As of the July, 2022, release via CMS

GROSSMONT HOSPITAL

CMS id: 050026
5555 GROSSMONT CENTER DRIVE, LA MESA CA 91942. County: SAN DIEGO
System: SHARP HEALTHCARE
CBSA: San Diego-Chula Vista-Carlsbad, CA

The 558-bed, acute-care hospital had $-26,023,431 in net service to patients*, with a total profit margin of 12.38700% in fiscal year 2021, the latest year available.
It spent 2.50% of its operating expenses on uncompensated care and reported $28,856,474 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	319 118	371 118	358 119.5	358 118	376 119
Total beds Median	540 162	540 162	540 162	540 162	558 163.5
FTEs Median	3,106.00 788.06	3,110.00 793.42	3,225.00 806.03	3,191.00 787.61	3,443.00 804.34

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	666,805,934 150,932,746	736,688,902 158,950,878	722,348,020 168,696,998	787,476,955 163,454,693	854,600,523 186,589,412
Operating expenses Median	669,349,414 149,311,209	742,295,349 156,110,414	757,672,395 164,890,568	820,766,089 166,516,854	880,623,954 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,543,480 -964,173	-5,606,447 -643,601.5	-35,324,375 -116,254	-33,289,134 -5,025,862	-26,023,431 -1,284,564
NS2P margin ? Median	-0.38% -0.62	-0.76% -0.29	-4.89% 0.18	-4.23% -5.07	-3.05% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GROSSMONT 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	57,262,918 5,089,215	32,409,780 4,572,541	59,803,844 5,268,134	102,503,458 13,092,619	150,528,774 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,973,870 224,999	2,363,714 199,009	4,416,312 206,870.5	2,864,778 194,343	3,514,594 249,496
⊳ 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	57,778	64,752	69,934	85,740	126,542
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	951,007	1,126,095	1,088,222	745,657	691,329
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ 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	481,749	593,053	27,825,234	33,260,556	39,000,280
⊳ Line 18: Revenue from sale of medical records and abstracts	48,705	7,203	7,941	4,975	199
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	51,749,809	28,254,963	26,396,201	65,541,752	107,195,830
Total income ? Median	54,719,438 6,586,430	26,803,333 6,767,106	24,479,469 8,419,950	69,214,324 8,094,175	124,505,343 15,162,888
Non-operating expenses Median	11,487,618 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	43,231,820 6,043,842	26,803,333 5,845,112	24,479,469 7,606,259	69,214,324 7,283,041	124,505,343 14,957,241
Net margin Median	5.97068% 4.62%	3.48503% 4.42%	3.12976% 5.16%	7.77706% 5.2%	12.38700% 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 GROSSMONT 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	116,511,618 23,241,334	122,487,960 23,709,545	123,278,479 24,248,380	122,109,523 22,858,541	123,116,862 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	106,654,054 21,577,146	113,369,948 22,041,594	113,354,776 22,722,063	111,875,787 21,570,441	113,319,591 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	4,676,094 1,845,420	4,327,191 1,757,392	4,253,961 1,738,842	4,124,860 1,510,463	3,543,146 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,303,675 3,535,627	3,680,767 3,746,588	3,828,470 3,782,288	3,975,918 3,865,578	4,156,470 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	877,795 1,203,033	1,110,054 1,215,295	1,841,272 1,313,657	2,132,958 1,365,298	2,097,655 1,179,746
All outpatient revenue Median Click here to show/hide details	33,917,079 11,160,864	34,756,372 11,987,345	37,144,460 12,926,866	35,624,500 11,884,480	37,970,527 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	33,917,079 10,918,923	34,756,372 11,706,976	37,144,460 12,615,917	35,624,500 11,458,116	37,970,527 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	6,718,430 594,888	6,866,476 595,761	6,903,690 577,894	6,943,022 542,168	7,262,908 549,667
Outlier Median	6,334,413 582,572	5,173,199 538,116	1,086,099 212,434	1,336,943 126,559	1,651,880 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	24,099,279 3,662,910	33,860,898 3,730,911	34,263,831 4,081,319	9,426,827 4,643,908	28,856,474 4,389,147
Charity care Median	22,130,614 2,654,636	16,716,608 2,940,659	17,205,367 3,380,215	18,961,592 3,488,738	19,554,885 3,233,405
Uncompensated care (UCC) Median	27,604,594 5,147,790	21,714,765 5,337,617	21,865,952 5,711,082	24,424,616 5,923,418	21,989,553 5,508,107
UCC as a % of operating expenses Median	4.12% 3.24	2.93% 3.12	2.89% 3.21	2.98% 3.3	2.50% 2.86
Total shortfall/UCC Median	51,703,873 9,489,989	55,575,663 9,424,297	56,129,783 10,120,158	33,851,443 11,171,337	50,846,027 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	278,414,363 52,142,039	290,863,245 54,485,252	309,291,752 57,395,589	324,164,484 58,830,919	347,682,544 61,722,907
Salaries as a % of operating expenses Median	41.59 36.68	39.18 36.56	40.82 36.37	39.50 35.93	39.48 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	9,790,133 1,449,244	13,596,050 1,475,986	7,043,283 1,563,078	5,402,453 1,721,954	16,066,467 2,991,828
Contract hours, direct-care Median	132,716.00 22,725	176,034.00 23,018.5	88,381.00 24,503.48	64,307.00 25,026.5	135,053.00 33,786
Contract wages, direct-care Median	73.77 64.67	77.24 64.53	79.69 65.06	84.01 68.97	118.96 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.