CALIFORNIA
NURSING OBSERVATORY

Modesto hospitals: what the records show.

State records show differences in Modesto hospitals’ payer mix and licensed beds. Some figures cover several facilities, so their reporting boundaries must be checked before comparison.

45%Doctors inpatient Medi-Cal payer mix, 2024
25%Memorial inpatient Medi-Cal payer mix, 2024
20percentage-point difference
3Modesto hospitals cross-checked

Medi-Cal percentages combine the fee-for-service and managed-care categories shown in each facility’s 2024 HCAI inpatient payer-mix profile. They are not staffing ratios, patient counts, or measures of clinical acuity.

What the state records actually show.

Doctors Medical Center · HCAI 106500852

The official parent-facility profile lists 394 licensed beds. A separate consolidated behavioral-health facility lists 67 licensed beds. Together those records equal the 461-bed figure in the Observatory’s reporting-period dataset, but 461 should not be described as beds at the main hospital alone.

Its 2024 inpatient payer mix includes 11.8% Medi-Cal fee-for-service and 33.2% Medi-Cal managed care, totaling 45.0%.

Official Doctors facility profile ↗ · Official behavioral-health facility profile ↗

Memorial Medical Center–Modesto · HCAI 106500939

The official parent-facility profile lists 419 licensed beds, matching the Observatory dataset. Its 2024 inpatient payer mix includes 4.2% Medi-Cal fee-for-service and 20.8% Medi-Cal managed care, totaling 25.0%.

The state’s current facility name is Memorial Medical Center–Modesto; some source files use Memorial Hospital Modesto. The matching HCAI identifier resolves that naming difference.

Official Memorial facility profile ↗

Kaiser Foundation Hospital–Modesto · HCAI 106504042

HCAI identifies Kaiser Modesto as an open, consolidated facility with 176 licensed beds. It now has its own searchable CNO facility profile. The financial dataset has no separately matched Modesto row, so standalone nursing hours and contract-labor measures remain UNKNOWN.

The Modesto–Manteca reporting relationship must be resolved before any campus-specific workforce comparison.

Official Kaiser Modesto facility profile ↗ · Official facility history ↗

The 20-point payer-mix difference describes reported financial payer categories. It does not, by itself, establish patient acuity, transfer patterns, bedside staffing, training burdens, hospital quality, or causation.

Kaiser Modesto is not missing. Its reporting is shared.

Two hospitals in one financial filing.

HCAI identifies Kaiser Manteca as the parent facility and Kaiser Modesto as a consolidated facility. Their separate official facility profiles display the same 2023 inpatient revenue total of $318,824,566 and the same outpatient revenue total of $502,214,324.

Those identical figures are evidence of a shared reporting scope—not evidence that both hospitals independently generated the same revenue.

4.9% inpatient Medi-Cal—but only for the consolidated scope

The shared 2023 inpatient payer mix contains 0.8% Medi-Cal fee-for-service and 4.1% Medi-Cal managed care, totaling 4.9%. This describes the consolidated Kaiser Modesto–Manteca reporting picture; it cannot be attributed to either campus separately.

The period is calendar year 2023. Doctors Medical Center’s 45.0% and Memorial Modesto’s 25.0% are calendar-year 2024 figures, so a same-year, standalone-facility comparison is not available from these records.

A 2023 consolidated payer mix must not be portrayed as Kaiser Modesto’s individual 2024 payer mix. Consolidation is a reporting limitation, not proof of concealment, patient selection, or staffing conditions.

Other Central Valley hospital records

Valley Children’s Hospital · Madera

Official HCAI records show 358 licensed beds and a 75.5% inpatient Medi-Cal payer mix: 40.6% fee-for-service plus 34.9% managed care. Reporting period: October 1, 2023–September 30, 2024. Its specialized pediatric case mix must not be treated as interchangeable with an adult community hospital.

Official Valley Children’s profile ↗

Adventist Health Reedley · Fresno County

Official records show 49 licensed beds and a 70.9% inpatient Medi-Cal payer mix: 7.4% fee-for-service plus 63.5% managed care. Reporting period: calendar year 2024.

Official Reedley profile ↗

Memorial Hospital Los Banos · Merced County

Official records show 38 licensed beds and a 45.6% inpatient Medi-Cal payer mix: 5.2% fee-for-service plus 40.4% managed care. Reporting period: calendar year 2024. This is a separate hospital from Memorial Medical Center in Modesto.

Official Los Banos profile ↗

Mercy Medical Center–Merced

Official records show 186 licensed beds and a 44.8% inpatient Medi-Cal payer mix: 4.6% fee-for-service plus 40.2% managed care. Its reporting period runs July 1, 2023–June 30, 2024, not calendar year 2024.

Official Mercy Merced profile ↗

Emanuel Medical Center · Turlock

Official records identify a 209-bed parent facility and a 40.1% inpatient Medi-Cal payer mix: 4.7% fee-for-service plus 35.4% managed care. Reporting period: calendar year 2024.

Official Emanuel profile ↗

Oak Valley Hospital District · Oakdale

The official acute-care hospital has 29 licensed beds. A separately listed nursing-and-rehabilitation facility has 115 beds. Together they produce the 144-bed figure in the reporting dataset—but those 144 beds must not be represented as acute-care hospital beds.

Its 36.7% inpatient Medi-Cal payer mix covers a fiscal year ending June 30, 2024. The reported 48.4-day average inpatient stay should not be compared with general acute-care hospitals until the long-term-care reporting scope is separated.

Official Oak Valley profile ↗ · Official nursing-facility profile ↗

Reporting periods, facility types, and payer categories differ. These figures describe documented payer mix and licensed capacity—not bedside staffing levels, patient counts, acuity, hospital quality, or causal relationships.

A cleaner comparison starts with the right denominator.

Doctors’ combined reporting scope, Memorial’s naming variation, Kaiser’s consolidated status, and Oak Valley’s mixed acute-care and nursing-facility records are different evidence problems. Treating them as interchangeable would make the dashboard look tidier while making the underlying comparison less trustworthy.

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