As of the July, 2022, release via CMS

ST. JOHNS REGIONAL MEDICAL CENTER

CMS id: 050082
1600 NORTH ROSE AVENUE, OXNARD CA 93030. County: VENTURA
System: DIGNITY HEALTH
CBSA: Oxnard-Thousand Oaks-Ventura, CA

The 401-bed, acute-care hospital had $-45,056,518 in net service to patients*, with a total profit margin of -2.70720% in fiscal year 2021, the latest year available.
It spent 2.90% of its operating expenses on uncompensated care and reported $9,261,853 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	206 118	206 118	206 119.5	256 118	256 119
Total beds Median	265 162	265 162	265 162	401 162	401 163.5
FTEs Median	0.00 788.06	1,046.19 793.42	1,080.26 806.03	1,208.34 787.61	1,436.64 804.34

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	267,053,405 150,932,746	374,381,492 158,950,878	362,358,089 168,696,998	401,077,027 163,454,693	484,215,255 186,589,412
Operating expenses Median	297,903,541 149,311,209	364,270,942 156,110,414	366,741,078 164,890,568	425,455,412 166,516,854	529,271,773 180,120,888
Net income from service 2 patients (NS2P) ? Median	-30,850,136 -964,173	10,110,550 -643,601.5	-4,382,989 -116,254	-24,378,385 -5,025,862	-45,056,518 -1,284,564
NS2P margin ? Median	-11.55% -0.62	2.70% -0.29	-1.21% 0.18	-6.08% -5.07	-9.31% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOHNS 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	4,631,649 5,089,215	2,469,103 4,572,541	4,061,016 5,268,134	93,244,783 13,092,619	31,105,732 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	10,000 224,999	43,671 199,009	30,018 206,870.5	6,000 194,343	8,931 249,496
⊳ Line 7: Investments ? ⊳ Median	584,591 299,524	431,780 188,688.5	149,397 370,813	147,197 309,361.5	4,212,819 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	63,088	52,648	57,871	49,785	24,694
⊳ Line 11: Rebates and refunds of expenses	0	14,310	0	0	1,244,932
⊳ 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	599,816	662,194	710,723	687,686	724,024
⊳ 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	-2,688
⊳ Line 18: Revenue from sale of medical records and abstracts	22,060	21,965	14,070	35,168	10,300
⊳ 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	6,970	9,446	7,888	6,553	1,467
⊳ Line 22: Rental of hospital space	835,940	860,350	895,541	790,965	842,216
⊳ Line 23: Gov appropriations ? ⊳ Median	-206,719 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	-512,064 1,597,664
⊳ Sum Line 24	2,715,903	372,739	2,195,508	91,521,429	24,551,101
Total income ? Median	-26,218,487 6,586,430	12,579,653 6,767,106	-321,973 8,419,950	68,866,398 8,094,175	-13,950,786 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-26,218,487 6,043,842	12,579,653 5,845,112	-321,973 7,606,259	68,866,398 7,283,041	-13,950,786 14,957,241
Net margin Median	-9.65032% 4.62%	3.33810% 4.42%	-0.08787% 5.16%	13.93149% 5.2%	-2.70720% 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 ST. JOHNS 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	62,884,165 23,241,334	69,098,678 23,709,545	70,808,303 24,248,380	70,714,546 22,858,541	84,214,870 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	56,536,252 21,577,146	61,466,559 22,041,594	62,770,139 22,722,063	63,376,332 21,570,441	74,512,438 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	6,347,913 3,535,627	7,632,119 3,746,588	8,038,164 3,782,288	6,819,085 3,865,578	7,844,048 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	519,129 1,365,298	1,858,384 1,179,746
All outpatient revenue Median Click here to show/hide details	16,262,411 11,160,864	23,277,830 11,987,345	22,877,211 12,926,866	24,456,508 11,884,480	28,847,959 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	16,262,411 10,918,923	23,277,830 11,706,976	22,877,211 12,615,917	24,456,508 11,458,116	28,847,959 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	3,326,390 594,888	3,199,699 595,761	2,932,442 577,894	2,536,331 542,168	2,877,742 549,667
Outlier Median	4,340,185 582,572	3,108,673 538,116	3,535,175 212,434	863,696 126,559	982,203 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	29,474,016 3,662,910	5,256,873 3,730,911	6,817,100 4,081,319	1,150,390 4,643,908	9,261,853 4,389,147
Charity care Median	3,828,206 2,654,636	1,724,200 2,940,659	3,154,204 3,380,215	5,533,963 3,488,738	12,111,814 3,233,405
Uncompensated care (UCC) Median	6,555,985 5,147,790	4,352,920 5,337,617	5,761,253 5,711,082	8,797,339 5,923,418	15,364,715 5,508,107
UCC as a % of operating expenses Median	2.20% 3.24	1.19% 3.12	1.57% 3.21	2.07% 3.3	2.90% 2.86
Total shortfall/UCC Median	36,030,001 9,489,989	9,609,793 9,424,297	12,578,353 10,120,158	9,947,729 11,171,337	24,626,568 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	104,585,825 52,142,039	111,118,210 54,485,252	115,937,895 57,395,589	137,632,210 58,830,919	176,855,989 61,722,907
Salaries as a % of operating expenses Median	35.11 36.68	30.50 36.56	31.61 36.37	32.35 35.93	33.41 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	0 1,449,244	7,672,062 1,475,986	9,354,045 1,563,078	171,432 1,721,954	17,493,671 2,991,828
Contract hours, direct-care Median	0.00 22,725	105,201.00 23,018.5	123,824.00 24,503.48	3,530.60 25,026.5	180,657.00 33,786
Contract wages, direct-care Median	0.00 64.67	72.93 64.53	75.54 65.06	48.56 68.97	96.83 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.