost - Movable Equip 1,127 6,827,555

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,404 36,425,249 123,355,178

0.2113641,170 9,272,887 43,871,739

0.295288

Ratio

0.1312331,406 15,892,120 121,098,815

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,139 2,751,241 05 Administrative and General 1,284 35,406,543

06 Maintenance and Repairs 467 5,811,539 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 1,268 3,332,660 10/11 Dietary and Cafeteria 1,680 1,929,814

13 Nursing Administration 303 8,574,171 14 Central Service and Supply 764 1,860,973

15 Pharmancy 508 6,878,989 16 Medical Records 534 3,442,199

Selected Revenue Departments

0.1695011,583 2,013,046 11,876,289

0.228428632 21,645,357 94,758,084

1,048

17 Social Services 1,418 538,103 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050779

MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL

1680 EAST 120TH STREET

LOS ANGELES, CA 90059

LOS ANGELES

NORIDIAN

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

183,232,045

Income Statement

42,528,677

245,665,823

471,426,545

346,192,582

41,279,900

83,954,063

471,426,545 18.8%

24.7%

22.6

20,478.9

2.7%

16.3%

45.97

4.0

77.7%

Key Performanace Ind.

0.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

94.9%2,454,293,569Contract Allowance

Total Charges 2,585,533,729

5.1%

236.5%

-136.5%

148.5%

0.0%

12.0%

Current Assets

Fixed Assets

131,240,160

310,381,592

-179,141,432

194,949,978

0

15,808,546

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 131CR Beds 111

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 288 25,060,844 02 Capital Cost - Movable Equip 1,700 3,691,375

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

392 102,987,336 462,361,601

0.241502564 18,953,576 78,481,937

0.222742

Ratio

0.1240502,086 8,753,118 70,561,180

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,445 4,795,296 05 Administrative and General 576 72,212,998

06 Maintenance and Repairs 422 6,354,223 07 Operation of Plant 1,048 6,254,001

08/09 Laundry / Housekeeping 752 5,358,874 10/11 Dietary and Cafeteria 437 5,182,243

13 Nursing Administration 380 7,141,914 14 Central Service and Supply 823 1,697,034

15 Pharmancy 946 3,820,841 16 Medical Records 833 2,387,138

Selected Revenue Departments

0.240165566 8,315,530 34,624,308

0.10611243 73,462,236 692,307,997

1,869

17 Social Services 76 8,121,943 18 Other General Service Cost 199 3,065,134

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 256: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051305

MAYERS MEMORIAL HOSPITAL

43563 HWY 299 EAST

FALL RIVER MILLS, CA 96028

SHASTA

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

18,456,457

Income Statement

3,479,374

13,667,378

35,603,209

1,816,781

14,902,376

18,884,052

35,603,209 19.1%

1.1%

24.0

129.2

12.1%

0.0%

9.1

23.4%

Key Performanace Ind.

10.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

29.3%11,195,113Contract Allowance

Total Charges 38,255,004

70.7%

100.4%

-0.4%

13.8%

0.1%

13.3%

Current Assets

Fixed Assets

27,059,891

27,180,279

-120,388

3,745,095

26,620

3,598,087

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 22CR Beds 22

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,639 648,389 02 Capital Cost - Movable Equip 5,347 34,544

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,950 3,461,630 4,784,216

0.0000000 0 0

0.723552

Ratio

0.6977494,199 561,583 804,850

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,778 1,813,447 05 Administrative and General 4,622 3,252,739

06 Maintenance and Repairs 1,644 447,651 07 Operation of Plant 2,721 1,501,026

08/09 Laundry / Housekeeping 3,157 763,533 10/11 Dietary and Cafeteria 2,025 1,541,856

13 Nursing Administration 3,917 352,323 14 Central Service and Supply 3,305 43,665

15 Pharmancy 2,960 341,770 16 Medical Records 3,987 224,966

Selected Revenue Departments

0.0000000 0 0

0.4930483,164 3,362,417 6,819,657

3,868

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 305 93,073 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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053309

MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB

2801 ATLANTIC AVENUE

LONG BEACH, CA 90806

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Amended

Nonprofit - Other

Children

Balance Sheet

74,076,145

Income Statement

231,049,426

13,251,485

318,377,056

545,004,598

10,729,671

-237,357,213

318,377,056 -17.8%

2.7%

37.3

281.0

0.0%

0.0%

4.8

56.3%

Key Performanace Ind.

0.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

56.6%584,731,643Contract Allowance

Total Charges 1,033,175,202

43.4%

96.9%

3.1%

6.3%

0.0%

9.4%

Current Assets

Fixed Assets

448,443,559

434,503,640

13,939,919

28,400,332

0

42,340,251

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 354CR Beds 232

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 577 14,938,860 02 Capital Cost - Movable Equip 4,005 447,119

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

649 73,684,952 251,129,798

0.350279573 18,784,407 53,627,045

0.293414

Ratio

0.1159241,622 13,098,395 112,990,882

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 926 20,359,584 05 Administrative and General 561 73,441,721

06 Maintenance and Repairs 1,511 633,365 07 Operation of Plant 577 9,958,134

08/09 Laundry / Housekeeping 409 8,092,001 10/11 Dietary and Cafeteria 448 5,113,324

13 Nursing Administration 144 12,661,454 14 Central Service and Supply 375 3,809,877

15 Pharmancy 411 8,390,861 16 Medical Records 1,664 1,101,966

Selected Revenue Departments

0.62554560 25,264,373 40,387,772

0.0000000 0 0

626

17 Social Services 640 1,744,203 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 527 6,529,592

Revenue Ranking -

All Providers

10:04 AM

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050528

MEMORIAL HOSPITAL LOS BANOS

520 WEST I ST

LOS BANOS, CA 93635

MERCED

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

18,195,974

Income Statement

11,925,422

729,841

30,851,237

6,840,815

436,926

23,573,496

30,851,237 49.0%

7.9%

34.6

331.7

4.8%

17.4%

46.76

3.6

46.9%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

70.7%190,331,475Contract Allowance

Total Charges 269,243,311

29.3%

86.0%

14.0%

0.7%

0.0%

14.6%

Current Assets

Fixed Assets

78,911,836

67,901,614

11,010,222

546,145

0

11,556,367

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 48CR Beds 24

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,275 855,926 02 Capital Cost - Movable Equip 2,445 1,734,758

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,402 8,612,916 12,980,672

0.3976222,422 2,250,923 5,660,955

0.663518

Ratio

0.1996802,823 4,471,492 22,393,240

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,251 5,655,544 05 Administrative and General 2,709 10,490,013

06 Maintenance and Repairs 2,100 3,254 07 Operation of Plant 2,164 2,375,132

08/09 Laundry / Housekeeping 2,909 933,527 10/11 Dietary and Cafeteria 2,932 878,231

13 Nursing Administration 1,446 2,058,919 14 Central Service and Supply 2,041 315,071

15 Pharmancy 2,532 612,463 16 Medical Records 4,665 134,270

Selected Revenue Departments

0.2847291,338 2,911,666 10,226,090

0.1041511,612 9,556,850 91,759,904

2,458

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 259: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050468

MEMORIAL HOSPITAL OF GARDENA

1145 W REDONDO BEACH BLVD

GARDENA, CA 90247

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

57,161,822

Income Statement

24,732,404

678,294

82,572,520

-45,501,551

43,115,534

84,958,537

82,572,520 37.1%

2.8%

29.2

388.5

1.1%

12.2%

37.99

4.2

67.8%

Key Performanace Ind.

(1.3)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.8%579,931,932Contract Allowance

Total Charges 735,829,480

21.2%

80.2%

19.8%

0.4%

0.0%

20.2%

Current Assets

Fixed Assets

155,897,548

125,086,877

30,810,671

700,470

0

31,511,141

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 111CR Beds 93

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,588 1,381,749 02 Capital Cost - Movable Equip 2,051 2,622,044

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,568 31,548,799 95,215,627

0.3037741,396 7,385,639 24,312,963

0.331341

Ratio

0.2086732,138 8,455,944 40,522,549

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,496 4,620,556 05 Administrative and General 1,023 44,732,188

06 Maintenance and Repairs 573 4,537,651 07 Operation of Plant 2,642 1,606,374

08/09 Laundry / Housekeeping 2,102 1,701,248 10/11 Dietary and Cafeteria 2,100 1,470,652

13 Nursing Administration 1,673 1,760,777 14 Central Service and Supply 2,434 187,509

15 Pharmancy 1,515 2,062,430 16 Medical Records 1,374 1,417,831

Selected Revenue Departments

0.2473611,484 2,341,655 9,466,558

0.1413601,427 11,204,408 79,261,679

1,682

17 Social Services 1,824 321,158 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 260: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050557

MEMORIAL MEDICAL CENTER

1700 COFFEE RD

MODESTO, CA 95355

STANISLAUS

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

171,945,703

Income Statement

183,336,385

10,539,226

365,821,314

117,309,950

141,833,130

106,678,234

365,821,314 49.7%

3.7%

33.0

410.6

6.1%

13.9%

54.25

4.8

54.2%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.0%1,848,050,442Contract Allowance

Total Charges 2,497,354,141

26.0%

93.6%

6.4%

1.7%

0.0%

8.2%

Current Assets

Fixed Assets

649,303,699

607,605,648

41,698,051

11,345,522

0

53,043,573

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 275CR Beds 372

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,253 7,216,619 02 Capital Cost - Movable Equip 557 12,532,928

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

254 127,917,226 344,808,914

0.314135276 32,848,152 104,567,071

0.370980

Ratio

0.188058284 54,846,584 291,646,969

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 477 37,765,823 05 Administrative and General 442 85,135,800

06 Maintenance and Repairs 0 0 07 Operation of Plant 503 10,916,640

08/09 Laundry / Housekeeping 461 7,411,625 10/11 Dietary and Cafeteria 1,592 2,052,964

13 Nursing Administration 399 6,899,801 14 Central Service and Supply 499 2,999,932

15 Pharmancy 418 8,259,024 16 Medical Records 5,406 41,841

Selected Revenue Departments

0.261444567 8,279,492 31,668,262

0.113206253 36,776,500 324,862,266

358

17 Social Services 841 1,233,668 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 261: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050678

MEMORIALCARE ORANGE COAST MEDICAL CENTER

9920 TALBERT AVENUE

FOUNTAIN VALLEY, CA 92708

ORANGE

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

148,468,178

Income Statement

131,228,107

7,047,632

286,743,917

36,644,671

10,496,390

239,602,856

286,743,917 12.5%

1.8%

34.9

389.7

3.5%

11.6%

42.35

3.8

57.8%

Key Performanace Ind.

4.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.4%947,868,094Contract Allowance

Total Charges 1,257,751,207

24.6%

105.3%

-5.3%

15.0%

0.0%

9.7%

Current Assets

Fixed Assets

309,883,113

326,356,461

-16,473,348

46,541,265

0

30,067,917

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 210CR Beds 185

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,697 4,974,244 02 Capital Cost - Movable Equip 4,177 385,375

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

990 52,125,153 178,102,465

0.279523679 16,368,665 58,559,186

0.292669

Ratio

0.137890951 23,608,120 171,210,028

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,450 11,911,087 05 Administrative and General 987 46,208,188

06 Maintenance and Repairs 1,868 234,729 07 Operation of Plant 1,025 6,370,173

08/09 Laundry / Housekeeping 1,738 2,275,975 10/11 Dietary and Cafeteria 959 3,272,063

13 Nursing Administration 1,259 2,467,032 14 Central Service and Supply 771 1,852,739

15 Pharmancy 716 5,137,135 16 Medical Records 2,316 676,415

Selected Revenue Departments

0.618343536 8,620,056 13,940,570

0.1273511,361 11,686,273 91,764,486

954

17 Social Services 1,114 822,176 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 261

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Page 262: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050603

MEMORIALCARE SADDLEBACK MEDICAL CENTER

24451 HEALTH CENTER DRIVE

LAGUNA HILLS, CA 92653

ORANGE

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

541,479,742

Income Statement

92,523,351

8,063,633

642,066,726

42,633,996

11,963,698

587,469,032

642,066,726 5.3%

1.6%

39.9

901.4

4.8%

9.9%

41.01

3.9

50.3%

Key Performanace Ind.

12.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.9%992,078,711Contract Allowance

Total Charges 1,323,941,065

25.1%

102.6%

-2.6%

11.9%

0.0%

9.3%

Current Assets

Fixed Assets

331,862,354

340,579,130

-8,716,776

39,621,852

0

30,905,076

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 325CR Beds 207

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,586 5,403,152 02 Capital Cost - Movable Equip 4,378 317,160

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

964 53,465,179 180,545,102

0.320974732 15,322,815 47,738,524

0.296132

Ratio

0.177157973 23,168,650 130,780,102

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,128 16,179,518 05 Administrative and General 858 52,732,488

06 Maintenance and Repairs 931 2,211,050 07 Operation of Plant 994 6,585,203

08/09 Laundry / Housekeeping 1,025 4,111,809 10/11 Dietary and Cafeteria 1,075 3,017,965

13 Nursing Administration 779 3,976,479 14 Central Service and Supply 666 2,221,862

15 Pharmancy 721 5,118,313 16 Medical Records 2,069 810,984

Selected Revenue Departments

0.267815803 5,967,187 22,280,967

0.1376521,315 12,041,037 87,474,766

884

17 Social Services 1,165 762,064 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,397 250,208

Revenue Ranking -

All Providers

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051325

MENDOCINO COAST DISTRICT HOSPITAL

700 RIVER DR

FORT BRAGG, CA 95437

MENDOCINO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

12,070,068

Income Statement

14,601,346

5,608,305

32,279,719

10,165,613

12,979,083

9,135,023

32,279,719 8.7%

3.0%

38.9

39.9

15.6%

0.0%

5.3

46.0%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

52.6%60,927,956Contract Allowance

Total Charges 115,759,980

47.4%

108.0%

-8.0%

9.4%

0.0%

1.4%

Current Assets

Fixed Assets

54,832,024

59,197,176

-4,365,152

5,159,262

0

794,110

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,418 1,530,376 02 Capital Cost - Movable Equip 3,448 692,668

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,415 8,544,252 10,651,107

0.8712432,320 2,586,996 2,969,316

0.802194

Ratio

0.2666103,397 2,176,317 8,162,913

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,308 1,224,898 05 Administrative and General 3,041 8,065,904

06 Maintenance and Repairs 1,317 985,458 07 Operation of Plant 3,636 761,061

08/09 Laundry / Housekeeping 3,006 866,661 10/11 Dietary and Cafeteria 3,916 537,519

13 Nursing Administration 1,762 1,661,008 14 Central Service and Supply 1,972 346,459

15 Pharmancy 1,972 1,181,154 16 Medical Records 1,547 1,218,215

Selected Revenue Departments

1.0220342,258 507,995 497,043

0.3645772,144 6,580,227 18,048,946

2,900

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050684

MENIFEE GLOBAL MEDICAL CENTER

28400 MCCALL B0ULEVARD

SUN CITY, CA 92585

RIVERSIDE

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

13,947,561

Income Statement

2,836,838

561,806

17,346,205

63,416,797

342,599

-46,413,191

17,346,205 10.5%

12.5%

25.9

458.0

2.1%

13.0%

38.23

4.5

56.1%

Key Performanace Ind.

0.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.4%216,169,085Contract Allowance

Total Charges 262,342,306

17.6%

110.6%

-10.6%

0.1%

0.0%

-10.6%

Current Assets

Fixed Assets

46,173,221

51,088,012

-4,914,791

23,631

0

(4,891,160)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 84CR Beds 74

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,229 886,537 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,279 18,039,323 45,516,640

0.3991601,782 4,800,649 12,026,880

0.396324

Ratio

0.0897293,088 3,259,857 36,330,226

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 2,573 11,716,532

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,330 2,059,883

08/09 Laundry / Housekeeping 2,459 1,300,314 10/11 Dietary and Cafeteria 2,134 1,434,008

13 Nursing Administration 2,312 1,119,760 14 Central Service and Supply 2,129 279,900

15 Pharmancy 1,878 1,339,472 16 Medical Records 2,153 764,102

Selected Revenue Departments

0.0000000 0 0

0.1473342,025 7,061,660 47,929,565

3,115

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050754

MENLO PARK SURGICAL HOSPITAL

570 WILLOW ROAD

MENLO PARK, CA 94025

SAN MATEO

Noridian (CA)

7/31/2019 212 Days Settled

Nonprofit - Other

General Short Term

Balance Sheet

1,793,355

Income Statement

7,310,920

71,542

9,175,817

1,908,361

22,477

7,244,979

9,175,817 40.0%

0.7%

21.9

119.9

8.8%

4.1%

67.94

1.6

5.1%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

60.0%16,881,824Contract Allowance

Total Charges 28,151,810

40.0%

77.4%

22.6%

3.1%

0.0%

25.7%

Current Assets

Fixed Assets

11,269,986

8,721,461

2,548,525

349,073

0

2,897,598

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 16CR Beds 16

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,098 413,272 02 Capital Cost - Movable Equip 4,576 259,485

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,149 3,076,417 741,414

0.0000000 0 0

4.149392

Ratio

0.1643883,235 2,696,738 16,404,735

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,021 561,463 05 Administrative and General 5,148 2,327,987

06 Maintenance and Repairs 0 0 07 Operation of Plant 5,119 205,007

08/09 Laundry / Housekeeping 5,899 47,157 10/11 Dietary and Cafeteria 5,370 197,541

13 Nursing Administration 0 0 14 Central Service and Supply 3,411 29,347

15 Pharmancy 3,383 111,421 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,398

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 266: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050017

MERCY GENERAL HOSPITAL

4001 J ST

SACRAMENTO, CA 95819

SACRAMENTO

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

244,285,942

Income Statement

249,881,658

35,325,734

529,493,334

57,263,541

87,521,472

384,708,321

529,493,334 12.7%

6.0%

21.0

549.3

6.6%

15.2%

55.24

4.3

43.1%

Key Performanace Ind.

4.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

81.8%2,456,063,628Contract Allowance

Total Charges 3,001,298,321

18.2%

109.4%

-9.4%

18.4%

0.0%

9.0%

Current Assets

Fixed Assets

545,234,693

596,431,191

-51,196,498

100,171,206

0

48,974,708

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 419CR Beds 343

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 774 11,833,103 02 Capital Cost - Movable Equip 295 18,707,569

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

320 115,346,183 312,536,628

0.0000000 0 0

0.369065

Ratio

0.103638279 55,235,967 532,967,735

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 258 60,764,406 05 Administrative and General 353 98,416,875

06 Maintenance and Repairs 142 13,965,495 07 Operation of Plant 2,899 1,299,433

08/09 Laundry / Housekeeping 663 5,853,240 10/11 Dietary and Cafeteria 1,023 3,139,487

13 Nursing Administration 564 5,288,315 14 Central Service and Supply 597 2,539,240

15 Pharmancy 502 6,922,079 16 Medical Records 258 5,834,472

Selected Revenue Departments

0.494404470 9,433,580 19,080,704

0.098968839 17,708,788 178,934,867

478

17 Social Services 1,014 945,708 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,060 1,220,185

Revenue Ranking -

All Providers

10:04 AM

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050295

MERCY HOSPITAL

2215 TRUXTUN AVENUE

BAKERSFIELD, CA 93301

KERN

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

207,187,105

Income Statement

66,778,085

46,650,282

320,615,472

46,833,234

14,692,224

259,090,014

320,615,472 3.3%

7.7%

24.3

452.5

4.0%

10.2%

42.76

3.7

52.7%

Key Performanace Ind.

4.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.1%1,067,228,950Contract Allowance

Total Charges 1,348,578,208

20.9%

114.6%

-14.6%

17.7%

0.0%

3.1%

Current Assets

Fixed Assets

281,349,258

322,468,195

-41,118,937

49,702,837

0

8,583,900

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 211CR Beds 189

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,951 4,084,242 02 Capital Cost - Movable Equip 594 12,000,862

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

929 54,962,175 136,368,296

0.435187727 15,464,014 35,534,156

0.403042

Ratio

0.144557612 33,169,696 229,456,939

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 430 40,468,016 05 Administrative and General 906 49,922,014

06 Maintenance and Repairs 364 7,227,683 07 Operation of Plant 1,349 4,661,693

08/09 Laundry / Housekeeping 1,085 3,863,717 10/11 Dietary and Cafeteria 1,295 2,558,234

13 Nursing Administration 1,239 2,505,038 14 Central Service and Supply 1,039 1,224,793

15 Pharmancy 809 4,484,854 16 Medical Records 348 4,661,600

Selected Revenue Departments

0.344005321 11,685,956 33,970,261

0.115793414 28,801,161 248,728,652

1,040

17 Social Services 1,515 479,854 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 268: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050414

MERCY HOSPITAL OF FOLSOM

1650 CREEKSIDE DRIVE

FOLSOM, CA 95630

SACRAMENTO

Noridian (CA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

395,275,094

Income Statement

40,586,923

12,174,797

448,036,814

18,336,790

20,699,771

409,000,253

448,036,814 15.0%

7.3%

20.2

486.0

3.8%

13.1%

56.37

3.7

65.6%

Key Performanace Ind.

21.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.6%839,857,496Contract Allowance

Total Charges 1,054,477,620

20.4%

95.7%

4.3%

24.3%

0.0%

28.7%

Current Assets

Fixed Assets

214,620,124

205,387,662

9,232,462

52,259,792

0

61,492,254

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 106CR Beds 98

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,760 2,314,348 02 Capital Cost - Movable Equip 1,249 5,971,413

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,037 50,227,372 131,519,716

0.3653991,023 10,830,133 29,639,163

0.381900

Ratio

0.1612071,139 19,943,489 123,713,659

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 782 23,795,116 05 Administrative and General 1,051 43,509,856

06 Maintenance and Repairs 578 4,476,828 07 Operation of Plant 4,042 595,844

08/09 Laundry / Housekeeping 1,843 2,106,639 10/11 Dietary and Cafeteria 1,924 1,653,322

13 Nursing Administration 1,163 2,703,586 14 Central Service and Supply 1,450 717,796

15 Pharmancy 1,360 2,425,360 16 Medical Records 660 2,916,608

Selected Revenue Departments

0.3542551,013 4,639,929 13,097,717

0.106742633 21,644,112 202,770,157

1,349

17 Social Services 1,333 591,687 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050444

MERCY MEDICAL CENTER

333 MERCY AVENUE

MERCED, CA 95340

MERCED

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

114,800,546

Income Statement

178,194,087

23,968,446

316,963,079

52,420,578

121,317,928

143,224,573

316,963,079 18.0%

6.0%

30.0

423.0

4.8%

16.2%

44.61

4.1

72.3%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.9%1,117,276,695Contract Allowance

Total Charges 1,452,445,168

23.1%

93.1%

6.9%

0.8%

0.0%

7.7%

Current Assets

Fixed Assets

335,168,473

312,124,729

23,043,744

2,782,633

0

25,826,377

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 186CR Beds 166

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 560 15,428,344 02 Capital Cost - Movable Equip 703 10,572,871

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

686 71,065,178 255,314,422

0.294565691 16,067,333 54,546,032

0.278344

Ratio

0.158501871 25,272,563 159,446,990

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 462 38,395,649 05 Administrative and General 947 47,981,551

06 Maintenance and Repairs 646 3,893,093 07 Operation of Plant 1,406 4,436,171

08/09 Laundry / Housekeeping 762 5,278,219 10/11 Dietary and Cafeteria 663 4,142,767

13 Nursing Administration 983 3,219,526 14 Central Service and Supply 1,737 485,316

15 Pharmancy 1,134 3,144,042 16 Medical Records 369 4,515,227

Selected Revenue Departments

0.317479401 10,316,241 32,494,263

0.128418384 30,273,868 235,744,443

874

17 Social Services 1,406 545,195 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 728 3,771,610

Revenue Ranking -

All Providers

10:04 AM

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Page 270: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051319

MERCY MEDICAL CENTER MT SHASTA

914 PINE STREET

MOUNT SHASTA, CA 96067

SISKIYOU

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

17,540,508

Income Statement

13,459,254

12,712,631

43,712,393

4,322,903

2,592,866

36,796,624

43,712,393 6.4%

6.4%

25.9

202.9

7.8%

0.0%

3.2

35.0%

Key Performanace Ind.

4.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

55.8%76,601,265Contract Allowance

Total Charges 137,279,450

44.2%

97.8%

2.2%

1.7%

0.0%

3.9%

Current Assets

Fixed Assets

60,678,185

59,320,401

1,357,784

1,007,410

3

2,365,191

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,298 841,664 02 Capital Cost - Movable Equip 2,290 2,058,429

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,725 7,151,987 7,989,011

1.0126092,407 2,281,454 2,253,046

0.895228

Ratio

0.2791842,499 6,049,807 21,669,576

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,949 7,436,858 05 Administrative and General 2,761 10,067,969

06 Maintenance and Repairs 1,159 1,394,786 07 Operation of Plant 3,318 952,572

08/09 Laundry / Housekeeping 3,462 623,399 10/11 Dietary and Cafeteria 4,173 474,036

13 Nursing Administration 2,588 928,067 14 Central Service and Supply 2,348 213,464

15 Pharmancy 2,089 1,029,996 16 Medical Records 2,082 802,787

Selected Revenue Departments

1.0400492,050 861,620 828,442

0.1939692,433 5,397,713 27,827,639

2,779

17 Social Services 1,870 301,669 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 271: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050280

MERCY MEDICAL CENTER REDDING

2175 ROSALINE AVE, CLAIRMONT HGTS

REDDING, CA 96001

SHASTA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

804,868,580

Income Statement

68,024,201

43,713,561

916,606,342

47,687,212

23,042,202

845,876,928

916,606,342 7.7%

7.1%

23.5

370.6

8.5%

20.3%

52.59

4.7

65.9%

Key Performanace Ind.

16.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.1%1,427,028,957Contract Allowance

Total Charges 1,924,765,112

25.9%

93.5%

6.5%

6.6%

0.0%

13.0%

Current Assets

Fixed Assets

497,736,155

465,521,568

32,214,587

32,645,809

5

64,860,391

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 267CR Beds 207

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,373 6,394,204 02 Capital Cost - Movable Equip 581 12,214,672

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

495 89,987,173 228,431,230

0.385416338 28,145,348 73,025,840

0.393936

Ratio

0.171758527 36,960,461 215,188,559

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 268 59,938,000 05 Administrative and General 720 61,086,892

06 Maintenance and Repairs 533 4,952,778 07 Operation of Plant 1,226 5,243,302

08/09 Laundry / Housekeeping 774 5,216,511 10/11 Dietary and Cafeteria 766 3,798,054

13 Nursing Administration 518 5,676,889 14 Central Service and Supply 744 1,913,200

15 Pharmancy 539 6,523,008 16 Medical Records 212 6,595,310

Selected Revenue Departments

0.421486511 8,970,673 21,283,458

0.085776581 23,378,868 272,556,131

542

17 Social Services 1,188 730,765 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 736 3,712,149

Revenue Ranking -

All Providers

10:04 AM

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Page 272: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050516

MERCY SAN JUAN MEDICAL CENTER

6501 COYLE AVE

CARMICHAEL, CA 95608

SACRAMENTO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

218,258,398

Income Statement

138,081,856

31,022,261

387,362,515

70,103,005

75,706,410

241,553,100

387,362,515 8.0%

6.9%

21.7

642.4

5.0%

15.5%

57.02

4.7

70.9%

Key Performanace Ind.

3.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

81.1%2,625,853,413Contract Allowance

Total Charges 3,239,222,524

18.9%

111.0%

-11.0%

14.1%

0.0%

3.2%

Current Assets

Fixed Assets

613,369,111

680,685,165

-67,316,054

86,758,654

0

19,442,600

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 254CR Beds 288

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 910 10,224,441 02 Capital Cost - Movable Equip 347 16,895,428

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

222 138,937,872 423,180,139

0.276322108 57,763,568 209,044,440

0.328319

Ratio

0.133546318 50,266,008 376,395,479

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 164 86,306,975 05 Administrative and General 295 113,413,355

06 Maintenance and Repairs 129 15,023,559 07 Operation of Plant 2,720 1,504,745

08/09 Laundry / Housekeeping 604 6,234,396 10/11 Dietary and Cafeteria 796 3,714,649

13 Nursing Administration 846 3,700,261 14 Central Service and Supply 624 2,386,558

15 Pharmancy 387 8,809,444 16 Medical Records 230 6,257,924

Selected Revenue Departments

0.406038174 15,466,540 38,091,372

0.120245218 40,226,879 334,542,070

396

17 Social Services 603 1,830,667 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,398 250,164

Revenue Ranking -

All Providers

10:04 AM

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Page 273: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050590

METHODIST HOSPITAL OF SACRAMENTO

7500 HOSPITAL DRIVE

SACRAMENTO, CA 95823

SACRAMENTO

Noridian (CA)

12/31/2019 334 Days Amended

Nonprofit - Other

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

38,552,917

Income Statement

100,608,078

17,034,835

156,195,830

24,519,220

174,924,548

-43,247,938

156,195,830 44.7%

5.3%

32.6

1,151.6

3.5%

7.8%

52.03

3.9

62.6%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.4%1,050,258,574Contract Allowance

Total Charges 1,305,483,873

19.6%

109.9%

-9.9%

2.3%

0.0%

-7.6%

Current Assets

Fixed Assets

255,225,299

280,458,334

-25,233,035

5,897,320

0

(19,335,715)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 154CR Beds 126

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,830 4,499,317 02 Capital Cost - Movable Equip 1,107 6,985,795

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,019 51,042,148 168,801,394

0.342336894 12,288,868 35,897,066

0.302380

Ratio

0.1444901,357 16,666,991 115,350,874

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 489 37,159,958 05 Administrative and General 802 55,931,289

06 Maintenance and Repairs 441 6,164,240 07 Operation of Plant 1,939 2,810,049

08/09 Laundry / Housekeeping 1,110 3,763,111 10/11 Dietary and Cafeteria 858 3,534,057

13 Nursing Administration 1,097 2,905,337 14 Central Service and Supply 1,227 965,710

15 Pharmancy 857 4,233,018 16 Medical Records 649 2,973,336

Selected Revenue Departments

0.329916375 10,764,613 32,628,339

0.121020448 27,814,945 229,836,708

1,585

17 Social Services 952 1,026,746 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,056 1,252,112

Revenue Ranking -

All Providers

10:04 AM

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Page 274: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050590

METHODIST HOSPITAL OF SACRAMENTO

7500 HOSPITAL DRIVE

SACRAMENTO, CA 95823

SACRAMENTO

Noridian (CA)

12/31/2019 334 Days Amended

Nonprofit - Other

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

67,671,302

Income Statement

104,972,885

4,708,961

177,353,148

29,585,966

164,994,491

-17,227,309

177,353,148 26.6%

5.4%

54.1

1,636.6

5.6%

12.4%

52.03

3.9

62.6%

Key Performanace Ind.

2.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.1%643,830,159Contract Allowance

Total Charges 803,946,540

19.9%

113.8%

-13.8%

10.9%

0.0%

-2.9%

Current Assets

Fixed Assets

160,116,381

182,182,130

-22,065,749

17,479,852

0

(4,585,897)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 154CR Beds 126

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,830 2,872,891 02 Capital Cost - Movable Equip 1,107 4,612,155

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,019 31,611,036 102,242,853

0.341667894 7,702,084 22,542,681

0.309176

Ratio

0.1868841,357 11,827,905 63,290,164

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 489 23,325,658 05 Administrative and General 802 35,538,195

06 Maintenance and Repairs 441 3,587,302 07 Operation of Plant 1,939 1,942,454

08/09 Laundry / Housekeeping 1,110 2,488,802 10/11 Dietary and Cafeteria 858 2,288,155

13 Nursing Administration 1,097 1,444,823 14 Central Service and Supply 1,227 583,553

15 Pharmancy 857 2,687,115 16 Medical Records 649 2,048,575

Selected Revenue Departments

0.344251375 6,969,221 20,244,603

0.124018448 16,918,208 136,417,452

1,585

17 Social Services 952 561,029 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,056 1,238,872

Revenue Ranking -

All Providers

10:04 AM

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Page 275: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050238

METHODIST HOSPITAL OF SOUTHERN CA

300 W HUNTINGTON DR

ARCADIA, CA 91006

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

116,281,226

Income Statement

227,934,620

189,580,957

533,796,803

58,557,508

275,152,061

200,087,234

533,796,803 18.5%

3.1%

44.4

321.3

3.5%

23.6%

37.27

5.0

61.5%

Key Performanace Ind.

2.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.1%1,546,659,031Contract Allowance

Total Charges 1,839,626,536

15.9%

97.0%

3.0%

9.6%

0.0%

12.6%

Current Assets

Fixed Assets

292,967,505

284,278,140

8,689,365

28,254,486

0

36,943,851

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 374CR Beds 252

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,403 6,243,376 02 Capital Cost - Movable Equip 925 8,360,495

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

690 70,862,903 364,969,476

0.173259465 21,937,350 126,615,867

0.194161

Ratio

0.1056351,360 16,639,607 157,520,043

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 771 24,017,464 05 Administrative and General 1,301 34,876,312

06 Maintenance and Repairs 545 4,843,948 07 Operation of Plant 1,562 3,883,741

08/09 Laundry / Housekeeping 824 4,937,468 10/11 Dietary and Cafeteria 691 4,061,913

13 Nursing Administration 1,274 2,434,075 14 Central Service and Supply 827 1,682,322

15 Pharmancy 550 6,412,146 16 Medical Records 541 3,428,482

Selected Revenue Departments

0.285364712 6,669,164 23,370,733

0.0953321,210 13,160,275 138,046,751

1,007

17 Social Services 1,160 766,569 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,288 417,437

Revenue Ranking -

All Providers

10:04 AM

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Page 276: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050007

MILLS-PENINSULA MEDICAL CENTER

1501 TROUSDALE DRIVE

BURLINGAME, CA 94010

SAN MATEO

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

185,637,607

Income Statement

490,251,943

11,741,738

687,631,288

165,875,166

454,548,075

67,208,047

687,631,288 96.1%

5.0%

25.4

244.3

4.6%

9.8%

64.07

3.8

56.8%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

62.5%1,166,934,762Contract Allowance

Total Charges 1,867,406,041

37.5%

93.6%

6.4%

2.8%

0.0%

9.2%

Current Assets

Fixed Assets

700,471,279

655,363,048

45,108,231

19,507,537

0

64,615,768

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 301CR Beds 205

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 160 35,636,508 02 Capital Cost - Movable Equip 369 16,464,384

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

358 109,264,175 231,001,371

0.472145343 27,871,481 59,031,639

0.473002

Ratio

0.217236327 49,767,669 229,094,618

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 522 35,093,639 05 Administrative and General 345 99,256,246

06 Maintenance and Repairs 766 3,126,644 07 Operation of Plant 222 17,452,807

08/09 Laundry / Housekeeping 386 8,397,039 10/11 Dietary and Cafeteria 375 5,577,459

13 Nursing Administration 548 5,405,997 14 Central Service and Supply 269 5,042,429

15 Pharmancy 291 11,216,521 16 Medical Records 812 2,429,169

Selected Revenue Departments

0.604002351 11,133,541 18,432,960

0.179893339 32,254,271 179,296,982

323

17 Social Services 1,012 947,231 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,315 366,842

Revenue Ranking -

All Providers

10:04 AM

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Page 277: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050751

MIRACLEMILE MEDICAL CENTER

6000 SAN VICENTE BLVD

LOS ANGELES, CA 90036

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

2/14/2019 45 Days Settled

Proprietary - Other

General Short Term

Balance Sheet

2,991,092

Income Statement

132,772

10,004,000

13,127,864

1,333,605

13,590,000

-1,795,741

13,127,864 -77.6%

0.0%

54.4

45.7

0.7%

7.1%

12.69

1.7

1.1%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.8%10,517,253Contract Allowance

Total Charges 13,009,077

19.2%

44.3%

55.7%

0.2%

0.0%

55.9%

Current Assets

Fixed Assets

2,491,824

1,103,448

1,388,376

5,182

0

1,393,558

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 17CR Beds 17

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,535 210,623 02 Capital Cost - Movable Equip 5,475 3,443

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

6,030 444,225 174,627

0.0000000 0 0

2.543851

Ratio

0.0335584,623 108,841 3,243,414

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,769 15,081 05 Administrative and General 5,981 319,673

06 Maintenance and Repairs 0 0 07 Operation of Plant 5,498 12,668

08/09 Laundry / Housekeeping 5,972 19,365 10/11 Dietary and Cafeteria 5,994 9,842

13 Nursing Administration 5,410 42,166 14 Central Service and Supply 3,295 44,226

15 Pharmancy 3,564 3,540 16 Medical Records 5,574 7,147

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,819

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 278: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050704

MISSION COMMUNITY HOSPITAL

14850 ROSCOE BLVD

PANORAMA CITY, CA 91402

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

79,584,810

Income Statement

6,386,359

586,962

86,558,131

75,457,097

0

11,101,034

86,558,131 59.4%

26.1%

177.7

1,295.3

3.1%

29.2%

32.90

5.1

83.5%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

72.6%359,646,455Contract Allowance

Total Charges 495,137,139

27.4%

95.7%

4.3%

0.6%

0.0%

4.9%

Current Assets

Fixed Assets

135,490,684

129,702,793

5,787,891

829,628

19,634

6,597,885

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 96CR Beds 135

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,673 2,441,305 02 Capital Cost - Movable Equip 1,845 3,240,377

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,271 41,499,522 138,415,824

0.2687311,448 7,024,277 26,138,700

0.299818

Ratio

0.0773872,291 7,431,291 96,027,771

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,036 551,375 05 Administrative and General 1,974 18,744,685

06 Maintenance and Repairs 891 2,398,563 07 Operation of Plant 3,045 1,163,403

08/09 Laundry / Housekeeping 1,718 2,302,609 10/11 Dietary and Cafeteria 1,130 2,879,833

13 Nursing Administration 2,088 1,335,293 14 Central Service and Supply 2,478 175,440

15 Pharmancy 1,597 1,887,698 16 Medical Records 1,321 1,485,530

Selected Revenue Departments

0.0000000 0 0

0.2897782,155 6,542,677 22,578,238

1,838

17 Social Services 1,196 721,566 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 278

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 279: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050567

MISSION HOSPITAL REGIONAL MED CENTER

27700 MEDICAL CENTER RD

MISSION VIEJO, CA 92691

ORANGE

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

126,288,968

Income Statement

328,145,512

105,118,279

559,552,759

76,745,082

227,526,739

255,280,938

559,552,759 23.6%

4.3%

16.4

158.6

4.7%

11.2%

45.50

4.0

41.6%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.9%2,081,251,602Contract Allowance

Total Charges 2,743,367,279

24.1%

95.3%

4.7%

4.4%

0.0%

9.1%

Current Assets

Fixed Assets

662,115,677

631,192,706

30,922,971

29,262,076

17,814

60,167,233

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 565CR Beds 392

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 418 19,369,729 02 Capital Cost - Movable Equip 502 13,311,387

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

311 116,259,153 268,182,059

0.341344215 39,021,733 114,318,073

0.433508

Ratio

0.152788254 59,082,847 386,697,619

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,021 18,163,606 05 Administrative and General 484 81,210,879

06 Maintenance and Repairs 60 22,964,622 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 185 12,671,361 10/11 Dietary and Cafeteria 173 8,480,073

13 Nursing Administration 357 7,592,631 14 Central Service and Supply 143 8,484,044

15 Pharmancy 251 13,126,136 16 Medical Records 871 2,308,639

Selected Revenue Departments

0.321299933 5,097,074 15,863,981

0.117623240 37,485,792 318,694,385

346

17 Social Services 2,387 123,885 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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051330

MODOC MEDICAL CENTER

228 W MCDOWELL AVE

ALTURAS, CA 96101

MODOC

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

21,852,789

Income Statement

17,199,694

0

39,052,483

5,153,432

0

33,899,051

39,052,483 16.2%

0.1%

94.1

143.1

9.5%

0.0%

4.9

20.2%

Key Performanace Ind.

