As of the July, 2022, release via CMS

MARIAN MEDICAL CENTER

CMS id: 050107
1400 E. CHURCH STREET, SANTA MARIA CA 93456. County: SANTA BARBARA
System: DIGNITY HEALTH
CBSA: Santa Maria-Santa Barbara, CA

The 388-bed, acute-care hospital had $31,357,540 in net service to patients*, with a total profit margin of 7.57256% in fiscal year 2021, the latest year available.
It spent 1.87% of its operating expenses on uncompensated care and reported $57,042,141 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	189 118	189 118	224 119.5	224 118	224 119
Total beds Median	353 162	353 162	388 162	388 162	388 163.5
FTEs Median	1,868.16 788.06	1,904.26 793.42	1,979.28 806.03	2,052.31 787.61	2,015.43 804.34

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	480,690,682 150,932,746	529,752,743 158,950,878	539,371,997 168,696,998	557,764,844 163,454,693	668,985,971 186,589,412
Operating expenses Median	501,152,043 149,311,209	543,784,979 156,110,414	566,352,161 164,890,568	605,601,030 166,516,854	637,628,431 180,120,888
Net income from service 2 patients (NS2P) ? Median	-20,461,361 -964,173	-14,032,236 -643,601.5	-26,980,164 -116,254	-47,836,186 -5,025,862	31,357,540 -1,284,564
NS2P margin ? Median	-4.26% -0.62	-2.65% -0.29	-5.00% 0.18	-8.58% -5.07	4.69% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MARIAN 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	56,688,884 5,089,215	65,603,761 4,572,541	63,907,207 5,268,134	89,069,334 13,092,619	20,883,187 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,963 224,999	2,000 199,009	27,950 206,870.5	15,950 194,343	131,783 249,496
⊳ Line 7: Investments ? ⊳ Median	196,315 299,524	565,213 188,688.5	602,176 370,813	417,481 309,361.5	570,633 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	66,044	52,738	57,038	69,014	50,070
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	1,110,411
⊳ 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	1,070,177	1,153,729	1,215,028	1,202,513	998,851
⊳ 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	-1,716	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	60,792	53,328	36,753	24,533	20,226
⊳ 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	19,592	19,890	20,047	20,737	6,737
⊳ Line 22: Rental of hospital space	361,840	346,587	291,517	496,070	617,427
⊳ Line 23: Gov appropriations ? ⊳ Median	398,604 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	54,515,273	63,410,276	61,656,698	86,823,036	17,377,049
Total income ? Median	36,227,523 6,586,430	51,571,525 6,767,106	36,927,043 8,419,950	41,233,148 8,094,175	52,240,727 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	36,227,523 6,043,842	51,571,525 5,845,112	36,927,043 7,606,259	41,233,148 7,283,041	52,240,727 14,957,241
Net margin Median	6.74151% 4.62%	8.66229% 4.42%	6.12105% 5.16%	6.37461% 5.2%	7.57256% 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 MARIAN 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	80,251,222 23,241,334	87,096,651 23,709,545	89,058,816 24,248,380	89,879,742 22,858,541	92,444,310 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	68,539,030 21,577,146	75,101,744 22,041,594	76,613,179 22,722,063	74,889,792 21,570,441	76,546,036 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	7,365,622 3,535,627	7,851,503 3,746,588	7,454,655 3,782,288	8,927,307 3,865,578	10,988,290 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	4,346,570 1,203,033	4,143,404 1,215,295	4,990,982 1,313,657	6,062,643 1,365,298	4,909,984 1,179,746
All outpatient revenue Median Click here to show/hide details	63,966,603 11,160,864	64,589,980 11,987,345	64,742,165 12,926,866	62,679,196 11,884,480	72,068,512 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	55,957,536 10,918,923	56,645,830 11,706,976	58,292,838 12,615,917	54,751,635 11,458,116	61,489,521 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	8,009,067 1,282,808	7,944,150 1,407,728	6,449,327 1,341,512	7,927,561 1,407,046	10,578,991 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	2,849,318 3,284,314	3,183,451 3,250,551	3,463,986 3,386,837	3,430,258 3,360,806	3,562,837 3,508,953
Disproportionate-share hospital (DSH) Median	4,082,599 594,888	4,227,445 595,761	4,140,330 577,894	4,356,448 542,168	4,573,807 549,667
Outlier Median	1,834,496 582,572	2,822,259 538,116	2,214,420 212,434	796,838 126,559	928,390 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	70,914,907 3,662,910	44,911,379 3,730,911	74,625,413 4,081,319	71,483,970 4,643,908	57,042,141 4,389,147
Charity care Median	4,397,368 2,654,636	6,120,797 2,940,659	6,061,874 3,380,215	10,044,896 3,488,738	8,801,139 3,233,405
Uncompensated care (UCC) Median	6,909,150 5,147,790	10,053,770 5,337,617	10,581,441 5,711,082	14,473,643 5,923,418	11,923,674 5,508,107
UCC as a % of operating expenses Median	1.38% 3.24	1.85% 3.12	1.87% 3.21	2.39% 3.3	1.87% 2.86
Total shortfall/UCC Median	77,824,057 9,489,989	54,965,149 9,424,297	85,206,854 10,120,158	85,957,613 11,171,337	68,965,815 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	168,008,584 52,142,039	174,922,978 54,485,252	181,494,424 57,395,589	194,990,059 58,830,919	204,212,707 61,722,907
Salaries as a % of operating expenses Median	33.52 36.68	32.17 36.56	32.05 36.37	32.20 35.93	32.03 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	4,660,554 1,449,244	6,500,972 1,475,986	9,356,360 1,563,078	7,366,139 1,721,954	12,874,940 2,991,828
Contract hours, direct-care Median	52,080.00 22,725	77,452.00 23,018.5	114,721.00 24,503.48	79,366.00 25,026.5	115,089.00 33,786
Contract wages, direct-care Median	89.49 64.67	83.94 64.53	81.56 65.06	92.81 68.97	111.87 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.