As of the July, 2022, release via CMS

RIVERSIDE COMMUNITY HOSPITAL

CMS id: 050022
4445 MAGNOLIA AVENUE, RIVERSIDE CA 92501. County: RIVERSIDE
System: HCA
CBSA: Riverside-San Bernardino-Ontario, CA

The 478-bed, acute-care hospital had $65,244,577 in net service to patients*, with a total profit margin of 11.25443% in fiscal year 2021, the latest year available.
It spent 3.30% of its operating expenses on uncompensated care and reported $149,098 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	313 118	373 118	389 119.5	389 118	373 119
Total beds Median	373 162	456 162	478 162	478 162	478 163.5
FTEs Median	1,739.44 788.06	1,798.29 793.42	1,918.74 806.03	2,058.72 787.61	1,962.43 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	484,270,163 150,932,746	510,163,505 158,950,878	564,078,879 168,696,998	553,281,874 163,454,693	591,802,626 186,589,412
Operating expenses Median	387,159,251 149,311,209	433,445,482 156,110,414	461,481,094 164,890,568	521,683,540 166,516,854	526,558,049 180,120,888
Net income from service 2 patients (NS2P) ? Median	97,110,912 -964,173	76,718,023 -643,601.5	102,597,785 -116,254	31,598,334 -5,025,862	65,244,577 -1,284,564
NS2P margin ? Median	20.05% -0.62	15.04% -0.29	18.19% 0.18	5.71% -5.07	11.02% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RIVERSIDE COMMUNITY HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	2,139,943 5,089,215	1,917,569 4,572,541	1,960,636 5,268,134	2,685,640 13,092,619	1,531,711 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	6,000 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	14,578	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,740,700	1,541,182	1,622,416	1,602,076	742,432
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	2,989	9,623	12,552	41,827	41,465
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	830	4,000
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	1,739	7,878	13,462	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	396,254	350,447	311,790	1,027,445	743,814
Total income ? Median	99,250,855 6,586,430	78,635,592 6,767,106	104,558,421 8,419,950	34,283,974 8,094,175	66,776,288 15,162,888
Non-operating expenses Median	0 146,289.5	-177 164,857	-171 89,880.5	-116 106,761	-117 31,473.5
Net income Median	99,250,855 6,043,842	78,635,769 5,845,112	104,558,592 7,606,259	34,284,090 7,283,041	66,776,405 14,957,241
Net margin Median	20.40477% 4.62%	15.35612% 4.42%	18.47196% 5.16%	6.16656% 5.2%	11.25443% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for RIVERSIDE COMMUNITY HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	69,452,110 23,241,334	78,937,745 23,709,545	87,664,279 24,248,380	87,581,680 22,858,541	88,228,364 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	69,452,110 21,577,146	78,937,745 22,041,594	87,664,279 22,722,063	87,581,680 21,570,441	88,228,364 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	13,300,817 11,160,864	15,822,247 11,987,345	15,284,337 12,926,866	15,190,288 11,884,480	14,070,332 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	13,300,817 10,918,923	15,822,247 11,706,976	15,284,337 12,615,917	15,190,288 11,458,116	14,070,332 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	1,403,504 3,284,314	7,283,634 3,250,551	11,789,938 3,386,837	13,628,132 3,360,806	15,252,356 3,508,953
Disproportionate-share hospital (DSH) Median	3,696,783 594,888	4,142,196 595,761	4,258,097 577,894	4,337,471 542,168	3,767,708 549,667
Outlier Median	2,910,037 582,572	2,366,137 538,116	1,804,703 212,434	274,653 126,559	355,854 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,530,921 3,662,910	25,256,951 3,730,911	0 4,081,319	13,305,021 4,643,908	149,098 4,389,147
Charity care Median	10,108,819 2,654,636	12,019,472 2,940,659	12,571,071 3,380,215	16,330,857 3,488,738	15,234,618 3,233,405
Uncompensated care (UCC) Median	12,710,164 5,147,790	13,775,559 5,337,617	14,524,438 5,711,082	18,877,599 5,923,418	17,378,263 5,508,107
UCC as a % of operating expenses Median	3.28% 3.24	3.18% 3.12	3.15% 3.21	3.62% 3.3	3.30% 2.86
Total shortfall/UCC Median	21,241,085 9,489,989	39,032,510 9,424,297	14,524,438 10,120,158	32,182,620 11,171,337	17,527,361 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	166,649,121 52,142,039	174,190,850 54,485,252	189,739,226 57,395,589	211,226,928 58,830,919	205,427,025 61,722,907
Salaries as a % of operating expenses Median	42.48 36.68	39.69 36.56	40.63 36.37	40.32 35.93	38.82 35.24
Intern, resident salaries* Median	1,840,516 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	9,714,332 1,449,244	4,420,457 1,475,986	7,260,551 1,563,078	0 1,721,954	35,593,520 2,991,828
Contract hours, direct-care Median	118,864.00 22,725	60,916.00 23,018.5	100,921.00 24,503.48	0.00 25,026.5	329,295.00 33,786
Contract wages, direct-care Median	81.73 64.67	72.57 64.53	71.94 65.06	0.00 68.97	108.09 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.