4.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

24.5%7,471,180Contract Allowance

Total Charges 30,455,530

75.5%

86.7%

13.3%

14.6%

4.1%

23.8%

Current Assets

Fixed Assets

22,984,350

19,935,850

3,048,500

3,359,228

932,022

5,475,706

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 16CR Beds 16

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,914 34,512 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,760 1,873,393 1,904,593

0.0000000 0 0

0.983619

Ratio

0.3764954,206 554,330 1,472,343

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,109 1,439,537 05 Administrative and General 5,093 2,403,185

06 Maintenance and Repairs 1,773 313,809 07 Operation of Plant 4,950 276,719

08/09 Laundry / Housekeeping 4,194 390,145 10/11 Dietary and Cafeteria 3,411 680,191

13 Nursing Administration 3,592 465,900 14 Central Service and Supply 0 0

15 Pharmancy 3,046 290,348 16 Medical Records 3,753 263,587

Selected Revenue Departments

0.0000000 0 0

0.7892873,293 3,124,978 3,959,243

4,131

17 Social Services 2,556 88,392 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 350 51,786 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 281: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052054

MONROVIA MEMORIAL HOSPITAL

323 SOUTH HELIOTROPE AVENUE

MONROVIA, CA 91016

LOS ANGELES

BLUE CROSS (CALIFORNIA)

4/30/2019 365 Days Settled

Proprietary - Other

General Long Term

Balance Sheet

10,396,836

Income Statement

6,389,366

0

16,786,202

4,719,223

7,200,932

4,866,047

16,786,202 156.3%

11.0%

41.7

33.8

0.2%

0.0%

21.3

53.4%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.5%96,307,039Contract Allowance

Total Charges 125,951,930

23.5%

74.4%

25.6%

0.0%

0.0%

25.6%

Current Assets

Fixed Assets

29,644,891

22,046,892

7,597,999

5,910

0

7,603,909

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 49CR Beds 45

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,372 790,580 02 Capital Cost - Movable Equip 4,290 348,626

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,477 8,195,010 10,326,850

0.9072972,506 1,955,679 2,155,500

0.793563

Ratio

0.1091933,832 1,188,728 10,886,467

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,588 113,202 05 Administrative and General 3,934 4,716,059

06 Maintenance and Repairs 2,021 83,244 07 Operation of Plant 4,270 509,026

08/09 Laundry / Housekeeping 3,759 500,935 10/11 Dietary and Cafeteria 3,969 524,275

13 Nursing Administration 2,278 1,152,417 14 Central Service and Supply 0 0

15 Pharmancy 2,746 464,467 16 Medical Records 3,625 286,502

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,708

17 Social Services 2,597 80,381 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 282: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050758

MONTCLAIR HOSPITAL MEDICAL CENTER

5000 SAN BERNARDINO ST

MONTCLAIR, CA 91763

SAN BERNARDINO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

57,114,035

Income Statement

47,209,790

1

104,323,826

6,662,577

7,622,548

90,038,701

104,323,826 1.8%

3.9%

33.5

803.4

1.0%

20.3%

30.31

3.4

24.4%

Key Performanace Ind.

8.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.9%192,996,383Contract Allowance

Total Charges 241,697,464

20.1%

97.7%

2.3%

1.0%

0.0%

3.3%

Current Assets

Fixed Assets

48,701,081

47,588,114

1,112,967

482,826

0

1,595,793

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 106CR Beds 98

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,871 2,166,683 02 Capital Cost - Movable Equip 2,990 1,064,590

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,840 12,208,454 23,820,984

0.6368502,325 2,570,691 4,036,573

0.512508

Ratio

0.1220693,256 2,634,673 21,583,559

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,229 386,134 05 Administrative and General 3,029 8,097,951

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,138 2,430,313

08/09 Laundry / Housekeeping 2,753 1,042,506 10/11 Dietary and Cafeteria 2,767 963,060

13 Nursing Administration 2,473 994,405 14 Central Service and Supply 2,977 81,059

15 Pharmancy 2,142 966,180 16 Medical Records 1,676 1,094,199

Selected Revenue Departments

0.6072551,647 1,864,226 3,069,923

0.1018382,377 5,593,402 54,924,562

3,033

17 Social Services 2,154 187,530 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,008 1,514,663

Revenue Ranking -

All Providers

10:04 AM

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Page 283: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050736

MONTEREY PARK HOSPITAL

900 S ATLANTIC BLVD

MONTEREY PARK, CA 91754

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

74,097,595

Income Statement

1,914,920

185,037

76,197,552

29,171,565

5,650,742

41,375,245

76,197,552 28.3%

9.6%

31.9

762.2

1.6%

8.5%

39.06

4.3

57.1%

Key Performanace Ind.

2.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

85.0%559,674,372Contract Allowance

Total Charges 658,157,018

15.0%

89.1%

10.9%

1.0%

0.0%

11.9%

Current Assets

Fixed Assets

98,482,646

87,795,087

10,687,559

1,014,098

361

11,701,296

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 102CR Beds 97

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,985 3,979,051 02 Capital Cost - Movable Equip 4,215 369,994

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,042 21,591,182 63,529,778

0.2669572,423 2,247,245 8,417,988

0.339859

Ratio

0.1240032,142 8,432,829 68,005,057

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,382 271,748 05 Administrative and General 2,401 13,215,370

06 Maintenance and Repairs 1,246 1,133,411 07 Operation of Plant 3,218 1,032,055

08/09 Laundry / Housekeeping 2,708 1,074,414 10/11 Dietary and Cafeteria 1,841 1,738,023

13 Nursing Administration 1,232 2,519,091 14 Central Service and Supply 2,238 246,631

15 Pharmancy 3,529 27,666 16 Medical Records 1,607 1,152,732

Selected Revenue Departments

0.3205461,208 3,521,617 10,986,321

0.1138992,419 5,445,628 47,811,194

2,205

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 284: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051312

MOUNTAINS COMMUNITY HOSPITAL

29101 HOSPITAL ROAD

LAKE ARROWHEAD, CA 92352

SAN BERNARDINO

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

4,753,538

Income Statement

15,725,650

21,936,602

42,415,790

3,166,415

9,448,982

29,800,393

42,415,790 16.3%

5.7%

38.6

204.2

5.9%

0.0%

3.8

18.8%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

54.7%30,726,459Contract Allowance

Total Charges 56,166,898

45.3%

100.3%

-0.3%

19.4%

0.0%

19.1%

Current Assets

Fixed Assets

25,440,439

25,523,008

-82,569

4,936,823

0

4,854,254

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 17CR Beds 17

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,502 1,450,476 02 Capital Cost - Movable Equip 3,170 887,792

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,521 2,374,973 3,046,980

0.0000000 0 0

0.779451

Ratio

0.6975203,493 1,940,127 2,781,466

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,868 697,652 05 Administrative and General 3,944 4,692,889

06 Maintenance and Repairs 1,640 455,730 07 Operation of Plant 4,249 520,221

08/09 Laundry / Housekeeping 2,963 891,191 10/11 Dietary and Cafeteria 3,153 770,673

13 Nursing Administration 3,584 469,114 14 Central Service and Supply 2,780 108,679

15 Pharmancy 3,116 255,104 16 Medical Records 3,306 350,762

Selected Revenue Departments

0.0000000 0 0

0.1848023,210 3,261,269 17,647,357

3,969

17 Social Services 2,458 108,512 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 212 220,000 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 285: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050248

NATIVIDAD MEDICAL CENTER

1441 CONSTITUTION BOULEVARD

SALINAS, CA 93906

MONTEREY

Noridian (CA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

196,092,092

Income Statement

113,113,983

10,005,138

319,211,213

76,491,450

41,985,552

200,734,211

319,211,213 13.0%

3.0%

25.1

491.1

2.4%

9.6%

51.71

4.2

65.4%

Key Performanace Ind.

2.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.4%941,156,466Contract Allowance

Total Charges 1,200,934,616

21.6%

115.8%

-15.8%

25.8%

0.0%

10.0%

Current Assets

Fixed Assets

259,778,150

300,810,862

-41,032,712

67,129,068

0

26,096,356

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 172CR Beds 123

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,101 8,269,200 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

873 57,468,457 236,814,261

0.268901469 21,836,530 81,206,720

0.242673

Ratio

0.2518491,196 19,124,102 75,934,722

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,472 4,710,731 05 Administrative and General 907 49,897,919

06 Maintenance and Repairs 383 6,843,798 07 Operation of Plant 1,807 3,145,469

08/09 Laundry / Housekeeping 556 6,605,654 10/11 Dietary and Cafeteria 795 3,715,237

13 Nursing Administration 863 3,637,531 14 Central Service and Supply 677 2,177,315

15 Pharmancy 825 4,387,802 16 Medical Records 515 3,543,637

Selected Revenue Departments

0.529411286 12,332,661 23,295,042

0.101381667 20,917,296 206,324,453

1,134

17 Social Services 1,467 506,552 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 517 6,812,672

Revenue Ranking -

All Providers

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054135

NEWPORT BAY HOSPITAL

1501 E 16TH ST

NEWPORT BEACH, CA 92663

ORANGE

WISCONSIN PHYSICIANS SERVICE

4/30/2019 365 Days Settled

Proprietary - Corporation

Psychiatric

Balance Sheet

2,431,913

Income Statement

622

0

2,432,535

3,057,991

1,740,795

-2,366,251

2,432,535 3.8%

0.0%

96.7

41.1

0.0%

0.0%

13.0

89.3%

Key Performanace Ind.

0.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

29.4%4,773,322Contract Allowance

Total Charges 16,228,962

70.6%

100.8%

-0.8%

0.0%

0.0%

-0.8%

Current Assets

Fixed Assets

11,455,640

11,544,507

-88,867

0

0

(88,867)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 34CR Beds 36

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,961 478,737 02 Capital Cost - Movable Equip 5,498 136

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,131 10,175,800 14,714,282

0.0000000 0 0

0.691559

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,741 26,362 05 Administrative and General 5,251 2,155,504

06 Maintenance and Repairs 0 0 07 Operation of Plant 5,095 215,006

08/09 Laundry / Housekeeping 4,421 342,000 10/11 Dietary and Cafeteria 4,345 431,763

13 Nursing Administration 5,473 11,467 14 Central Service and Supply 2,833 99,859

15 Pharmancy 0 0 16 Medical Records 4,611 140,477

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,140

17 Social Services 2,947 23,859 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 287: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050367

NORTHBAY MEDICAL CENTER

1200 B GALE WILSON BLVD

FAIRFIELD, CA 94533

SOLANO

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

285,921,858

Income Statement

283,071,397

284,799,702

853,792,957

148,023,391

323,163,642

382,605,924

853,792,957 18.0%

7.1%

28.5

648.2

4.4%

12.7%

66.11

5.0

74.3%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.5%3,524,111,991Contract Allowance

Total Charges 4,169,626,545

15.5%

96.5%

3.5%

7.2%

0.0%

10.7%

Current Assets

Fixed Assets

645,514,554

623,043,086

22,471,468

46,469,545

0

68,941,013

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 123CR Beds 136

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 635 13,988,948 02 Capital Cost - Movable Equip 195 24,145,779

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

301 118,779,750 428,699,614

0.236229261 33,827,363 143,197,049

0.277070

Ratio

0.063771522 37,223,863 583,707,993

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,520 149,709 05 Administrative and General 450 84,165,900

06 Maintenance and Repairs 274 9,151,926 07 Operation of Plant 1,463 4,239,042

08/09 Laundry / Housekeeping 430 7,698,547 10/11 Dietary and Cafeteria 277 6,564,267

13 Nursing Administration 423 6,548,655 14 Central Service and Supply 637 2,329,490

15 Pharmancy 1,171 3,010,858 16 Medical Records 118 9,092,242

Selected Revenue Departments

0.226286537 8,612,381 38,059,787

0.086722215 40,488,023 466,873,891

363

17 Social Services 614 1,795,708 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,509 132,629

Revenue Ranking -

All Providers

10:04 AM

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051324

NORTHERN INYO HOSPITAL

150 PIONEER LANE

BISHOP, CA 93514

INYO

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

48,834,386

Income Statement

77,928,836

20,451,575

147,214,797

25,547,913

86,254,328

35,412,556

147,214,797 -6.3%

5.4%

61.1

320.7

11.4%

0.0%

56.82

3.5

39.1%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

43.3%65,790,113Contract Allowance

Total Charges 152,010,388

56.7%

105.6%

-5.6%

3.0%

0.0%

-2.6%

Current Assets

Fixed Assets

86,220,275

91,018,867

-4,798,592

2,570,155

0

(2,228,437)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,594 5,364,852 02 Capital Cost - Movable Equip 2,250 2,142,827

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,590 14,223,923 8,259,769

2.1353582,343 2,517,600 1,179,006

1.722073

Ratio

0.6205501,955 9,762,765 15,732,444

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,224 1,315,873 05 Administrative and General 2,390 13,349,276

06 Maintenance and Repairs 995 1,957,123 07 Operation of Plant 2,628 1,620,306

08/09 Laundry / Housekeeping 1,731 2,285,057 10/11 Dietary and Cafeteria 1,862 1,719,698

13 Nursing Administration 1,904 1,503,350 14 Central Service and Supply 2,177 265,275

15 Pharmancy 1,657 1,745,402 16 Medical Records 1,005 1,972,476

Selected Revenue Departments

1.0540721,875 1,248,596 1,184,545

0.8937351,775 8,452,962 9,458,023

2,367

17 Social Services 2,450 110,131 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 289: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050116

NORTHRIDGE HOSPITAL MEDICAL CENTER

18300 ROSCOE BLVD

NORTHRIDGE, CA 91325

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 334 Days Submitted

Nonprofit - Church

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

255,509,783

Income Statement

203,350,095

38,781,623

497,641,501

49,185,816

65,880,058

382,575,627

497,641,501 17.1%

6.3%

45.0

1,759.0

3.7%

9.0%

50.26

4.2

46.3%

Key Performanace Ind.

5.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.7%1,897,273,182Contract Allowance

Total Charges 2,267,550,991

16.3%

103.2%

-3.2%

20.9%

0.0%

17.7%

Current Assets

Fixed Assets

370,277,809

382,179,313

-11,901,504

77,411,225

0

65,509,721

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 435CR Beds 234

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,503 3,163,991 02 Capital Cost - Movable Equip 279 19,640,825

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

528 84,415,110 371,039,479

0.166192446 22,934,757 138,001,736

0.227510

Ratio

0.193178488 38,764,215 200,665,399

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 327 50,604,233 05 Administrative and General 680 63,479,377

06 Maintenance and Repairs 653 3,863,722 07 Operation of Plant 497 11,039,439

08/09 Laundry / Housekeeping 1,080 3,870,946 10/11 Dietary and Cafeteria 1,319 2,510,551

13 Nursing Administration 773 4,013,454 14 Central Service and Supply 765 1,855,820

15 Pharmancy 831 4,342,132 16 Medical Records 281 5,470,484

Selected Revenue Departments

0.4844661,023 4,592,260 9,479,012

0.121114458 27,503,023 227,083,228

1,190

17 Social Services 1,270 657,480 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 641 4,715,670

Revenue Ranking -

All Providers

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Page 290: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050116

NORTHRIDGE HOSPITAL MEDICAL CENTER

18300 ROSCOE BLVD

NORTHRIDGE, CA 91325

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 334 Days Submitted

Nonprofit - Church

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

280,695,021

Income Statement

151,582,412

23,684,952

455,962,385

62,739,334

69,059,715

324,163,336

455,962,385 -2.7%

4.0%

76.5

2,617.8

5.9%

14.5%

50.26

4.2

46.3%

Key Performanace Ind.

4.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.2%1,143,142,727Contract Allowance

Total Charges 1,373,566,564

16.8%

106.5%

-6.5%

2.8%

0.0%

-3.8%

Current Assets

Fixed Assets

230,423,837

245,470,272

-15,046,435

6,386,867

0

(8,659,568)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 435CR Beds 234

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,503 5,777,062 02 Capital Cost - Movable Equip 279 7,980,108

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

528 47,640,973 215,138,464

0.166138446 13,251,536 79,762,089

0.221443

Ratio

0.095768488 10,561,663 110,283,454

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 327 29,071,863 05 Administrative and General 680 40,389,420

06 Maintenance and Repairs 653 3,044,578 07 Operation of Plant 497 6,537,884

08/09 Laundry / Housekeeping 1,080 2,457,786 10/11 Dietary and Cafeteria 1,319 1,578,246

13 Nursing Administration 773 2,263,988 14 Central Service and Supply 765 842,571

15 Pharmancy 831 2,761,651 16 Medical Records 281 3,263,564

Selected Revenue Departments

0.5306831,023 3,055,578 5,757,823

0.119447458 15,627,772 130,834,431

1,190

17 Social Services 1,270 318,315 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 641 362,639

Revenue Ranking -

All Providers

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050131

NOVATO COMMUNITY HOSPITAL

180 ROWLAND WAY

NOVATO, CA 94945

MARIN

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

12,674,564

Income Statement

31,940,758

7,854,536

52,469,858

5,912,138

14,244,166

32,313,554

52,469,858 -12.0%

3.6%

23.3

274.4

7.8%

21.9%

65.40

3.2

41.2%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.8%199,221,038Contract Allowance

Total Charges 277,333,296

28.2%

107.2%

-7.2%

2.2%

0.0%

-5.0%

Current Assets

Fixed Assets

78,112,258

83,720,945

-5,608,687

1,733,061

0

(3,875,626)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 75CR Beds 39

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,886 1,144,474 02 Capital Cost - Movable Equip 2,247 2,152,317

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,513 14,987,358 27,286,450

0.5529661,588 6,027,123 10,899,634

0.549260

Ratio

0.2389642,014 9,301,741 38,925,271

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,962 7,350,508 05 Administrative and General 2,351 13,805,076

06 Maintenance and Repairs 967 2,085,373 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 2,735 1,054,578 10/11 Dietary and Cafeteria 2,633 1,043,108

13 Nursing Administration 2,391 1,062,865 14 Central Service and Supply 2,135 277,423

15 Pharmancy 1,719 1,650,939 16 Medical Records 0 (761,938)

Selected Revenue Departments

0.0000000 0 0

0.1430581,990 7,296,289 51,002,477

2,472

17 Social Services 2,158 186,295 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050153

O'CONNOR HOSPITAL

2105 FOREST AVENUE

SAN JOSE, CA 95128

SANTA CLARA

Noridian (CA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 358CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050067

OAK VALLEY HOSPITAL DISTRICT

350 S OAK AVE

OAKDALE, CA 95361

STANISLAUS

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

16,184,289

Income Statement

78,167,262

23,732,049

118,083,600

11,360,831

61,270,385

45,452,384

118,083,600 11.8%

3.3%

31.9

249.5

1.9%

3.6%

32.89

4.3

22.6%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

57.1%102,553,053Contract Allowance

Total Charges 179,601,887

42.9%

101.9%

-1.9%

8.9%

0.0%

7.0%

Current Assets

Fixed Assets

77,048,834

78,531,570

-1,482,736

6,865,082

0

5,382,346

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 39CR Beds 30

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,294 6,912,489 02 Capital Cost - Movable Equip 4,403 311,338

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,253 5,186,930 6,317,675

1.2688332,466 2,092,198 1,648,915

0.821019

Ratio

0.3762022,871 4,228,607 11,240,265

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,292 1,240,498 05 Administrative and General 2,780 9,894,622

06 Maintenance and Repairs 1,134 1,471,801 07 Operation of Plant 3,002 1,198,127

08/09 Laundry / Housekeeping 2,352 1,423,550 10/11 Dietary and Cafeteria 1,896 1,681,511

13 Nursing Administration 2,459 1,009,391 14 Central Service and Supply 2,823 102,431

15 Pharmancy 1,863 1,364,057 16 Medical Records 2,133 773,549

Selected Revenue Departments

0.0000000 0 0

0.3144222,091 6,779,232 21,560,952

2,491

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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054153

OCEAN VIEW PSYCHIATRIC HEALTH FACILITY

2600 REDONDO AVENUE, SUITE 500

LONG BEACH, CA 90806

LOS ANGELES

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

14,076,082

Income Statement

1,014,183

34,837,331

49,927,596

2,772,220

140,519

47,014,857

49,927,596 4.1%

17.5%

38.0

482.3

0.0%

0.0%

10.0

71.0%

Key Performanace Ind.

5.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.4%32,969,835Contract Allowance

Total Charges 43,712,200

24.6%

81.9%

18.1%

0.0%

0.0%

18.1%

Current Assets

Fixed Assets

10,742,365

8,799,384

1,942,981

0

0

1,942,981

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 20CR Beds 36

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,004 1,055,613 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,550 7,863,557 9,600,432

0.0000000 0 0

0.819084

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,441 215,618 05 Administrative and General 5,257 2,144,738

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 4,785 329,154

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,207

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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051334

OJAI VALLEY COMMUNITY HOSPITAL

1306 MARICOPA HWY

OJAI, CA 93023

VENTURA

NORIDIAN PART A

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

3,837,769

Income Statement

29,683,998

3,854,398

37,376,165

53,635,220

1,362,052

-17,621,107

37,376,165 33.1%

6.8%

43.0

170.7

7.7%

0.0%

6.9

33.7%

Key Performanace Ind.

0.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

45.5%24,324,805Contract Allowance

Total Charges 53,471,203

54.5%

127.1%

-27.1%

7.1%

0.0%

-20.0%

Current Assets

Fixed Assets

29,146,398

37,054,082

-7,907,684

2,073,900

0

(5,833,784)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 91CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,493 730,495 02 Capital Cost - Movable Equip 2,443 1,743,184

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,797 3,777,863 2,427,739

1.8954302,500 1,973,461 1,041,168

1.556124

Ratio

1.4755093,849 1,170,213 793,091

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,827 3,483,663 05 Administrative and General 3,057 7,994,702

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,538 813,534

08/09 Laundry / Housekeeping 2,826 985,891 10/11 Dietary and Cafeteria 2,316 1,273,550

13 Nursing Administration 2,482 989,368 14 Central Service and Supply 3,611 2,234

15 Pharmancy 2,490 637,914 16 Medical Records 2,852 464,006

Selected Revenue Departments

0.0000000 0 0

0.2629453,312 3,077,104 11,702,470

3,742

17 Social Services 2,403 119,813 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050742

OLYMPIA MEDICAL CENTER

5900 WEST OLYMPIC BOULEVARD

LOS ANGELES, CA 90036

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

27,116,652

Income Statement

22,832,811

7,545,378

57,494,841

65,920,268

-602,804

-7,822,623

57,494,841 0.0%

6.7%

246.4

1,179.4

5.3%

34.8%

23.63

5.5

33.0%

Key Performanace Ind.

0.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

86.4%494,772,514Contract Allowance

Total Charges 572,768,843

13.6%

102.1%

-2.1%

2.1%

0.0%

0.0%

Current Assets

Fixed Assets

77,996,329

79,651,645

-1,655,316

1,655,316

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 204CR Beds 192

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,843 4,461,978 02 Capital Cost - Movable Equip 2,105 2,487,297

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,639 29,908,948 97,877,128

0.0000000 0 0

0.305576

Ratio

0.0932222,436 6,445,450 69,141,213

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,180 430,971 05 Administrative and General 2,461 12,633,156

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,651 3,576,996

08/09 Laundry / Housekeeping 2,163 1,619,298 10/11 Dietary and Cafeteria 2,243 1,340,411

13 Nursing Administration 2,151 1,266,203 14 Central Service and Supply 1,778 459,592

15 Pharmancy 1,377 2,389,362 16 Medical Records 897 2,244,521

Selected Revenue Departments

0.0000000 0 0

0.0825412,247 6,126,080 74,218,781

2,475

17 Social Services 2,411 118,458 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050746

ORANGE COUNTY GLOBAL MEDICAL CENTER

1001 NORTH TUSTIN AVENUE

SANTA ANA, CA 92705

ORANGE

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

72,420,877

Income Statement

9,941,691

0

82,362,568

33,510,337

0

48,852,231

82,362,568 -17.3%

6.7%

57.7

577.4

1.0%

10.9%

40.18

5.5

45.7%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.8%741,619,218Contract Allowance

Total Charges 929,900,062

20.2%

104.8%

-4.8%

0.3%

0.0%

-4.5%

Current Assets

Fixed Assets

188,280,844

197,310,206

-9,029,362

563,697

0

(8,465,665)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 282CR Beds 189

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 893 10,443,804 02 Capital Cost - Movable Equip 1,799 3,382,223

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,481 34,467,424 88,240,999

0.293642299 30,958,165 105,428,190

0.390606

Ratio

0.1307541,318 17,315,073 132,424,707

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,690 861,426 05 Administrative and General 945 48,006,359

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,123 5,780,918

08/09 Laundry / Housekeeping 1,539 2,677,794 10/11 Dietary and Cafeteria 1,576 2,071,761

13 Nursing Administration 2,184 1,233,680 14 Central Service and Supply 1,807 443,381

15 Pharmancy 1,085 3,291,631 16 Medical Records 1,093 1,799,869

Selected Revenue Departments

0.570370818 5,868,535 10,289,003

0.0798971,253 12,666,771 158,539,345

1,476

17 Social Services 1,536 467,497 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,491 149,699

Revenue Ranking -

All Providers

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051311

ORCHARD HOSPITAL

240 SPRUCE STREET

GRIDLEY, CA 95948

BUTTE

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

6,613,898

Income Statement

2,373,358

2,017,769

11,005,025

4,964,990

1,627,101

4,412,934

11,005,025 -18.6%

6.7%

62.4

66.3

10.9%

0.0%

10.8

36.0%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

56.7%35,385,650Contract Allowance

Total Charges 62,409,442

43.3%

107.5%

-7.5%

4.5%

0.0%

-3.0%

Current Assets

Fixed Assets

27,023,792

29,054,816

-2,031,024

1,211,938

0

(819,086)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 24CR Beds 24

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,139 395,500 02 Capital Cost - Movable Equip 4,306 344,215

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,459 4,556,705 4,686,750

0.0000000 0 0

0.972253

Ratio

0.7616314,014 909,187 1,193,737

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,174 436,058 05 Administrative and General 3,843 4,935,097

06 Maintenance and Repairs 1,762 322,947 07 Operation of Plant 3,990 610,228

08/09 Laundry / Housekeeping 3,452 626,136 10/11 Dietary and Cafeteria 3,148 772,557

13 Nursing Administration 4,384 226,606 14 Central Service and Supply 0 0

15 Pharmancy 2,642 522,247 16 Medical Records 2,615 545,635

Selected Revenue Departments

0.0000000 0 0

0.3193363,003 3,659,350 11,459,235

3,870

17 Social Services 2,510 97,263 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 325 79,728 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050030

OROVILLE HOSPITAL

2767 OLIVE HIGHWAY

OROVILLE, CA 95966

BUTTE

BLUE CROSS (CALIFORNIA)

11/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

108,918,262

Income Statement

46,039,796

265,837,140

420,795,198

63,650,285

245,498,161

111,646,752

420,795,198 13.8%

1.2%

62.0

329.7

5.8%

22.4%

38.74

3.5

87.8%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

69.0%704,054,578Contract Allowance

Total Charges 1,020,572,707

31.0%

100.4%

-0.4%

5.3%

0.1%

4.9%

Current Assets

Fixed Assets

316,518,129

317,634,627

-1,116,498

16,742,883

189,689

15,436,696

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 133CR Beds 141

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,377 1,584,614 02 Capital Cost - Movable Equip 4,629 243,319

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,168 45,196,649 124,202,640

0.6320931,328 7,994,840 12,648,200

0.363894

Ratio

0.2341631,629 13,048,578 55,724,360

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 734 25,395,704 05 Administrative and General 1,334 34,107,638

06 Maintenance and Repairs 866 2,577,317 07 Operation of Plant 2,465 1,839,573

08/09 Laundry / Housekeeping 1,304 3,229,383 10/11 Dietary and Cafeteria 1,580 2,067,300

13 Nursing Administration 1,063 2,992,526 14 Central Service and Supply 1,499 683,201

15 Pharmancy 903 4,029,473 16 Medical Records 458 3,845,250

Selected Revenue Departments

0.9246341,582 2,019,721 2,184,346

0.374030569 23,779,899 63,577,474

939

17 Social Services 2,129 195,062 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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054130

PACIFIC GROVE HOSPITAL

5900 BROCKTON AVE

RIVERSIDE, CA 92506

RIVERSIDE

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

3,201,494

Income Statement

7,568,782

2,507,578

13,277,854

1,016,669

-2,865,566

15,126,751

13,277,854 15.7%

4.8%

25.9

86.2

1.0%

0.0%

7.9

70.8%

Key Performanace Ind.

3.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

60.7%23,762,254Contract Allowance

Total Charges 39,139,212

39.3%

84.8%

15.2%

0.2%

0.0%

15.4%

Current Assets

Fixed Assets

15,376,958

13,040,852

2,336,106

38,192

-1

2,374,299

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 46CR Beds 68

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,725 596,184 02 Capital Cost - Movable Equip 5,127 101,368

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,184 9,850,523 32,617,204

0.0000000 0 0

0.302004

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,280 1,257,021 05 Administrative and General 4,566 3,372,059

06 Maintenance and Repairs 2,096 4,798 07 Operation of Plant 4,590 394,003

08/09 Laundry / Housekeeping 5,123 212,085 10/11 Dietary and Cafeteria 4,150 480,017

13 Nursing Administration 4,320 242,834 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 3,119 392,337

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,765

17 Social Services 1,581 444,026 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,492 149,301

Revenue Ranking -

All Providers

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050378

PACIFICA HOSPITAL OF THE VALLEY

9449 SAN FERNANDO RD

SUN VALLEY, CA 91352

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

58,795,758

Income Statement

14,126,246

18,916,515

91,838,519

30,947,783

29,731,682

31,159,054

91,838,519 70.6%

2.3%

97.3

341.9

0.1%

5.8%

35.46

7.2

39.0%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

31.9%52,380,108Contract Allowance

Total Charges 164,034,387

68.1%

77.9%

22.1%

0.9%

3.3%

19.7%

Current Assets

Fixed Assets

111,654,279

87,019,531

24,634,748

1,056,073

3,690,688

22,000,133

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 161CR Beds 126

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,925 4,189,250 02 Capital Cost - Movable Equip 2,972 1,076,298

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,240 18,502,145 30,462,633

0.0000000 0 0

0.607372

Ratio

1.7724743,366 2,264,979 1,277,863

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,897 3,280,508 05 Administrative and General 2,435 12,925,057

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,740 3,297,405

08/09 Laundry / Housekeeping 2,009 1,826,549 10/11 Dietary and Cafeteria 1,691 1,921,752

13 Nursing Administration 1,427 2,100,710 14 Central Service and Supply 1,918 374,450

15 Pharmancy 1,793 1,492,112 16 Medical Records 2,175 756,688

Selected Revenue Departments

502.709022

2,081 791,264 1,574

0.2533342,666 4,607,082 18,185,811

2,041

17 Social Services 2,849 42,590 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050204

PALMDALE REGIONAL MEDICAL CENTER

38600 MEDICAL CENTER DRIVE

PALMDALE, CA 93552

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

43,718,918

Income Statement

197,889,446

3,035,454

244,643,818

18,502,835

239,852,680

-13,711,697

244,643,818 -129.0%

5.3%

23.2

207.4

3.2%

13.3%

41.44

4.2

59.3%

Key Performanace Ind.

2.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

87.4%1,417,771,389Contract Allowance

Total Charges 1,622,983,434

12.6%

91.9%

8.1%

0.5%

0.0%

8.6%

Current Assets

Fixed Assets

205,212,045

188,492,910

16,719,135

975,687

0

17,694,822

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 157CR Beds 139

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 468 17,806,522 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,210 43,672,239 149,499,387

0.3001941,020 10,847,060 36,133,527

0.292123

Ratio

0.0702031,000 22,552,261 321,242,274

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,172 15,391,201 05 Administrative and General 1,641 25,255,055

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,364 4,589,301

08/09 Laundry / Housekeeping 1,482 2,773,380 10/11 Dietary and Cafeteria 1,730 1,883,827

13 Nursing Administration 729 4,280,848 14 Central Service and Supply 2,513 168,303

15 Pharmancy 1,289 2,624,470 16 Medical Records 1,175 1,684,553

Selected Revenue Departments

0.0000000 0 0

0.057753853 17,518,702 303,340,579

1,384

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050423

PALO VERDE HOSPITAL

250 NORTH FIRST STREET

BLYTHE, CA 92225

RIVERSIDE

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

13,029,895

Income Statement

1,421,469

0

14,451,364

2,760,637

246,837

11,443,890

14,451,364 26.5%

3.3%

24.0

1,996.7

4.7%

11.1%

28.64

3.2

14.1%

Key Performanace Ind.

4.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

68.3%43,461,379Contract Allowance

Total Charges 63,670,896

31.7%

100.2%

-0.2%

15.3%

0.1%

15.0%

Current Assets

Fixed Assets

20,209,517

20,256,141

-46,624

3,099,849

23,466

3,029,759

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 51CR Beds 47

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,090 416,887 02 Capital Cost - Movable Equip 3,592 613,998

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,787 3,803,209 4,292,142

31.0217263,047 151,355 4,879

0.886086

Ratio

0.3019333,914 1,064,256 3,524,813

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,453 1,070,324 05 Administrative and General 4,469 3,544,405

06 Maintenance and Repairs 1,625 480,354 07 Operation of Plant 4,539 413,411

08/09 Laundry / Housekeeping 4,460 333,281 10/11 Dietary and Cafeteria 5,062 265,296

13 Nursing Administration 3,148 636,199 14 Central Service and Supply 0 -882

15 Pharmancy 2,770 454,504 16 Medical Records 3,604 289,830

Selected Revenue Departments

2.2040822,284 457,261 207,461

0.2453583,113 3,446,131 14,045,330

4,341

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050115

PALOMAR HEALTH DOWNTOWN CAMPUS

555 EAST VALLEY PARKWAY

ESCONDIDO, CA 92025

SAN DIEGO

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

3,161,132,864

Income Statement

875,586,372

28,244,706

4,064,963,942

3,702,752,905

42,252,026

319,959,011

4,064,963,942 11.4%

2.4%

14.9

2,205.6

2.9%

10.9%

41.76

3.7

86.0%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.5%2,716,772,278Contract Allowance

Total Charges 3,293,816,281

17.5%

96.4%

3.6%

3.3%

0.7%

6.3%

Current Assets

Fixed Assets

577,044,003

556,009,839

21,034,164

19,122,053

3,764,662

36,391,555

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 583CR Beds 238

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 58 57,405,349 02 Capital Cost - Movable Equip 541 12,754,236

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

206 144,165,706 573,029,428

0.225951271 33,067,326 146,347,197

0.251585

Ratio

0.117066391 44,440,057 379,616,915

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 659 28,325,235 05 Administrative and General 410 89,509,468

06 Maintenance and Repairs 292 8,621,167 07 Operation of Plant 233 16,991,605

08/09 Laundry / Housekeeping 411 7,998,554 10/11 Dietary and Cafeteria 204 7,886,793

13 Nursing Administration 2,121 1,298,453 14 Central Service and Supply 348 4,068,234

15 Pharmancy 346 9,591,471 16 Medical Records 377 4,451,265

Selected Revenue Departments

0.297667190 14,905,707 50,075,145

0.115513112 51,871,269 449,052,824

435

17 Social Services 108 7,025,079 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,217 592,483

Revenue Ranking -

All Providers

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050024

PARADISE VALLEY HOSPITAL

2400 EAST 4TH ST

NATIONAL CITY, CA 91950

SAN DIEGO

NORIDIAN ADMIN SERVICES

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

81,888,217

Income Statement

31,607,189

0

113,495,406

54,330,181

77,748,003

-18,582,778

113,495,406 -10.9%

5.1%

26.2

509.4

3.5%

14.9%

33.17

5.1

47.9%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

65.8%273,065,739Contract Allowance

Total Charges 414,886,080

34.2%

101.1%

-1.1%

2.6%

0.0%

1.4%

Current Assets

Fixed Assets

141,820,341

143,391,078

-1,570,737

3,628,048

32,071

2,025,240

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 237CR Beds 215

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,706 4,951,689 02 Capital Cost - Movable Equip 1,954 2,893,918

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,309 40,318,239 117,313,456

0.4589071,905 4,217,096 9,189,430

0.343680

Ratio

0.2603162,742 4,871,994 18,715,674

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,621 925,766 05 Administrative and General 2,123 16,306,712

06 Maintenance and Repairs 964 2,094,254 07 Operation of Plant 1,225 5,247,539

08/09 Laundry / Housekeeping 1,344 3,125,507 10/11 Dietary and Cafeteria 1,005 3,157,599

13 Nursing Administration 955 3,322,051 14 Central Service and Supply 902 1,502,029

15 Pharmancy 1,604 1,861,651 16 Medical Records 1,426 1,346,906

Selected Revenue Departments

3.4898852,483 199,077 57,044

0.1907931,769 8,472,722 44,407,902

1,786

17 Social Services 705 1,530,056 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050697

PATIENTS' HOSPITAL OF REDDING

2900 EUREKA WAY

REDDING, CA 96001

SHASTA

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Settled

Proprietary - Individual

General Short Term

Balance Sheet

673,801

Income Statement

1,048,408

0

1,722,209

2,215,039

457,319

-950,149

1,722,209 59.7%

4.1%

61.1

268.0

29.4%

17.4%

29.78

2.0

10.4%

Key Performanace Ind.

