As of the July, 2022, release via CMS

EL CENTRO REGIONAL MEDICAL CENTER

CMS id: 050045
1415 ROSS AVENUE, EL CENTRO CA 92243. County: IMPERIAL
System: --
CBSA: El Centro, CA

The 161-bed, acute-care hospital had $-32,676,137 in net service to patients*, with a total profit margin of 1.06129% in fiscal year 2021, the latest year available.
It spent 1.79% of its operating expenses on uncompensated care and reported $16,362,956 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	gov	gov	gov	gov	gov
Acute beds Median	141 118	141 118	141 119.5	141 118	141 119
Total beds Median	161 162	161 162	161 162	161 162	161 163.5
FTEs Median	825.19 788.06	880.99 793.42	903.83 806.03	927.01 787.61	836.76 804.34

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	125,842,688 150,932,746	151,018,800 158,950,878	156,030,229 168,696,998	146,480,257 163,454,693	159,072,977 186,589,412
Operating expenses Median	142,671,862 149,311,209	153,802,772 156,110,414	170,652,790 164,890,568	173,633,604 166,516,854	191,749,114 180,120,888
Net income from service 2 patients (NS2P) ? Median	-16,829,174 -964,173	-2,783,972 -643,601.5	-14,622,561 -116,254	-27,153,347 -5,025,862	-32,676,137 -1,284,564
NS2P margin ? Median	-13.37% -0.62	-1.84% -0.29	-9.37% 0.18	-18.54% -5.07	-20.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EL CENTRO REGIONAL MEDICAL CENTER 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	5,815,796 5,089,215	4,158,894 4,572,541	10,904,593 5,268,134	25,620,147 13,092,619	34,732,987 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	5,441 224,999	1,476 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	250,994 299,524	721,293 188,688.5	2,189,924 370,813	3,195,868 309,361.5	5,769,935 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	22,348	3,579	4,440	5,032	586
⊳ Line 11: Rebates and refunds of expenses	122,657	303,418	545,959	689,829	386,093
⊳ 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	81,242	556,078	599,245	537,643	523,922
⊳ 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	1,579	1,793	1,168	3,618	1,007
⊳ Line 18: Revenue from sale of medical records and abstracts	7,886	8,739	8,110	8,138	6,842
⊳ 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	64,000	96,000	96,000
⊳ 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	5,323,649	2,562,483	7,491,747	21,084,019	27,948,602
Total income ? Median	-11,013,378 6,586,430	1,374,922 6,767,106	-3,717,968 8,419,950	-1,533,200 8,094,175	2,056,850 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	-911 106,761	0 31,473.5
Net income Median	-11,013,378 6,043,842	1,374,922 5,845,112	-3,717,968 7,606,259	-1,532,289 7,283,041	2,056,850 14,957,241
Net margin Median	-8.36511% 4.62%	0.88603% 4.42%	-2.22720% 5.16%	-0.89035% 5.2%	1.06129% 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 EL CENTRO REGIONAL MEDICAL CENTER 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	19,841,888 23,241,334	23,970,235 23,709,545	24,765,884 24,248,380	25,125,825 22,858,541	29,805,744 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	19,841,888 21,577,146	23,970,235 22,041,594	24,765,884 22,722,063	25,125,825 21,570,441	29,805,744 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	27,610,759 11,160,864	28,960,036 11,987,345	28,877,192 12,926,866	24,148,466 11,884,480	21,210,958 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	26,242,084 10,918,923	27,248,195 11,706,976	26,976,550 12,615,917	21,963,141 11,458,116	18,861,100 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	1,368,675 618,038	1,711,841 697,279	1,900,642 690,232	2,185,325 684,010	2,349,858 670,558
⊳ 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	1,644,388 594,888	2,007,092 595,761	1,898,872 577,894	1,979,055 542,168	2,136,399 549,667
Outlier Median	196,525 582,572	281,103 538,116	574,153 212,434	124,864 126,559	151,676 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,018,118 3,662,910	10,011,554 3,730,911	6,184,893 4,081,319	11,770,355 4,643,908	16,362,956 4,389,147
Charity care Median	4,440,481 2,654,636	3,951,761 2,940,659	1,210,871 3,380,215	1,159,930 3,488,738	1,038,700 3,233,405
Uncompensated care (UCC) Median	6,438,353 5,147,790	6,157,376 5,337,617	4,657,246 5,711,082	4,285,783 5,923,418	3,423,034 5,508,107
UCC as a % of operating expenses Median	4.51% 3.24	4.00% 3.12	2.73% 3.21	2.47% 3.3	1.79% 2.86
Total shortfall/UCC Median	18,456,471 9,489,989	16,168,930 9,424,297	10,842,139 10,120,158	16,056,138 11,171,337	19,785,990 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	51,077,905 52,142,039	53,217,430 54,485,252	55,845,219 57,395,589	61,118,120 58,830,919	60,428,376 61,722,907
Salaries as a % of operating expenses Median	35.80 36.68	34.60 36.56	32.72 36.37	35.20 35.93	31.51 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	4,747,990 1,449,244	8,859,447 1,475,986	12,673,331 1,563,078	12,958,978 1,721,954	22,267,001 2,991,828
Contract hours, direct-care Median	54,007.81 22,725	103,718.26 23,018.5	166,445.08 24,503.48	132,778.00 25,026.5	208,825.00 33,786
Contract wages, direct-care Median	87.91 64.67	85.42 64.53	76.14 65.06	97.60 68.97	106.63 88.94

* in an approved program

Return to top

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.