As of the July, 2022, release via CMS

DOCTORS HOSPITAL OF RIVERSIDE

CMS id: 050102
3865 JACKSON STREET, RIVERSIDE CA 92503. County: RIVERSIDE
System: --
CBSA: Riverside-San Bernardino-Ontario, CA

The 193-bed, acute-care hospital had $-2,440,387 in net service to patients*, with a total profit margin of 4.22920% in fiscal year 2021, the latest year available.
It spent 1.47% of its operating expenses on uncompensated care and reported $8,669,818 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	364	182	366	365
Ownership	nfp	nfp	nfp	forprofit	forprofit
Acute beds Median	166 118	166 118	153 119.5	168 118	168 119
Total beds Median	191 162	191 162	178 162	193 162	193 163.5
FTEs Median	895.66 788.06	809.97 793.42	820.72 806.03	731.61 787.61	621.71 804.34

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	151,914,300 150,932,746	162,737,126 158,950,878	71,277,930 168,696,998	116,577,502 163,454,693	127,014,932 186,589,412
Operating expenses Median	152,811,378 149,311,209	154,147,494 156,110,414	71,310,212 164,890,568	134,014,054 166,516,854	129,455,319 180,120,888
Net income from service 2 patients (NS2P) ? Median	-897,078 -964,173	8,589,632 -643,601.5	-32,282 -116,254	-17,436,552 -5,025,862	-2,440,387 -1,284,564
NS2P margin ? Median	-0.59% -0.62	5.28% -0.29	-0.05% 0.18	-14.96% -5.07	-1.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DOCTORS HOSPITAL OF RIVERSIDE 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	1,475,790 5,089,215	7,772,099 4,572,541	854,919 5,268,134	2,973,513 13,092,619	8,157,076 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	113,279 224,999	994,634 199,009	18,992 206,870.5	950 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	7,901 299,524	66,657 188,688.5	8,531 370,813	9,881 309,361.5	49,913 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	307,100	240,291	84,364	303,486	944,871
⊳ 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	601,619	488,360	231,394	372,513	226,658
⊳ Line 15: Revenue from rental of living quarters	1,645	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	40,657	36,485	19,732	35,049	28,868
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	103,837	0	0	0	0
⊳ Line 21: Rental of vending machines	1,090	1,269	0	0	0
⊳ Line 22: Rental of hospital space	0	15,282	2,742	4,935	1,097
⊳ 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	298,662	5,929,121	489,164	2,246,699	6,905,669
Total income ? Median	578,712 6,586,430	16,361,731 6,767,106	822,637 8,419,950	-14,463,039 8,094,175	5,716,689 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	578,712 6,043,842	16,361,731 5,845,112	822,637 7,606,259	-14,463,039 7,283,041	5,716,689 14,957,241
Net margin Median	0.37728% 4.62%	9.59580% 4.42%	1.14045% 5.16%	-12.09780% 5.2%	4.22920% 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 DOCTORS HOSPITAL OF RIVERSIDE 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	21,310,083 23,241,334	19,512,729 23,709,545	9,681,245 24,248,380	18,308,394 22,858,541	18,407,014 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	21,310,083 21,577,146	19,512,729 22,041,594	9,681,245 22,722,063	18,308,394 21,570,441	18,407,014 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	2,079,649 11,160,864	2,090,048 11,987,345	1,075,395 12,926,866	1,859,672 11,884,480	1,670,334 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	2,079,649 10,918,923	2,090,048 11,706,976	1,075,395 12,615,917	1,859,672 11,458,116	1,670,334 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	1,393,188 594,888	1,302,565 595,761	655,849 577,894	1,258,688 542,168	1,132,751 549,667
Outlier Median	2,055,889 582,572	1,129,740 538,116	9,847 212,434	41,001 126,559	190,631 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	17,982,828 3,662,910	18,638,567 3,730,911	8,223,213 4,081,319	10,008,956 4,643,908	8,669,818 4,389,147
Charity care Median	863,804 2,654,636	2,450,925 2,940,659	1,961,806 3,380,215	757,663 3,488,738	739,720 3,233,405
Uncompensated care (UCC) Median	3,796,562 5,147,790	6,923,704 5,337,617	3,367,802 5,711,082	4,965,426 5,923,418	1,906,223 5,508,107
UCC as a % of operating expenses Median	2.48% 3.24	4.49% 3.12	4.72% 3.21	3.71% 3.3	1.47% 2.86
Total shortfall/UCC Median	21,779,390 9,489,989	25,562,271 9,424,297	11,591,015 10,120,158	14,974,382 11,171,337	10,576,041 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	63,982,170 52,142,039	59,809,274 54,485,252	29,774,593 57,395,589	57,593,037 58,830,919	52,763,572 61,722,907
Salaries as a % of operating expenses Median	41.87 36.68	38.80 36.56	41.75 36.37	42.98 35.93	40.76 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	6,148,428 1,449,244	6,519,495 1,475,986	3,774,679 1,563,078	5,502,632 1,721,954	2,269,548 2,991,828
Contract hours, direct-care Median	76,855.00 22,725	83,596.00 23,018.5	47,894.00 24,503.48	68,383.00 25,026.5	24,469.41 33,786
Contract wages, direct-care Median	80.00 64.67	77.99 64.53	78.81 65.06	80.47 68.97	92.75 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.