0.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.6%19,994,593Contract Allowance

Total Charges 25,436,215

21.4%

111.0%

-11.0%

0.6%

0.0%

-10.4%

Current Assets

Fixed Assets

5,441,622

6,040,429

-598,807

31,177

0

(567,630)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 10CR Beds 10

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,484 232,867 02 Capital Cost - Movable Equip 5,405 21,021

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,665 2,099,020 1,245,427

0.0000000 0 0

1.685382

Ratio

0.1152503,791 1,276,519 11,076,107

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,518 150,133 05 Administrative and General 5,806 984,468

06 Maintenance and Repairs 1,771 316,693 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 5,141 209,886 10/11 Dietary and Cafeteria 4,924 298,599

13 Nursing Administration 4,460 207,402 14 Central Service and Supply 2,755 111,660

15 Pharmancy 3,555 15,406 16 Medical Records 4,831 113,591

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,666

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 307: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050136

PETALUMA VALLEY HOSPITAL

400 N MCDOWELL BLVD

PETALUMA, CA 94954

SONOMA

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Amended

Government - Hospital Dis

General Short Term

Balance Sheet

26,356,100

Income Statement

7,626,471

4,235,702

38,218,273

16,790,480

0

21,427,793

38,218,273 61.6%

7.2%

28.6

323.6

6.6%

14.6%

58.62

4.0

36.8%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

81.6%415,051,140Contract Allowance

Total Charges 508,592,187

18.4%

86.4%

13.6%

0.5%

0.0%

14.1%

Current Assets

Fixed Assets

93,541,047

80,775,082

12,765,965

444,459

5,683

13,204,741

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 97CR Beds 71

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,989 2,009,514 02 Capital Cost - Movable Equip 2,589 1,522,669

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,164 19,615,851 43,179,534

0.4176721,960 3,936,658 9,425,247

0.454286

Ratio

0.0802682,551 5,757,596 71,729,926

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,620 2,006,385 05 Administrative and General 2,503 12,269,043

06 Maintenance and Repairs 1,695 384,181 07 Operation of Plant 1,708 3,403,190

08/09 Laundry / Housekeeping 2,736 1,054,405 10/11 Dietary and Cafeteria 2,996 842,266

13 Nursing Administration 1,316 2,353,901 14 Central Service and Supply 1,810 439,672

15 Pharmancy 1,700 1,677,511 16 Medical Records 2,231 729,010

Selected Revenue Departments

0.2828051,688 1,745,165 6,170,923

0.0591532,124 6,648,377 112,392,544

2,270

17 Social Services 1,161 765,959 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 308: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050169

PIH HEALTH HOSPITAL-WHITTIER

12401 WASHINGTON BLVD

WHITTIER, CA 90602

LOS ANGELES

PALMETTO (CALIFORNIA)

9/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

500,686,044

Income Statement

339,774,635

468,253,451

1,308,714,130

229,776,016

353,051,842

725,886,272

1,308,714,130 5.5%

4.8%

31.5

52.3

3.5%

9.7%

39.74

4.1

59.8%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.7%3,219,021,520Contract Allowance

Total Charges 3,798,500,412

15.3%

98.8%

1.2%

5.8%

0.0%

6.9%

Current Assets

Fixed Assets

579,478,892

572,770,189

6,708,703

33,578,059

78,682

40,208,080

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 547CR Beds 270

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 537 16,008,574 02 Capital Cost - Movable Equip 448 14,767,957

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

418 98,880,128 399,010,143

0.202550314 29,329,874 144,803,214

0.247814

Ratio

0.120381790 27,147,291 225,512,245

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 476 37,799,412 05 Administrative and General 595 69,822,300

06 Maintenance and Repairs 982 2,004,685 07 Operation of Plant 236 16,928,083

08/09 Laundry / Housekeeping 396 8,275,967 10/11 Dietary and Cafeteria 531 4,682,150

13 Nursing Administration 293 8,735,019 14 Central Service and Supply 1,017 1,263,424

15 Pharmancy 381 8,964,894 16 Medical Records 257 5,837,181

Selected Revenue Departments

0.360455707 6,692,724 18,567,408

0.097650501 26,085,435 267,130,587

433

17 Social Services 658 1,666,484 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 845 2,612,135

Revenue Ranking -

All Providers

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Page 309: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050393

PIH HOSPITAL - DOWNEY

11500 BROOKSHIRE AVENUE

DOWNEY, CA 90241

LOS ANGELES

BLUE CROSS (CALIFORNIA)

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

45,412,179

Income Statement

133,417,383

1,187

178,830,749

262,695,714

0

-83,864,965

178,830,749 4.7%

5.3%

36.5

55.6

2.8%

14.9%

39.31

3.5

44.8%

Key Performanace Ind.

0.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.7%902,313,803Contract Allowance

Total Charges 1,064,796,039

15.3%

105.7%

-5.7%

3.3%

0.0%

-2.4%

Current Assets

Fixed Assets

162,482,236

171,699,589

-9,217,353

5,288,977

93

(3,928,469)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 167CR Beds 174

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,864 4,390,369 02 Capital Cost - Movable Equip 1,414 5,029,448

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,154 45,737,559 162,222,734

0.279790977 11,275,070 40,298,299

0.281943

Ratio

0.1584792,090 8,737,393 55,132,953

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,737 9,036,210 05 Administrative and General 1,739 23,592,431

06 Maintenance and Repairs 1,339 935,619 07 Operation of Plant 1,422 4,371,607

08/09 Laundry / Housekeeping 832 4,877,935 10/11 Dietary and Cafeteria 1,146 2,849,588

13 Nursing Administration 2,233 1,198,975 14 Central Service and Supply 1,419 746,370

15 Pharmancy 986 3,680,983 16 Medical Records 1,128 1,747,461

Selected Revenue Departments

0.4876061,415 2,647,338 5,429,255

0.0820541,020 15,224,429 185,542,294

1,634

17 Social Services 289 3,649,576 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 997 1,608,174

Revenue Ranking -

All Providers

10:04 AM

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Page 310: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050342

PIONEERS MEMORIAL HEALTHCARE DISTRICT

207 WEST LEGION ROAD

BRAWLEY, CA 92227

IMPERIAL

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

25,269,804

Income Statement

25,127,925

41,893,183

92,290,912

21,784,024

23,008,465

47,498,423

92,290,912 -4.9%

3.6%

47.0

376.5

10.8%

13.0%

32.82

4.1

52.7%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.5%336,962,512Contract Allowance

Total Charges 458,361,925

26.5%

109.6%

-9.6%

7.7%

0.0%

-1.9%

Current Assets

Fixed Assets

121,399,413

133,067,899

-11,668,486

9,332,533

0

(2,335,953)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 99CR Beds 99

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,768 1,238,680 02 Capital Cost - Movable Equip 2,054 2,616,847

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,046 21,553,210 40,249,552

0.5721791,994 3,806,425 6,652,512

0.535489

Ratio

0.1769862,067 8,957,509 50,611,499

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,173 15,370,193 05 Administrative and General 2,258 14,665,539

06 Maintenance and Repairs 794 2,969,317 07 Operation of Plant 2,651 1,590,749

08/09 Laundry / Housekeeping 1,887 2,043,084 10/11 Dietary and Cafeteria 2,804 944,659

13 Nursing Administration 1,386 2,187,727 14 Central Service and Supply 1,580 611,006

15 Pharmancy 1,400 2,313,639 16 Medical Records 657 2,934,600

Selected Revenue Departments

0.465401947 5,028,548 10,804,763

0.1508121,267 12,587,087 83,462,310

1,953

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 311: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050589

PLACENTIA LINDA HOSPITAL

1301 N ROSE DRIVE

PLACENTIA, CA 92870

ORANGE

WISCONSIN PHYSICIANS SERVICE

5/31/2019 365 Days Amended

Proprietary - Corporation

General Short Term

Balance Sheet

23,305,307

Income Statement

40,381,490

12,707,654

76,394,451

9,773,965

3,860,534

62,759,952

76,394,451 23.0%

5.6%

19.7

317.5

4.1%

7.8%

45.05

3.3

23.4%

Key Performanace Ind.

2.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

88.7%785,845,642Contract Allowance

Total Charges 885,728,279

11.3%

85.7%

14.3%

0.1%

0.0%

14.4%

Current Assets

Fixed Assets

99,882,637

85,549,751

14,332,886

97,423

0

14,430,309

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 114CR Beds 106

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,116 3,599,394 02 Capital Cost - Movable Equip 1,817 3,307,707

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,308 17,620,521 59,232,669

0.1877202,062 3,555,458 18,940,233

0.297480

Ratio

0.0956241,592 13,423,650 140,379,288

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 1,671 24,666,124

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,336 2,051,011

08/09 Laundry / Housekeeping 2,707 1,074,814 10/11 Dietary and Cafeteria 3,421 677,746

13 Nursing Administration 2,253 1,184,549 14 Central Service and Supply 1,250 939,642

15 Pharmancy 1,744 1,600,848 16 Medical Records 1,650 1,108,845

Selected Revenue Departments

0.0000000 0 0

0.0495031,837 8,047,936 162,575,918

2,180

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 312: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051326

PLUMAS DISTRICT HOSPITAL

1065 BUCKS LAKE ROAD

QUINCY, CA 95971

PLUMAS

NORIDIAN ADMIN SERVICES

6/30/2019 365 Days Amended

Government - Hospital Dis

General Short Term

Balance Sheet

15,679,186

Income Statement

8,043,375

317,596

24,040,157

4,972,334

1,154,913

17,912,910

24,040,157 25.0%

3.0%

51.8

189.9

12.3%

0.0%

4.3

36.1%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

47.3%20,422,067Contract Allowance

Total Charges 43,190,844

52.7%

119.0%

-19.0%

38.7%

0.0%

19.7%

Current Assets

Fixed Assets

22,768,777

27,096,077

-4,327,300

8,808,085

0

4,480,785

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 17

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,670 148,503 02 Capital Cost - Movable Equip 3,577 623,323

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,220 5,265,776 4,695,711

0.0000000 0 0

1.121401

Ratio

0.4744593,580 1,719,367 3,623,851

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,136 471,800 05 Administrative and General 3,687 5,361,314

06 Maintenance and Repairs 1,706 378,255 07 Operation of Plant 4,598 391,093

08/09 Laundry / Housekeeping 3,873 472,325 10/11 Dietary and Cafeteria 4,767 334,150

13 Nursing Administration 3,378 550,664 14 Central Service and Supply 3,640 172

15 Pharmancy 3,010 318,977 16 Medical Records 2,087 798,824

Selected Revenue Departments

0.7367802,549 138,964 188,610

0.4583363,791 2,192,663 4,783,965

4,155

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 235 187,754 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 313: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050636

POMERADO HOSPITAL

15615 POMERADO ROAD

POWAY, CA 92064

SAN DIEGO

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

757,749,211

Income Statement

65,411,108

3,460,659

826,620,978

694,321,062

0

132,299,916

826,620,978 -7.0%

2.9%

8.8

1,814.0

4.8%

11.8%

40.60

3.5

57.3%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.8%676,948,473Contract Allowance

Total Charges 837,911,542

19.2%

105.1%

-5.1%

3.9%

4.5%

-5.7%

Current Assets

Fixed Assets

160,963,069

169,160,512

-8,197,443

6,303,889

7,307,276

(9,200,830)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 95CR Beds 79

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 654 13,493,895 02 Capital Cost - Movable Equip 1,647 3,876,434

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,725 27,873,313 102,437,921

0.2993221,172 9,264,867 30,952,813

0.272100

Ratio

0.1086381,676 12,447,611 114,579,049

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,702 9,347,869 05 Administrative and General 1,549 27,690,494

06 Maintenance and Repairs 652 3,866,716 07 Operation of Plant 1,974 2,736,368

08/09 Laundry / Housekeeping 1,691 2,353,139 10/11 Dietary and Cafeteria 1,165 2,806,782

13 Nursing Administration 793 3,919,409 14 Central Service and Supply 1,344 827,985

15 Pharmancy 1,189 2,971,518 16 Medical Records 2,184 754,149

Selected Revenue Departments

0.4217691,088 4,210,173 9,982,185

0.1028801,321 12,004,478 116,684,468

1,644

17 Social Services 1,842 315,322 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 314: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050231

POMONA VALLEY HOSPITAL MEDICAL CENTER

1798 N GAREY AVE

POMONA, CA 91767

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

341,891,499

Income Statement

347,924,691

29,999,249

719,815,439

101,130,896

111,402,210

507,282,333

719,815,439 4.0%

4.3%

61.7

756.9

2.1%

8.2%

46.25

5.0

67.2%

Key Performanace Ind.

3.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

86.5%4,146,941,627Contract Allowance

Total Charges 4,795,482,535

13.5%

98.3%

1.7%

1.4%

0.0%

3.1%

Current Assets

Fixed Assets

648,540,908

637,823,120

10,717,788

9,223,056

-284,673

20,225,517

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 435CR Beds 309

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 675 13,213,302 02 Capital Cost - Movable Equip 184 24,747,098

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

393 102,943,961 565,307,198

0.145864100 59,502,148 407,928,437

0.182103

Ratio

0.127867222 62,672,113 490,134,907

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,636 9,972,755 05 Administrative and General 630 67,398,721

06 Maintenance and Repairs 1,104 1,555,269 07 Operation of Plant 272 15,789,069

08/09 Laundry / Housekeeping 192 12,416,116 10/11 Dietary and Cafeteria 439 5,169,810

13 Nursing Administration 137 12,880,697 14 Central Service and Supply 805 1,740,529

15 Pharmancy 283 11,381,753 16 Medical Records 152 8,290,178

Selected Revenue Departments

0.188096380 10,722,226 57,004,081

0.155413177 43,596,051 280,516,652

360

17 Social Services 514 2,188,079 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 656 4,585,372

Revenue Ranking -

All Providers

10:04 AM

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Page 315: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050546

PORTERVILLE DEVELOPMENTAL CENTER

26501 AVENUE 140

PORTERVILLE, CA 93257

TULARE

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - State

General Short Term

Balance Sheet

-2,140,969

Income Statement

159,891,961

0

157,750,992

42,385,239

0

115,365,753

157,750,992 -8.7%

3.8%

25.5

0.2

0.0%

0.1%

28.74

31.2

7.2%

Key Performanace Ind.

(0.1)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 154,645,502

100.0%

106.5%

-6.5%

0.0%

0.0%

-6.5%

Current Assets

Fixed Assets

154,645,502

164,685,489

-10,039,987

0

0

(10,039,987)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 44CR Beds 44

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,649 5,177,479 02 Capital Cost - Movable Equip 3,101 952,858

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,801 1,739,825 1,135,659

0.0000000 0 0

1.531996

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 545 32,872,221 05 Administrative and General 806 55,872,794

06 Maintenance and Repairs 455 5,925,855 07 Operation of Plant 2,119 2,460,270

08/09 Laundry / Housekeeping 972 4,305,029 10/11 Dietary and Cafeteria 455 5,052,419

13 Nursing Administration 0 0 14 Central Service and Supply 2,427 188,819

15 Pharmancy 1,916 1,280,857 16 Medical Records 1,614 1,148,463

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

1,690

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 316: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050278

PROVIDENCE HOLY CROSS MEDICAL CENTER

15031 RINALDI ST

MISSION HILLS, CA 91346

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

182,465,522

Income Statement

217,760,193

37,454,139

437,679,854

38,738,362

141,779,279

257,162,213

437,679,854 4.3%

5.0%

16.1

92.7

1.8%

10.5%

46.05

4.5

72.4%

Key Performanace Ind.

4.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.4%2,169,395,486Contract Allowance

Total Charges 2,696,981,377

19.6%

100.3%

-0.3%

2.4%

0.0%

2.1%

Current Assets

Fixed Assets

527,585,891

529,059,292

-1,473,401

12,614,760

0

11,141,359

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 257CR Beds 280

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 434 18,878,366 02 Capital Cost - Movable Equip 516 13,102,152

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

328 114,270,828 422,236,330

0.228283412 24,268,839 106,310,245

0.270632

Ratio

0.090152785 27,280,544 302,605,949

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 434 40,301,219 05 Administrative and General 394 92,209,192

06 Maintenance and Repairs 0 0 07 Operation of Plant 384 13,156,703

08/09 Laundry / Housekeeping 679 5,766,854 10/11 Dietary and Cafeteria 875 3,485,701

13 Nursing Administration 343 7,903,347 14 Central Service and Supply 0 0

15 Pharmancy 1,019 3,543,291 16 Medical Records 1,103 1,787,121

Selected Revenue Departments

0.413506186 15,114,326 36,551,645

0.134146378 30,498,449 227,353,230

498

17 Social Services 816 1,285,219 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,578 64,228

Revenue Ranking -

All Providers

10:04 AM

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Page 317: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050078

PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO

1300 W 7TH ST

SAN PEDRO, CA 90732

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

57,543,824

Income Statement

40,709,732

22,470,777

120,724,333

19,094,348

28,806,876

72,823,109

120,724,333 -35.3%

3.7%

13.3

89.0

2.3%

6.9%

40.95

4.9

32.6%

Key Performanace Ind.

3.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.0%628,992,841Contract Allowance

Total Charges 806,321,076

22.0%

117.1%

-17.1%

2.6%

0.0%

-14.5%

Current Assets

Fixed Assets

177,328,235

207,640,811

-30,312,576

4,580,682

0

(25,731,894)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 259CR Beds 174

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,091 3,668,307 02 Capital Cost - Movable Equip 1,519 4,450,053

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,633 30,040,814 67,618,736

0.4403061,553 6,292,212 14,290,550

0.444268

Ratio

0.2242942,141 8,437,264 37,616,965

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,027 18,041,124 05 Administrative and General 1,235 37,037,297

06 Maintenance and Repairs 0 0 07 Operation of Plant 536 10,402,335

08/09 Laundry / Housekeeping 1,321 3,180,300 10/11 Dietary and Cafeteria 1,060 3,058,891

13 Nursing Administration 612 4,968,901 14 Central Service and Supply 2,658 131,619

15 Pharmancy 1,099 3,249,654 16 Medical Records 2,495 598,513

Selected Revenue Departments

1.7474431,424 2,590,034 1,482,185

0.2229681,119 14,077,066 63,134,953

1,535

17 Social Services 1,133 801,489 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 318: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050353

PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE

4101 TORRANCE BLVD

TORRANCE, CA 90503

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

214,417,703

Income Statement

110,818,282

71,003,803

396,239,788

34,133,392

97,418,050

264,688,346

396,239,788 -12.1%

4.7%

10.0

85.6

3.7%

11.8%

43.57

4.3

60.1%

Key Performanace Ind.

6.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.5%1,651,562,392Contract Allowance

Total Charges 2,104,507,745

21.5%

109.0%

-9.0%

2.0%

0.0%

-7.1%

Current Assets

Fixed Assets

452,945,353

493,834,456

-40,889,103

8,953,936

0

(31,935,167)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 242CR Beds 265

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 705 12,857,939 02 Capital Cost - Movable Equip 411 15,482,724

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

496 89,875,469 248,041,753

0.466025470 21,710,871 46,587,395

0.362340

Ratio

0.133749698 29,855,526 223,220,615

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 484 37,548,457 05 Administrative and General 495 80,395,696

06 Maintenance and Repairs 0 0 07 Operation of Plant 240 16,717,518

08/09 Laundry / Housekeeping 630 6,058,125 10/11 Dietary and Cafeteria 520 4,720,711

13 Nursing Administration 354 7,740,998 14 Central Service and Supply 0 0

15 Pharmancy 531 6,631,146 16 Medical Records 610 3,137,223

Selected Revenue Departments

0.556204282 12,399,447 22,292,965

0.225680436 28,156,087 124,760,915

618

17 Social Services 972 997,465 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 319: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050290

PROVIDENCE SAINT JOHN'S HEALTH CENTER

2121 SANTA MONICA BLVD

SANTA MONICA, CA 90404

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

115,499,219

Income Statement

295,007,410

217,341,752

627,848,381

76,757,783

144,141,370

406,949,228

627,848,381 -12.0%

4.4%

25.1

68.0

8.3%

21.7%

50.15

4.4

65.6%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.3%945,249,746Contract Allowance

Total Charges 1,325,136,310

28.7%

126.8%

-26.8%

13.9%

-0.2%

-12.8%

Current Assets

Fixed Assets

379,886,564

481,838,048

-101,951,484

52,651,836

-607,393

(48,692,255)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 317CR Beds 201

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 597 14,592,731 02 Capital Cost - Movable Equip 512 13,131,294

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

561 82,060,939 171,343,085

0.419873623 17,422,404 41,494,467

0.478928

Ratio

0.145056381 45,530,288 313,881,391

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 707 26,589,029 05 Administrative and General 599 69,579,789

06 Maintenance and Repairs 0 0 07 Operation of Plant 194 18,992,933

08/09 Laundry / Housekeeping 628 6,072,262 10/11 Dietary and Cafeteria 497 4,800,346

13 Nursing Administration 188 11,016,016 14 Central Service and Supply 1,233 956,217

15 Pharmancy 652 5,509,930 16 Medical Records 1,490 1,280,487

Selected Revenue Departments

0.614149591 8,000,163 13,026,411

0.257087893 16,960,289 65,970,997

761

17 Social Services 967 1,004,737 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 320: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050235

PROVIDENCE SAINT JOSEPH MEDICAL CTR

501 SOUTH BUENA VISTA STREET

BURBANK, CA 91505

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

201,543,142

Income Statement

184,617,946

80,404,121

466,565,209

39,772,609

39,021,333

387,771,267

466,565,209 -0.1%

3.1%

16.0

83.2

5.6%

16.7%

46.49

4.6

52.1%

Key Performanace Ind.

5.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.8%1,993,750,759Contract Allowance

Total Charges 2,466,995,585

19.2%

103.8%

-3.8%

3.7%

0.0%

-0.1%

Current Assets

Fixed Assets

473,244,826

491,310,128

-18,065,302

17,520,132

0

(545,170)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 360CR Beds 319

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 575 14,984,324 02 Capital Cost - Movable Equip 613 11,689,856

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

443 95,662,173 266,358,512

0.231505275 32,856,044 141,923,707

0.359148

Ratio

0.082329796 26,955,060 327,408,423

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 499 36,675,802 05 Administrative and General 413 89,001,018

06 Maintenance and Repairs 0 0 07 Operation of Plant 356 13,696,224

08/09 Laundry / Housekeeping 570 6,528,198 10/11 Dietary and Cafeteria 1,032 3,124,532

13 Nursing Administration 463 6,131,507 14 Central Service and Supply 3,555 9,584

15 Pharmancy 757 4,802,649 16 Medical Records 608 3,141,762

Selected Revenue Departments

0.454624433 9,913,793 21,806,563

0.114846565 23,936,768 208,425,568

586

17 Social Services 647 1,685,615 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,577 65,181

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 320

Healthcare Almanac 561-594-7551

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Page 321: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050761

PROVIDENCE TARZANA MEDICAL CENTER

18321 CLARK STREET

TARZANA, CA 91356

LOS ANGELES

NORIDIAN GVT SERVICES (OR)

12/1/2019 335 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

-98,218,186

Income Statement

320,854,455

15,017,323

237,653,592

78,083,427

14,981,246

144,588,919

237,653,592 -34.2%

2.0%

80.4

67.2

6.3%

17.7%

51.39

4.0

55.4%

Key Performanace Ind.

(1.3)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.6%920,250,287Contract Allowance

Total Charges 1,171,172,479

21.4%

120.8%

-20.8%

1.1%

0.0%

-19.7%

Current Assets

Fixed Assets

250,922,192

303,029,707

-52,107,515

2,675,581

0

(49,431,934)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 245CR Beds 201

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,219 3,287,329 02 Capital Cost - Movable Equip 904 8,549,555

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

715 68,370,038 158,253,129

0.427487702 15,861,062 37,103,035

0.432030

Ratio

0.105817905 24,529,021 231,807,001

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 849 22,237,362 05 Administrative and General 686 63,272,273

06 Maintenance and Repairs 0 0 07 Operation of Plant 254 16,230,533

08/09 Laundry / Housekeeping 1,174 3,579,429 10/11 Dietary and Cafeteria 1,121 2,912,151

13 Nursing Administration 1,249 2,481,678 14 Central Service and Supply 0 -12,710

15 Pharmancy 819 4,430,064 16 Medical Records 680 2,860,489

Selected Revenue Departments

0.564368490 9,174,053 16,255,459

0.259924883 17,039,604 65,556,064

1,074

17 Social Services 1,310 614,839 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050009

QUEEN OF THE VALLEY MEDICAL CENTER

1000 TRANCAS ST

NAPA, CA 94558

NAPA

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

64,160,663

Income Statement

178,796,344

181,426,622

424,383,629

33,352,708

145,050,391

245,980,530

424,383,629 14.4%

3.2%

14.0

249.6

8.4%

15.8%

56.44

4.6

53.2%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.4%1,189,572,535Contract Allowance

Total Charges 1,498,557,923

20.6%

93.1%

6.9%

4.6%

0.0%

11.5%

Current Assets

Fixed Assets

308,985,388

287,677,842

21,307,546

14,158,996

0

35,466,542

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 147CR Beds 110

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 775 11,802,351 02 Capital Cost - Movable Equip 1,286 5,769,076

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,059 49,462,104 123,225,000

0.298291833 13,330,083 44,688,174

0.401397

Ratio

0.097549864 25,354,643 259,918,019

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,090 6,531,287 05 Administrative and General 1,372 33,028,698

06 Maintenance and Repairs 237 10,216,507 07 Operation of Plant 1,549 3,925,440

08/09 Laundry / Housekeeping 1,404 2,958,882 10/11 Dietary and Cafeteria 863 3,510,362

13 Nursing Administration 528 5,572,060 14 Central Service and Supply 968 1,338,347

15 Pharmancy 290 11,239,081 16 Medical Records 853 2,351,507

Selected Revenue Departments

0.265985881 5,449,211 20,486,880

0.0628821,164 13,539,844 215,321,093

958

17 Social Services 2,059 219,074 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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053303

RADY CHILDREN'S HOSPITAL - SAN DIEGO

3020 CHILDRENS WAY

SAN DIEGO, CA 92123

SAN DIEGO

Noridian (CA)

6/30/2019 365 Days Amended

Nonprofit - Other

Children

Balance Sheet

1,358,292,689

Income Statement

474,725,277

329,252,220

2,162,270,186

224,556,153

574,711,570

1,363,002,463

2,162,270,186 14.5%

2.7%

46.6

80.6

0.0%

0.0%

4.9

68.2%

Key Performanace Ind.

6.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.0%2,216,396,192Contract Allowance

Total Charges 3,035,853,939

27.0%

146.3%

-46.3%

70.4%

0.0%

24.1%

Current Assets

Fixed Assets

819,457,747

1,199,033,757

-379,576,010

577,284,410

0

197,708,400

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 475CR Beds 193

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 259 26,465,802 02 Capital Cost - Movable Equip 4,248 360,969

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

540 83,496,419 333,114,776

0.2976257 146,308,937 491,588,926

0.250654

Ratio

0.096063352 47,665,353 496,186,905

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,712 9,275,588 05 Administrative and General 191 154,792,656

06 Maintenance and Repairs 516 5,179,034 07 Operation of Plant 135 23,378,104

08/09 Laundry / Housekeeping 417 7,961,203 10/11 Dietary and Cafeteria 404 5,389,945

13 Nursing Administration 1,064 2,988,049 14 Central Service and Supply 282 4,856,475

15 Pharmancy 201 15,484,058 16 Medical Records 276 5,501,836

Selected Revenue Departments

0.0000000 0 0

0.194720277 35,210,330 180,825,493

250

17 Social Services 81 8,011,203 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,017 1,478,123

Revenue Ranking -

All Providers

10:04 AM

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059805

RADY CHILDREN'S HOSPITAL SAN DIEGO

3020 CHILDREN'S WAY, MAIL CODE 5115

SAN DIEGO, CA 92123

SAN DIEGO

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 325: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050272

REDLANDS COMMUNITY HOSPITAL

350 TERRACINA BLVD

REDLANDS, CA 92373

SAN BERNARDINO

BLUE CROSS (CALIFORNIA)

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

24,367,874

Income Statement

149,495,532

279,475,539

453,338,945

83,766,938

103,456,567

266,115,440

453,338,945 11.3%

1.6%

52.4

25.2

3.7%

10.9%

40.11

4.2

68.7%

Key Performanace Ind.

0.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

87.5%1,528,360,933Contract Allowance

Total Charges 1,745,834,394

12.5%

91.0%

9.0%

4.8%

0.0%

13.9%

Current Assets

Fixed Assets

217,473,461

197,872,494

19,600,967

10,532,514

0

30,133,481

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 229CR Beds 166

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,321 6,685,471 02 Capital Cost - Movable Equip 3,482 674,059

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,043 49,972,239 161,898,987

0.275417783 14,191,890 51,528,722

0.308663

Ratio

0.1624921,178 19,303,119 118,794,023

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,084 6,555,755 05 Administrative and General 1,694 24,111,969

06 Maintenance and Repairs 690 3,602,221 07 Operation of Plant 1,690 3,454,621

08/09 Laundry / Housekeeping 892 4,622,818 10/11 Dietary and Cafeteria 1,071 3,027,007

13 Nursing Administration 527 5,573,660 14 Central Service and Supply 469 3,138,898

15 Pharmancy 687 5,263,740 16 Medical Records 311 5,108,829

Selected Revenue Departments

1.299563578 8,135,965 6,260,537

0.092624943 16,192,492 174,819,858

1,339

17 Social Services 1,006 950,689 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 326: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051318

REDWOOD MEMORIAL HOSPITAL

3300 RENNER DRIVE

FORTUNA, CA 95540

HUMBOLDT

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

18,849,002

Income Statement

14,975,376

105,507,180

139,331,558

12,704,261

1,638,059

124,989,238

139,331,558 10.1%

5.6%

30.3

104.2

-3.8%

0.0%

4.0

53.0%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.8%179,531,676Contract Allowance

Total Charges 233,779,948

23.2%

85.6%

14.4%

8.8%

0.0%

23.2%

Current Assets

Fixed Assets

54,248,272

46,436,413

7,811,859

4,788,707

0

12,600,566

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,678 623,519 02 Capital Cost - Movable Equip 2,320 2,003,816

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,706 7,221,437 15,512,869

0.3870612,159 3,139,594 8,111,374

0.465513

Ratio

0.1096742,661 5,250,504 47,873,755

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,898 1,674,475 05 Administrative and General 3,741 5,190,412

06 Maintenance and Repairs 1,407 802,242 07 Operation of Plant 3,621 771,073

08/09 Laundry / Housekeeping 3,857 474,553 10/11 Dietary and Cafeteria 3,526 644,951

13 Nursing Administration 1,452 2,049,487 14 Central Service and Supply 2,499 171,222

15 Pharmancy 2,029 1,102,283 16 Medical Records 2,668 525,057

Selected Revenue Departments

0.3319901,702 1,724,045 5,193,062

0.1262522,149 6,565,960 52,006,780

2,916

17 Social Services 2,881 36,712 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050125

REGIONAL MEDICAL CENTER OF SAN JOSE

225 N JACKSON AVENUE

SAN JOSE, CA 95116

SANTA CLARA

Noridian (CA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

59,822,837

Income Statement

292,818,795

25,907,005

378,548,637

21,309,344

463,289,803

-106,050,510

378,548,637 55.5%

4.1%

2.4

175.7

3.0%

22.1%

73.53

5.2

85.9%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

91.7%4,307,610,617Contract Allowance

Total Charges 4,697,422,386

8.3%

115.5%

-15.5%

0.4%

0.0%

-15.1%

Current Assets

Fixed Assets

389,811,769

450,120,264

-60,308,495

1,439,745

0

(58,868,750)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 264CR Beds 218

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 469 17,789,688 02 Capital Cost - Movable Equip 728 10,361,807

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

265 125,117,410 801,262,239

0.177839131 52,724,495 296,472,845

0.156150

Ratio

0.140432879 25,009,623 178,090,550

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 246 62,976,753 05 Administrative and General 952 47,674,509

06 Maintenance and Repairs 0 0 07 Operation of Plant 600 9,733,019

08/09 Laundry / Housekeeping 627 6,075,938 10/11 Dietary and Cafeteria 645 4,207,215

13 Nursing Administration 256 9,373,897 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,199 1,653,836

Selected Revenue Departments

0.211455659 7,132,984 33,732,935

0.110927153 46,682,298 420,836,245

743

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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054009

RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA

150 MEDICAL PLAZA-RM-4230C

LOS ANGELES, CA 90095

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - State

Psychiatric

Balance Sheet

21,136,854

Income Statement

9,873,146

35,290,000

66,300,000

18,290,000

139,140,000

-91,130,000

66,300,000 8.4%

9.5%

47.5

66.6

0.7%

0.0%

12.9

91.7%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

53.7%73,694,443Contract Allowance

Total Charges 137,224,800

46.3%

128.5%

-28.5%

16.4%

0.0%

-12.1%

Current Assets

Fixed Assets

63,530,357

81,632,751

-18,102,394

10,446,073

0

(7,656,321)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 209CR Beds 74

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,810 2,254,208 02 Capital Cost - Movable Equip 4,835 184,773

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

740 66,984,420 111,803,910

0.0000000 0 0

0.599124

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,351 13,033,310 05 Administrative and General 2,273 14,560,443

06 Maintenance and Repairs 706 3,532,921 07 Operation of Plant 2,200 2,301,001

08/09 Laundry / Housekeeping 1,491 2,761,417 10/11 Dietary and Cafeteria 778 3,748,742

13 Nursing Administration 1,108 2,871,616 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 3,061 409,241

Selected Revenue Departments

0.0000000 0 0

0.2390854,632 575 2,405

2,730

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 693 4,144,971

Revenue Ranking -

All Providers

10:04 AM

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Page 329: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051333

RIDGECREST REGIONAL HOSPITAL

1081 NORTH CHINA LAKE BLVD

RIDGECREST, CA 93555

KERN

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

43,840,382

Income Statement

80,591,397

39,034,794

163,466,573

23,158,217

50,940,496

89,367,860

163,466,573 0.2%

4.3%

42.3

231.0

4.2%

0.0%

3.2

63.2%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

57.5%168,157,500Contract Allowance

Total Charges 292,514,581

42.5%

104.2%

-4.2%

4.3%

0.0%

0.2%

Current Assets

Fixed Assets

124,357,081

129,540,868

-5,183,787

5,384,316

0

200,529

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,062 8,626,639 02 Capital Cost - Movable Equip 5,436 12,983

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,332 8,929,303 16,201,412

0.7590342,287 2,701,370 3,558,958

0.551144

Ratio

0.2232182,516 5,919,188 26,517,496

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,498 11,375,954 05 Administrative and General 2,157 15,974,305

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,625 3,648,179

08/09 Laundry / Housekeeping 1,991 1,857,293 10/11 Dietary and Cafeteria 1,701 1,912,519

13 Nursing Administration 2,365 1,074,871 14 Central Service and Supply 3,313 43,209

15 Pharmancy 1,500 2,095,770 16 Medical Records 1,811 982,828

Selected Revenue Departments

0.5725261,206 3,539,154 6,181,653

0.2254971,926 7,627,286 33,824,384

1,930

17 Social Services 2,650 68,990 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 329

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Page 330: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050022

RIVERSIDE COMMUNITY HOSPITAL

4445 MAGNOLIA AVENUE

RIVERSIDE, CA 92501

RIVERSIDE

BLUE CROSS (CALIFORNIA)

4/30/2019 365 Days Amended

Proprietary - Corporation

General Short Term

Balance Sheet

124,065,542

Income Statement

416,395,251

9,117,492

549,578,285

39,893,722

-679,214,426

1,188,898,989

549,578,285 8.8%

5.3%

29.9

132.8

2.3%

15.1%

47.67

5.0

70.2%

Key Performanace Ind.

