As of the July, 2022, release via CMS

SAN MATEO MEDICAL CENTER

CMS id: 050113
222 WEST 39TH AVENUE, SAN MATEO CA 94403. County: SAN MATEO
System: --
CBSA: San Francisco-Oakland-Berkeley, CA

The 447-bed, acute-care hospital had $-255,143,335 in net service to patients*, with a total profit margin of 3.91226% in fiscal year 2021, the latest year available.
It spent 1.97% of its operating expenses on uncompensated care and reported $29,651,094 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	62 118	35 118	62 119.5	62 118	62 119
Total beds Median	415 162	357 162	447 162	447 162	447 163.5
FTEs Median	783.55 788.06	1,168.80 793.42	1,162.38 806.03	1,136.76 787.61	1,058.45 804.34

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	165,385,896 150,932,746	166,922,937 158,950,878	178,688,140 168,696,998	139,243,570 163,454,693	155,473,176 186,589,412
Operating expenses Median	299,481,448 149,311,209	324,787,752 156,110,414	346,133,684 164,890,568	413,236,761 166,516,854	410,616,511 180,120,888
Net income from service 2 patients (NS2P) ? Median	-134,095,552 -964,173	-157,864,815 -643,601.5	-167,445,544 -116,254	-273,993,191 -5,025,862	-255,143,335 -1,284,564
NS2P margin ? Median	-81.08% -0.62	-94.57% -0.29	-93.71% 0.18	-196.77% -5.07	-164.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAN MATEO 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	188,085,872 5,089,215	221,940,208 4,572,541	226,817,409 5,268,134	274,997,860 13,092,619	271,856,524 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	500,000 224,999	0 199,009	48,677 206,870.5	476,285 194,343	436,436 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	-310,001 309,361.5	-118,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	82,227	76,253	1,418,710	390,992	437,430
⊳ Line 11: Rebates and refunds of expenses	352,584	415,955	1,072,357	946,951	755,339
⊳ 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	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	185,155	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	0	0	0	0	0
⊳ 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	0	0	0
⊳ 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	186,965,906	221,448,000	224,277,665	273,493,633	270,345,319
Total income ? Median	53,990,320 6,586,430	64,075,393 6,767,106	59,371,865 8,419,950	1,004,669 8,094,175	16,713,189 15,162,888
Non-operating expenses Median	375,384 146,289.5	209,888 164,857	-45,957 89,880.5	-160,239 106,761	-5,060 31,473.5
Net income Median	53,614,936 6,043,842	63,865,505 5,845,112	59,417,822 7,606,259	1,164,908 7,283,041	16,718,249 14,957,241
Net margin Median	15.16810% 4.62%	16.42365% 4.42%	14.65278% 5.16%	0.28121% 5.2%	3.91226% 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 SAN MATEO 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	9,582,824 23,241,334	9,253,116 23,709,545	9,986,019 24,248,380	9,821,968 22,858,541	14,354,703 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	4,689,055 21,577,146	5,265,000 22,041,594	6,114,305 22,722,063	5,862,946 21,570,441	6,857,887 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	780,692 1,845,420	503,644 1,757,392	1,365,719 1,738,842	901,943 1,510,463	1,212,981 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	4,113,077 1,203,033	3,484,472 1,215,295	2,505,995 1,313,657	3,057,079 1,365,298	6,283,835 1,179,746
All outpatient revenue Median Click here to show/hide details	5,544,625 11,160,864	6,400,334 11,987,345	6,662,796 12,926,866	5,038,122 11,884,480	3,753,276 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	5,544,625 10,918,923	6,400,334 11,706,976	6,662,796 12,615,917	5,038,122 11,458,116	3,753,276 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	98,636 3,284,314	83,827 3,250,551	112,608 3,386,837	35,585 3,360,806	120,410 3,508,953
Disproportionate-share hospital (DSH) Median	84,772 594,888	94,907 595,761	102,001 577,894	96,927 542,168	103,350 549,667
Outlier Median	1,006,300 582,572	1,167,160 538,116	1,491,192 212,434	313,881 126,559	442,638 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	24,726,934 3,662,910	43,420,013 3,730,911	57,821,727 4,081,319	36,567,208 4,643,908	29,651,094 4,389,147
Charity care Median	5,313,878 2,654,636	6,263,141 2,940,659	5,150,205 3,380,215	2,744,931 3,488,738	1,042,117 3,233,405
Uncompensated care (UCC) Median	7,292,459 5,147,790	9,102,198 5,337,617	7,618,676 5,711,082	2,871,632 5,923,418	8,093,289 5,508,107
UCC as a % of operating expenses Median	2.44% 3.24	2.80% 3.12	2.20% 3.21	0.69% 3.3	1.97% 2.86
Total shortfall/UCC Median	32,019,393 9,489,989	52,522,211 9,424,297	65,440,403 10,120,158	39,438,840 11,171,337	37,744,383 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	123,739,666 52,142,039	127,470,982 54,485,252	134,537,035 57,395,589	146,743,730 58,830,919	138,934,832 61,722,907
Salaries as a % of operating expenses Median	41.32 36.68	39.25 36.56	38.87 36.37	35.51 35.93	33.84 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	180,998 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	4,621,340 1,449,244	5,456,647 1,475,986	6,921,580 1,563,078	5,355,666 1,721,954	5,720,806 2,991,828
Contract hours, direct-care Median	59,676.00 22,725	71,117.55 23,018.5	88,937.00 24,503.48	58,094.05 25,026.5	56,478.00 33,786
Contract wages, direct-care Median	77.44 64.67	76.73 64.53	77.83 65.06	92.19 68.97	101.29 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.