As of the July, 2022, release via CMS

SHARP MEMORIAL HOSPITAL

CMS id: 050100
7901 FROST STREET, SAN DIEGO CA 92123. County: SAN DIEGO
System: SHARP HEALTHCARE
CBSA: San Diego-Chula Vista-Carlsbad, CA

The 862-bed, acute-care hospital had $128,633,463 in net service to patients*, with a total profit margin of 23.77021% in fiscal year 2021, the latest year available.
It spent 1.86% of its operating expenses on uncompensated care and reported $34,093,070 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	674 118	674 118	674 119.5	674 118	674 119
Total beds Median	862 162	862 162	862 162	862 162	862 163.5
FTEs Median	4,021.00 788.06	3,860.00 793.42	3,845.00 806.03	3,739.00 787.61	3,875.00 804.34

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	1,158,920,776 150,932,746	1,306,653,162 158,950,878	1,262,441,756 168,696,998	1,278,133,291 163,454,693	1,368,345,361 186,589,412
Operating expenses Median	1,021,984,452 149,311,209	1,120,478,003 156,110,414	1,110,515,636 164,890,568	1,165,550,172 166,516,854	1,239,711,898 180,120,888
Net income from service 2 patients (NS2P) ? Median	136,936,324 -964,173	186,175,159 -643,601.5	151,926,120 -116,254	112,583,119 -5,025,862	128,633,463 -1,284,564
NS2P margin ? Median	11.82% -0.62	14.25% -0.29	12.03% 0.18	8.81% -5.07	9.40% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SHARP MEMORIAL 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	100,179,215 5,089,215	61,667,970 4,572,541	77,693,754 5,268,134	186,460,215 13,092,619	257,937,331 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,448,912 224,999	1,346,531 199,009	1,162,373 206,870.5	1,302,872 194,343	2,331,608 249,496
⊳ 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	112,301	109,781	111,994	115,568	137,302
⊳ Line 11: Rebates and refunds of expenses	5,000	5,750	5,935	1,779	0
⊳ Line 12: Parking lot receipts	1,017,384	1,271,466	1,254,754	1,212,226	944,072
⊳ 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	4,472	7,388	4,314	6,415	4,395
⊳ Line 18: Revenue from sale of medical records and abstracts	155,442	254,474	260,295	263,503	269,546
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	208,449	236,208	195,951	304,054	259,646
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	385,915	441,943	404,236	278,026	261,445
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,206,488	1,164,822	1,203,264	1,183,987	1,426,613
⊳ Line 23: Gov appropriations ? ⊳ Median	130,324 1,017,693	228,691 983,261.5	171,379 1,173,286	153,299 1,987,202	83,321 1,597,664
⊳ Sum Line 24	94,504,528	56,600,916	72,919,259	181,638,486	252,219,383
Total income ? Median	237,115,539 6,586,430	247,843,129 6,767,106	229,619,874 8,419,950	299,043,334 8,094,175	386,570,794 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	237,115,539 6,043,842	247,843,129 5,845,112	229,619,874 7,606,259	299,043,334 7,283,041	386,570,794 14,957,241
Net margin Median	18.83215% 4.62%	18.11294% 4.42%	17.13408% 5.16%	20.41818% 5.2%	23.77021% 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 SHARP MEMORIAL 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	100,643,088 23,241,334	111,286,101 23,709,545	107,489,769 24,248,380	101,695,065 22,858,541	112,137,421 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	97,882,320 21,577,146	108,981,821 22,041,594	104,319,253 22,722,063	99,054,374 21,570,441	109,704,272 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	2,760,768 3,535,627	2,304,280 3,746,588	3,170,516 3,782,288	2,640,691 3,865,578	2,433,149 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	40,180,142 11,160,864	41,978,296 11,987,345	43,772,592 12,926,866	39,088,118 11,884,480	42,699,730 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	34,493,295 10,918,923	36,296,206 11,706,976	38,171,704 12,615,917	34,315,838 11,458,116	37,830,490 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,686,847 1,282,808	5,682,090 1,407,728	5,600,888 1,341,512	4,772,280 1,407,046	4,869,240 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	3,839,125 594,888	4,375,914 595,761	4,128,035 577,894	4,144,447 542,168	4,428,882 549,667
Outlier Median	8,047,354 582,572	7,902,282 538,116	1,348,047 212,434	1,239,678 126,559	1,034,544 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	39,787,173 3,662,910	6,399,851 3,730,911	28,922,134 4,081,319	18,055,955 4,643,908	34,093,070 4,389,147
Charity care Median	19,225,527 2,654,636	18,863,196 2,940,659	19,624,008 3,380,215	20,466,633 3,488,738	21,221,141 3,233,405
Uncompensated care (UCC) Median	24,688,919 5,147,790	24,433,694 5,337,617	24,686,415 5,711,082	25,498,780 5,923,418	23,091,904 5,508,107
UCC as a % of operating expenses Median	2.42% 3.24	2.18% 3.12	2.22% 3.21	2.19% 3.3	1.86% 2.86
Total shortfall/UCC Median	64,476,092 9,489,989	30,833,545 9,424,297	53,608,549 10,120,158	43,554,735 11,171,337	57,184,974 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	409,903,554 52,142,039	435,064,661 54,485,252	442,266,960 57,395,589	456,290,418 58,830,919	481,412,759 61,722,907
Salaries as a % of operating expenses Median	40.11 36.68	38.83 36.56	39.83 36.37	39.15 35.93	38.83 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	10,381,763 1,449,244	8,751,917 1,475,986	5,452,826 1,563,078	3,553,761 1,721,954	14,049,934 2,991,828
Contract hours, direct-care Median	128,355.00 22,725	99,916.00 23,018.5	66,532.00 24,503.48	40,926.00 25,026.5	102,821.00 33,786
Contract wages, direct-care Median	80.88 64.67	87.59 64.53	81.96 65.06	86.83 68.97	136.64 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.