3.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

89.3%4,699,102,825Contract Allowance

Total Charges 5,263,181,704

10.7%

81.8%

18.2%

0.3%

0.0%

18.5%

Current Assets

Fixed Assets

564,078,879

461,481,094

102,597,785

1,960,636

-171

104,558,592

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 478CR Beds 389

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 758 12,068,971 02 Capital Cost - Movable Equip 196 24,037,311

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

285 121,764,235 524,815,255

0.146868196 40,816,283 277,912,267

0.232014

Ratio

0.070953702 29,738,817 419,132,840

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 447 39,302,401 05 Administrative and General 697 62,525,079

06 Maintenance and Repairs 0 0 07 Operation of Plant 771 8,026,939

08/09 Laundry / Housekeeping 356 8,821,056 10/11 Dietary and Cafeteria 366 5,675,504

13 Nursing Administration 325 8,141,384 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 703 2,775,325

Selected Revenue Departments

0.203091222 13,909,429 68,488,775

0.056397274 35,365,518 627,086,995

453

17 Social Services 839 1,239,030 18 Other General Service Cost 141 6,062,672

19 Non Physician Anesthetists 0 0 20-23 Education Programs 339 13,185,168

Revenue Ranking -

All Providers

10:04 AM

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059817

RIVERSIDE COMMUNITY HOSPITAL

4445 MAGNOLIA AVENUE

RIVERSIDE, CA 92501

RIVERSIDE

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 332: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050292

RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER

26520 CACTUS AVENUE

MORENO VALLEY, CA 92555

RIVERSIDE

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

265,924,623

Income Statement

207,672,676

140,072,506

613,669,805

232,459,739

566,991,102

-185,781,036

613,669,805 22.3%

3.0%

47.5

985.0

2.2%

12.9%

38.16

5.8

74.0%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

81.4%1,391,142,926Contract Allowance

Total Charges 1,709,079,891

18.6%

202.8%

-102.8%

19.0%

-70.7%

-13.1%

Current Assets

Fixed Assets

317,936,965

644,839,542

-326,902,577

60,507,410

-224,873,230

(41,521,937)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 439CR Beds 338

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 797 11,535,262 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

176 157,454,895 305,717,729

0.392977226 37,489,387 95,398,504

0.515034

Ratio

0.190298511 37,642,767 197,809,623

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 247 130,720,059

06 Maintenance and Repairs 272 9,200,837 07 Operation of Plant 902 7,141,416

08/09 Laundry / Housekeeping 278 10,272,499 10/11 Dietary and Cafeteria 164 8,728,433

13 Nursing Administration 181 11,218,585 14 Central Service and Supply 604 2,520,240

15 Pharmancy 188 16,076,832 16 Medical Records 172 7,693,524

Selected Revenue Departments

0.954473156 16,497,858 17,284,784

0.73625846 72,547,189 98,534,988

935

17 Social Services 134 6,047,810 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 239 20,251,966

Revenue Ranking -

All Providers

10:04 AM

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Page 333: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05129F

ROBERT E BUSH NAVAL HOSPITAL

PO BOX 788250 MCAGCC, BUILDING 1145 STURGIS STREET

TWENTYNINE PALMS, CA 92278

SAN BERNARDINO

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 40CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 334: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050262

RONALD REAGAN U C L A MEDICAL CENTER

757 WESTWOOD PLAZA

LOS ANGELES, CA 90095

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - State

General Short Term

Balance Sheet

1,584,720,000

Income Statement

990,860,000

792,810,000

3,368,390,000

411,750,000

3,522,060,000

-565,420,000

3,368,390,000 1.3%

3.2%

53.8

68.9

5.4%

15.3%

48.40

7.2

99.2%

Key Performanace Ind.

3.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

60.6%3,113,564,693Contract Allowance

Total Charges 5,140,534,992

39.4%

104.0%

-4.0%

13.9%

10.2%

-0.4%

Current Assets

Fixed Assets

2,026,970,299

2,108,300,970

-81,330,671

280,930,671

207,030,000

(7,430,000)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 445CR Beds 291

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 178 33,429,030 02 Capital Cost - Movable Equip 4,708 220,449

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

50 249,462,607 905,673,455

0.2789685 172,262,334 617,498,480

0.275444

Ratio

0.28475754 116,046,828 407,529,496

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 33 195,193,440 05 Administrative and General 60 256,174,644

06 Maintenance and Repairs 19 42,058,658 07 Operation of Plant 188 19,552,605

08/09 Laundry / Housekeeping 50 22,793,194 10/11 Dietary and Cafeteria 47 14,167,265

13 Nursing Administration 13 40,494,229 14 Central Service and Supply 167 7,517,492

15 Pharmancy 234 13,722,854 16 Medical Records 74 11,653,001

Selected Revenue Departments

0.567749217 14,030,855 24,713,136

0.418168142 49,029,521 117,248,477

42

17 Social Services 86 7,797,148 18 Other General Service Cost 145 5,772,139

19 Non Physician Anesthetists 0 0 20-23 Education Programs 79 57,396,183

Revenue Ranking -

All Providers

10:04 AM

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Page 335: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059812

RONALD REAGAN UCLA MEDICAL CENTER - TRANSPLANT SVS

757 WESTWOOD PLAZA

LOS ANGELES, CA 90095

LOS ANGELES

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 336: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050093

SAINT AGNES MEDICAL CENTER

1303 E HERNDON AVE

FRESNO, CA 93710

FRESNO

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

202,977,685

Income Statement

192,917,864

370,739,352

766,634,901

81,608,910

90,230,054

594,795,937

766,634,901 6.0%

3.7%

53.6

67.7

6.6%

24.3%

42.55

4.8

84.1%

Key Performanace Ind.

2.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.4%1,412,903,229Contract Allowance

Total Charges 1,924,865,393

26.6%

98.7%

1.3%

5.6%

0.0%

6.9%

Current Assets

Fixed Assets

511,962,164

505,206,287

6,755,877

28,783,999

0

35,539,876

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 436CR Beds 345

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 853 10,825,872 02 Capital Cost - Movable Equip 1,231 6,078,903

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

355 109,830,200 248,213,085

0.402975522 19,919,424 49,430,938

0.442484

Ratio

0.208538564 35,327,447 169,405,705

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,545 10,732,430 05 Administrative and General 591 70,231,444

06 Maintenance and Repairs 230 10,398,857 07 Operation of Plant 649 9,220,695

08/09 Laundry / Housekeeping 431 7,695,084 10/11 Dietary and Cafeteria 428 5,241,379

13 Nursing Administration 281 8,916,920 14 Central Service and Supply 308 4,524,767

15 Pharmancy 288 11,252,273 16 Medical Records 404 4,215,334

Selected Revenue Departments

0.431779305 12,029,821 27,861,046

0.117120336 32,359,172 276,291,304

522

17 Social Services 493 2,285,606 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 660 4,568,361

Revenue Ranking -

All Providers

10:04 AM

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Page 337: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050104

SAINT FRANCIS MEDICAL CENTER

3630 EAST IMPERIAL HIGHWAY

LYNWOOD, CA 90262

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

579,263,736

Income Statement

84,766,044

1,400,616

665,430,396

128,741,421

159,259,785

377,429,190

665,430,396 4.9%

4.7%

34.9

669.2

0.7%

8.3%

50.43

5.1

80.5%

Key Performanace Ind.

4.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

72.2%1,369,497,363Contract Allowance

Total Charges 1,896,998,088

27.8%

97.5%

2.5%

1.1%

0.0%

3.5%

Current Assets

Fixed Assets

527,500,725

514,392,405

13,108,320

5,551,284

0

18,659,604

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 448CR Beds 279

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 878 10,556,740 02 Capital Cost - Movable Equip 1,608 4,060,933

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

212 141,956,589 261,340,515

0.384319198 40,707,693 105,921,589

0.543186

Ratio

0.158405896 24,652,848 155,631,365

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 245 63,001,310 05 Administrative and General 205 148,008,254

06 Maintenance and Repairs 291 8,636,613 07 Operation of Plant 2,714 1,511,928

08/09 Laundry / Housekeeping 707 5,616,529 10/11 Dietary and Cafeteria 551 4,613,937

13 Nursing Administration 764 4,044,286 14 Central Service and Supply 548 2,800,871

15 Pharmancy 788 4,602,432 16 Medical Records 3,521 304,282

Selected Revenue Departments

0.39972837 28,665,782 71,713,235

0.138627283 35,072,716 252,999,914

499

17 Social Services 735 1,462,766 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 338: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050152

SAINT FRANCIS MEMORIAL HOSPITAL

900 HYDE ST

SAN FRANCISCO, CA 94109

SAN FRANCISCO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

26,092,871

Income Statement

63,136,191

152,755,376

241,984,438

29,933,440

21,485,691

190,565,307

241,984,438 -3.7%

2.8%

93.7

1,850.8

3.6%

10.6%

62.06

5.0

30.0%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.0%368,679,768Contract Allowance

Total Charges 466,779,259

21.0%

113.7%

-13.7%

4.8%

-1.6%

-7.2%

Current Assets

Fixed Assets

98,099,491

111,495,022

-13,395,531

4,715,355

-1,600,924

(7,079,252)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 288CR Beds 122

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,381 2,910,628 02 Capital Cost - Movable Equip 1,056 3,497,990

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,548 16,589,682 54,839,882

0.3372901,129 4,314,788 12,792,530

0.302511

Ratio

0.1696481,209 10,607,057 62,523,934

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 565 16,643,138 05 Administrative and General 1,281 18,520,595

06 Maintenance and Repairs 536 2,621,630 07 Operation of Plant 1,284 2,485,142

08/09 Laundry / Housekeeping 1,165 1,929,153 10/11 Dietary and Cafeteria 1,363 1,123,394

13 Nursing Administration 1,329 1,230,578 14 Central Service and Supply 1,303 507,088

15 Pharmancy 1,283 1,349,897 16 Medical Records 611 1,527,723

Selected Revenue Departments

0.0000000 0 0

0.1032141,085 7,194,769 69,707,470

1,739

17 Social Services 1,660 198,273 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,307 208,141

Revenue Ranking -

All Providers

10:04 AM

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Page 339: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050152

SAINT FRANCIS MEMORIAL HOSPITAL

900 HYDE ST

SAN FRANCISCO, CA 94109

SAN FRANCISCO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

33,718,295

Income Statement

66,260,321

157,734,860

257,713,476

36,142,265

22,426,257

199,144,954

257,713,476 -3.8%

2.8%

48.7

829.2

1.6%

4.7%

62.06

5.0

30.0%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.0%703,951,646Contract Allowance

Total Charges 926,480,821

24.0%

106.0%

-6.0%

2.6%

0.0%

-3.4%

Current Assets

Fixed Assets

222,529,175

235,863,254

-13,334,079

5,762,244

0

(7,571,835)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 288CR Beds 122

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,381 6,340,002 02 Capital Cost - Movable Equip 1,056 7,365,491

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,548 32,235,588 107,774,021

0.3286111,129 9,696,545 29,507,627

0.299104

Ratio

0.1664801,209 18,842,738 113,183,445

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 565 32,146,390 05 Administrative and General 1,281 35,520,228

06 Maintenance and Repairs 536 4,938,727 07 Operation of Plant 1,284 4,954,734

08/09 Laundry / Housekeeping 1,165 3,603,678 10/11 Dietary and Cafeteria 1,363 2,433,714

13 Nursing Administration 1,329 2,309,170 14 Central Service and Supply 1,303 878,316

15 Pharmancy 1,283 2,646,171 16 Medical Records 611 3,137,070

Selected Revenue Departments

0.0000000 0 0

0.1113071,085 14,418,444 129,538,093

1,739

17 Social Services 1,660 405,579 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,307 381,387

Revenue Ranking -

All Providers

10:04 AM

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050502

SAINT VINCENT MEDICAL CENTER

2131 W 3RD ST

LOS ANGELES, CA 90057

LOS ANGELES

Noridian (CA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

74,210,989

Income Statement

38,101,478

9,580,413

121,892,880

398,746,869

126,968,797

-403,822,786

121,892,880 19.4%

2.3%

40.7

1,502.9

6.7%

30.0%

47.66

4.9

37.5%

Key Performanace Ind.

0.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

85.6%1,182,892,906Contract Allowance

Total Charges 1,382,337,391

14.4%

140.6%

-40.6%

1.3%

0.0%

-39.3%

Current Assets

Fixed Assets

199,444,485

280,388,899

-80,944,414

2,610,463

0

(78,333,951)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 357CR Beds 253

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,397 6,280,308 02 Capital Cost - Movable Equip 1,723 3,621,050

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

879 57,183,860 238,322,276

0.257949575 18,702,664 72,505,242

0.239943

Ratio

0.180366767 27,743,593 153,818,213

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 730 25,462,782 05 Administrative and General 972 46,962,020

06 Maintenance and Repairs 206 11,120,361 07 Operation of Plant 3,478 843,532

08/09 Laundry / Housekeeping 886 4,647,304 10/11 Dietary and Cafeteria 1,174 2,797,477

13 Nursing Administration 2,053 1,355,380 14 Central Service and Supply 525 2,877,687

15 Pharmancy 960 3,769,568 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0904781,622 9,504,467 105,047,143

1,409

17 Social Services 1,973 255,113 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 341: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059820

SAINT VINCENT MEDICAL CENTER - TRANSPLANT CENTER

2131 W THIRD STREET

LOS ANGELES, CA 90057

LOS ANGELES

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 342: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050334

SALINAS VALLEY MEMORIAL HOSPITAL

450 EAST ROMIE LANE

SALINAS, CA 93901

MONTEREY

Noridian (CA)

6/30/2019 365 Days Amended

Government - Hospital Dis

General Short Term

Balance Sheet

361,657,781

Income Statement

230,801,523

251,010,038

843,469,342

92,583,387

111,727,163

639,158,792

843,469,342 12.9%

0.0%

26.1

51.6

6.0%

15.2%

58.81

4.2

55.2%

Key Performanace Ind.

3.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.3%1,583,445,228Contract Allowance

Total Charges 2,130,504,386

25.7%

85.7%

14.3%

1.8%

1.0%

15.0%

Current Assets

Fixed Assets

547,059,158

468,977,376

78,081,782

9,683,927

5,599,195

82,166,514

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 263CR Beds 216

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,681 144,781 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

296 120,004,836 272,105,659

0.343058673 16,512,427 48,133,018

0.441023

Ratio

0.276690536 36,593,872 132,255,839

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,174 6,062,509 05 Administrative and General 409 89,712,360

06 Maintenance and Repairs 160 12,948,052 07 Operation of Plant 442 11,970,730

08/09 Laundry / Housekeeping 246 11,102,526 10/11 Dietary and Cafeteria 105 10,594,446

13 Nursing Administration 167 11,782,537 14 Central Service and Supply 242 5,443,658

15 Pharmancy 297 11,011,328 16 Medical Records 249 5,963,965

Selected Revenue Departments

0.600350150 16,963,826 28,256,549

0.157102530 25,070,755 159,582,340

475

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 343: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050099

SAN ANTONIO REGIONAL HOSPITAL

999 SAN BERNARDINO ROAD

UPLAND, CA 91786

SAN BERNARDINO

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

146,392,825

Income Statement

282,533,478

216,834,914

645,761,217

80,602,514

195,738,968

369,419,735

645,761,217 3.8%

4.2%

50.6

521.2

3.9%

12.9%

40.90

4.2

57.5%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

86.2%2,332,115,544Contract Allowance

Total Charges 2,706,232,956

13.8%

105.3%

-5.3%

9.1%

0.0%

3.7%

Current Assets

Fixed Assets

374,117,412

394,110,918

-19,993,506

33,880,527

0

13,887,021

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 281CR Beds 307

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 899 10,341,765 02 Capital Cost - Movable Equip 636 11,392,856

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

452 94,579,756 237,033,855

0.219004767 14,459,831 66,025,438

0.399014

Ratio

0.0970851,008 22,386,974 230,591,315

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 342 49,026,886 05 Administrative and General 1,159 39,574,873

06 Maintenance and Repairs 558 4,646,591 07 Operation of Plant 944 6,918,427

08/09 Laundry / Housekeeping 475 7,232,796 10/11 Dietary and Cafeteria 764 3,824,805

13 Nursing Administration 1,258 2,469,038 14 Central Service and Supply 850 1,613,430

15 Pharmancy 888 4,115,372 16 Medical Records 898 2,241,929

Selected Revenue Departments

0.331954475 9,357,585 28,189,421

0.098805299 34,320,956 347,360,154

772

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 344: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054114

SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL

3851 ROSECRANS ST

SAN DIEGO, CA 92110

SAN DIEGO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Settled

Government - County

Psychiatric

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 34CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 345: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050588

SAN DIMAS COMMUNITY HOSPITAL

1350 W COVINA BLVD

SAN DIMAS, CA 91773

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

29,515,325

Income Statement

15,582,229

0

45,097,554

19,596,120

21,486,515

4,014,919

45,097,554 7.7%

13.7%

36.7

342.3

1.5%

23.3%

34.37

4.0

36.7%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.6%184,834,266Contract Allowance

Total Charges 235,117,909

21.4%

101.3%

-1.3%

2.0%

0.0%

0.6%

Current Assets

Fixed Assets

50,283,643

50,959,196

-675,553

984,213

0

308,660

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 101CR Beds 93

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,253 3,222,960 02 Capital Cost - Movable Equip 2,258 2,126,158

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,382 16,624,765 27,186,400

0.6970722,099 3,398,020 4,874,704

0.611510

Ratio

0.1706912,776 4,660,624 27,304,399

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,262 362,360 05 Administrative and General 2,891 8,982,039

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,903 2,893,751

08/09 Laundry / Housekeeping 2,428 1,339,029 10/11 Dietary and Cafeteria 2,398 1,201,966

13 Nursing Administration 2,555 951,823 14 Central Service and Supply 2,338 217,030

15 Pharmancy 2,018 1,117,884 16 Medical Records 1,595 1,169,097

Selected Revenue Departments

0.4647851,501 2,289,596 4,926,136

0.1145232,768 4,283,159 37,399,977

2,992

17 Social Services 2,143 191,544 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 346: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05130F

SAN FRANCISCO VA MEDICAL CENTER

4150 CLEMENT STREET

SAN FRANCISCO, CA 94121

SAN FRANCISCO

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 120CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 347: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050132

SAN GABRIEL VALLEY MEDICAL CENTER

438 W LAS TUNAS DRIVE

SAN GABRIEL, CA 91776

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

49,888,942

Income Statement

5,676,181

729,876

56,294,999

37,669,088

271,945

18,353,966

56,294,999 -28.0%

5.4%

32.9

690.9

3.0%

15.6%

44.94

4.9

60.8%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.0%923,995,910Contract Allowance

Total Charges 1,113,568,524

17.0%

103.4%

-3.4%

0.6%

0.0%

-2.7%

Current Assets

Fixed Assets

189,572,614

195,944,139

-6,371,525

1,223,445

1

(5,148,081)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 273CR Beds 156

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,162 7,801,434 02 Capital Cost - Movable Equip 2,289 2,059,536

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,389 36,817,880 119,670,566

0.270299816 13,700,507 50,686,420

0.307660

Ratio

0.0706691,945 9,857,280 139,486,142

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,855 8,199,991 05 Administrative and General 1,672 24,663,218

06 Maintenance and Repairs 1,005 1,899,676 07 Operation of Plant 2,080 2,537,875

08/09 Laundry / Housekeeping 1,551 2,643,245 10/11 Dietary and Cafeteria 799 3,704,648

13 Nursing Administration 932 3,373,551 14 Central Service and Supply 1,388 776,272

15 Pharmancy 1,031 3,484,415 16 Medical Records 1,567 1,196,748

Selected Revenue Departments

0.147568643 7,416,587 50,258,939

0.1477121,789 8,353,268 56,551,022

1,463

17 Social Services 1,743 364,070 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 348: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050054

SAN GORGONIO MEMORIAL HOSPITAL

600 NORTH HIGHLAND SPRINGS AVENUE

BANNING, CA 92220

RIVERSIDE

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

27,429,640

Income Statement

97,000,465

10,791,399

135,221,504

12,991,694

110,739,214

11,490,596

135,221,504 3.8%

4.2%

36.1

670.6

7.4%

11.9%

40.10

3.7

47.0%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.2%245,059,705Contract Allowance

Total Charges 294,589,168

16.8%

165.5%

-65.5%

66.4%

0.0%

0.9%

Current Assets

Fixed Assets

49,529,463

81,961,312

-32,431,849

32,869,454

0

437,605

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 72CR Beds 55

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 836 11,119,707 02 Capital Cost - Movable Equip 3,063 985,765

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,132 20,085,801 22,955,467

1.8271551,389 7,428,360 4,065,533

0.874990

Ratio

0.2709322,558 5,742,880 21,196,735

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,031 6,851,378 05 Administrative and General 2,806 9,705,869

06 Maintenance and Repairs 989 1,972,313 07 Operation of Plant 3,396 895,688

08/09 Laundry / Housekeeping 2,109 1,695,675 10/11 Dietary and Cafeteria 3,176 761,729

13 Nursing Administration 1,579 1,887,450 14 Central Service and Supply 1,939 367,048

15 Pharmancy 1,940 1,235,097 16 Medical Records 2,324 674,657

Selected Revenue Departments

0.4188481,969 1,029,972 2,459,060

0.1729681,079 14,516,368 83,925,098

3,014

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 349: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050167

SAN JOAQUIN GENERAL HOSPITAL

500 W HOSPITAL ROAD

FRENCH CAMP, CA 95231

SAN JOAQUIN

Noridian (CA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

311,841,649

Income Statement

89,269,166

38,406,457

439,517,272

50,292,388

271,361,545

117,863,339

439,517,272 22.3%

2.3%

27.0

689.1

1.6%

6.7%

47.26

4.6

67.7%

Key Performanace Ind.

6.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.4%1,235,638,241Contract Allowance

Total Charges 1,639,046,596

24.6%

100.7%

-0.7%

7.2%

0.0%

6.5%

Current Assets

Fixed Assets

403,408,355

406,242,131

-2,833,776

29,153,149

0

26,319,373

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 196CR Beds 155

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,949 2,075,780 02 Capital Cost - Movable Equip 2,378 1,880,787

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

641 74,365,135 351,881,343

0.223101512 20,366,106 91,286,681

0.211336

Ratio

0.216088885 24,940,048 115,416,330

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,336 5,200,393 05 Administrative and General 871 52,073,336

06 Maintenance and Repairs 440 6,173,617 07 Operation of Plant 1,393 4,495,350

08/09 Laundry / Housekeeping 644 5,973,621 10/11 Dietary and Cafeteria 721 3,968,735

13 Nursing Administration 461 6,145,137 14 Central Service and Supply 967 1,355,971

15 Pharmancy 696 5,202,003 16 Medical Records 139 8,562,560

Selected Revenue Departments

0.1962681,559 2,107,840 10,739,608

0.149857345 31,927,343 213,052,180

718

17 Social Services 273 3,822,245 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 470 7,930,441

Revenue Ranking -

All Providers

10:04 AM

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Page 350: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053032

SAN JOAQUIN VALLEY REHABILITATION HOSP

7173 N SHARON AVENUE

FRESNO, CA 93720

FRESNO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

Rehabilitation

Balance Sheet

7,855,769

Income Statement

697,263

3,599,451

12,152,483

3,503,808

4,373,617

4,275,058

12,152,483 144.1%

6.8%

31.8

80.2

0.0%

0.0%

12.2

79.1%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

47.5%33,485,812Contract Allowance

Total Charges 70,445,481

52.5%

83.9%

16.1%

0.6%

0.0%

16.7%

Current Assets

Fixed Assets

36,959,669

31,008,688

5,950,981

211,254

0

6,162,235

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 62CR Beds 62

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,194 3,349,937 02 Capital Cost - Movable Equip 3,280 801,037

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,269 18,180,021 33,411,775

0.0000000 0 0

0.544120

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,688 3,903,500 05 Administrative and General 3,550 5,865,897

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,269 984,545

08/09 Laundry / Housekeeping 3,783 495,109 10/11 Dietary and Cafeteria 2,799 945,856

13 Nursing Administration 3,930 347,684 14 Central Service and Supply 2,308 224,371

15 Pharmancy 2,608 550,436 16 Medical Records 3,689 274,995

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,384

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 351: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054154

SAN JOSE BEHAVIORAL HEALTH

455 SILICON VALLEY BOULEVARD

SAN JOSE, CA 95138

SANTA CLARA

Noridian (CA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

7,672,615

Income Statement

26,078,697

4,636,630

38,387,942

2,758,450

17,658,931

17,970,561

38,387,942 54.5%

4.4%

23.6

80.3

0.0%

0.0%

9.2

90.1%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

44.9%31,377,985Contract Allowance

Total Charges 69,945,400

55.1%

74.6%

25.4%

0.0%

0.0%

25.4%

Current Assets

Fixed Assets

38,567,415

28,771,327

9,796,088

601

1

9,796,688

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 80CR Beds 80

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,384 1,575,913 02 Capital Cost - Movable Equip 4,135 401,920

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,165 19,555,040 61,573,009

0.0000000 0 0

0.317591

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,493 2,169,502 05 Administrative and General 3,614 5,612,848

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,319 950,378

08/09 Laundry / Housekeeping 4,007 438,869 10/11 Dietary and Cafeteria 3,036 823,341

13 Nursing Administration 3,508 497,790 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 2,482 602,380

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,335

17 Social Services 961 1,011,712 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 352: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050773

SAN LEANDRO HOSPITAL

13855 E 14TH STREET

SAN LEANDRO, CA 94578

ALAMEDA

Noridian (CA)

6/30/2019 365 Days Amended

Government - County

General Short Term

8/31/2019 62 Days Submitted

Balance Sheet

300,410,048

Income Statement

67,484,618

199,083,848

566,978,514

152,122,081

688,444,939

-273,588,506

566,978,514 0.3%

0.0%

4,129.4

73,876.5

57.8%

199.1%

64.34

4.3

64.3%

Key Performanace Ind.

2.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.9%48,693,144Contract Allowance

Total Charges 57,360,800

15.1%

108.7%

-8.7%

0.2%

0.0%

-8.5%

Current Assets

Fixed Assets

8,667,656

9,423,247

-755,591

15,985

0

(739,606)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 93CR Beds 39

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,486 38,898 02 Capital Cost - Movable Equip 5,142 16,255

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,853 3,765,580 9,212,194

0.3796521,124 1,375,953 3,624,245

0.408760

Ratio

0.2549392,557 937,792 3,678,502

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,087 2,934,233 05 Administrative and General 2,415 1,936,836

06 Maintenance and Repairs 909 302,955 07 Operation of Plant 3,257 235,322

08/09 Laundry / Housekeeping 2,186 246,149 10/11 Dietary and Cafeteria 2,279 220,633

13 Nursing Administration 1,903 270,222 14 Central Service and Supply 1,569 102,967

15 Pharmancy 1,444 384,266 16 Medical Records 1,786 81,567

Selected Revenue Departments

0.0000000 0 0

0.1905011,001 2,422,721 12,717,614

3,148

17 Social Services 901 182,801 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 353: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050773

SAN LEANDRO HOSPITAL

13855 E 14TH STREET

SAN LEANDRO, CA 94578

ALAMEDA

Noridian (CA)

6/30/2019 365 Days Amended

Government - County

General Short Term

8/31/2019 62 Days Submitted

Balance Sheet

229,148,753

Income Statement

69,851,095

196,657,140

495,656,988

127,385,989

632,761,294

-264,490,295

495,656,988 6.0%

0.0%

411.1

11,393.8

9.6%

33.0%

64.34

4.3

64.3%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

86.8%344,212,169Contract Allowance

Total Charges 396,534,198

13.2%

172.1%

-72.1%

41.6%

0.0%

-30.5%

Current Assets

Fixed Assets

52,322,029

90,032,986

-37,710,957

21,741,571

0

(15,969,386)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 93CR Beds 39

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,486 231,726 02 Capital Cost - Movable Equip 5,142 97,605

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,853 25,230,398 58,244,577

0.3067101,124 9,713,537 31,670,110

0.433180

Ratio

0.2298422,557 5,745,154 24,996,077

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,087 16,999,923 05 Administrative and General 2,415 13,086,960

06 Maintenance and Repairs 909 2,285,641 07 Operation of Plant 3,257 994,854

08/09 Laundry / Housekeeping 2,186 1,601,231 10/11 Dietary and Cafeteria 2,279 1,309,929

13 Nursing Administration 1,903 1,503,950 14 Central Service and Supply 1,569 618,603

15 Pharmancy 1,444 2,226,282 16 Medical Records 1,786 1,003,619

Selected Revenue Departments

0.0000000 0 0

0.1867641,001 15,507,915 83,034,825

3,148

17 Social Services 901 1,104,134 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 354: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050113

SAN MATEO MEDICAL CENTER

222 W 39TH AVE

SAN MATEO, CA 94403

SAN MATEO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

257,459,976

Income Statement

32,857,710

70,127,335

360,445,021

235,966,306

109,764,145

14,714,570

360,445,021 403.8%

5.6%

33.9

223.6

2.9%

3.3%

55.00

6.4

56.7%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

62.9%302,975,886Contract Allowance

Total Charges 481,664,026

37.1%

193.7%

-93.7%

126.9%

0.0%

33.3%

Current Assets

Fixed Assets

178,688,140

346,133,684

-167,445,544

226,817,409

-45,957

59,417,822

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 103CR Beds 62

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,719 4,904,597 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,654 29,524,944 24,050,204

1.2660521,515 6,616,698 5,226,243

1.227638

Ratio

0.3959311,575 13,640,506 34,451,721

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,561 2,097,935 05 Administrative and General 713 61,590,902

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 -703,141

08/09 Laundry / Housekeeping 1,004 4,187,944 10/11 Dietary and Cafeteria 527 4,697,910

13 Nursing Administration 614 4,966,993 14 Central Service and Supply 819 1,706,982

15 Pharmancy 475 7,308,076 16 Medical Records 1,008 1,968,149

Selected Revenue Departments

0.0000000 0 0

0.905075440 28,054,097 30,996,446

1,527

17 Social Services 520 2,166,229 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,201 648,844

Revenue Ranking -

All Providers

10:04 AM

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Page 355: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050689

SAN RAMON REGIONAL MEDICAL CENTER

6001 NORRIS CANYON ROAD

SAN RAMON, CA 94583

CONTRA COSTA

NOVITAS

5/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

37,258,234

Income Statement

74,049,238

7,306,230

118,613,702

18,922,996

600,064

99,090,642

118,613,702 21.8%

3.8%

23.2

203.9

5.6%

11.4%

65.06

3.9

41.0%

Key Performanace Ind.

2.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.9%948,456,325Contract Allowance

Total Charges 1,143,694,782

17.1%

89.6%

10.4%

0.7%

0.0%

11.1%

Current Assets

Fixed Assets

195,238,457

174,950,736

20,287,721

1,289,548

0

21,577,269

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 123CR Beds 109

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,019 3,888,681 02 Capital Cost - Movable Equip 1,628 3,957,917

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,502 33,853,298 142,842,939

0.2165531,405 7,326,472 33,832,243

0.236997

Ratio

0.1723121,463 15,113,537 87,710,151

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,573 119,565 05 Administrative and General 1,169 39,236,191

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,345 4,669,100

08/09 Laundry / Housekeeping 1,293 3,250,373 10/11 Dietary and Cafeteria 1,366 2,425,201

13 Nursing Administration 1,583 1,881,627 14 Central Service and Supply 899 1,510,686

15 Pharmancy 1,080 3,315,347 16 Medical Records 1,267 1,544,922

Selected Revenue Departments

0.371992896 5,329,677 14,327,405

0.0721011,719 8,722,317 120,973,220

1,425

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 356: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05061E

SANTA BARBARA COLLEGE INFIRMARY

SANTA BARBARA, CA 93105

SANTA BARBARA

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 16CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 357: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050396

SANTA BARBARA COTTAGE HOSPITAL

400 WEST PUEBLO

SANTA BARBARA, CA 93102

SANTA BARBARA

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

403,038,415

Income Statement

700,667,974

737,448,552

1,841,154,941

125,261,942

427,105,758

1,288,787,241

1,841,154,941 12.3%

5.5%

60.9

83.1

5.4%

14.9%

52.10

4.7

67.6%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

63.7%1,333,411,451Contract Allowance

Total Charges 2,092,316,154

36.3%

93.4%

6.6%

14.2%

-0.1%

20.8%

Current Assets

Fixed Assets

758,904,703

709,004,814

49,899,889

107,542,433

-692,398

158,134,720

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 450CR Beds 267

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 195 31,510,407 02 Capital Cost - Movable Equip 162 26,436,615

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

274 123,342,529 350,698,120

0.305430597 18,184,912 59,538,738

0.351706

Ratio

0.362091390 44,477,759 122,835,840

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 298 55,115,656 05 Administrative and General 391 92,558,163

06 Maintenance and Repairs 359 7,360,228 07 Operation of Plant 408 12,681,945

08/09 Laundry / Housekeeping 448 7,491,146 10/11 Dietary and Cafeteria 171 8,525,886

13 Nursing Administration 239 9,707,209 14 Central Service and Supply 653 2,266,111

15 Pharmancy 398 8,713,001 16 Medical Records 501 3,617,931

Selected Revenue Departments

0.672693245 13,338,895 19,829,105

0.329370364 30,941,414 93,941,271

284

17 Social Services 466 2,405,914 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 446 8,894,482

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 357

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Page 358: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054125

SANTA BARBARA COUNTY PSYCHIATRIC HEALTH FACILITY

315 CAMINO DEL REMEDIO

SANTA BARBARA, CA 93110

SANTA BARBARA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Settled

Government - County

Psychiatric

Balance Sheet

5,154,491

Income Statement

0

0

5,154,491

3,311,100

1,237,665

605,726

5,154,491 -4.0%

0.0%

30.4

341.4

0.0%

0.0%

12.9

97.1%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

50.1%5,290,046Contract Allowance

Total Charges 10,562,586

49.9%

156.4%

-56.4%

55.9%

0.0%

-0.5%

Current Assets

Fixed Assets

5,272,540

8,246,344

-2,973,804

2,949,354

0

(24,450)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 16CR Beds 16

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,489 8,147,806 14,225,250

0.0000000 0 0

0.572771

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,677

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 359: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050038

SANTA CLARA VALLEY MEDICAL CENTER

751 SOUTH BASCOM AVENUE

SAN JOSE, CA 95128

SANTA CLARA

Noridian (CA)

6/30/2019 365 Days Amended

Government - County

General Short Term

Balance Sheet

618,762,919

Income Statement

85,156,091

0

703,919,010

390,587,334

-42,303,455

205,895,155

554,179,034 -14.6%

20.2%

23.6

145.3

1.9%

5.9%

60.82

5.7

53.5%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

68.9%3,685,729,649Contract Allowance

Total Charges 5,350,856,816

31.1%

114.5%

-14.5%

12.7%

0.0%

-1.8%

Current Assets

Fixed Assets

1,665,127,167

1,906,103,801

-240,976,634

211,065,251

166,000

(30,077,383)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 731CR Beds 728

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 49 62,519,474 02 Capital Cost - Movable Equip 5,376 28,706

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

46 255,570,774 852,162,678

0.259708360 27,098,359 104,341,497

0.299908

Ratio

0.265975259 57,829,987 217,426,670

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,883 7,941,530 05 Administrative and General 107 208,223,755

06 Maintenance and Repairs 0 0 07 Operation of Plant 37 45,627,595

08/09 Laundry / Housekeeping 16 32,114,164 10/11 Dietary and Cafeteria 62 13,325,518

13 Nursing Administration 20 34,081,548 14 Central Service and Supply 30 25,801,813

15 Pharmancy 24 69,721,582 16 Medical Records 75 11,639,055

Selected Revenue Departments

0.70313536 28,711,074 40,832,937

0.40793169 62,323,534 152,779,416

72

17 Social Services 68 8,738,898 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 169 29,948,502

Revenue Ranking -

All Providers

10:04 AM

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Page 360: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054152

SANTA CRUZ COUNTY PSYCHIATRIC HEALTH FACILITY

2250 SOQUEL AVENUE, SUITE 150

SANTA CRUZ, CA 95062

SANTA CRUZ

Noridian (CA)

6/30/2019 365 Days Settled

Proprietary - Corporation

Psychiatric

Balance Sheet

1,759,711

Income Statement

47,701

0

1,807,412

690,904

0

1,116,508

1,807,412 30.8%

296.9%

35.5

(109.8)

0.0%

0.0%

11.6

93.8%

Key Performanace Ind.

2.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

1.6%122,752Contract Allowance

Total Charges 7,573,255

98.4%

95.4%

4.6%

0.0%

0.0%

4.6%

Current Assets

Fixed Assets

7,450,503

7,106,211

344,292

0

0

344,292

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 16CR Beds 16

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,540 207,872 02 Capital Cost - Movable Equip 5,252 57,429

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,175 5,404,779 8,322,629

0.0000000 0 0

0.649408

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,819 738,144 05 Administrative and General 5,691 1,292,637

06 Maintenance and Repairs 1,904 207,245 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 5,960 27,501 10/11 Dietary and Cafeteria 5,581 154,066

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 5,162 74,081

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,497

17 Social Services 1,873 301,020 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 361: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05083E

SANTA MARTA HOSP & CLINIC

328 N HUMPHREY AVE

LOS ANGELES, CA 90022

LOS ANGELES

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 12CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 362: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050112

SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL

1250 16TH STREET

SANTA MONICA, CA 90404

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - State

General Short Term

Balance Sheet

110,180,000

Income Statement

660,130,000

167,360,000

937,670,000

80,660,000

548,920,000

308,090,000

937,670,000 2.8%

4.8%

45.7

57.2

4.2%

16.5%

47.83

5.1

78.2%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

62.0%1,029,827,484Contract Allowance

Total Charges 1,661,235,525

38.0%

102.1%

-2.1%

3.4%

0.0%

1.3%

Current Assets

Fixed Assets

631,408,041

644,616,357

-13,208,316

21,698,316

0

8,490,000

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 331CR Beds 243

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 176 33,500,551 02 Capital Cost - Movable Equip 676 10,913,729

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

124 179,858,036 520,496,304

0.360784379 26,020,688 72,122,530

0.345551

Ratio

0.288673250 59,317,715 205,484,430

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 169 81,778,139 05 Administrative and General 374 95,957,066

06 Maintenance and Repairs 207 11,107,171 07 Operation of Plant 898 7,162,545

08/09 Laundry / Housekeeping 364 8,652,638 10/11 Dietary and Cafeteria 382 5,524,324

13 Nursing Administration 216 10,399,675 14 Central Service and Supply 678 2,176,266

15 Pharmancy 835 4,326,408 16 Medical Records 508 3,567,722

Selected Revenue Departments

0.561545252 13,194,657 23,497,075

0.348322513 25,665,319 73,682,657

378

17 Social Services 1,287 640,670 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 902 2,245,370

Revenue Ranking -

All Providers

10:04 AM

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Page 363: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050174

SANTA ROSA MEMORIAL HOSPITAL

1165 MONTGOMERY DR

SANTA ROSA, CA 95405

SONOMA

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

93,435,434

Income Statement

180,425,481

204,330,541

478,191,456

72,002,014

129,865,261

276,324,181

478,191,456 15.9%

6.2%

23.0

321.5

10.4%

17.8%

59.43

5.6

67.9%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

81.7%2,467,531,150Contract Allowance

Total Charges 3,019,574,887

18.3%

94.9%

5.1%

3.3%

0.5%

8.0%

Current Assets

Fixed Assets

552,043,737

523,822,666

28,221,071

18,179,884

2,508,698

43,892,257

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 292CR Beds 244

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 429 18,963,068 02 Capital Cost - Movable Equip 731 10,309,242

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

357 109,373,804 281,684,972

0.329103296 31,016,627 94,245,833

0.388284

Ratio

0.046292616 33,060,297 714,164,560

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,195 15,061,113 05 Administrative and General 572 72,509,336

06 Maintenance and Repairs 619 4,105,059 07 Operation of Plant 906 7,114,141

08/09 Laundry / Housekeeping 839 4,830,887 10/11 Dietary and Cafeteria 454 5,073,882

13 Nursing Administration 215 10,401,479 14 Central Service and Supply 566 2,650,403

15 Pharmancy 285 11,352,575 16 Medical Records 390 4,364,012

Selected Revenue Departments

0.442265698 6,768,797 15,304,859

0.080977464 27,139,782 335,152,676

469

17 Social Services 904 1,094,638 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 364: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051331

SANTA YNEZ VALLEY COTTAGE HOSPITAL

2050 VIBORG RD

SOLVANG, CA 93463

SANTA BARBARA

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

6,368,668

Income Statement

11,693,907

40,024,598

58,087,173

3,089,118

758,055

54,240,000

58,087,173 17.1%

5.0%

39.2

71.1

10.2%

0.0%

3.0

13.0%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

61.4%34,533,050Contract Allowance

Total Charges 56,224,447

38.6%

85.9%

14.1%

28.7%

0.0%

42.8%

Current Assets

Fixed Assets

21,691,397

18,638,675

3,052,722

6,220,807

0

9,273,529

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 11CR Beds 11

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,369 795,083 02 Capital Cost - Movable Equip 4,029 438,801

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,179 3,024,643 2,291,894

0.0000000 0 0

1.319713

Ratio

0.3673573,660 1,529,670 4,163,988

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,041 1,514,907 05 Administrative and General 4,802 2,946,833

06 Maintenance and Repairs 1,833 267,105 07 Operation of Plant 3,489 838,454

08/09 Laundry / Housekeeping 4,469 331,718 10/11 Dietary and Cafeteria 5,217 232,319

13 Nursing Administration 5,477 9,660 14 Central Service and Supply 3,472 20,831

15 Pharmancy 2,601 554,935 16 Medical Records 4,981 95,399

Selected Revenue Departments

0.0000000 0 0

0.2514542,959 3,751,646 14,919,785

4,235

17 Social Services 2,915 31,176 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 365: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050424

SCRIPPS GREEN HOSPITAL

10666 NORTH TORREY PINES ROAD

LA JOLLA, CA 92037

SAN DIEGO

Noridian (CA)

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

34,099,535

Income Statement

95,758,359

914,910,371

1,044,768,265

8,099,020

3,314,541

1,033,354,704

1,044,768,265 7.9%

6.8%

9.3

338.6

6.6%

16.7%

43.08

3.5

51.7%

Key Performanace Ind.

4.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.5%1,260,050,469Contract Allowance

Total Charges 1,605,100,322

21.5%

84.2%

15.8%

7.8%

0.0%

23.6%

Current Assets

Fixed Assets

345,049,853

290,517,014

54,532,839

26,935,176

0

81,468,015

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 173CR Beds 100

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 826 11,259,296 02 Capital Cost - Movable Equip 552 12,584,501

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,227 42,917,484 147,863,540

0.334994336 28,169,327 84,089,033

0.290251

Ratio

0.087580211 64,866,291 740,648,585

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 765 24,239,975 05 Administrative and General 1,073 42,540,275

06 Maintenance and Repairs 0 0 07 Operation of Plant 661 9,089,630

08/09 Laundry / Housekeeping 1,078 3,877,450 10/11 Dietary and Cafeteria 2,104 1,464,316

13 Nursing Administration 1,424 2,107,968 14 Central Service and Supply 477 3,081,103

15 Pharmancy 761 4,778,378 16 Medical Records 3,550 299,477

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

845

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 409 9,921,633

Revenue Ranking -

All Providers

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050503

SCRIPPS MEMORIAL HOSPITAL - ENCINITAS

354 SANTA FE DRIVE

ENCINITAS, CA 92024

SAN DIEGO

Noridian (CA)

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

45,289,397

Income Statement

153,857,170

124,667,116

323,813,683

10,031,470

2,104,237

311,677,976

323,813,683 13.2%

7.1%

11.6

385.4

4.1%

14.1%

43.61

3.9

74.7%

Key Performanace Ind.

4.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.5%1,182,716,634Contract Allowance

Total Charges 1,506,324,949

21.5%

91.2%

8.8%

3.9%

0.0%

12.7%

Current Assets

Fixed Assets

323,608,315

295,082,681

28,525,634

12,485,371

1

41,011,004

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 158CR Beds 159

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 756 12,107,503 02 Capital Cost - Movable Equip 544 12,663,277

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

676 72,018,525 316,709,379

0.1649471,058 10,445,126 63,324,263

0.227396

Ratio

0.079439794 27,020,082 340,137,798

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 609 30,157,916 05 Administrative and General 1,021 44,735,048

06 Maintenance and Repairs 330 7,850,228 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 784 5,144,356 10/11 Dietary and Cafeteria 1,230 2,674,813

13 Nursing Administration 747 4,119,903 14 Central Service and Supply 705 2,074,332

15 Pharmancy 633 5,687,415 16 Medical Records 3,500 307,724

Selected Revenue Departments

0.321624869 5,509,601 17,130,584

0.144899479 26,656,076 183,962,676

913

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,385 264,855

Revenue Ranking -

All Providers

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050324

SCRIPPS MEMORIAL HOSPITAL LA JOLLA

9888 GENESEE AVENUE

LA JOLLA, CA 92037

SAN DIEGO

Noridian (CA)

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

166,180,412

Income Statement

492,749,568

673,530,274

1,332,460,254

17,566,864

3,731,668

1,311,161,722

1,332,460,254 12.5%

6.2%

9.1

463.0

5.3%

13.0%

44.85

4.8

68.9%

Key Performanace Ind.

9.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.5%3,131,146,846Contract Allowance

Total Charges 3,936,562,368

20.5%

82.7%

17.3%

3.1%

0.0%

20.4%

Current Assets

Fixed Assets

805,415,522

666,429,336

138,986,186

25,027,331

1

164,013,516

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 318CR Beds 306

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 184 32,522,706 02 Capital Cost - Movable Equip 115 33,665,724

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

266 124,816,520 555,073,156

0.175207107 58,092,673 331,566,305

0.224865

Ratio

0.084155186 71,002,599 843,707,175

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 264 60,368,945 05 Administrative and General 366 97,001,134

06 Maintenance and Repairs 85 19,774,491 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 229 11,552,579 10/11 Dietary and Cafeteria 599 4,414,695

13 Nursing Administration 301 8,609,123 14 Central Service and Supply 527 2,871,382

15 Pharmancy 345 9,646,477 16 Medical Records 2,023 839,922

Selected Revenue Departments

0.563773121 18,504,488 32,822,582

0.136871174 44,019,868 321,616,867

258

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 368: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050077

SCRIPPS MERCY HOSPITAL

4077 5TH AVE

SAN DIEGO, CA 92103

SAN DIEGO

PALMETTO (CALIFORNIA)

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

150,315,733

Income Statement

215,795,739

78,368,114

444,479,586

26,711,401

8,532,913

409,235,272

444,479,586 5.0%

6.4%

11.6

519.7

3.5%

12.9%

43.46

4.5

74.9%

Key Performanace Ind.

5.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.4%3,038,621,295Contract Allowance

Total Charges 3,828,112,964

20.6%

102.3%

-2.3%

4.9%

0.0%

2.6%

Current Assets

Fixed Assets

789,491,669

807,858,668

-18,366,999

38,988,593

0

20,621,594

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 700CR Beds 431

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 376 20,690,105 02 Capital Cost - Movable Equip 156 27,185,482

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

111 188,034,106 934,701,938

0.180704209 39,380,271 217,926,536

0.201170

Ratio

0.093350182 72,317,201 774,689,529

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 179 79,986,835 05 Administrative and General 276 119,410,758

06 Maintenance and Repairs 120 15,626,557 07 Operation of Plant 2,261 2,189,394

08/09 Laundry / Housekeeping 210 11,911,728 10/11 Dietary and Cafeteria 288 6,449,574

13 Nursing Administration 308 8,461,276 14 Central Service and Supply 622 2,405,807

15 Pharmancy 252 13,076,457 16 Medical Records 1,251 1,570,968

Selected Revenue Departments

0.53018993 20,613,275 38,879,106

0.13042079 60,718,183 465,558,488

262

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 418 9,809,308

Revenue Ranking -

All Providers

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054124

SEMPERVIRENS

720 WOOD ST

EUREKA, CA 95501

HUMBOLDT

NORIDIAN ADMIN SERVICES

6/30/2019 365 Days Settled

Government - State

Psychiatric

Balance Sheet

1,017,312

Income Statement

445,569

0

1,462,881

1,348,365

0

114,516

1,462,881 0.0%

2.3%

9.8

30.7

0.0%

0.0%

7.6

81.1%

Key Performanace Ind.

0.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%1Contract Allowance

Total Charges 8,093,165

100.0%

621.1%

-521.1%

521.1%

0.0%

0.0%

Current Assets

Fixed Assets

8,093,164

50,267,665

-42,174,501

42,174,500

0

(1)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 16CR Beds 16

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,850 66,439 02 Capital Cost - Movable Equip 5,409 20,216

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,546 7,887,893 8,093,165

0.0000000 0 0

0.974636

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,872 693,217 05 Administrative and General 3,183 7,373,283

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,840 1,368,146

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 4,953 291,789

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,632 1,128,821

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,440

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 370: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051327

SENECA DISTRICT HOSPITAL

130 BRENTWOOD DRIVE

CHESTER, CA 96020

PLUMAS

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Settled

Government - Hospital Dis

General Short Term

Balance Sheet

9,342,182

Income Statement

2,162,777

1,125,825

12,630,784

1,396,808

148,043

11,085,933

12,630,784 45.0%

2.2%

27.3

136.8

10.5%

0.0%

6.0

21.1%

Key Performanace Ind.

6.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

25.8%7,219,200Contract Allowance

Total Charges 28,000,785

74.2%

89.7%

10.3%

13.7%

0.0%

24.0%

Current Assets

Fixed Assets

20,781,585

18,651,336

2,130,249

2,857,451

0

4,987,700

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 26CR Beds 10

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,677 145,705 02 Capital Cost - Movable Equip 5,078 116,523

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,736 1,928,314 1,333,577

0.0000000 0 0

1.445971

Ratio

0.3307294,444 268,843 812,881

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,544 132,158 05 Administrative and General 4,638 3,222,575

06 Maintenance and Repairs 1,790 302,933 07 Operation of Plant 5,088 217,460

08/09 Laundry / Housekeeping 4,614 304,169 10/11 Dietary and Cafeteria 4,499 393,124

13 Nursing Administration 3,459 525,563 14 Central Service and Supply 3,290 44,723

15 Pharmancy 2,751 463,204 16 Medical Records 2,306 683,404

Selected Revenue Departments

0.0000000 0 0

0.5972163,651 2,429,056 4,067,299

4,299

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 359 43,000 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 371: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050197

SEQUOIA HOSPITAL

170 ALAMEDA DE LAS PULGAS

REDWOOD CITY, CA 94062

SAN MATEO

PALMETTO (CALIFORNIA)

12/31/2019 334 Days Submitted

Nonprofit - Other

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

125,967,105

Income Statement

293,872,659

53,568,625

473,408,389

42,833,858

107,141,758

323,432,773

473,408,389 0.6%

4.8%

81.0

940.0

8.5%

25.8%

67.34

3.9

28.2%

Key Performanace Ind.

2.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.2%575,184,380Contract Allowance

Total Charges 745,424,706

22.8%

100.4%

-0.4%

1.6%

0.0%

1.2%

Current Assets

Fixed Assets

170,240,326

170,864,714

-624,388

2,652,798

0

2,028,410

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 208CR Beds 192

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 887 10,494,454 02 Capital Cost - Movable Equip 495 8,192,933

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

939 20,237,824 43,534,403

0.363903907 7,651,291 21,025,612

0.464870

Ratio

0.180771517 22,028,408 121,858,310

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 547 19,483,564 05 Administrative and General 1,083 31,466,144

06 Maintenance and Repairs 179 7,945,269 07 Operation of Plant 3,659 494,582

08/09 Laundry / Housekeeping 1,353 1,895,412 10/11 Dietary and Cafeteria 1,246 1,710,174

13 Nursing Administration 914 2,905,054 14 Central Service and Supply 554 2,137,807

15 Pharmancy 1,414 1,476,267 16 Medical Records 482 2,379,012

Selected Revenue Departments

0.263082926 2,781,174 10,571,513

0.1292981,339 7,816,103 60,450,077

1,555

17 Social Services 2,067 185,747 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,501 108,631

Revenue Ranking -

All Providers

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050197

SEQUOIA HOSPITAL

170 ALAMEDA DE LAS PULGAS

REDWOOD CITY, CA 94062

SAN MATEO

PALMETTO (CALIFORNIA)

12/31/2019 334 Days Submitted

Nonprofit - Other

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

131,554,216

Income Statement

349,658,669

65,242,398

546,455,283

39,560,839

100,879,624

406,014,820

546,455,283 21.6%

6.0%

51.0

595.4

5.5%

16.8%

67.34

3.9

28.2%

Key Performanace Ind.

3.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.0%927,823,048Contract Allowance

Total Charges 1,189,700,729

22.0%

98.2%

1.8%

31.0%

-0.8%

33.5%

Current Assets

Fixed Assets

261,877,681

257,287,984

4,589,697

81,254,795

-1,968,015

87,812,507

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 208CR Beds 192

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 887 8,384,504 02 Capital Cost - Movable Equip 495 13,584,893

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

939 54,410,971 174,403,087

0.332577907 12,017,070 36,133,240

0.311984

Ratio

0.143997517 37,284,510 258,925,320

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 547 32,715,715 05 Administrative and General 1,083 42,195,217

06 Maintenance and Repairs 179 12,193,598 07 Operation of Plant 3,659 751,090

08/09 Laundry / Housekeeping 1,353 3,094,068 10/11 Dietary and Cafeteria 1,246 2,650,588

13 Nursing Administration 914 3,421,984 14 Central Service and Supply 554 2,737,281

15 Pharmancy 1,414 2,286,251 16 Medical Records 482 3,713,567

Selected Revenue Departments

0.322364926 5,129,064 15,910,786

0.1146791,339 11,893,986 103,715,289

1,555

17 Social Services 2,067 216,107 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,501 139,980

Revenue Ranking -

All Providers

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050289

SETON MEDICAL CENTER

1900 SULLIVAN AVENUE

DALY CITY, CA 94015

SAN MATEO

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

116,955,060

Income Statement

26,476,591

15,721,621

159,153,272

314,633,805

98,706,799

-254,187,332

159,153,272 29.5%

2.5%

36.3

1,085.1

5.1%

12.2%

57.58

4.3

20.8%

Key Performanace Ind.

0.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

85.2%1,249,410,357Contract Allowance

Total Charges 1,466,907,487

14.8%

135.6%

-35.6%

1.1%

0.0%

-34.5%

Current Assets

Fixed Assets

217,497,130

294,934,962

-77,437,832

2,339,362

0

(75,098,470)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 275CR Beds 227

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,468 5,946,605 02 Capital Cost - Movable Equip 1,629 3,953,087

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,221 43,002,420 164,338,799

0.215127789 14,107,811 65,578,847

0.261669

Ratio

0.1627141,542 14,079,011 86,525,885

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 397 43,343,584 05 Administrative and General 957 47,431,076

06 Maintenance and Repairs 350 7,503,090 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 781 5,183,613 10/11 Dietary and Cafeteria 549 4,621,819

13 Nursing Administration 759 4,056,187 14 Central Service and Supply 845 1,629,132

15 Pharmancy 1,064 3,357,803 16 Medical Records 1,617 1,146,723

Selected Revenue Departments

0.0000000 0 0

0.133048932 16,383,808 123,141,705

1,338

17 Social Services 2,234 164,094 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,563 77,099

Revenue Ranking -

All Providers

10:04 AM

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Page 374: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050222

SHARP CHULA VISTA MEDICAL CENTER

751 MEDICAL CENTER COURT

CHULA VISTA, CA 91911

SAN DIEGO

PALMETTO (CALIFORNIA)

9/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

222,431,109

Income Statement

94,940,160

296,158,618

613,529,887

57,866,022

279,837,301

275,826,564

613,529,887 2.6%

3.1%

46.4

290.8

4.3%

14.4%

45.75

4.8

83.3%

Key Performanace Ind.

3.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.6%1,898,766,483Contract Allowance

Total Charges 2,298,455,112

17.4%

105.3%

-5.3%

6.9%

-0.2%

1.8%

Current Assets

Fixed Assets

399,688,629

420,828,513

-21,139,884

27,512,999

-714,556

7,087,671

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 206CR Beds 199

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,440 6,101,845 02 Capital Cost - Movable Equip 2,408 1,825,895

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

440 96,173,880 469,067,650

0.299470419 23,858,182 79,667,936

0.205032

Ratio

0.142152907 24,507,518 172,403,906

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 589 31,188,636 05 Administrative and General 695 62,650,734

06 Maintenance and Repairs 898 2,363,196 07 Operation of Plant 895 7,178,508

08/09 Laundry / Housekeeping 650 5,931,013 10/11 Dietary and Cafeteria 345 5,900,521

13 Nursing Administration 457 6,172,449 14 Central Service and Supply 1,102 1,122,540

15 Pharmancy 333 9,948,835 16 Medical Records 324 4,985,879

Selected Revenue Departments

0.283990289 12,283,945 43,254,816

0.113127327 32,926,645 291,058,838

726

17 Social Services 897 1,110,620 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 375: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050234

SHARP CORONADO HOSPITAL AND HLTHCR CTR

250 PROSPECT PLACE

CORONADO, CA 92118

SAN DIEGO

BLUE CROSS (CALIFORNIA)

9/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

57,447,033

Income Statement

31,420,392

15,411,859

104,279,284

9,652,622

1,758,002

92,868,660

104,279,284 0.7%

7.1%

31.5

192.3

2.7%

7.0%

43.21

3.4

32.5%

Key Performanace Ind.

6.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.3%312,571,537Contract Allowance

Total Charges 414,922,988

24.7%

107.4%

-7.4%

7.9%

-0.2%

0.7%

Current Assets

Fixed Assets

102,351,451

109,960,173

-7,608,722

8,099,758

-204,745

695,781

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 158CR Beds 52

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,401 2,947,043 02 Capital Cost - Movable Equip 2,020 2,710,368

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,855 12,089,944 34,778,973

0.3713992,239 2,865,529 7,715,505

0.347622

Ratio

0.1738431,326 17,176,372 98,803,944

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,839 8,302,705 05 Administrative and General 2,090 16,815,178

06 Maintenance and Repairs 1,563 561,129 07 Operation of Plant 1,594 3,747,755

08/09 Laundry / Housekeeping 1,966 1,905,182 10/11 Dietary and Cafeteria 1,601 2,041,382

13 Nursing Administration 1,654 1,782,769 14 Central Service and Supply 1,036 1,231,400

15 Pharmancy 1,254 2,725,665 16 Medical Records 1,394 1,392,392

Selected Revenue Departments

0.0000000 0 0

0.1180602,009 7,156,734 60,619,282

2,143

17 Social Services 1,395 553,024 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 376: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050100

SHARP MEMORIAL HOSPITAL

7901 FROST ST

SAN DIEGO, CA 92123

SAN DIEGO

Noridian (CA)

9/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

2,721,434,065

Income Statement

377,713,935

21,113,600

3,120,261,600

98,813,139

344,293,007

2,677,155,454

3,120,261,600 8.6%

4.4%

29.2

268.3

2.5%

7.7%

48.22

5.1

54.9%

Key Performanace Ind.

27.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.3%4,552,508,147Contract Allowance

Total Charges 5,814,949,903

21.7%

88.0%

12.0%

6.2%

0.0%

18.2%

Current Assets

Fixed Assets

1,262,441,756

1,110,515,636

151,926,120

77,693,754

0

229,619,874

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 881CR Beds 674

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 361 21,530,680 02 Capital Cost - Movable Equip 498 13,447,297

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

92 202,192,490 861,885,152

0.212592181 43,284,780 203,604,635

0.234593

Ratio

0.12304658 111,355,681 904,993,399

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 210 70,454,197 05 Administrative and General 213 145,041,298

06 Maintenance and Repairs 347 7,535,034 07 Operation of Plant 284 15,327,915

08/09 Laundry / Housekeeping 132 14,727,870 10/11 Dietary and Cafeteria 64 13,067,509

13 Nursing Administration 110 14,287,956 14 Central Service and Supply 178 7,063,806

15 Pharmancy 140 20,014,303 16 Medical Records 155 8,210,382

Selected Revenue Departments

0.41233527 32,607,634 79,080,516

0.098883152 46,753,321 472,814,141

119

17 Social Services 480 2,346,616 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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059800

SHARP MEMORIAL HOSPITAL-TRANSPLANT

7901 FROST STREET

SAN DIEGO, CA 92123

SAN DIEGO

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 351CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 378: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054145

SHARP MESA VISTA HOSPITAL

7850 VISTA HILL AVENUE

SAN DIEGO, CA 92123

SAN DIEGO

Noridian (CA)

9/30/2019 365 Days Amended

Nonprofit - Other

Psychiatric

Balance Sheet

193,192,006

Income Statement

17,713,816

109,049

211,014,871

9,254,697

17,537,079

184,223,095

211,014,871 0.4%

6.5%

33.1

313.4

8.7%

0.0%

8.9

76.8%

Key Performanace Ind.

20.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.4%327,254,418Contract Allowance

Total Charges 417,183,283

21.6%

104.8%

-4.8%

5.6%

0.0%

0.8%

Current Assets

Fixed Assets

89,928,865

94,209,824

-4,280,959

5,024,986

0

744,027

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 149CR Beds 158

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,763 2,313,422 02 Capital Cost - Movable Equip 4,027 439,366

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

942 54,186,757 239,106,649

0.0000000 0 0

0.226622

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,744 8,997,077 05 Administrative and General 2,052 17,278,104

06 Maintenance and Repairs 1,694 385,327 07 Operation of Plant 2,274 2,177,815

08/09 Laundry / Housekeeping 2,676 1,100,874 10/11 Dietary and Cafeteria 1,068 3,035,130

13 Nursing Administration 649 4,678,948 14 Central Service and Supply 3,537 12,134

15 Pharmancy 1,617 1,835,088 16 Medical Records 1,960 884,555

Selected Revenue Departments

0.0000000 0 0

0.0915674,584 121,956 1,331,874

2,322

17 Social Services 655 1,670,260 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 379: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050764

SHASTA REGIONAL MEDICAL CENTER

1100 BUTTE ST

REDDING, CA 96001

SHASTA

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

71,223,980

Income Statement

15,353,137

2,125,991

88,703,108

33,261,759

3,011,758

52,429,591

88,703,108 15.7%

9.8%

25.2

567.6

8.7%

34.7%

39.00

4.3

37.1%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.7%663,814,561Contract Allowance

Total Charges 832,511,559

20.3%

95.8%

4.2%

0.6%

0.0%

4.9%

Current Assets

Fixed Assets

168,696,998

161,560,881

7,136,117

1,071,647

0

8,207,764

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 191CR Beds 168

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 871 10,618,504 02 Capital Cost - Movable Equip 1,850 3,219,131

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,529 32,756,497 63,475,577

0.578824922 11,858,754 20,487,677

0.516049

Ratio

0.0827531,877 10,533,158 127,284,429

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,068 1,480,130 05 Administrative and General 2,161 15,922,234

06 Maintenance and Repairs 629 4,012,198 07 Operation of Plant 1,898 2,899,986

08/09 Laundry / Housekeeping 1,626 2,491,654 10/11 Dietary and Cafeteria 1,273 2,583,685

13 Nursing Administration 843 3,711,411 14 Central Service and Supply 1,614 587,241

15 Pharmancy 1,262 2,704,862 16 Medical Records 1,392 1,395,259

Selected Revenue Departments

0.0000000 0 0

0.1809821,160 13,581,483 75,043,231

1,595

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 380: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050755

SHERMAN OAKS HOSPITAL

4929 VAN NUYS BLVD

SHERMAN OAKS, CA 91403

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

30,666,890

Income Statement

49,060,892

3,084,116

82,811,898

6,997,770

-61,194,119

137,008,247

82,811,898 0.5%

4.4%

24.9

696.0

3.1%

32.3%

33.17

3.9

46.3%

Key Performanace Ind.

4.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.8%292,443,164Contract Allowance

Total Charges 385,562,111

24.2%

99.8%

0.2%

0.5%

0.0%

0.7%

Current Assets

Fixed Assets

93,118,947

92,914,996

203,951

477,463

0

681,414

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 153CR Beds 96

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,006 3,912,024 02 Capital Cost - Movable Equip 2,989 1,065,786

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,058 21,407,961 49,649,642

0.4510891,590 6,021,202 13,348,135

0.431181

Ratio

0.2591492,594 5,566,356 21,479,345

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,227 1,313,060 05 Administrative and General 2,098 16,698,267

06 Maintenance and Repairs 930 2,213,019 07 Operation of Plant 2,040 2,593,698

08/09 Laundry / Housekeeping 1,726 2,291,385 10/11 Dietary and Cafeteria 2,374 1,223,288

13 Nursing Administration 1,993 1,404,811 14 Central Service and Supply 2,812 103,801

15 Pharmancy 1,638 1,779,100 16 Medical Records 1,306 1,502,949

Selected Revenue Departments

0.0000000 0 0

0.1378582,193 6,377,890 46,264,124

2,276

17 Social Services 2,225 166,769 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 381: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05090E

SHRINERS HOSP FOR CRIPPLED CHILDREN

1701 19TH AVE

SAN FRANCISCO, CA 94122

SAN FRANCISCO

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 60CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 382: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053310

SHRINERS HOSPITALS FOR CHILDREN

3160 GENEVA STREET

LOS ANGELES, CA 90020

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 60CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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053311

SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF

2425 STOCKTON BOULEVARD

SACRAMENTO, CA 95817

SACRAMENTO

Noridian (CA)

12/31/2019 365 Days Settled

Nonprofit - Other

Children

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 80CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050150

SIERRA NEVADA MEMORIAL HOSPITAL

155 GLASSON WAY

GRASS VALLEY, CA 95945

NEVADA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

199,451,191

Income Statement

40,019,765

17,191,797

256,662,753

15,820,286

12,124,553

228,717,914

256,662,753 -0.5%

7.0%

71.5

1,353.6

28.6%

36.4%

51.21

3.7

51.8%

Key Performanace Ind.

12.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.1%272,781,938Contract Allowance

Total Charges 349,054,243

21.9%

113.4%

-13.4%

11.8%

0.0%

-1.6%

Current Assets

Fixed Assets

76,272,305

86,492,965

-10,220,660

9,010,099

0

(1,210,561)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 124CR Beds 100

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,976 1,183,249 02 Capital Cost - Movable Equip 1,144 3,377,732

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,355 19,516,176 41,346,268

0.5235442,164 1,503,078 2,870,967

0.472018

Ratio

0.2440682,050 4,525,852 18,543,436

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 780 11,388,097 05 Administrative and General 1,738 16,364,501

06 Maintenance and Repairs 651 1,765,114 07 Operation of Plant 2,187 1,321,548

08/09 Laundry / Housekeeping 2,048 859,571 10/11 Dietary and Cafeteria 2,052 755,320

13 Nursing Administration 1,655 876,901 14 Central Service and Supply 1,687 270,559

15 Pharmancy 925 2,022,525 16 Medical Records 747 1,255,916

Selected Revenue Departments

0.8747051,661 1,083,183 1,238,341

0.1392781,090 7,938,790 56,999,681

2,014

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 385: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050150

SIERRA NEVADA MEMORIAL HOSPITAL

155 GLASSON WAY

GRASS VALLEY, CA 95945

NEVADA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

12/31/2019 184 Days Submitted

Balance Sheet

207,085,976

Income Statement

40,529,092

13,017,397

260,632,465

19,460,542

9,817,186

231,354,737

260,632,465 3.4%

7.1%

36.9

606.5

12.7%

16.1%

51.21

3.7

51.8%

Key Performanace Ind.

10.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.2%551,284,083Contract Allowance

Total Charges 723,678,493

23.8%

100.7%

-0.7%

5.3%

0.0%

4.6%

Current Assets

Fixed Assets

172,394,410

173,615,253

-1,220,843

9,109,047

0

7,888,204

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 124CR Beds 100

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,976 2,025,421 02 Capital Cost - Movable Equip 1,144 6,707,846

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,355 38,488,925 87,092,577

0.3990602,164 3,108,088 7,788,525

0.441931

Ratio

0.2230762,050 9,025,770 40,460,549

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 780 23,848,610 05 Administrative and General 1,738 23,602,860

06 Maintenance and Repairs 651 3,867,463 07 Operation of Plant 2,187 2,333,251

08/09 Laundry / Housekeeping 2,048 1,767,972 10/11 Dietary and Cafeteria 2,052 1,516,223

13 Nursing Administration 1,655 1,782,642 14 Central Service and Supply 1,687 526,699

15 Pharmancy 925 3,906,104 16 Medical Records 747 2,625,267

Selected Revenue Departments

0.6926351,661 1,828,183 2,639,461

0.1386781,090 14,367,846 103,605,852

2,014

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 386: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050261

SIERRA VIEW MEDICAL CENTER

465 W PUTNAM AVE

PORTERVILLE, CA 93257

TULARE

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

67,034,465

Income Statement

101,127,421

185,404,865

353,566,751

28,057,819

40,316,952

285,191,980

353,566,751 3.9%

4.9%

36.6

179.6

7.8%

15.4%

33.97

4.3

56.5%

Key Performanace Ind.

2.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.9%519,655,103Contract Allowance

Total Charges 667,066,930

22.1%

102.6%

-2.6%

10.5%

0.4%

7.6%

Current Assets

Fixed Assets

147,411,827

151,257,722

-3,845,895

15,537,126

530,096

11,161,135

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 120CR Beds 118

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,252 3,223,508 02 Capital Cost - Movable Equip 893 8,642,992

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,869 24,807,017 37,947,656

0.8775311,797 4,703,863 5,360,336

0.653717

Ratio

0.3134011,562 13,777,320 43,960,647

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,105 16,684,238 05 Administrative and General 1,983 18,548,017

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,083 6,040,087

08/09 Laundry / Housekeeping 1,484 2,767,335 10/11 Dietary and Cafeteria 1,998 1,578,966

13 Nursing Administration 2,205 1,215,095 14 Central Service and Supply 1,860 408,866

15 Pharmancy 1,260 2,706,935 16 Medical Records 984 2,030,523

Selected Revenue Departments

0.727201887 5,400,315 7,426,169

0.2187221,468 10,807,398 49,411,620

1,743

17 Social Services 1,608 426,880 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 387: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054087

SIERRA VISTA HOSPITAL, INC

8001 BRUCEVILLE ROAD

SACRAMENTO, CA 95823

SACRAMENTO

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

Psychiatric

Balance Sheet

9,395,543

Income Statement

27,605,260

1,628,685

38,629,488

-82,753,483

0

121,382,971

38,629,488 16.4%

5.0%

29.2

52.3

0.3%

0.0%

9.4

92.3%

Key Performanace Ind.

(0.1)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

39.1%40,119,100Contract Allowance

Total Charges 102,587,521

60.9%

68.2%

31.8%

0.0%

0.0%

31.9%

Current Assets

Fixed Assets

62,468,421

42,572,568

19,895,853

18,181

0

19,914,034

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 171CR Beds 171

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,288 1,664,855 02 Capital Cost - Movable Equip 3,268 807,868

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,539 32,541,623 94,090,700

0.0000000 0 0

0.345854

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,805 3,540,071 05 Administrative and General 3,315 6,771,483

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,936 1,263,129

08/09 Laundry / Housekeeping 3,886 468,259 10/11 Dietary and Cafeteria 2,621 1,050,117

13 Nursing Administration 2,241 1,196,027 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 2,349 663,914

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,743

17 Social Services 700 1,558,608 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 388: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050506

SIERRA VISTA REGIONAL MEDICAL CENTER

1010 MURRAY ST

SAN LUIS OBISPO, CA 93405

SAN LUIS OBISPO

WISCONSIN PHYSICIANS SERVICE

5/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

45,536,012

Income Statement

65,813,802

11,331,144

122,680,958

19,170,839

13,634

103,496,485

122,680,958 13.7%

3.5%

25.7

278.9

4.4%

13.8%

48.46

4.7

44.6%

Key Performanace Ind.

2.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.3%806,173,186Contract Allowance

Total Charges 967,250,314

16.7%

91.6%

8.4%

0.4%

0.0%

8.8%

Current Assets

Fixed Assets

161,077,128

147,574,902

13,502,226

721,503

0

14,223,729

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 171CR Beds 123

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,393 2,961,499 02 Capital Cost - Movable Equip 1,765 3,524,856

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,525 32,852,965 135,006,373

0.2830421,545 6,346,016 22,420,774

0.243344

Ratio

0.1318761,180 19,272,636 146,141,702

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,163 447,318 05 Administrative and General 1,486 29,553,696

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,561 3,884,414

08/09 Laundry / Housekeeping 1,660 2,426,126 10/11 Dietary and Cafeteria 2,221 1,354,017

13 Nursing Administration 1,398 2,165,322 14 Central Service and Supply 3,349 36,935

15 Pharmancy 1,348 2,459,770 16 Medical Records 1,198 1,655,950

Selected Revenue Departments

0.305352590 8,000,183 26,199,911

0.0838871,640 9,301,893 110,886,003

1,643

17 Social Services 1,837 316,736 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050547

SONOMA DEVELOPMENTAL CENTER

15000 ARNOLD DRIVE / P O BOX 1493

ELDRIDGE, CA 95431

SONOMA

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 13CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 390: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050781

SONOMA SPECIALTY HOSPITAL

501 PETALUMA AVENUE

SEBASTOPOL, CA 95472

SONOMA

Noridian (CA)

3/31/2019 274 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

-135,899

Income Statement

1,010,323

0

874,424

2,878,936

1,220,187

-3,224,699

874,424 100.0%

2.7%

59.6

39.2

4.0%

6.2%

35.25

0.3

11.8%

Key Performanace Ind.

0.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

65.0%12,594,550Contract Allowance

Total Charges 19,376,230

35.0%

158.7%

-58.7%

11.1%

0.0%

-47.6%

Current Assets

Fixed Assets

6,781,680

10,759,313

-3,977,633

752,934

0

(3,224,699)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 37CR Beds 32

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,959 10,666 02 Capital Cost - Movable Equip 5,187 80,477

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,314 2,746,788 3,714,135

4.3113632,896 764,741 177,378

0.739550

Ratio

0.2701903,719 1,416,455 5,242,442

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,476 182,552 05 Administrative and General 5,303 2,040,038

06 Maintenance and Repairs 0 0 07 Operation of Plant 4,647 378,443

08/09 Laundry / Housekeeping 4,777 277,317 10/11 Dietary and Cafeteria 5,227 228,826

13 Nursing Administration 4,583 186,811 14 Central Service and Supply 0 0

15 Pharmancy 3,118 254,092 16 Medical Records 5,400 42,980

Selected Revenue Departments

0.0000000 0 0

0.7147814,165 1,393,638 1,949,741

5,359

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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052057

SONOMA SPECIALTY HOSPITAL

501 PETALUMA AVENUE

SEBASTOPOL, CA 95472

SONOMA

Noridian (CA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 37CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050090

SONOMA VALLEY HOSPITAL

347 ANDRIEUX ST

SONOMA, CA 95476

SONOMA

Noridian (CA)

6/30/2019 365 Days Amended

Government - Hospital Dis

General Short Term

Balance Sheet

22,005,947

Income Statement

50,868,938

5,016,479

77,891,364

27,101,924

30,523,605

20,265,835

77,891,364 20.9%

3.3%

106.8

368.5

8.8%

11.3%

47.24

3.9

22.5%

Key Performanace Ind.

0.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.9%214,583,707Contract Allowance

Total Charges 272,036,646

21.1%

113.6%

-13.6%

21.1%

0.1%

7.4%

Current Assets

Fixed Assets

57,452,939

65,278,368

-7,825,429

12,101,420

37,534

4,238,457

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 56CR Beds 42

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,849 2,193,775 02 Capital Cost - Movable Equip 2,139 2,407,672

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,867 6,551,072 10,841,020

0.4897272,182 3,055,041 6,238,250

0.604286

Ratio

0.1785082,711 4,993,621 27,974,258

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,500 4,605,498 05 Administrative and General 2,874 9,093,520

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,084 2,530,598

08/09 Laundry / Housekeeping 3,009 862,413 10/11 Dietary and Cafeteria 2,684 1,016,746

13 Nursing Administration 1,857 1,551,036 14 Central Service and Supply 2,407 194,846

15 Pharmancy 1,680 1,707,777 16 Medical Records 2,426 626,706

Selected Revenue Departments

0.8011612,287 453,320 565,829

0.1082482,371 5,617,075 51,890,940

2,845

17 Social Services 2,732 57,914 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050747

SOUTH COAST GLOBAL MEDICAL CENTER

2701 S BRISTOL ST

SANTA ANA, CA 92704

ORANGE

WISCONSIN PHYSICIANS SERVICE

8/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

15,985,600

Income Statement

2,018,857

0

18,004,457

9,045,937

0

8,958,520

18,004,457 -94.6%

6.1%

37.5

465.8

0.5%

12.1%

39.01

4.2

38.2%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.4%234,192,030Contract Allowance

Total Charges 291,215,928

19.6%

115.1%

-15.1%

0.3%

0.0%

-14.9%

Current Assets

Fixed Assets

57,023,898

65,648,221

-8,624,323

153,620

0

(8,470,703)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 178CR Beds 100

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,741 2,333,207 02 Capital Cost - Movable Equip 3,017 1,037,976

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,829 12,290,713 23,374,658

0.4563251,963 3,925,834 8,603,146

0.525814

Ratio

0.1125152,801 4,557,546 40,506,281

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,482 179,093 05 Administrative and General 2,053 17,266,606

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,294 2,132,703

08/09 Laundry / Housekeeping 2,312 1,462,835 10/11 Dietary and Cafeteria 2,367 1,230,624

13 Nursing Administration 3,365 554,013 14 Central Service and Supply 2,692 124,051

15 Pharmancy 2,042 1,084,750 16 Medical Records 2,041 830,078

Selected Revenue Departments

0.8234451,322 3,009,043 3,654,212

0.0894162,596 4,832,459 54,044,493

2,857

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050135

SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD

6245 DE LONGPRE AVE

HOLLYWOOD, CA 90028

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

290,240,398

Income Statement

63,919,268

27,116,854

381,276,520

58,525,046

15,151,468

307,600,006

381,276,520 14.1%

10.3%

35.0

253.2

2.1%

24.0%

38.13

5.3

52.2%

Key Performanace Ind.

5.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.9%965,825,762Contract Allowance

Total Charges 1,255,799,660

23.1%

93.4%

6.6%

8.4%

0.0%

14.9%

Current Assets

Fixed Assets

289,973,898

270,901,083

19,072,815

24,215,759

0

43,288,574

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 579CR Beds 531

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,990 3,969,591 02 Capital Cost - Movable Equip 887 8,696,393

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

366 107,137,103 365,764,106

0.485449664 16,660,433 34,319,615

0.292913

Ratio

0.2523621,331 17,060,178 67,601,898

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,779 8,707,513 05 Administrative and General 523 77,140,971

06 Maintenance and Repairs 483 5,523,963 07 Operation of Plant 1,844 3,059,793

08/09 Laundry / Housekeeping 722 5,487,784 10/11 Dietary and Cafeteria 391 5,494,510

13 Nursing Administration 409 6,798,439 14 Central Service and Supply 2,113 287,054

15 Pharmancy 1,060 3,376,878 16 Medical Records 765 2,580,434

Selected Revenue Departments

0.0000000 0 0

0.2191001,052 14,827,378 67,673,947

1,019

17 Social Services 1,021 941,568 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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051302

SOUTHERN INYO HOSPITAL

501 EAST LOCUST STREET

LONE PINE, CA 93545

INYO

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

5,084,097

Income Statement

1,148,603

0

6,232,700

5,421,905

440,020

370,775

6,232,700 -167.8%

5.3%

133.6

567.2

27.0%

0.0%

3.8

13.2%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

11.9%1,203,129Contract Allowance

Total Charges 10,093,027

88.1%

156.8%

-56.8%

49.8%

0.0%

-7.0%

Current Assets

Fixed Assets

8,889,898

13,936,778

-5,046,880

4,424,568

0

(622,312)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 4

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,980 1,434 02 Capital Cost - Movable Equip 4,327 338,481

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

6,003 716,868 154,168

0.0000000 0 0

4.649914

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,568 121,595 05 Administrative and General 4,094 4,335,258

06 Maintenance and Repairs 1,758 326,024 07 Operation of Plant 5,042 236,901

08/09 Laundry / Housekeeping 5,118 212,699 10/11 Dietary and Cafeteria 3,212 748,032

13 Nursing Administration 3,914 353,460 14 Central Service and Supply 3,424 27,425

15 Pharmancy 3,450 72,674 16 Medical Records 4,811 116,023

Selected Revenue Departments

0.0000000 0 0

3.1537243,329 3,046,393 965,967

5,372

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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050701

SOUTHWEST HEALTHCARE SYSTEM

25500 MEDICAL CENTER DRIVE

MURRIETA, CA 92562

RIVERSIDE

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

61,428,019

Income Statement

103,245,500

7,026,850

171,700,369

33,788,976

-247,936,884

385,848,277

171,700,369 14.1%

9.6%

28.1

142.9

2.0%

8.9%

41.98

3.9

73.0%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.8%1,314,313,435Contract Allowance

Total Charges 1,647,715,215

20.2%

85.0%

15.0%

1.3%

0.0%

16.3%

Current Assets

Fixed Assets

333,401,780

283,422,074

49,979,706

4,350,028

0

54,329,734

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 250CR Beds 215

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 463 17,886,108 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

615 76,362,392 179,653,103

0.425678769 14,414,523 33,862,510

0.425055

Ratio

0.174088802 26,775,705 153,805,774

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 712 26,338,427 05 Administrative and General 1,149 39,857,744

06 Maintenance and Repairs 0 0 07 Operation of Plant 593 9,776,652

08/09 Laundry / Housekeeping 1,055 3,949,527 10/11 Dietary and Cafeteria 1,265 2,599,085

13 Nursing Administration 601 5,023,635 14 Central Service and Supply 2,689 124,773

15 Pharmancy 847 4,277,861 16 Medical Records 554 3,379,141

Selected Revenue Departments

0.669764385 10,614,479 15,848,098

0.084317281 35,102,164 416,312,036

882

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,245 517,673

Revenue Ranking -

All Providers

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05115E

SOUTHWOOD MENTAL HEALTH CENTER

950 3RD AVE

CARLSBAD, CA 92011

SAN DIEGO

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050129

ST BERNARDINE MEDICAL CENTER

2101 N WATERMAN AVE

SAN BERNARDINO, CA 92404

SAN BERNARDINO

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Amended

Nonprofit - Other

General Short Term

Balance Sheet

105,859,009

Income Statement

80,897,724

68,986,529

255,743,262

68,169,138

422,081,229

-234,507,105

255,743,262 17.3%

5.2%

29.2

522.8

2.0%

10.5%

48.90

4.4

55.7%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.3%1,507,307,466Contract Allowance

Total Charges 1,876,589,936

19.7%

113.6%

-13.6%

2.6%

0.0%

-11.0%

Current Assets

Fixed Assets

369,282,470

419,519,247

-50,236,777

9,753,814

0

(40,482,963)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 291CR Beds 261

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,580 5,419,477 02 Capital Cost - Movable Equip 568 12,342,278

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

581 79,661,576 315,271,151

0.297198380 25,997,657 87,475,814

0.252676

Ratio

0.196642468 39,715,625 201,968,881

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 335 49,565,296 05 Administrative and General 706 62,044,756

06 Maintenance and Repairs 150 13,679,426 07 Operation of Plant 2,595 1,661,122

08/09 Laundry / Housekeeping 1,029 4,092,346 10/11 Dietary and Cafeteria 824 3,643,070

13 Nursing Administration 834 3,734,863 14 Central Service and Supply 789 1,786,222

15 Pharmancy 760 4,782,828 16 Medical Records 247 6,001,471

Selected Revenue Departments

0.345545774 6,194,881 17,927,854

0.110464522 25,383,761 229,791,753

780

17 Social Services 1,048 908,399 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 842 2,640,450

Revenue Ranking -

All Providers

10:04 AM

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Page 399: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050042

ST ELIZABETH COMMUNITY HOSPITAL

2550 SISTER MARY COLUMBA DRIVE

RED BLUFF, CA 96080

TEHAMA

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

185,582,841

Income Statement

24,996,272

18,097,473

228,676,586

8,276,658

5,385,070

215,014,858

228,676,586 6.9%

7.1%

28.3

408.4

8.2%

13.5%

49.39

3.4

60.7%

Key Performanace Ind.

22.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.8%371,592,502Contract Allowance

Total Charges 503,267,965

26.2%

94.4%

5.6%

5.6%

0.0%

11.3%

Current Assets

Fixed Assets

131,675,463

124,260,084

7,415,379

7,432,049

0

14,847,428

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 76CR Beds 41

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,389 1,567,175 02 Capital Cost - Movable Equip 1,564 4,275,849

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,408 16,232,810 42,798,396

0.3896041,854 4,392,862 11,275,187

0.379285

Ratio

0.1776151,722 11,960,794 67,341,142

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,375 12,752,651 05 Administrative and General 1,914 19,818,550

06 Maintenance and Repairs 722 3,439,460 07 Operation of Plant 2,646 1,595,381

08/09 Laundry / Housekeeping 2,372 1,404,019 10/11 Dietary and Cafeteria 2,664 1,029,355

13 Nursing Administration 2,323 1,111,457 14 Central Service and Supply 2,279 232,655

15 Pharmancy 1,662 1,741,680 16 Medical Records 1,186 1,669,556

Selected Revenue Departments

0.4480151,671 1,799,048 4,015,595

0.0896211,579 9,830,668 109,691,143

1,865

17 Social Services 1,888 293,635 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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050616

ST JOHNS PLEASANT VALLEY HOSPITAL

2309 ANTONIO AVE

CAMARILLO, CA 93010

VENTURA

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

22,941,124

Income Statement

96,548,797

26,711,958

146,201,879

16,920,017

124,521,083

4,760,779

146,201,879 -198.5%

3.7%

26.1

573.4

4.8%

17.1%

47.62

3.8

49.4%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.0%441,146,299Contract Allowance

Total Charges 558,289,903

21.0%

109.1%

-9.1%

1.1%

0.0%

-8.1%

Current Assets

Fixed Assets

117,143,604

127,838,099

-10,694,495

1,242,010

0

(9,452,485)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 180CR Beds 73

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,864 2,173,415 02 Capital Cost - Movable Equip 1,597 4,115,681

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,845 25,407,916 63,004,751

0.5782111,408 7,316,662 12,653,958

0.403270

Ratio

0.1385322,240 7,773,217 56,111,227

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,009 18,553,947 05 Administrative and General 1,785 22,592,015

06 Maintenance and Repairs 708 3,525,501 07 Operation of Plant 2,701 1,529,686

08/09 Laundry / Housekeeping 2,080 1,727,546 10/11 Dietary and Cafeteria 2,409 1,195,280

13 Nursing Administration 2,306 1,123,856 14 Central Service and Supply 1,768 464,443

15 Pharmancy 1,576 1,928,483 16 Medical Records 1,132 1,744,310

Selected Revenue Departments

0.0000000 0 0

0.2202191,454 10,942,642 49,689,782

1,995

17 Social Services 1,775 348,273 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 401: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050082

ST JOHNS REGIONAL MEDICAL CENTER

1600 N ROSE AVE

OXNARD, CA 93030

VENTURA

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

91,798,416

Income Statement

107,770,045

52,620,044

252,188,505

28,877,478

349,182,198

-125,871,171

252,188,505 0.3%

5.4%

24.8

467.9

5.3%

16.6%

51.55

4.7

56.6%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.6%1,189,150,699Contract Allowance

Total Charges 1,551,508,788

23.4%

101.2%

-1.2%

1.1%

0.0%

-0.1%

Current Assets

Fixed Assets

362,358,089

366,741,078

-4,382,989

4,061,016

0

(321,973)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 243CR Beds 206

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,057 8,693,069 02 Capital Cost - Movable Equip 704 10,571,063

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

721 68,091,210 169,650,653

0.432548605 17,798,341 41,147,636

0.401361

Ratio

0.1111451,006 22,466,237 202,134,198

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 411 42,020,448 05 Administrative and General 873 52,010,062

06 Maintenance and Repairs 435 6,193,985 07 Operation of Plant 1,943 2,795,587

08/09 Laundry / Housekeeping 1,358 3,067,573 10/11 Dietary and Cafeteria 1,325 2,492,923

13 Nursing Administration 853 3,688,715 14 Central Service and Supply 1,022 1,252,655

15 Pharmancy 1,006 3,599,320 16 Medical Records 355 4,632,561

Selected Revenue Departments

0.471530412 10,147,638 21,520,641

0.172251623 21,861,268 126,915,312

798

17 Social Services 1,740 365,297 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 402: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054123

ST JOSEPH'S BEHAVIORAL HEALTH CENTER

2510 N CALIFORNIA ST

STOCKTON, CA 95204

SAN JOAQUIN

Noridian (CA)

6/30/2019 365 Days Settled

Nonprofit - Church

Psychiatric

Balance Sheet

2,830,191

Income Statement

1,417,591

359,366

4,607,148

1,768,267

3,260,230

-421,349

4,607,148 1,013.6%

11.5%

27.5

248.8

0.6%

0.0%

5.8

91.5%

Key Performanace Ind.

1.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

57.4%21,912,690Contract Allowance

Total Charges 38,161,508

42.6%

126.4%

-26.4%

0.1%

0.0%

-26.3%

Current Assets

Fixed Assets

16,248,818

20,539,525

-4,290,707

19,743

0

(4,270,964)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 35CR Beds 35

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,847 534,344 02 Capital Cost - Movable Equip 5,297 46,893

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,446 15,744,592 28,814,183

0.0000000 0 0

0.546418

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,657 3,999,420 05 Administrative and General 4,004 4,565,413

06 Maintenance and Repairs 2,035 64,622 07 Operation of Plant 4,925 284,684

08/09 Laundry / Housekeeping 4,408 343,893 10/11 Dietary and Cafeteria 3,729 589,629

13 Nursing Administration 4,270 253,795 14 Central Service and Supply 0 0

15 Pharmancy 3,572 280 16 Medical Records 3,667 278,877

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,682

17 Social Services 1,256 666,558 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 (772)

Revenue Ranking -

All Providers

10:04 AM

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Page 403: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050084

ST JOSEPH'S MEDICAL CENTER OF STOCKTON

1800 N CALIFORNIA ST

STOCKTON, CA 95204

SAN JOAQUIN

Noridian (CA)

6/30/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

301,749,948

Income Statement

171,798,936

37,536,774

511,085,658

79,721,633

87,664,997

343,699,028

511,085,658 19.3%

6.1%

32.5

587.9

5.5%

16.5%

53.06

4.7

76.1%

Key Performanace Ind.

3.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.9%3,046,857,854Contract Allowance

Total Charges 3,677,037,405

17.1%

90.9%

9.1%

1.4%

0.0%

10.5%

Current Assets

Fixed Assets

630,179,551

572,681,746

57,497,805

8,924,735

0

66,422,540

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 335CR Beds 279

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,107 8,217,569 02 Capital Cost - Movable Equip 341 17,056,329

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

317 115,552,378 515,397,860

0.214127246 35,468,059 165,640,586

0.224200

Ratio

0.100332838 25,833,935 257,484,009

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 173 81,279,428 05 Administrative and General 449 84,170,898

06 Maintenance and Repairs 195 11,689,095 07 Operation of Plant 951 6,886,855

08/09 Laundry / Housekeeping 413 7,978,479 10/11 Dietary and Cafeteria 396 5,446,173

13 Nursing Administration 904 3,459,167 14 Central Service and Supply 526 2,876,791

15 Pharmancy 542 6,468,644 16 Medical Records 191 7,378,233

Selected Revenue Departments

0.474630101 19,723,093 41,554,662

0.119026158 45,915,178 385,756,482

379

17 Social Services 981 983,086 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 743 3,614,196

Revenue Ranking -

All Providers

10:04 AM

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Page 404: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050006

ST JOSEPH HOSPITAL

2700 DOLBEER ST

EUREKA, CA 95501

HUMBOLDT

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

45,455,369

Income Statement

193,265,802

33,122,685

271,843,856

24,795,266

91,898,912

155,149,678

271,843,856 4.3%

4.8%

23.4

62.2

12.2%

16.8%

46.97

4.9

69.4%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.1%1,118,894,445Contract Allowance

Total Charges 1,396,648,623

19.9%

98.4%

1.6%

0.8%

0.0%

2.4%

Current Assets

Fixed Assets

277,754,178

273,270,787

4,483,391

2,113,970

0

6,597,361

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 140CR Beds 117

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 806 11,457,877 02 Capital Cost - Movable Equip 665 11,051,615

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,117 47,274,584 146,029,774

0.453699886 12,412,172 27,357,707

0.323733

Ratio

0.120535691 29,985,725 248,772,691

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,781 8,685,719 05 Administrative and General 1,010 45,142,123

06 Maintenance and Repairs 318 8,143,967 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 1,385 2,988,212 10/11 Dietary and Cafeteria 1,639 1,990,513

13 Nursing Administration 244 9,630,749 14 Central Service and Supply 1,123 1,100,997

15 Pharmancy 578 6,089,176 16 Medical Records 916 2,207,894

Selected Revenue Departments

0.4347481,294 3,136,487 7,214,490

0.112100952 16,129,558 143,885,144

1,054

17 Social Services 1,864 303,366 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 404

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Page 405: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050069

ST JOSEPH HOSPITAL

1100 WEST STEWART DR

ORANGE, CA 92868

ORANGE

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

117,626,116

Income Statement

391,809,145

275,366,777

784,802,038

98,935,264

314,250,115

371,616,659

784,802,038 25.6%

3.3%

31.5

153.6

5.2%

9.6%

44.72

4.2

54.3%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.2%2,161,911,064Contract Allowance

Total Charges 2,912,480,500

25.8%

93.1%

6.9%

5.8%

0.0%

12.7%

Current Assets

Fixed Assets

750,569,436

699,126,339

51,443,097

43,634,344

0

95,077,441

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 426CR Beds 357

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,435 6,122,463 02 Capital Cost - Movable Equip 177 25,093,050

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

432 97,125,093 224,654,010

0.3541452,118 3,305,590 9,333,994

0.432332

Ratio

0.177716372 46,171,669 259,805,319

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 944 19,999,692 05 Administrative and General 590 70,302,176

06 Maintenance and Repairs 163 12,653,667 07 Operation of Plant 509 10,811,656

08/09 Laundry / Housekeeping 365 8,647,344 10/11 Dietary and Cafeteria 474 4,952,111

13 Nursing Administration 231 9,947,446 14 Central Service and Supply 356 4,005,485

15 Pharmancy 318 10,390,295 16 Medical Records 862 2,333,619

Selected Revenue Departments

0.30696482 21,657,103 70,552,644

0.109113405 29,200,978 267,620,256

293

17 Social Services 428 2,660,130 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,556 86,031

Revenue Ranking -

All Providers

10:04 AM

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Page 406: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059816

ST JOSEPH HOSPITAL

1100 STEWART DRIVE

ORANGE, CA 92868

ORANGE

WISCONSIN PHYSICIANS SERVICE

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 407: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050168

ST JUDE MEDICAL CENTER

101 E VALENCIA MESA DRIVE

FULLERTON, CA 92835

ORANGE

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

326,152,286

Income Statement

609,653,392

63,068,736

998,874,414

115,869,986

344,602,327

538,402,101

998,874,414 11.8%

3.7%

24.3

164.2

5.6%

8.9%

45.45

4.5

59.8%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.6%1,753,845,355Contract Allowance

Total Charges 2,383,060,168

26.4%

95.4%

4.6%

5.4%

0.0%

10.1%

Current Assets

Fixed Assets

629,214,813

600,025,897

29,188,916

34,109,534

0

63,298,450

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 301CR Beds 225

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 226 28,479,993 02 Capital Cost - Movable Equip 700 10,611,562

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

523 84,921,150 132,071,955

0.433384297 30,978,309 71,480,104

0.642992

Ratio

0.245522637 31,699,744 129,111,664

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,016 18,284,257 05 Administrative and General 633 66,930,068

06 Maintenance and Repairs 758 3,207,878 07 Operation of Plant 663 9,074,253

08/09 Laundry / Housekeeping 648 5,933,419 10/11 Dietary and Cafeteria 622 4,279,632

13 Nursing Administration 388 7,019,750 14 Central Service and Supply 878 1,556,240

15 Pharmancy 350 9,543,641 16 Medical Records 115 9,227,140

Selected Revenue Departments

0.250751372 10,808,642 43,105,027

0.112600549 24,320,593 215,990,151

381

17 Social Services 1,128 807,304 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 408: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050688

ST LOUISE REGIONAL HOSPITAL

9400 NO NAME UNO

GILROY, CA 95020

SANTA CLARA

Noridian (CA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 93CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 409: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050457

ST MARY'S MEDICAL CENTER

450 STANYAN ST

SAN FRANCISCO, CA 94117

SAN FRANCISCO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

35,772,501

Income Statement

64,626,226

22,679,558

123,078,285

32,476,420

178,795,006

-88,193,138

123,078,288 40.2%

4.1%

28.7

450.7

6.8%

19.5%

61.71

5.1

47.5%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.3%686,319,008Contract Allowance

Total Charges 899,242,348

23.7%

122.0%

-22.0%

5.4%

0.0%

-16.7%

Current Assets

Fixed Assets

212,923,340

259,817,133

-46,893,793

11,417,738

0

(35,476,055)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 181CR Beds 94

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,729 4,852,469 02 Capital Cost - Movable Equip 942 8,203,765

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,351 38,771,228 156,017,263

0.348907899 12,219,056 35,020,999

0.248506

Ratio

0.1618851,059 21,431,397 132,386,489

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 498 36,757,584 05 Administrative and General 1,162 39,415,745

06 Maintenance and Repairs 426 6,305,717 07 Operation of Plant 1,429 4,334,829

08/09 Laundry / Housekeeping 912 4,544,317 10/11 Dietary and Cafeteria 1,467 2,234,800

13 Nursing Administration 962 3,283,768 14 Central Service and Supply 1,147 1,054,005

15 Pharmancy 1,156 3,064,407 16 Medical Records 598 3,187,861

Selected Revenue Departments

0.0000000 0 0

0.1587761,248 12,701,420 79,995,772

1,361

17 Social Services 2,236 163,958 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 652 4,606,025

Revenue Ranking -

All Providers

10:04 AM

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Page 410: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050191

ST MARY MEDICAL CENTER

1050 LINDEN AVE

LONG BEACH, CA 90813

LOS ANGELES

Noridian (CA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

117,291,700

Income Statement

51,286,694

21,391,651

189,970,045

50,610,513

247,061,724

-107,702,192

189,970,045 14.0%

7.6%

30.6

644.9

2.3%

11.6%

45.46

4.9

62.5%

Key Performanace Ind.

2.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

73.7%817,226,004Contract Allowance

Total Charges 1,108,337,502

26.3%

122.3%

-22.3%

17.1%

0.0%

-5.2%

Current Assets

Fixed Assets

291,111,498

355,958,495

-64,846,997

49,748,786

0

(15,098,211)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 539CR Beds 195

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,954 2,063,922 02 Capital Cost - Movable Equip 572 12,310,327

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

877 57,238,191 137,375,951

0.424642466 21,927,605 51,637,869

0.416654

Ratio

0.232346858 25,446,995 109,521,766

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 521 35,148,779 05 Administrative and General 876 51,793,474

06 Maintenance and Repairs 224 10,575,616 07 Operation of Plant 1,622 3,666,934

08/09 Laundry / Housekeeping 1,361 3,064,240 10/11 Dietary and Cafeteria 1,430 2,298,652

13 Nursing Administration 1,305 2,375,188 14 Central Service and Supply 722 1,990,032

15 Pharmancy 905 4,009,260 16 Medical Records 526 3,467,607

Selected Revenue Departments

0.465529348 11,184,249 24,024,835

0.090735835 17,736,627 195,476,523

1,015

17 Social Services 1,413 541,749 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 553 6,217,597

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 410

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Page 411: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050300

ST MARY MEDICAL CENTER

18300 HIGHWAY 18

APPLE VALLEY, CA 92307

SAN BERNARDINO

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

58,090,245

Income Statement

126,213,946

252,781,476

437,085,667

53,065,503

47,038,086

336,982,078

437,085,667 13.7%

3.5%

17.1

177.0

2.8%

12.6%

46.69

4.8

87.9%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.4%1,385,417,762Contract Allowance

Total Charges 1,723,297,603

19.6%

91.4%

8.6%

5.1%

0.0%

13.7%

Current Assets

Fixed Assets

337,879,841

308,886,558

28,993,283

17,317,097

0

46,310,380

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 212CR Beds 184

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,933 4,150,526 02 Capital Cost - Movable Equip 1,262 5,879,697

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

551 82,764,003 197,610,687

0.386085366 26,744,818 69,271,759

0.418824

Ratio

0.172894877 25,071,756 145,012,391

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,505 11,304,879 05 Administrative and General 1,123 40,691,338

06 Maintenance and Repairs 287 8,724,122 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 858 4,739,612 10/11 Dietary and Cafeteria 895 3,438,309

13 Nursing Administration 526 5,586,215 14 Central Service and Supply 853 1,606,327

15 Pharmancy 616 5,797,169 16 Medical Records 583 3,247,608

Selected Revenue Departments

0.347716758 6,385,026 18,362,763

0.066228520 25,419,868 383,825,957

863

17 Social Services 854 1,211,760 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 412: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050002

ST ROSE HOSPITAL

27200 CALAROGA AVE

HAYWARD, CA 94545

ALAMEDA

BLUE CROSS (CALIFORNIA)

9/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

41,324,023

Income Statement

34,109,711

644,136

76,077,870

21,707,204

33,034,141

21,336,525

76,077,870 -2.1%

5.3%

36.6

350.0

3.6%

22.7%

49.98

4.3

29.6%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.0%469,780,252Contract Allowance

Total Charges 587,390,140

20.0%

102.0%

-2.0%

1.6%

0.0%

-0.4%

Current Assets

Fixed Assets

117,609,888

119,909,103

-2,299,215

1,850,911

0

(448,304)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 129CR Beds 180

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,650 2,479,336 02 Capital Cost - Movable Equip 2,355 1,932,779

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,393 36,703,446 155,030,604

0.2801661,137 9,623,149 34,348,025

0.236750

Ratio

0.0987912,757 4,754,061 48,122,370

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,275 13,913,081 05 Administrative and General 2,113 16,465,032

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,411 4,411,736

08/09 Laundry / Housekeeping 1,620 2,505,721 10/11 Dietary and Cafeteria 1,656 1,958,064

13 Nursing Administration 2,707 858,525 14 Central Service and Supply 1,870 403,449

15 Pharmancy 1,367 2,408,601 16 Medical Records 576 3,280,631

Selected Revenue Departments

0.339642964 4,928,658 14,511,322

0.1390741,187 13,334,822 95,883,074

1,992

17 Social Services 1,561 451,289 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 413: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050441

STANFORD HEALTH CARE

300 PASTEUR DRIVE

STANFORD, CA 94305

SANTA CLARA

Noridian (CA)

8/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

1,728,458,412

Income Statement

1,061,814,611

5,010,502,182

7,800,775,205

1,201,237,386

2,269,617,913

4,329,919,906

7,800,775,205 23.4%

1.8%

59.9

201.6

5.2%

8.1%

61.01

5.6

90.3%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.5%15,760,749,839Contract Allowance

Total Charges 20,880,953,878

24.5%

82.3%

17.7%

1.9%

-0.2%

19.8%

Current Assets

Fixed Assets

5,120,204,039

4,213,404,308

906,799,731

97,825,439

-10,041,863

1,014,667,033

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 613CR Beds 380

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 21 93,204,339 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

17 368,409,225 1,743,528,600

0.14971529 102,136,580 682,208,828

0.211301

Ratio

0.11542713 196,701,908 1,704,116,971

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 487 37,265,610 05 Administrative and General 4 658,868,610

06 Maintenance and Repairs 0 0 07 Operation of Plant 1 181,224,704

08/09 Laundry / Housekeeping 18 31,150,404 10/11 Dietary and Cafeteria 37 15,574,918

13 Nursing Administration 7 46,193,792 14 Central Service and Supply 29 25,981,189

15 Pharmancy 29 58,130,506 16 Medical Records 47 14,183,620

Selected Revenue Departments

0.0000000 0 0

0.1480376 138,642,110 936,536,161

3

17 Social Services 45 11,188,468 18 Other General Service Cost 568 67,366

19 Non Physician Anesthetists 0 0 20-23 Education Programs 17 104,260,164

Revenue Ranking -

All Providers

10:04 AM

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Page 414: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050283

STANFORD HEALTH CARE - VALLEYCARE

5555 WEST LAS POSITAS BOULEVARD

PLEASANTON, CA 94588

ALAMEDA

BLUE CROSS (CALIFORNIA)

8/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

84,969,857

Income Statement

171,185,313

14,918,503

271,073,673

46,080,103

65,485,624

159,507,946

271,073,673 4.4%

2.4%

47.2

232.1

5.9%

14.1%

59.85

4.1

47.6%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

79.6%1,160,269,962Contract Allowance

Total Charges 1,456,929,272

20.4%

100.4%

-0.4%

2.6%

-0.2%

2.3%

Current Assets

Fixed Assets

296,659,310

297,859,811

-1,200,501

7,607,753

-562,703

6,969,955

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 110CR Beds 144

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,351 6,531,333 02 Capital Cost - Movable Equip 5,154 94,198

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

960 53,527,764 132,574,541

0.347674695 15,962,555 45,912,424

0.403756

Ratio

0.131796863 25,366,851 192,470,756

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,615 4,148,914 05 Administrative and General 961 47,321,293

06 Maintenance and Repairs 247 9,967,940 07 Operation of Plant 2,510 1,779,155

08/09 Laundry / Housekeeping 730 5,458,533 10/11 Dietary and Cafeteria 490 4,844,904

13 Nursing Administration 610 4,973,594 14 Central Service and Supply 456 3,232,007

15 Pharmancy 618 5,787,163 16 Medical Records 602 3,161,941

Selected Revenue Departments

0.280319448 9,709,447 34,637,092

0.105316914 16,681,138 158,391,070

995

17 Social Services 271 3,834,652 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 415: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059803

STANFORD HOSPITAL TRANSPLANT

300 PASTEUR DRIVE

STANFORD, CA 94305

SANTA CLARA

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 416: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050726

STANISLAUS SURGICAL HOSPITAL

1421 OAKDALE ROAD

MODESTO, CA 95355

STANISLAUS

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Other

General Short Term

Balance Sheet

7,955,314

Income Statement

22,362,296

16,162,698

46,480,308

27,112,701

2,577,779

16,789,828

46,480,308 -9.9%

2.7%

264.5

237.1

13.5%

9.4%

21.83

1.5

7.0%

Key Performanace Ind.

0.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

69.6%67,680,589Contract Allowance

Total Charges 97,272,857

30.4%

108.2%

-8.2%

2.6%

0.0%

-5.6%

Current Assets

Fixed Assets

29,592,268

32,031,236

-2,438,968

775,860

0

(1,663,108)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 23CR Beds 23

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,315 3,085,261 02 Capital Cost - Movable Equip 5,081 114,827

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

4,715 3,942,884 2,501,140

0.0000000 0 0

1.576435

Ratio

0.2644091,454 15,208,207 57,517,780

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,730 817,396 05 Administrative and General 3,110 7,694,732

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,907 1,290,883

08/09 Laundry / Housekeeping 4,077 420,060 10/11 Dietary and Cafeteria 4,210 466,239

13 Nursing Administration 2,750 834,363 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 3,322 347,713

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,711

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 417: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051990

SUNLAND HOME CORPORATION

691 SPARTA DRIVE

ENCINITAS, CA 92024

SAN DIEGO

CAHABA GBA (TN)

12/31/2019 365 Days Submitted

Nonprofit - Church

Religious Non-Medical

Balance Sheet

391,648

Income Statement

3,309,106

2,448,557

6,149,311

140,308

0

6,009,003

6,149,311 19.8%

2.3%

23.4

35.4

0.0%

0.0%

11.7

5.3%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

3.4%49,275Contract Allowance

Total Charges 1,453,121

96.6%

155.9%

-55.9%

140.5%

0.0%

84.6%

Current Assets

Fixed Assets

1,403,846

2,188,384

-784,538

1,972,767

0

1,188,229

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 20CR Beds 9

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,724 125,285 02 Capital Cost - Movable Equip 5,304 45,814

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

6,050 128,526 122,856

0.0000000 0 0

1.046152

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 5,973 407,584

06 Maintenance and Repairs 1,980 125,967 07 Operation of Plant 5,429 54,721

08/09 Laundry / Housekeeping 5,727 95,515 10/11 Dietary and Cafeteria 5,463 178,489

13 Nursing Administration 5,384 54,527 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,845

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 418: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051308

SURPRISE VALLEY COMMUNITY HOSPITAL

741 NORTH MAIN STREET

CEDARVILLE, CA 96104

MODOC

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

3,896,219

Income Statement

291,291

0

4,187,510

4,185,820

1,407,982

-1,406,292

4,187,510 37.4%

1.1%

164.2

210.3

27.6%

0.0%

18.0

25.9%

Key Performanace Ind.

0.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

49.9%3,033,837Contract Allowance

Total Charges 6,082,638

50.1%

188.0%

-88.0%

70.8%

0.0%

-17.2%

Current Assets

Fixed Assets

3,048,801

5,733,206

-2,684,405

2,158,584

0

(525,821)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 4CR Beds 4

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,874 52,228 02 Capital Cost - Movable Equip 5,416 18,492

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,976 954,355 2,347,171

0.0000000 0 0

0.406598

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,717 36,008 05 Administrative and General 5,755 1,099,833

06 Maintenance and Repairs 2,028 75,864 07 Operation of Plant 5,436 49,563

08/09 Laundry / Housekeeping 5,028 228,661 10/11 Dietary and Cafeteria 4,798 327,367

13 Nursing Administration 4,957 133,218 14 Central Service and Supply 2,806 104,848

15 Pharmancy 0 0 16 Medical Records 5,055 86,029

Selected Revenue Departments

0.0000000 0 0

3.5911164,492 560,803 156,164

5,796

17 Social Services 3,067 408 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 419: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050014

SUTTER AMADOR HOSPITAL

200 MISSION BLVD

JACKSON, CA 95642

AMADOR

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

19,572,239

Income Statement

42,976,966

3,040,609

65,589,814

6,458,660

31,136,979

27,994,175

65,589,814 14.6%

4.5%

23.5

260.7

10.8%

19.7%

58.16

4.0

46.1%

Key Performanace Ind.

3.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

68.3%202,816,967Contract Allowance

Total Charges 296,951,734

31.7%

97.0%

3.0%

1.3%

0.0%

4.4%

Current Assets

Fixed Assets

94,134,767

91,275,162

2,859,605

1,241,459

0

4,101,064

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 52CR Beds 46

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,767 4,740,501 02 Capital Cost - Movable Equip 5,491 845

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,328 17,437,124 28,857,930

0.5445991,618 5,769,924 10,594,805

0.604240

Ratio

0.2798442,643 5,342,267 19,090,133

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,048 6,767,173 05 Administrative and General 2,546 11,938,822

06 Maintenance and Repairs 1,357 908,459 07 Operation of Plant 2,563 1,708,166

08/09 Laundry / Housekeeping 2,344 1,430,390 10/11 Dietary and Cafeteria 2,369 1,228,449

13 Nursing Administration 1,728 1,697,908 14 Central Service and Supply 2,106 287,965

15 Pharmancy 1,613 1,847,801 16 Medical Records 4,529 150,004

Selected Revenue Departments

1.1969511,694 1,736,744 1,450,973

0.1706151,530 10,191,622 59,734,686

2,263

17 Social Services 1,189 730,023 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 420: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050498

SUTTER AUBURN FAITH HOSPITAL

11815 EDUCATION STREET

AUBURN, CA 95603

PLACER

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

24,465,042

Income Statement

40,092,616

885,707

65,443,365

11,849,681

17,705,654

35,888,030

65,443,365 10.6%

4.6%

20.7

269.1

13.4%

12.8%

60.36

3.3

48.5%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.0%398,557,590Contract Allowance

Total Charges 561,533,115

29.0%

99.3%

0.7%

1.6%

0.0%

2.3%

Current Assets

Fixed Assets

162,975,525

161,793,570

1,181,955

2,616,019

0

3,797,974

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 97CR Beds 56

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,460 2,833,360 02 Capital Cost - Movable Equip 2,029 2,682,380

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,991 22,548,531 47,125,499

0.4263731,586 6,056,262 14,204,131

0.478478

Ratio

0.1810871,819 11,035,552 60,940,474

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,581 10,430,610 05 Administrative and General 1,909 19,850,752

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,553 1,717,475

08/09 Laundry / Housekeeping 1,874 2,056,966 10/11 Dietary and Cafeteria 2,379 1,220,365

13 Nursing Administration 1,521 1,959,488 14 Central Service and Supply 1,555 631,372

15 Pharmancy 1,215 2,885,599 16 Medical Records 4,064 212,950

Selected Revenue Departments

0.0000000 0 0

0.1139861,464 10,845,299 95,145,949

1,631

17 Social Services 3,068 403 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 421: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054096

SUTTER CENTER FOR PSYCHIATRY

7700 FOLSOM BLVD

SACRAMENTO, CA 95826

SACRAMENTO

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

Psychiatric

Balance Sheet

6,833,627

Income Statement

8,386,524

-271,489

14,948,662

146,801

9,602,398

5,199,463

14,948,662 -99.2%

3.1%

1.3

332.3

2.2%

0.0%

7.2

72.3%

Key Performanace Ind.

46.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

51.6%38,022,444Contract Allowance

Total Charges 73,635,703

48.4%

116.0%

-16.0%

1.5%

0.0%

-14.5%

Current Assets

Fixed Assets

35,613,259

41,312,868

-5,699,609

539,504

0

(5,160,105)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 69CR Beds 73

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,054 434,107 02 Capital Cost - Movable Equip 4,797 194,868

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,774 26,763,603 35,223,170

0.0000000 0 0

0.759829

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,167 6,100,833 05 Administrative and General 2,971 8,403,204

06 Maintenance and Repairs 1,257 1,112,574 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 3,694 522,064 10/11 Dietary and Cafeteria 2,826 929,427

13 Nursing Administration 2,303 1,127,049 14 Central Service and Supply 2,854 96,826

15 Pharmancy 2,239 867,258 16 Medical Records 4,995 93,408

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,439

17 Social Services 1,974 254,583 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 422: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050417

SUTTER COAST HOSPITAL

800 E WASHINGTON BLVD

CRESCENT CITY, CA 95531

DEL NORTE

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

21,992,780

Income Statement

19,108,411

4,606,540

45,707,731

14,988,635

10,304,141

20,414,955

45,707,731 22.7%

6.9%

31.0

332.7

9.6%

17.1%

45.75

3.6

52.8%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

67.9%201,456,555Contract Allowance

Total Charges 296,757,358

32.1%

95.9%

4.1%

0.8%

0.0%

4.9%

Current Assets

Fixed Assets

95,300,803

91,387,596

3,913,207

725,614

0

4,638,821

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 49CR Beds 33

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,657 1,318,920 02 Capital Cost - Movable Equip 2,333 1,985,042

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,753 12,804,425 21,562,792

0.3752882,073 3,500,295 9,326,956

0.593820

Ratio

0.2632922,593 5,577,948 21,185,426

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,755 8,911,668 05 Administrative and General 2,374 13,497,870

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,177 2,346,307

08/09 Laundry / Housekeeping 2,140 1,648,500 10/11 Dietary and Cafeteria 2,763 964,184

13 Nursing Administration 2,395 1,059,439 14 Central Service and Supply 2,809 104,283

15 Pharmancy 1,755 1,578,718 16 Medical Records 3,991 223,299

Selected Revenue Departments

2.4619901,892 1,196,586 486,024

0.1192132,019 7,094,292 59,509,155

2,240

17 Social Services 1,106 840,313 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 423: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050537

SUTTER DAVIS HOSPITAL

2000 SUTTER PLACE

DAVIS, CA 95616

YOLO

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

23,870,298

Income Statement

24,825,131

6,649,459

55,344,888

10,601,975

5,166,465

39,576,448

55,344,888 29.0%

4.9%

24.2

258.1

7.4%

9.4%

60.20

4.4

76.2%

Key Performanace Ind.

2.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

69.3%328,614,692Contract Allowance

Total Charges 474,011,871

30.7%

93.0%

7.0%

0.9%

0.0%

7.9%

Current Assets

Fixed Assets

145,397,179

135,261,493

10,135,686

1,355,086

0

11,490,772

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 48CR Beds 42

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,984 3,982,215 02 Capital Cost - Movable Equip 5,495 394

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,311 17,584,065 47,867,477

0.3318311,722 5,164,699 15,564,223

0.367349

Ratio

0.2266271,803 11,183,625 49,348,201

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,619 10,157,752 05 Administrative and General 2,178 15,696,446

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,167 2,371,169

08/09 Laundry / Housekeeping 2,267 1,512,486 10/11 Dietary and Cafeteria 2,581 1,075,198

13 Nursing Administration 2,206 1,214,960 14 Central Service and Supply 1,881 398,350

15 Pharmancy 1,549 1,983,769 16 Medical Records 4,986 94,900

Selected Revenue Departments

0.342347706 6,693,799 19,552,681

0.1234651,395 11,396,488 92,305,299

1,759

17 Social Services 3,055 951 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,287 417,850

Revenue Ranking -

All Providers

10:04 AM

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Page 424: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050523

SUTTER DELTA MEDICAL CENTER

3901 LONE TREE WAY

ANTIOCH, CA 94509

CONTRA COSTA

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

66,063,178

Income Statement

56,221,563

12,772,280

135,057,021

119,531,093

677,436

14,848,492

135,057,021 -32.6%

3.7%

196.5

538.4

4.8%

18.7%

64.87

4.2

58.9%

Key Performanace Ind.

0.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.4%623,636,468Contract Allowance

Total Charges 837,970,353

25.6%

102.6%

-2.6%

0.4%

0.0%

-2.3%

Current Assets

Fixed Assets

214,333,885

219,998,823

-5,664,938

817,198

0

(4,847,740)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 111CR Beds 129

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,643 2,492,467 02 Capital Cost - Movable Equip 1,971 2,844,932

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

938 54,422,006 132,121,558

0.462447962 11,480,287 24,825,084

0.411909

Ratio

0.2058412,342 7,070,831 34,350,881

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,190 15,103,252 05 Administrative and General 1,488 29,492,519

06 Maintenance and Repairs 804 2,881,754 07 Operation of Plant 1,488 4,155,625

08/09 Laundry / Housekeeping 1,168 3,594,655 10/11 Dietary and Cafeteria 945 3,298,807

13 Nursing Administration 1,012 3,149,439 14 Central Service and Supply 1,571 618,225

15 Pharmancy 1,241 2,764,007 16 Medical Records 2,187 752,913

Selected Revenue Departments

0.321011998 4,733,782 14,746,459

0.115340603 22,585,076 195,813,230

1,353

17 Social Services 1,312 614,197 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 425: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051329

SUTTER LAKESIDE HOSPITAL

5176 HILL ROAD EAST

LAKEPORT, CA 95453

LAKE

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

16,781,571

Income Statement

30,031,299

1,834,878

48,647,748

5,801,783

4,374,456

38,471,509

48,647,748 -1.7%

6.3%

20.6

271.0

6.0%

0.0%

4.3

79.6%

Key Performanace Ind.

2.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

66.8%171,616,957Contract Allowance

Total Charges 256,748,212

33.2%

106.6%

-6.6%

5.8%

0.0%

-0.8%

Current Assets

Fixed Assets

85,131,255

90,767,190

-5,635,935

4,969,527

0

(666,408)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 21

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,707 2,387,878 02 Capital Cost - Movable Equip 2,208 2,226,444

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,027 10,785,808 20,862,243

0.5268971,804 4,647,877 8,821,223

0.517001

Ratio

0.3772652,350 6,991,036 18,530,829

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,028 6,878,420 05 Administrative and General 2,284 14,458,466

06 Maintenance and Repairs 1,367 892,348 07 Operation of Plant 2,354 2,029,110

08/09 Laundry / Housekeeping 2,675 1,101,566 10/11 Dietary and Cafeteria 2,499 1,135,044

13 Nursing Administration 2,775 821,143 14 Central Service and Supply 2,964 83,054

15 Pharmancy 1,748 1,599,360 16 Medical Records 0 (883,210)

Selected Revenue Departments

1.3881331,653 1,846,148 1,329,950

0.1959501,457 10,930,264 55,780,793

2,378

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 426: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050714

SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ

2900 CHANTICLEER AVENUE

SANTA CRUZ, CA 95065

SANTA CRUZ

Noridian (CA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

13,768,207

Income Statement

24,636,614

2,012,139

40,416,960

5,402,650

11,950,303

23,064,007

40,416,960 58.7%

-1.2%

9.6

154.9

13.8%

3.9%

61.78

6.7

41.6%

Key Performanace Ind.

2.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

59.2%125,675,910Contract Allowance

Total Charges 212,193,818

40.8%

85.1%

14.9%

0.8%

0.0%

15.7%

Current Assets

Fixed Assets

86,517,908

73,625,488

12,892,420

649,753

0

13,542,173

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 30CR Beds 28

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,013 1,983,790 02 Capital Cost - Movable Equip 2,682 1,408,672

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,956 11,378,878 8,487,587

0.0000000 0 0

1.340649

Ratio

0.217524986 22,889,047 105,225,393

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,352 13,024,175 05 Administrative and General 3,022 8,138,158

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,032 2,605,273

08/09 Laundry / Housekeeping 2,592 1,153,152 10/11 Dietary and Cafeteria 2,687 1,014,557

13 Nursing Administration 2,073 1,344,481 14 Central Service and Supply 0 0

15 Pharmancy 2,043 1,084,234 16 Medical Records 0 (36,665)

Selected Revenue Departments

0.774160885 5,417,766 6,998,253

0.0000000 0 0

2,362

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 427: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050108

SUTTER MEDICAL CENTER, SACRAMENTO

2825 CAPITOL AVENUE

SACRAMENTO, CA 95816

SACRAMENTO

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

372,487,089

Income Statement

807,560,524

19,787,497

1,199,835,110

301,520,562

513,506,197

384,808,351

1,199,835,110 11.8%

4.1%

27.2

344.1

4.6%

13.1%

68.04

5.1

70.8%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

67.6%2,664,664,106Contract Allowance

Total Charges 3,942,109,198

32.4%

99.0%

1.0%

2.5%

0.0%

3.6%

Current Assets

Fixed Assets

1,277,445,092

1,264,087,816

13,357,276

32,192,652

0

45,549,928

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 523CR Beds 382

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 120 42,077,839 02 Capital Cost - Movable Equip 337 17,117,731

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

91 202,662,622 489,365,183

0.376977179 43,476,199 115,328,615

0.414134

Ratio

0.213170155 78,022,527 366,010,947

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 435 40,252,777 05 Administrative and General 131 182,786,243

06 Maintenance and Repairs 0 0 07 Operation of Plant 110 25,703,715

08/09 Laundry / Housekeeping 169 13,436,863 10/11 Dietary and Cafeteria 200 7,963,692

13 Nursing Administration 71 18,008,315 14 Central Service and Supply 729 1,958,091

15 Pharmancy 179 16,813,971 16 Medical Records 3,856 246,737

Selected Revenue Departments

0.16286994 20,603,926 126,506,186

0.126757207 41,204,284 325,066,041

112

17 Social Services 675 1,610,993 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 848 2,599,539

Revenue Ranking -

All Providers

10:04 AM

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Page 428: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059809

SUTTER MEDICAL CENTER, SACRAMENTO

2825 CAPITOL AVENUE

SACRAMENTO, CA 95816

SACRAMENTO

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 429: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050309

SUTTER ROSEVILLE MEDICAL CENTER

ONE MEDICAL PLAZA

ROSEVILLE, CA 95661

PLACER

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

139,442,449

Income Statement

173,119,754

135,263,156

447,825,359

51,264,986

207,575,082

188,985,291

447,825,359 55.6%

3.7%

22.0

286.1

6.0%

12.7%

59.12

4.2

81.2%

Key Performanace Ind.

2.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

68.3%1,679,503,666Contract Allowance

Total Charges 2,459,429,603

31.7%

87.3%

12.7%

0.8%

0.0%

13.5%

Current Assets

Fixed Assets

779,925,937

681,187,821

98,738,116

6,329,432

0

105,067,548

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 328CR Beds 216

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 733 12,429,686 02 Capital Cost - Movable Equip 1,346 5,425,639

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

293 120,351,827 287,858,299

0.285994307 30,325,001 106,033,543

0.418094

Ratio

0.180665494 38,414,072 212,626,199

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 353 47,865,250 05 Administrative and General 566 72,988,009

06 Maintenance and Repairs 235 10,272,211 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 313 9,462,470 10/11 Dietary and Cafeteria 381 5,540,102

13 Nursing Administration 338 7,945,073 14 Central Service and Supply 458 3,225,940

15 Pharmancy 352 9,501,006 16 Medical Records 3,238 363,619

Selected Revenue Departments

0.399833212 14,071,354 35,193,049

0.116850286 34,847,135 298,221,418

266

17 Social Services 1,871 301,396 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,529 111,307

Revenue Ranking -

All Providers

10:04 AM

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Page 430: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050291

SUTTER SANTA ROSA REGIONAL HOSPITAL

30 MARK WEST SPRINGS ROAD

SANTA ROSA, CA 95403

SONOMA

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

61,704,624

Income Statement

248,409,135

20,955,318

331,069,077

31,170,434

208,801,482

91,097,161

331,069,077 9.8%

5.6%

22.8

314.8

7.7%

16.4%

65.78

4.7

88.9%

Key Performanace Ind.

2.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

68.9%639,885,249Contract Allowance

Total Charges 928,606,869

31.1%

99.8%

0.2%

2.9%

0.0%

3.1%

Current Assets

Fixed Assets

288,721,620

288,284,246

437,374

8,496,604

0

8,933,978

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 170CR Beds 50

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 835 11,122,425 02 Capital Cost - Movable Equip 955 8,135,571

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,253 42,082,807 87,385,908

0.486908677 16,379,684 33,640,212

0.481574

Ratio

0.2247151,035 21,920,946 97,550,084

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 911 20,873,192 05 Administrative and General 1,012 45,058,417

06 Maintenance and Repairs 979 2,009,088 07 Operation of Plant 2,222 2,264,912

08/09 Laundry / Housekeeping 1,280 3,286,217 10/11 Dietary and Cafeteria 988 3,200,868

13 Nursing Administration 1,286 2,418,926 14 Central Service and Supply 886 1,542,558

15 Pharmancy 985 3,684,568 16 Medical Records 0 (1,954,485)

Selected Revenue Departments

0.279768437 9,835,648 35,156,474

0.122168959 16,032,680 131,234,535

1,022

17 Social Services 860 1,199,239 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 558 6,184,925

Revenue Ranking -

All Providers

10:04 AM

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Page 431: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050101

SUTTER SOLANO MEDICAL CENTER

300 HOSPITAL DR

VALLEJO, CA 94589

SOLANO

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

37,711,425

Income Statement

39,367,692

5,663,728

82,742,845

12,170,341

11,174,766

59,397,738

82,742,845 -23.9%

5.8%

19.6

375.3

8.6%

21.3%

64.65

4.5

47.6%

Key Performanace Ind.

3.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.8%441,766,450Contract Allowance

Total Charges 590,334,688

25.2%

111.6%

-11.6%

2.0%

0.0%

-9.6%

Current Assets

Fixed Assets

148,568,238

165,741,827

-17,173,589

2,954,819

0

(14,218,770)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 102CR Beds 94

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,836 4,478,123 02 Capital Cost - Movable Equip 1,652 3,850,386

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,594 30,870,787 83,621,032

0.3454761,017 10,866,836 31,454,661

0.369175

Ratio

0.2389311,679 12,442,743 52,076,693

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,793 8,571,348 05 Administrative and General 1,748 23,447,817

06 Maintenance and Repairs 2,110 576 07 Operation of Plant 1,969 2,744,360

08/09 Laundry / Housekeeping 1,903 2,017,406 10/11 Dietary and Cafeteria 1,824 1,756,773

13 Nursing Administration 1,635 1,801,828 14 Central Service and Supply 1,236 954,359

15 Pharmancy 1,151 3,098,212 16 Medical Records 3,441 321,504

Selected Revenue Departments

0.6667611,014 4,639,887 6,958,850

0.1053141,343 11,872,582 112,735,245

1,736

17 Social Services 3,028 3,316 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 432: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050766

SUTTER SURGICAL HOSPITAL - NORTH VALLEY

455 PLUMAS BLVD

YUBA CITY, CA 95991

SUTTER

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

8,776,282

Income Statement

3,343,041

2,821,545

14,940,868

4,789,842

0

10,151,026

14,940,868 12.9%

37.9%

28.7

266.4

12.3%

17.5%

54.76

2.2

22.7%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

67.1%61,328,975Contract Allowance

Total Charges 91,360,278

32.9%

95.8%

4.2%

0.1%

0.0%

4.3%

Current Assets

Fixed Assets

30,031,303

28,763,042

1,268,261

36,239

0

1,304,500

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 14CR Beds 14

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,886 4,321,231 02 Capital Cost - Movable Equip 5,168 88,143

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,651 7,441,650 1,192,965

0.0000000 0 0

6.237945

Ratio

0.2100521,885 10,449,511 49,747,154

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,801 340 05 Administrative and General 1,988 18,474,542

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,862 662,087

08/09 Laundry / Housekeeping 4,895 254,197 10/11 Dietary and Cafeteria 4,153 479,592

13 Nursing Administration 0 0 14 Central Service and Supply 2,200 258,936

15 Pharmancy 2,415 705,026 16 Medical Records 3,632 285,356

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,694

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 433: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050313

SUTTER TRACY COMMUNITY HOSPITAL

1420 NORTH TRACY BLVD

TRACY, CA 95376

SAN JOAQUIN

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

31,623,058

Income Statement

51,630,327

1,764,598

85,017,983

11,140,339

19,541,996

54,335,648

85,017,983 23.3%

5.2%

27.9

344.8

5.1%

10.7%

54.64

3.5

44.0%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.1%340,434,847Contract Allowance

Total Charges 479,005,591

28.9%

91.2%

8.8%

0.4%

0.0%

9.1%

Current Assets

Fixed Assets

138,570,744

126,431,039

12,139,705

510,990

0

12,650,695

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 82CR Beds 69

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,310 3,088,392 02 Capital Cost - Movable Equip 1,814 3,322,075

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,981 22,668,445 44,734,567

0.3358201,549 6,319,006 18,816,620

0.506732

Ratio

0.2411851,657 12,700,818 52,659,976

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,727 9,101,412 05 Administrative and General 1,941 19,457,052

06 Maintenance and Repairs 657 3,833,750 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 2,084 1,725,379 10/11 Dietary and Cafeteria 2,251 1,331,157

13 Nursing Administration 1,430 2,083,714 14 Central Service and Supply 1,953 354,604

15 Pharmancy 1,145 3,116,761 16 Medical Records 4,214 194,910

Selected Revenue Departments

0.7527421,373 2,781,927 3,695,724

0.1160511,300 12,193,209 105,067,722

1,814

17 Social Services 2,136 193,471 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Page 434: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051328

TAHOE FOREST HOSPITAL

10121 PINE AVE

TRUCKEE, CA 96161

NEVADA

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

141,133,724

Income Statement

153,527,561

22,394,735

317,056,020

40,114,299

136,902,584

140,039,137

317,056,020 13.0%

3.3%

61.6

287.0

9.3%

0.0%

2.9

66.5%

Key Performanace Ind.

3.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

47.6%158,567,724Contract Allowance

Total Charges 332,804,321

52.4%

83.9%

16.1%

15.4%

21.0%

10.5%

Current Assets

Fixed Assets

174,236,597

146,188,606

28,047,991

26,822,895

36,642,164

18,228,722

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 19

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,179 7,677,977 02 Capital Cost - Movable Equip 1,974 2,834,635

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,957 11,357,793 16,829,720

0.5235481,930 4,111,462 7,853,079

0.674865

Ratio

0.5124351,483 14,872,705 29,023,611

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 1,343 33,840,981

06 Maintenance and Repairs 798 2,932,293 07 Operation of Plant 2,910 1,287,753

08/09 Laundry / Housekeeping 1,613 2,522,933 10/11 Dietary and Cafeteria 1,445 2,284,725

13 Nursing Administration 1,363 2,233,732 14 Central Service and Supply 0 0

15 Pharmancy 1,345 2,483,293 16 Medical Records 844 2,369,896

Selected Revenue Departments

0.6460471,388 2,728,559 4,223,471

0.2372722,003 7,202,258 30,354,476

1,553

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 435: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054148

TARZANA TREATMENT CENTER

18646 OXNARD STREET

TARZANA, CA 91356

LOS ANGELES

PALMETTO (CALIFORNIA)

12/31/2019 365 Days Settled

Nonprofit - Other

Psychiatric

Balance Sheet

25,097,725

Income Statement

11,075,994

17,370,409

53,544,128

8,469,151

14,459,863

30,615,114

53,544,128 15.5%

0.0%

38.3

66.4

0.1%

0.0%

5.5

75.4%

Key Performanace Ind.

3.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

1.1%940,317Contract Allowance

Total Charges 85,672,028

98.9%

94.4%

5.6%

0.0%

0.0%

5.6%

Current Assets

Fixed Assets

84,731,711

79,993,441

4,738,270

0

0

4,738,270

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 60CR Beds 4

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,964 9,443 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,968 1,044,076 1,710,140

0.0000000 0 0

0.610521

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 5,992 138,470

06 Maintenance and Repairs 2,094 6,545 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 5,995 6,001 10/11 Dietary and Cafeteria 5,857 72,292

13 Nursing Administration 5,464 17,132 14 Central Service and Supply 0 0

15 Pharmancy 3,530 27,037 16 Medical Records 5,591 3,992

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

2,385

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 436: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054146

TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY

2633 E 27TH STREET, BUILDING B

OAKLAND, CA 94601

ALAMEDA

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Settled

Proprietary - Corporation

Psychiatric

Balance Sheet

2,921,825

Income Statement

1,137,188

0

4,059,013

1,669,456

12,655

2,376,902

4,059,013 74.0%

8.6%

64.1

76.4

0.0%

0.0%

5.4

76.9%

Key Performanace Ind.

1.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

31.8%5,237,029Contract Allowance

Total Charges 16,479,386

68.2%

84.6%

15.4%

0.2%

0.0%

15.6%

Current Assets

Fixed Assets

11,242,357

9,510,236

1,732,121

25,811

0

1,757,932

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 26CR Beds 26

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,530 213,941 02 Capital Cost - Movable Equip 4,085 415,116

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

3,366 8,789,248 10,250,553

0.0000000 0 0

0.857441

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,183 1,358,989 05 Administrative and General 5,611 1,483,740

06 Maintenance and Repairs 1,522 612,097 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 5,867 58,677 10/11 Dietary and Cafeteria 5,184 239,912

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 5,250 63,257

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,159

17 Social Services 1,671 395,137 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 436

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 437: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050775

TEMECULA VALLEY HOSPITAL

31700 TEMECULA PKWY

TEMECULA, CA 92592

RIVERSIDE

NOVITAS

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

43,487,203

Income Statement

152,702,335

4,210,688

200,400,226

16,492,135

132,709,120

51,198,971

200,400,226 40.0%

7.4%

28.8

191.0

4.0%

19.1%

41.78

4.2

77.5%

Key Performanace Ind.

2.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

81.2%829,536,126Contract Allowance

Total Charges 1,021,498,532

18.8%

90.2%

9.8%

0.9%

0.0%

10.7%

Current Assets

Fixed Assets

191,962,406

173,190,625

18,771,781

1,729,689

0

20,501,470

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 140CR Beds 120

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 413 19,483,535 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

985 52,372,140 143,959,519

0.3966761,051 10,534,119 26,555,980

0.363798

Ratio

0.2893481,528 14,241,077 49,217,838

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,304 13,587,315 05 Administrative and General 1,784 22,594,700

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,314 4,803,096

08/09 Laundry / Housekeeping 1,833 2,126,624 10/11 Dietary and Cafeteria 1,620 2,017,171

13 Nursing Administration 885 3,530,673 14 Central Service and Supply 3,421 27,582

15 Pharmancy 1,349 2,458,291 16 Medical Records 1,125 1,752,521

Selected Revenue Departments

0.0000000 0 0

0.0650391,180 13,405,646 206,116,928

1,448

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 777 3,231,904

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 437

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Page 438: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050351

TORRANCE MEMORIAL MEDICAL CENTER

3330 LOMITA BLVD

TORRANCE, CA 90509

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

250,817,665

Income Statement

619,250,407

362,125,759

1,232,193,831

241,179,064

379,018,744

611,996,023

1,232,193,831 6.0%

5.0%

54.9

645.4

5.7%

12.0%

42.91

4.0

57.5%

Key Performanace Ind.

1.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

83.1%3,255,481,712Contract Allowance

Total Charges 3,915,499,549

16.9%

101.3%

-1.3%

6.9%

0.0%

5.6%

Current Assets

Fixed Assets

660,017,837

668,288,749

-8,270,912

45,295,428

0

37,024,516

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 380CR Beds 412

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 265 26,224,361 02 Capital Cost - Movable Equip 323 17,664,007

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

234 134,880,882 406,929,263

0.353799347 27,614,492 78,051,311

0.331460

Ratio

0.193216121 84,344,421 436,528,652

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 308 53,558,662 05 Administrative and General 396 91,911,552

06 Maintenance and Repairs 0 0 07 Operation of Plant 170 20,604,636

08/09 Laundry / Housekeeping 381 8,456,864 10/11 Dietary and Cafeteria 206 7,858,812

13 Nursing Administration 286 8,897,472 14 Central Service and Supply 208 6,103,710

15 Pharmancy 385 8,845,428 16 Medical Records 204 6,790,695

Selected Revenue Departments

0.326886230 13,759,674 42,093,217

0.109148467 27,040,650 247,742,630

348

17 Social Services 582 1,906,230 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 439: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053038

TOTALLY KIDS REHABILITATION HOSPITAL

1720 MOUNTAIN VIEW AVENUE

LOMA LINDA, CA 92354

SAN BERNARDINO

DUMMY FOR MEDICAID HHA

12/31/2019 365 Days Settled

Proprietary - Individual

Rehabilitation

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 440: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050128

TRI-CITY MEDICAL CENTER

4002 VISTA WAY

OCEANSIDE, CA 92056

SAN DIEGO

Noridian (CA)

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

108,433,468

Income Statement

94,151,300

45,280,200

247,864,968

80,474,033

87,303,733

80,087,202

247,864,968 -7.5%

2.6%

54.0

227.6

6.1%

12.6%

38.25

4.8

52.0%

Key Performanace Ind.

1.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

77.6%1,170,697,189Contract Allowance

Total Charges 1,508,326,351

22.4%

106.4%

-6.4%

6.4%

1.7%

-1.8%

Current Assets

Fixed Assets

337,629,162

359,330,130

-21,700,968

21,469,880

5,752,416

(5,983,504)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 397CR Beds 242

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 741 12,291,461 02 Capital Cost - Movable Equip 930 8,312,171

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

677 71,978,151 125,632,856

0.338503818 13,673,247 40,393,249

0.572925

Ratio

0.147044799 26,887,249 182,851,897

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 483 37,563,860 05 Administrative and General 1,138 40,242,871

06 Maintenance and Repairs 202 11,301,461 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 1,167 3,598,395 10/11 Dietary and Cafeteria 741 3,902,744

13 Nursing Administration 1,128 2,808,894 14 Central Service and Supply 1,261 929,197

15 Pharmancy 780 4,660,037 16 Medical Records 737 2,668,043

Selected Revenue Departments

0.936202424 10,011,343 10,693,573

0.187718457 27,507,201 146,535,024

864

17 Social Services 357 3,143,662 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,543 98,717

Revenue Ranking -

All Providers

10:04 AM

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Page 441: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

051315

TRINITY HOSPITAL

60 EASTER AVENUE

WEAVERVILLE, CA 96093

TRINITY

NATIONAL GOVERNMENT SERVICES

12/31/2019 365 Days Submitted

Government - County

General Short Term

Balance Sheet

9,531,995

Income Statement

2,810,824

1,643,859

13,986,678

2,187,993

0

11,798,685

13,986,678 46.9%

0.5%

27.6

120.4

11.3%

0.0%

13.7

26.1%

Key Performanace Ind.

4.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

31.6%9,253,663Contract Allowance

Total Charges 29,261,606

68.4%

87.4%

12.6%

15.1%

0.0%

27.7%

Current Assets

Fixed Assets

20,007,943

17,489,068

2,518,875

3,016,833

835

5,534,873

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 25

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 5,857 61,905 02 Capital Cost - Movable Equip 5,455 8,329

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,089 3,194,490 6,420,782

0.0000000 0 0

0.497524

Ratio

0.2548974,229 515,247 2,021,394

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,484 177,951 05 Administrative and General 4,875 2,809,966

06 Maintenance and Repairs 1,827 272,661 07 Operation of Plant 4,963 272,400

08/09 Laundry / Housekeeping 4,363 353,721 10/11 Dietary and Cafeteria 3,709 594,352

13 Nursing Administration 4,385 226,584 14 Central Service and Supply 3,326 40,890

15 Pharmancy 2,926 359,564 16 Medical Records 3,757 263,044

Selected Revenue Departments

0.0000000 0 0

0.5581083,504 2,700,994 4,839,552

4,354

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 100 366,693 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 441

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 442: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050633

TWIN CITIES COMMUNITY HOSPITAL

1100 LAS TABLAS RD

TEMPLETON, CA 93465

SAN LUIS OBISPO

WISCONSIN PHYSICIANS SERVICE

5/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

31,231,337

Income Statement

65,767,011

6,371,149

103,369,497

7,232,882

2,676

96,133,939

103,369,497 16.7%

2.6%

23.0

242.4

5.2%

15.5%

48.69

4.0

40.7%

Key Performanace Ind.

4.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

85.6%682,570,320Contract Allowance

Total Charges 796,968,408

14.4%

86.2%

13.8%

0.3%

0.0%

14.1%

Current Assets

Fixed Assets

114,398,088

98,658,027

15,740,061

349,524

0

16,089,585

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 114CR Beds 104

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,492 2,779,470 02 Capital Cost - Movable Equip 2,311 2,017,610

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,677 29,065,555 101,649,247

0.3444201,940 4,069,241 11,814,762

0.285940

Ratio

0.1504661,904 10,238,972 68,048,409

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,561 979,093 05 Administrative and General 1,833 21,589,718

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,867 2,964,427

08/09 Laundry / Housekeeping 2,320 1,456,524 10/11 Dietary and Cafeteria 3,134 777,182

13 Nursing Administration 2,649 886,788 14 Central Service and Supply 2,379 202,906

15 Pharmancy 1,931 1,251,302 16 Medical Records 1,489 1,281,230

Selected Revenue Departments

0.3991721,102 4,133,629 10,355,515

0.0741431,438 11,074,950 149,373,418

2,017

17 Social Services 1,963 258,260 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 443: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05113F

U S NAVAL HOSP

7500 E CARSON ST

LONG BEACH, CA 90801

LOS ANGELES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 350CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 444: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050025

UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR

200 WEST ARBOR DRIVE

SAN DIEGO, CA 92103

SAN DIEGO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - State

General Short Term

Balance Sheet

794,977,958

Income Statement

1,570,221,465

767,520,241

3,132,719,664

579,834,266

2,893,490,458

-340,605,060

3,132,719,664 34.4%

5.8%

37.3

96.0

6.4%

12.7%

44.62

6.2

85.4%

Key Performanace Ind.

1.4

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

70.8%4,750,496,900Contract Allowance

Total Charges 6,710,770,837

29.2%

112.0%

-12.0%

6.1%

0.0%

-6.0%

Current Assets

Fixed Assets

1,960,273,937

2,196,120,745

-235,846,808

118,978,429

331,507

(117,199,886)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 600CR Beds 513

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 8 142,917,171 02 Capital Cost - Movable Equip 54 49,512,007

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

42 264,953,249 730,995,886

0.0000000 0 0

0.362455

Ratio

0.15426894 94,677,450 613,719,039

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 67 150,161,067 05 Administrative and General 50 270,444,843

06 Maintenance and Repairs 58 23,604,798 07 Operation of Plant 65 34,829,768

08/09 Laundry / Housekeeping 45 24,201,450 10/11 Dietary and Cafeteria 139 9,466,645

13 Nursing Administration 225 10,111,411 14 Central Service and Supply 283 4,824,235

15 Pharmancy 57 37,316,225 16 Medical Records 98 10,108,935

Selected Revenue Departments

0.143696354 11,066,557 77,013,868

0.16430893 56,843,632 345,956,982

45

17 Social Services 23 14,224,786 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 173 29,453,583

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 444

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 445: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050454

UCSF MEDICAL CENTER

505 PARNASSUS AVE, BOX 0296

SAN FRANCISCO, CA 94143

SAN FRANCISCO

Noridian (CA)

6/30/2019 365 Days Submitted

Government - State

General Short Term

Balance Sheet

1,676,244,465

Income Statement

1,832,828,930

1,594,650,909

5,103,724,304

504,008,142

5,413,149,955

-813,433,793

5,103,724,304 7.1%

2.4%

29.9

58.4

4.7%

9.5%

64.40

6.8

84.0%

Key Performanace Ind.

3.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.4%11,367,922,618Contract Allowance

Total Charges 15,270,254,466

25.6%

107.4%

-7.4%

6.8%

0.9%

-1.5%

Current Assets

Fixed Assets

3,902,331,848

4,191,263,567

-288,931,719

267,241,854

35,766,588

(57,456,453)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 782CR Beds 579

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 18 99,001,951 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

7 479,002,537 1,936,892,613

0.1642422 225,676,878 1,374,049,672

0.247305

Ratio

0.19393711 207,671,101 1,070,815,604

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,301 13,621,213 05 Administrative and General 10 458,067,336

06 Maintenance and Repairs 0 0 07 Operation of Plant 7 71,993,204

08/09 Laundry / Housekeeping 2 52,382,166 10/11 Dietary and Cafeteria 3 30,209,430

13 Nursing Administration 11 41,332,496 14 Central Service and Supply 15 47,683,834

15 Pharmancy 26 64,281,393 16 Medical Records 20 18,717,544

Selected Revenue Departments

0.303111146 17,025,606 56,169,510

0.135406123 50,701,962 374,443,852

7

17 Social Services 53 9,990,392 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 82 55,354,761

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 445

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 446: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05066E

UNIVERSITY OF CALIF STUDENT HLTH CTR

DAVIS, CA 95616

YOLO

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 46CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 446

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 447: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050599

UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER

2315 STOCKTON BOULEVARD

SACRAMENTO, CA 95817

SACRAMENTO

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - State

General Short Term

Balance Sheet

1,370,130,000

Income Statement

1,115,955,000

852,168,000

3,338,253,000

457,064,000

3,504,367,000

-623,178,000

3,338,253,000 1.1%

2.6%

33.6

71.0

5.9%

12.4%

52.10

6.3

85.2%

Key Performanace Ind.

3.0

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

75.0%6,840,185,300Contract Allowance

Total Charges 9,116,983,800

25.0%

103.6%

-3.6%

3.4%

0.0%

-0.3%

Current Assets

Fixed Assets

2,276,798,500

2,359,715,313

-82,916,813

77,317,165

948,986

(6,548,634)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 631CR Beds 441

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 82 51,646,845 02 Capital Cost - Movable Equip 2,392 1,851,647

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

35 287,022,356 869,101,778

0.24163593 62,146,939 257,193,394

0.330252

Ratio

0.13444329 141,954,298 1,055,873,104

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 35 181,985,805 05 Administrative and General 83 229,982,989

06 Maintenance and Repairs 0 0 07 Operation of Plant 4 89,128,819

08/09 Laundry / Housekeeping 23 29,507,712 10/11 Dietary and Cafeteria 34 16,307,006

13 Nursing Administration 19 34,100,275 14 Central Service and Supply 121 9,882,812

15 Pharmancy 79 31,143,615 16 Medical Records 7 25,721,935

Selected Revenue Departments

2.32903078 22,172,548 9,520,077

0.12889727 87,686,431 680,284,874

26

17 Social Services 174 5,235,084 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 97 51,120,054

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 447

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 448: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059808

UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER

2315 STOCKTON BLVD, RM 2026

SACRAMENTO, CA 95817

SACRAMENTO

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 448

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 449: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05085E

UNIVERSITY OF CALIFORNIA INFIRMARY

RIVERSIDE, CA 92503

RIVERSIDE

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 13CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 449

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 450: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050348

UNIVERSITY OF CALIFORNIA IRVINE MED CENTER

101 CITY DRIVE SOUTH

ORANGE, CA 92868

ORANGE

Noridian (CA)

6/30/2019 365 Days Submitted

Government - State

General Short Term

Balance Sheet

731,127,440

Income Statement

0

312,112,856

1,043,240,296

231,601,122

1,487,679,429

-676,040,255

1,043,240,296 -9.6%

0.0%

34.3

116.6

6.6%

10.2%

44.17

5.0

81.8%

Key Performanace Ind.

3.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

71.2%3,082,402,572Contract Allowance

Total Charges 4,328,713,182

28.8%

103.0%

-3.0%

10.7%

2.5%

5.2%

Current Assets

Fixed Assets

1,246,310,610

1,284,314,232

-38,003,622

133,631,024

30,564,122

65,063,280

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 415CR Beds 242

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 92 49,813,785 02 Capital Cost - Movable Equip 40 52,413,060

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

268 124,304,093 611,370,137

0.25486663 76,819,204 301,410,477

0.203321

Ratio

0.120220213 64,561,639 537,027,353

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 262 60,387,355 05 Administrative and General 223 139,043,081

06 Maintenance and Repairs 22 39,290,399 07 Operation of Plant 300 14,909,061

08/09 Laundry / Housekeeping 72 18,562,692 10/11 Dietary and Cafeteria 234 7,331,024

13 Nursing Administration 209 10,489,096 14 Central Service and Supply 51 16,967,970

15 Pharmancy 1,865 1,362,367 16 Medical Records 135 8,605,542

Selected Revenue Departments

0.665324171 15,661,029 23,538,935

0.210557217 40,283,768 191,320,186

124

17 Social Services 312 3,463,345 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 192 27,506,765

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 450

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 451: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059811

UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER

101 THE CITY DRIVE

ORANGE, CA 92868

ORANGE

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 451

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 452: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059810

UNIVERSITY OF CALIFORNIA, SAN DIEGO MEDICAL CENTER

200 WEST ARBOR DRIVE #8745

SAN DIEGO, CA 92103

SAN DIEGO

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 452

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 453: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

059807

UNIVERSITY OF CALIFORNIA, SAN FRANCISCO

505 PARNASSUS AVENUE

SAN FRANCISCO, CA 94143

SAN FRANCISCO

PALMETTO (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 0CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 453

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 454: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05054E

UNIVERSITY OF SOUTHERN CALIFORNIA INF

849 W 34TH ST

LOS ANGELES, CA 90007

LOS ANGELES

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 21CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 454

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 455: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05007F

US AIR FORCE HOSP

BEALE AFB

MARYSVILLE, CA 95903

YUBA

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 40CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 456: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05009F

US AIR FORCE HOSP

EDWARDS AFB

EDWARDS, CA 93523

KERN

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 45CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 456

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 457: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05010F

US AIR FORCE HOSP

GEORGE AFB

VICTORVILLE, CA 92393

SAN BERNARDINO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 35CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 457

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 458: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05011F

US AIR FORCE HOSP

HAMILTON AFB

NOVATO, CA 94945

MARIN

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 55CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 458

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 459: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05012F

US AIR FORCE HOSP

MARCH AFB

RIVERSIDE, CA 92508

RIVERSIDE

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 152CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 459

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Page 460: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05013F

US AIR FORCE HOSP

MATHER AFB

MATHER, CA 95655

SACRAMENTO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 75CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 461: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05014F

US AIR FORCE HOSP

NORTON AFB

SAN BERNARDINO, CA 92408

SAN BERNARDINO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 15CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 461

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 462: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05015F

US AIR FORCE HOSP

TRAVIS AIRFORCE BASE

FAIRFIELD, CA 94535

SOLANO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 385CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 462

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 463: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05016F

US AIR FORCE HOSP

VANDENBERG AFB

LOMPOC, CA 93437

SANTA BARBARA

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 105CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 463

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 464: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05017F

US ARMY HOSP

FT MACARTHUR

FORT MACARTHUR, CA 90731

LOS ANGELES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 50CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 464

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 465: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05018F

US ARMY HOSP

MARINA, CA 93933

MONTEREY

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 500CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 465

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 466: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05040F

US ARMY HOSP

SIERRA ARMY DEPOT

HERLONG, CA 96113

LASSEN

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 5CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 466

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 467: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05041F

US ARMY HOSP

FT IRWIN

BARSTOW, CA 92311

SAN BERNARDINO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 20CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 467

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 468: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05020F

US NAVAL HOSP

CAMP PENDLETON

OCEANSIDE, CA 92055

SAN DIEGO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 525CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 468

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 469: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05021F

US NAVAL HOSP

8750 MOUNTAIN BLVD

OAKLAND, CA 94614

ALAMEDA

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 750CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 469

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 470: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05022F

US NAVAL HOSP

PARK BLVD

SAN DIEGO, CA 92134

SAN DIEGO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 2,050CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 470

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 471: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05036F

US NAVAL HOSP

BARSTOW, CA 92311

SAN BERNARDINO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 10CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 471

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 472: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05037F

US NAVAL HOSP

U S NAVAL ORDNANCE TEST STATION

CHINA LAKE, CA 93555

KERN

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 15CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 472

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 473: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05038F

US NAVAL HOSP

U S NAVAL CONSTRUCTION BATTALION

PORT HUENEME, CA 93041

VENTURA

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 473

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 474: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05039F

US NAVAL HOSP

MARINE CORPS BASE

TWENTYNINE PALMS, CA 92277

SAN BERNARDINO

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 20CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 474

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 475: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050660

USC KENNETH NORRIS JR CANCER HOSPITAL

1441 EASTLAKE AVE

LOS ANGELES, CA 90089

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

9/30/2019 365 Days Submitted

Nonprofit - Other

Cancer

Balance Sheet

47,947,062

Income Statement

44,226,875

0

92,173,937

162,289,801

0

-70,115,864

92,173,937 -73.5%

5.8%

22.0

207.3

17.3%

0.0%

9.6

67.2%

Key Performanace Ind.

0.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

69.6%614,164,344Contract Allowance

Total Charges 882,699,606

30.4%

82.5%

17.5%

1.6%

0.0%

19.2%

Current Assets

Fixed Assets

268,535,262

221,409,436

47,125,826

4,419,988

0

51,545,814

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 60CR Beds 53

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,231 7,349,114 02 Capital Cost - Movable Equip 1,501 4,535,260

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,655 29,523,799 46,237,796

0.4997821,791 4,741,655 9,487,448

0.638521

Ratio

0.1466723,071 3,337,198 22,752,770

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,798 1,786,943 05 Administrative and General 1,191 38,532,754

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,041 6,292,911

08/09 Laundry / Housekeeping 1,909 2,010,058 10/11 Dietary and Cafeteria 1,686 1,926,198

13 Nursing Administration 989 3,209,808 14 Central Service and Supply 1,285 896,730

15 Pharmancy 677 5,334,080 16 Medical Records 881 2,284,620

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

1,090

17 Social Services 1,592 438,849 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,048 1,312,129

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 475

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 476: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050124

USC VERDUGO HILLS HOSPITAL

1812 VERDUGO BLVD

GLENDALE, CA 91209

LOS ANGELES

BLUE CROSS (CALIFORNIA)

6/30/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

37,287,313

Income Statement

29,453,280

6,892,842

73,633,435

22,055,239

101,113,342

-49,535,146

73,633,435 5.1%

5.3%

47.4

222.7

6.2%

17.1%

40.82

3.3

42.3%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.4%487,905,530Contract Allowance

Total Charges 622,399,948

21.6%

104.1%

-4.1%

2.2%

0.0%

-1.9%

Current Assets

Fixed Assets

134,494,418

140,052,495

-5,558,077

3,007,940

0

(2,550,137)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 116CR Beds 104

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,365 1,592,833 02 Capital Cost - Movable Equip 1,354 5,392,882

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,748 27,315,286 66,909,968

0.5663831,157 9,426,145 16,642,694

0.408239

Ratio

0.1554341,698 12,252,692 78,828,715

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,633 915,562 05 Administrative and General 1,517 28,766,995

06 Maintenance and Repairs 702 3,544,239 07 Operation of Plant 2,155 2,394,791

08/09 Laundry / Housekeeping 1,832 2,129,691 10/11 Dietary and Cafeteria 1,342 2,464,398

13 Nursing Administration 1,169 2,685,339 14 Central Service and Supply 1,891 392,148

15 Pharmancy 1,179 2,986,718 16 Medical Records 1,333 1,474,424

Selected Revenue Departments

0.8262471,164 3,769,168 4,561,791

0.1399181,577 9,846,872 70,376,177

1,845

17 Social Services 695 1,564,642 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 (205,000)

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 476

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 477: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05025F

VA HOSP

2615 EAST CLINTON AVENUE

FRESNO, CA 93703

FRESNO

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 275CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 477

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 478: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05027F

VA HOSP

5901 E 7TH ST

LONG BEACH, CA 90822

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 1,544CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 478

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 479: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05030F

VA HOSP

150 MUIR RD

MARTINEZ, CA 94553

CONTRA COSTA

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 498CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 479

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 480: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05031F

VA HOSP

3801 MIRANDA AVENUE

PALO ALTO, CA 94304

SANTA CLARA

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 2,046CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 480

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 481: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05032F

VA HOSP

13000 SAYRE ST

KAGEL CANYON, CA 91342

LOS ANGELES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 519CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 482: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05034F

VA HOSP

16111 PLUMMER ST

SEPULVEDA, CA 91343

LOS ANGELES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 894CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 482

Healthcare Almanac 561-594-7551

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Page 483: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05026F

VA HOSP LIVERMORE

4951 ARROYO ROAD

LIVERMORE, CA 94550

ALAMEDA

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 415CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 483

Healthcare Almanac 561-594-7551

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Page 484: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05028F

VA HOSPS-BRENTWOOD & WADSWORTH

WILSHIRE & SAWTELLE BLVDS

LOS ANGELES, CA 90073

LOS ANGELES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 1,400CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 484

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 485: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053300

VALLEY CHILDREN'S HOSPITAL

9300 VALLEY CHILDRENS PLACE

MADERA, CA 93636

FRESNO

NATIONAL GOVERNMENT SERVICES

9/30/2019 365 Days Amended

Nonprofit - Other

Children

Balance Sheet

181,319,040

Income Statement

334,981,960

1,127,060,685

1,643,361,685

155,834,511

289,126,882

1,198,400,292

1,643,361,685 12.6%

4.6%

31.7

44.4

0.0%

0.0%

6.1

56.5%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

63.1%1,170,521,166Contract Allowance

Total Charges 1,856,153,773

36.9%

90.9%

9.1%

12.9%

0.0%

22.0%

Current Assets

Fixed Assets

685,632,607

623,080,875

62,551,732

88,511,912

0

151,063,644

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 358CR Beds 200

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 829 11,205,749 02 Capital Cost - Movable Equip 300 18,467,104

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

539 83,697,310 260,992,140

0.336983272 33,059,082 98,103,208

0.320689

Ratio

0.216676383 45,269,106 208,925,767

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 482 81,482,706

06 Maintenance and Repairs 271 9,215,226 07 Operation of Plant 777 7,952,169

08/09 Laundry / Housekeeping 437 7,623,431 10/11 Dietary and Cafeteria 637 4,236,684

13 Nursing Administration 250 9,473,540 14 Central Service and Supply 289 4,738,955

15 Pharmancy 241 13,546,256 16 Medical Records 510 3,562,168

Selected Revenue Departments

0.0000000 0 0

0.200239473 26,888,444 134,281,641

334

17 Social Services 109 7,021,248 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 791 3,136,754

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 485

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 486: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050126

VALLEY PRESBYTERIAN HOSPITAL

15107 VANOWEN ST

VAN NUYS, CA 91406

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Other

General Short Term

Balance Sheet

122,846,975

Income Statement

88,492,655

301,724,844

513,064,474

73,468,426

28,599,424

410,996,624

513,064,474 33.4%

3.3%

35.7

154.0

1.3%

7.9%

32.99

5.3

58.8%

Key Performanace Ind.

1.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

49.2%457,527,696Contract Allowance

Total Charges 930,461,360

50.8%

82.8%

17.2%

11.9%

0.0%

29.0%

Current Assets

Fixed Assets

472,933,664

391,766,088

81,167,576

56,115,077

0

137,282,653

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 362CR Beds 271

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,684 5,026,792 02 Capital Cost - Movable Equip 1,189 6,346,913

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

433 96,871,214 132,255,239

0.473662704 15,815,297 33,389,440

0.732457

Ratio

0.333008741 28,663,751 86,075,269

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 917 20,696,473 05 Administrative and General 406 90,473,542

06 Maintenance and Repairs 0 0 07 Operation of Plant 569 10,031,520

08/09 Laundry / Housekeeping 969 4,316,446 10/11 Dietary and Cafeteria 512 4,757,179

13 Nursing Administration 454 6,210,434 14 Central Service and Supply 745 1,913,059

15 Pharmancy 770 4,731,221 16 Medical Records 435 3,969,897

Selected Revenue Departments

0.342459393 10,509,140 30,687,327

0.223240716 19,929,336 89,272,979

587

17 Social Services 785 1,342,250 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 487: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050159

VENTURA COUNTY MEDICAL CENTER

300 HILLMONT AVENUE

VENTURA, CA 93003

VENTURA

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Submitted

Government - City-County

General Short Term

Balance Sheet

271,961,572

Income Statement

386,431,195

93,121,222

751,513,989

334,117,794

334,127,719

83,268,476

751,513,989 -88.2%

1.2%

11.3

632.1

2.3%

5.0%

45.87

3.4

46.5%

Key Performanace Ind.

0.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.4%1,444,308,844Contract Allowance

Total Charges 1,941,507,963

25.6%

123.2%

-23.2%

8.4%

0.0%

-14.8%

Current Assets

Fixed Assets

497,199,119

612,473,623

-115,274,504

41,793,042

0

(73,481,462)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 272CR Beds 188

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 394 20,129,554 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

750 66,058,347 398,371,384

0.401024581 18,623,108 46,438,878

0.165821

Ratio

0.269328950 23,616,442 87,686,522

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,486 2,183,829 05 Administrative and General 428 86,645,115

06 Maintenance and Repairs 167 12,424,009 07 Operation of Plant 1,528 3,983,225

08/09 Laundry / Housekeeping 713 5,554,762 10/11 Dietary and Cafeteria 692 4,061,899

13 Nursing Administration 486 5,929,730 14 Central Service and Supply 1,095 1,133,504

15 Pharmancy 342 9,770,969 16 Medical Records 457 3,845,792

Selected Revenue Departments

0.601977463 9,538,357 15,845,059

0.229241540 24,829,463 108,311,795

543

17 Social Services 1,263 660,637 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 437 9,102,640

Revenue Ranking -

All Providers

10:04 AM

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Page 488: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05114F

VETERANS ADMINISTRATION HOSP

3350 LA JOLLA VILLAGE DR

SAN DIEGO, CA 92161

SAN DIEGO

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 5CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 489: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05128F

VETERANS AFFAIRS MEDICAL CENTER

11301 WILSHIRE BOULEVARD

LOS ANGELES, CA 90073

LOS ANGELES

NATIONAL GOVERNMENT SERVICES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 1,327CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 490: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052047

VIBRA HOSPITAL OF NORTHERN CALIFORNIA

2801 EUREKA WAY

REDDING, CA 96001

SHASTA

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Long Term

Balance Sheet

7,288,723

Income Statement

1,201,201

880,000

9,369,924

3,858,272

926,565

4,585,087

9,369,924 96.0%

6.1%

33.8

85.6

0.0%

0.0%

29.7

78.9%

Key Performanace Ind.

1.9

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

85.2%234,954,376Contract Allowance

Total Charges 275,761,884

14.8%

89.6%

10.4%

0.4%

0.0%

10.8%

Current Assets

Fixed Assets

40,807,508

36,555,300

4,252,208

149,988

0

4,402,196

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 56CR Beds 56

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,510 2,754,220 02 Capital Cost - Movable Equip 3,711 554,917

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,193 19,170,740 134,723,665

0.0000000 0 0

0.142297

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,771 3,665,957 05 Administrative and General 2,807 9,687,842

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,906 1,291,370

08/09 Laundry / Housekeeping 3,408 646,873 10/11 Dietary and Cafeteria 2,602 1,064,012

13 Nursing Administration 2,681 873,310 14 Central Service and Supply 1,048 1,203,864

15 Pharmancy 2,076 1,041,315 16 Medical Records 4,019 219,378

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,256

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 491: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052033

VIBRA HOSPITAL OF SACRAMENTO

330 MONTROSE DRIVE

FOLSOM, CA 95630

SACRAMENTO

Noridian (CA)

8/31/2019 365 Days Settled

Government - Other

General Long Term

Balance Sheet

7,044,969

Income Statement

428,912

13,774,474

21,248,355

-17,987,282

1,257,893

37,977,744

21,248,355 14.0%

15.0%

33.8

107.2

0.1%

0.0%

46.80

38.7

81.4%

Key Performanace Ind.

(0.4)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.3%146,205,336Contract Allowance

Total Charges 186,650,112

21.7%

87.3%

12.7%

0.5%

0.0%

13.2%

Current Assets

Fixed Assets

40,444,776

35,298,356

5,146,420

182,784

2

5,329,202

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 58CR Beds 58

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,859 4,404,001 02 Capital Cost - Movable Equip 3,605 608,008

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,842 25,465,686 147,240,357

0.0000000 0 0

0.172953

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,747 3,718,048 05 Administrative and General 4,009 4,549,364

06 Maintenance and Repairs 0 0 07 Operation of Plant 3,225 1,018,701

08/09 Laundry / Housekeeping 3,485 611,710 10/11 Dietary and Cafeteria 3,490 654,583

13 Nursing Administration 3,171 627,994 14 Central Service and Supply 1,219 973,995

15 Pharmancy 2,587 562,359 16 Medical Records 4,137 205,031

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,266

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 492: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

052044

VIBRA HOSPITAL OF SAN DIEGO

555 WASHINGTON STREET

SAN DIEGO, CA 92103

SAN DIEGO

TRAILBLAZER (TEXAS)

3/31/2019 365 Days Settled

Proprietary - Corporation

General Long Term

Balance Sheet

8,067,458

Income Statement

2,417,504

13,683,839

24,168,801

3,668,458

18,523,612

1,976,731

24,168,801 -261.0%

8.0%

18.6

61.2

0.2%

0.0%

33.01

38.3

53.2%

Key Performanace Ind.

2.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.2%229,470,856Contract Allowance

Total Charges 272,417,371

15.8%

112.0%

-12.0%

0.0%

0.0%

-12.0%

Current Assets

Fixed Assets

42,946,515

48,105,151

-5,158,636

0

0

(5,158,636)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 110CR Beds 110

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,877 4,349,411 02 Capital Cost - Movable Equip 3,242 828,400

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,641 29,869,866 198,317,433

0.0000000 0 0

0.150616

Ratio

0.4040344,662 85,235 210,960

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 2,869 3,348,215 05 Administrative and General 3,079 7,839,604

06 Maintenance and Repairs 0 0 07 Operation of Plant 2,101 2,483,386

08/09 Laundry / Housekeeping 2,973 885,582 10/11 Dietary and Cafeteria 2,438 1,174,470

13 Nursing Administration 2,230 1,200,395 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 3,395 331,426

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

3,191

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 493: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

053041

VIBRA REHABILITATION HOSPITAL OF RANCHO MIRAGE

70077 RAMON RD

RANCHO MIRAGE, CA 92270

RIVERSIDE

Noridian (CA)

12/31/2019 365 Days *Submitted

Proprietary - Corporation

Rehabilitation

Balance Sheet

3,426,579

Income Statement

2,790,349

-3,163,387

3,053,541

894,150

1,081,817

1,077,574

3,053,541 0.0%

4.6%

21.6

73.8

0.0%

0.0%

11.5

39.8%

Key Performanace Ind.

3.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

41.8%9,658,042Contract Allowance

Total Charges 23,120,069

58.2%

100.2%

-0.2%

0.2%

0.0%

0.0%

Current Assets

Fixed Assets

13,462,027

13,494,448

-32,421

32,421

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 50CR Beds 50

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,765 4,748,011 02 Capital Cost - Movable Equip 2,937 1,108,836

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,624 13,953,229 13,805,400

0.0000000 0 0

1.010708

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 3,869 1,708,748 05 Administrative and General 4,749 3,026,822

06 Maintenance and Repairs 0 0 07 Operation of Plant 4,076 581,154

08/09 Laundry / Housekeeping 4,954 242,546 10/11 Dietary and Cafeteria 4,019 510,913

13 Nursing Administration 4,160 280,383 14 Central Service and Supply 2,417 192,988

15 Pharmancy 2,849 405,642 16 Medical Records 5,110 81,450

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,937

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 494: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050517

VICTOR VALLEY GLOBAL MEDICAL CENTER

15248 11TH ST

VICTORVILLE, CA 92392

SAN BERNARDINO

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

59,371,539

Income Statement

11,365,690

0

70,737,229

21,216,474

48,071,268

1,449,487

70,737,229 1,015.1%

15.7%

79.8

542.9

2.3%

17.5%

34.95

4.0

61.7%

Key Performanace Ind.

2.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

80.0%289,481,769Contract Allowance

Total Charges 361,647,716

20.0%

116.4%

-16.4%

36.8%

0.0%

20.4%

Current Assets

Fixed Assets

72,165,947

84,002,889

-11,836,942

26,551,294

0

14,714,352

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 101CR Beds 89

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,824 2,243,213 02 Capital Cost - Movable Equip 1,779 3,467,199

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,217 18,790,034 56,491,940

0.3873761,825 4,536,291 11,710,310

0.332614

Ratio

0.1503701,957 9,732,536 64,724,134

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,771 8,766,748 05 Administrative and General 2,605 11,423,868

06 Maintenance and Repairs 1,210 1,236,515 07 Operation of Plant 2,842 1,363,513

08/09 Laundry / Housekeeping 2,236 1,547,657 10/11 Dietary and Cafeteria 2,966 860,306

13 Nursing Administration 1,717 1,716,191 14 Central Service and Supply 1,446 721,188

15 Pharmancy 1,923 1,264,544 16 Medical Records 1,905 923,066

Selected Revenue Departments

0.8610071,204 3,541,787 4,113,538

0.1410361,817 8,211,522 58,222,772

2,573

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 494

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Page 495: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05086E

W C JONES MEM HOSP

328 S CHURCH ST

GRASS VALLEY, CA 95945

NEVADA

BLUE CROSS (CALIFORNIA)

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 25CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 496: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

05029F

WADSWORTH HOSP

LOS ANGELES, CA 90025

LOS ANGELES

Cost Report not Filed.

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 1,106CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

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Page 497: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050195

WASHINGTON HOSPITAL

2000 MOWRY AVE

FREMONT, CA 94538

ALAMEDA

NATIONAL GOVERNMENT SERVICES

6/30/2019 365 Days Submitted

Government - Hospital Dis

General Short Term

Balance Sheet

112,739,282

Income Statement

726,001,047

479,099,771

1,317,840,100

97,415,068

713,614,555

506,810,477

1,317,840,100 2.5%

3.6%

42.4

484.5

6.0%

17.5%

67.43

5.2

54.2%

Key Performanace Ind.

1.2

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

78.1%1,668,044,787Contract Allowance

Total Charges 2,134,671,128

21.9%

103.5%

-3.5%

6.2%

0.0%

2.7%

Current Assets

Fixed Assets

466,626,341

482,906,208

-16,279,867

28,699,807

0

12,419,940

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 265CR Beds 268

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 115 42,677,077 02 Capital Cost - Movable Equip 374 16,324,359

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

243 132,242,854 287,517,805

0.388105194 41,041,288 105,748,007

0.459947

Ratio

0.164085433 41,821,475 254,877,594

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 171 81,456,680 05 Administrative and General 850 53,156,827

06 Maintenance and Repairs 99 17,653,941 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 500 6,973,694 10/11 Dietary and Cafeteria 646 4,205,724

13 Nursing Administration 659 4,595,880 14 Central Service and Supply 824 1,692,232

15 Pharmancy 497 6,949,419 16 Medical Records 721 2,719,761

Selected Revenue Departments

0.418669163 15,942,232 38,078,354

0.260372330 32,868,231 126,235,884

600

17 Social Services 962 1,011,332 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,521 121,006

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 497

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 498: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050194

WATSONVILLE COMMUNITY HOSPITAL

75 NIELSON STREET

WATSONVILLE, CA 95076

SANTA CRUZ

WISCONSIN PHYSICIANS SERVICE

7/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

34,127,782

Income Statement

34,207,988

2,883,375

71,219,145

-29,413,117

3,023,808

97,608,454

71,219,145 -3.2%

2.9%

30.1

114.7

5.8%

14.5%

61.46

4.3

40.2%

Key Performanace Ind.

(1.2)

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

88.3%872,035,737Contract Allowance

Total Charges 988,076,593

11.7%

102.7%

-2.7%

0.1%

0.0%

-2.7%

Current Assets

Fixed Assets

116,040,856

119,189,065

-3,148,209

64,527

0

(3,083,682)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 106CR Beds 90

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,190 1,766,415 02 Capital Cost - Movable Equip 2,034 2,667,569

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,699 28,413,027 64,490,064

0.6670451,056 10,455,142 15,673,818

0.440580

Ratio

0.1266831,754 11,648,387 91,949,023

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 1,329 13,321,496 05 Administrative and General 2,448 12,793,931

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,517 4,022,713

08/09 Laundry / Housekeeping 2,035 1,798,238 10/11 Dietary and Cafeteria 1,922 1,654,697

13 Nursing Administration 930 3,375,332 14 Central Service and Supply 1,299 881,730

15 Pharmancy 1,483 2,132,307 16 Medical Records 1,464 1,310,372

Selected Revenue Departments

0.3507941,233 3,441,319 9,810,088

0.0857121,151 13,706,226 159,910,566

2,003

17 Social Services 2,635 71,868 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 498

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 499: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050426

WEST ANAHEIM MEDICAL CENTER

3033 W ORANGE AVENUE

ANAHEIM, CA 92804

ORANGE

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

125,764,868

Income Statement

19,492,539

4,641,677

149,899,084

60,700,608

1,372,691

87,825,785

149,899,084 15.5%

8.6%

30.9

807.4

2.2%

28.0%

37.04

3.7

40.1%

Key Performanace Ind.

2.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

74.8%376,883,978Contract Allowance

Total Charges 503,699,804

25.2%

89.9%

10.1%

0.7%

0.1%

10.7%

Current Assets

Fixed Assets

126,815,826

113,981,117

12,834,709

837,350

76,321

13,595,738

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 219CR Beds 147

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,236 7,320,480 02 Capital Cost - Movable Equip 3,381 734,435

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,848 25,372,024 83,365,000

0.3332731,281 8,374,874 25,129,200

0.304349

Ratio

0.1990972,395 6,701,658 33,660,219

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,794 758,371 05 Administrative and General 1,994 18,417,760

06 Maintenance and Repairs 1,224 1,198,533 07 Operation of Plant 2,059 2,561,869

08/09 Laundry / Housekeeping 2,085 1,724,745 10/11 Dietary and Cafeteria 1,582 2,066,338

13 Nursing Administration 1,293 2,406,525 14 Central Service and Supply 1,776 459,700

15 Pharmancy 1,315 2,570,600 16 Medical Records 1,457 1,317,152

Selected Revenue Departments

0.0000000 0 0

0.2232661,396 11,394,724 51,036,638

1,907

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 972 1,756,971

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 499

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Page 500: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050096

WEST COVINA MEDICAL CENTER, INC

725 S ORANGE AVE

WEST COVINA, CA 91790

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

14,311,684

Income Statement

776,049

659,833

15,747,566

12,931,524

0

2,816,042

15,747,566 93.2%

14.2%

31.6

219.8

10.3%

13.3%

23.79

1.1

38.3%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

65.3%42,754,458Contract Allowance

Total Charges 65,467,746

34.7%

88.6%

11.4%

1.3%

1.2%

11.6%

Current Assets

Fixed Assets

22,713,288

20,115,747

2,597,541

299,072

272,896

2,623,717

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 57CR Beds 13

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 3,245 1,718,177 02 Capital Cost - Movable Equip 4,562 263,415

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

5,024 3,320,891 2,957,738

0.0000000 0 0

1.122781

Ratio

0.0839333,891 1,096,242 13,060,933

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 4,873 692,302 05 Administrative and General 5,542 1,621,114

06 Maintenance and Repairs 1,485 674,449 07 Operation of Plant 4,811 320,708

08/09 Laundry / Housekeeping 3,337 675,143 10/11 Dietary and Cafeteria 3,703 596,279

13 Nursing Administration 4,056 307,646 14 Central Service and Supply 2,752 111,975

15 Pharmancy 2,961 341,158 16 Medical Records 4,804 117,333

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

4,157

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 1,483 159,489

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 500

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 501: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050481

WEST HILLS HOSPITAL & MEDICAL CENTER

7300 MEDICAL CENTER DR

WEST HILLS, CA 91307

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

12/31/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

7,397,866

Income Statement

97,810,889

2,852,010

108,060,765

21,648,945

-137,602,568

224,014,388

108,060,765 13.5%

5.5%

34.6

51.6

4.4%

20.5%

57.85

5.0

53.0%

Key Performanace Ind.

0.3

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

89.0%2,018,574,828Contract Allowance

Total Charges 2,267,549,801

11.0%

88.1%

11.9%

0.2%

0.0%

12.2%

Current Assets

Fixed Assets

248,974,973

219,279,006

29,695,967

574,207

-1

30,270,175

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 236CR Beds 178

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 1,172 7,730,622 02 Capital Cost - Movable Equip 1,045 7,445,733

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

751 65,994,339 245,531,555

0.224711482 21,324,421 94,897,214

0.268781

Ratio

0.0744611,388 16,192,811 217,466,312

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 976 19,253,619 05 Administrative and General 1,005 45,300,546

06 Maintenance and Repairs 0 0 07 Operation of Plant 1,178 5,507,829

08/09 Laundry / Housekeeping 1,292 3,256,821 10/11 Dietary and Cafeteria 1,141 2,854,500

13 Nursing Administration 1,571 1,896,857 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 1,679 1,091,539

Selected Revenue Departments

0.385182878 5,474,032 14,211,533

0.076390976 15,788,875 206,688,663

1,177

17 Social Services 1,541 464,960 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 501

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 502: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050103

WHITE MEMORIAL MEDICAL CENTER

1720 E CESAR AVENUE

LOS ANGELES, CA 90033

LOS ANGELES

BLUE CROSS (CALIFORNIA)

12/31/2019 365 Days Submitted

Nonprofit - Church

General Short Term

Balance Sheet

648,882,515

Income Statement

140,391,388

350,000

789,623,903

59,807,369

38,151,744

691,664,790

789,623,903 1.1%

2.8%

27.6

1,017.4

2.1%

10.8%

44.28

4.5

76.0%

Key Performanace Ind.

10.8

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

84.5%2,229,449,660Contract Allowance

Total Charges 2,638,362,172

15.5%

115.1%

-15.1%

17.0%

0.0%

1.9%

Current Assets

Fixed Assets

408,912,512

470,761,199

-61,848,687

69,539,380

0

7,690,693

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 336CR Beds 243

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 781 11,739,448 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

449 94,853,014 529,525,499

0.214121790 14,096,712 65,835,272

0.179128

Ratio

0.111674672 30,695,457 274,867,850

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 889 21,317,394 05 Administrative and General 745 59,450,153

06 Maintenance and Repairs 187 11,894,418 07 Operation of Plant 888 7,198,273

08/09 Laundry / Housekeeping 527 6,803,263 10/11 Dietary and Cafeteria 938 3,311,975

13 Nursing Administration 131 13,285,504 14 Central Service and Supply 605 2,512,839

15 Pharmancy 588 6,007,707 16 Medical Records 1,862 948,386

Selected Revenue Departments

0.209618373 10,792,190 51,484,940

0.101304649 21,181,157 209,085,396

708

17 Social Services 2,979 13,300 18 Other General Service Cost 291 1,152,462

19 Non Physician Anesthetists 0 0 20-23 Education Programs 520 6,709,180

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 502

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 503: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050735

WHITTIER HOSPITAL MEDICAL CENTER

9080 COLIMA RD

WHITTIER, CA 90605

LOS ANGELES

WISCONSIN PHYSICIANS SERVICE

6/30/2019 365 Days Submitted

Proprietary - Corporation

General Short Term

Balance Sheet

45,289,657

Income Statement

5,880,100

185,035

51,354,792

17,654,548

150,899

33,549,345

51,354,792 43.8%

6.4%

26.5

645.4

1.3%

9.6%

40.48

4.0

49.0%

Key Performanace Ind.

2.6

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.1%593,942,478Contract Allowance

Total Charges 723,634,457

17.9%

89.1%

10.9%

0.5%

0.2%

11.3%

Current Assets

Fixed Assets

129,691,979

115,492,339

14,199,640

692,077

201,593

14,690,124

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 151CR Beds 140

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 4,169 932,155 02 Capital Cost - Movable Equip 1,753 3,552,394

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

1,756 27,163,424 66,563,185

0.3653831,506 6,665,387 18,242,215

0.408085

Ratio

0.1835092,132 8,494,375 46,288,559

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 5,142 469,332 05 Administrative and General 1,712 23,888,905

06 Maintenance and Repairs 1,118 1,513,126 07 Operation of Plant 2,300 2,113,769

08/09 Laundry / Housekeeping 2,180 1,605,685 10/11 Dietary and Cafeteria 1,381 2,399,895

13 Nursing Administration 1,084 2,939,776 14 Central Service and Supply 1,429 739,835

15 Pharmancy 1,389 2,341,852 16 Medical Records 1,248 1,575,275

Selected Revenue Departments

0.404113790 6,072,446 15,026,603

0.1479981,726 8,691,474 58,726,923

1,883

17 Social Services 2,347 134,296 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

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Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 504: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

054149

WILLOW ROCK CENTER

2050 FAIRMONT DRIVE

SAN LEANDRO, CA 94578

ALAMEDA

PALMETTO (CALIFORNIA)

6/30/2019 365 Days Settled

Nonprofit - Church

Psychiatric

Balance Sheet

0

Income Statement

0

0

0

0

0

0

0 0.0%

0.0%

0.0%

0.0%

0.0%

Key Performanace Ind.

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

0.0%0Contract Allowance

Total Charges 0

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Current Assets

Fixed Assets

0

0

0

0

0

0

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 16CR Beds 0

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 0 0 02 Capital Cost - Movable Equip 0 0

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

0

0.0000000 0 0

0.000000

Ratio

0.0000000 0 0

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 0 0 05 Administrative and General 0 0

06 Maintenance and Repairs 0 0 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 0 0 10/11 Dietary and Cafeteria 0 0

13 Nursing Administration 0 0 14 Central Service and Supply 0 0

15 Pharmancy 0 0 16 Medical Records 0 0

Selected Revenue Departments

0.0000000 0 0

0.0000000 0 0

5,877

17 Social Services 0 0 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

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10:04 AM

5/7/2021 Page No 504

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 505: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050127

WOODLAND MEMORIAL HOSPITAL

1325 COTTONWOOD STREET

WOODLAND, CA 95695

YOLO

Noridian (CA)

12/31/2019 334 Days Submitted

Nonprofit - Other

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

25,456,307

Income Statement

32,374,439

25,601,890

83,432,636

23,179,119

138,453,364

-78,199,847

83,432,636 -7.1%

6.7%

34.3

838.6

6.5%

4.6%

52.33

3.1

38.1%

Key Performanace Ind.

1.1

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.3%590,027,716Contract Allowance

Total Charges 773,180,627

23.7%

99.7%

0.3%

2.8%

0.0%

3.0%

Current Assets

Fixed Assets

183,152,911

182,689,923

462,988

5,108,869

0

5,571,857

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 122CR Beds 69

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,868 2,167,842 02 Capital Cost - Movable Equip 1,392 5,170,905

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,130 20,097,922 44,999,847

0.3746131,254 8,680,269 23,171,290

0.446622

Ratio

0.1085201,823 11,017,703 101,526,797

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 937 20,124,542 05 Administrative and General 1,262 36,197,849

06 Maintenance and Repairs 451 6,036,725 07 Operation of Plant 3,668 747,518

08/09 Laundry / Housekeeping 2,027 1,808,101 10/11 Dietary and Cafeteria 1,717 1,898,417

13 Nursing Administration 1,481 2,007,594 14 Central Service and Supply 1,655 551,403

15 Pharmancy 1,273 2,669,699 16 Medical Records 5,444 36,850

Selected Revenue Departments

0.3145491,440 2,530,143 8,043,724

0.1110381,384 11,492,397 103,499,424

1,952

17 Social Services 2,137 193,435 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

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10:04 AM

5/7/2021 Page No 505

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 506: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050127

WOODLAND MEMORIAL HOSPITAL

1325 COTTONWOOD STREET

WOODLAND, CA 95695

YOLO

Noridian (CA)

12/31/2019 334 Days Submitted

Nonprofit - Other

General Short Term

1/31/2019 215 Days Submitted

Balance Sheet

32,368,783

Income Statement

33,620,696

13,126,022

79,115,501

21,418,943

134,381,703

-76,685,145

79,115,501 -8.9%

6.8%

55.3

2,040.0

14.5%

10.3%

52.33

3.1

38.1%

Key Performanace Ind.

1.5

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

82.5%387,820,616Contract Allowance

Total Charges 469,975,246

17.5%

134.3%

-34.3%

42.7%

0.0%

8.3%

Current Assets

Fixed Assets

82,154,630

110,366,393

-28,211,763

35,066,364

0

6,854,601

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 122CR Beds 69

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 2,868 1,362,631 02 Capital Cost - Movable Equip 1,392 3,042,995

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

2,130 11,411,431 27,975,169

0.3817661,254 5,750,209 15,062,137

0.407913

Ratio

0.1194651,823 6,680,183 55,917,582

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 937 12,210,414 05 Administrative and General 1,262 21,486,759

06 Maintenance and Repairs 451 3,598,818 07 Operation of Plant 3,668 619,622

08/09 Laundry / Housekeeping 2,027 1,054,700 10/11 Dietary and Cafeteria 1,717 1,118,539

13 Nursing Administration 1,481 1,203,162 14 Central Service and Supply 1,655 304,681

15 Pharmancy 1,273 1,620,219 16 Medical Records 5,444 22,864

Selected Revenue Departments

0.3039171,440 1,616,746 5,319,695

0.1106431,384 6,885,959 62,235,777

1,952

17 Social Services 2,137 121,273 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 0 0

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 506

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.

Page 507: Hospital Profile Report - 2019 · 2020. 11. 14. · 464 8,850,541 20,249,925 0.437065 314 31,117,949 276,396,219 0.112585 876 17 Social Services 1,789 281,663 18 Other General Service

050228

ZUCKERBERG SAN FRANCISCO GENERAL HOSP & TRAUMA CTR

1001 POTRERO AVENUE

SAN FRANCISCO, CA 94110

SAN FRANCISCO

Noridian (CA)

6/30/2019 365 Days Submitted

Government - City-County

General Short Term

Balance Sheet

542,314,145

Income Statement

95,449,372

182,983,617

820,747,134

823,673,799

434,651,424

-437,578,089

820,747,134 15.3%

16.2%

16.1

612.2

2.9%

11.2%

61.46

5.7

83.1%

Key Performanace Ind.

0.7

Occupancy Rate

Length of Stay

Average Wages

Medicare Part A

Medicare Part B

Current Ratio

Days to Collect

Avg Payment Days

Depreciation Rate

Return on Equity

76.3%2,805,350,553Contract Allowance

Total Charges 3,676,412,938

23.7%

121.3%

-21.3%

13.7%

0.0%

-7.7%

Current Assets

Fixed Assets

871,062,385

1,057,016,954

-185,954,569

118,919,234

0

(67,035,335)

Other Assets

Total Assets

Current Liabilities

Long Term Liabilities

Total Equity

Total Liab. and Equity

Operating Revenue

Operating Expense

Operating Margin

Other Income

Other Expense

Net Profit or Loss

POS Beds 397CR Beds 213

Line Description

Adults and Pediatrics - General Care

Rank Cost Charges

01 Capital Cost - Buildings 30 77,422,558 02 Capital Cost - Movable Equip 405 15,541,143

Line

30

Intensive Care Unit

Operating Room

31

50

Emergency Department

52

91

76 218,339,100 692,616,119

0.36270564 75,476,819 208,094,362

0.315238

Ratio

0.284611264 57,398,915 201,675,125

Labor Room and Delivery Room

General Service Cost by Line Rank Expense General Service Cost by LIne Rank Expense

04 Employee Benefits 726 25,679,720 05 Administrative and General 87 225,492,339

06 Maintenance and Repairs 18 42,270,661 07 Operation of Plant 0 0

08/09 Laundry / Housekeeping 33 26,284,748 10/11 Dietary and Cafeteria 46 14,239,715

13 Nursing Administration 103 14,653,601 14 Central Service and Supply 396 3,633,190

15 Pharmancy 117 23,091,945 16 Medical Records 71 11,791,324

Selected Revenue Departments

0.553347264 12,983,550 23,463,674

0.16668113 105,327,888 631,911,389

235

17 Social Services 126 6,236,019 18 Other General Service Cost 0 0

19 Non Physician Anesthetists 0 0 20-23 Education Programs 172 29,542,717

Revenue Ranking -

All Providers

10:04 AM

5/7/2021 Page No 507

Healthcare Almanac 561-594-7551

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Hospital Profile Report - 2019Sample Hospital reports from the Halmanac.com website.