As of the July, 2022, release via CMS

ST. BERNARDINE MEDICAL CENTER

CMS id: 050129
2101 N. WATERMAN AVE., SAN BERNARDINO CA 92404. County: SAN BERNARDINO
System: DIGNITY HEALTH
CBSA: Riverside-San Bernardino-Ontario, CA

The 300-bed, acute-care hospital had $-40,855,843 in net service to patients*, with a total profit margin of -5.45076% in fiscal year 2021, the latest year available.
It spent 1.70% of its operating expenses on uncompensated care and reported $11,354,314 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	255 118	261 118	261 119.5	248 118	243 119
Total beds Median	322 162	328 162	328 162	308 162	300 163.5
FTEs Median	1,338.80 788.06	1,409.95 793.42	1,366.79 806.03	1,425.44 787.61	1,485.28 804.34

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	327,398,166 150,932,746	396,095,420 158,950,878	369,282,470 168,696,998	378,816,340 163,454,693	420,208,244 186,589,412
Operating expenses Median	387,488,910 149,311,209	424,712,615 156,110,414	419,519,247 164,890,568	425,699,142 166,516,854	461,064,087 180,120,888
Net income from service 2 patients (NS2P) ? Median	-60,090,744 -964,173	-28,617,195 -643,601.5	-50,236,777 -116,254	-46,882,802 -5,025,862	-40,855,843 -1,284,564
NS2P margin ? Median	-18.35% -0.62	-7.22% -0.29	-13.60% 0.18	-12.38% -5.07	-9.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. BERNARDINE 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	8,069,506 5,089,215	11,332,994 4,572,541	9,753,814 5,268,134	14,993,946 13,092,619	17,023,379 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,097,264 299,524	854,809 188,688.5	247,051 370,813	265,424 309,361.5	3,395,117 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	76,002	48,786	52,681	58,203	25,730
⊳ Line 11: Rebates and refunds of expenses	0	6,445	0	0	832,090
⊳ 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	712,453	856,452	1,030,998	864,210	671,696
⊳ 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	0
⊳ Line 18: Revenue from sale of medical records and abstracts	15,414	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	1,835	13,394	12,395	12,539	2,652
⊳ Line 22: Rental of hospital space	429,382	506,325	524,385	524,224	559,520
⊳ Line 23: Gov appropriations ? ⊳ Median	768,110 1,017,693	649,206 983,261.5	53,276 1,173,286	13,586 1,987,202	2,400 1,597,664
⊳ Sum Line 24	4,969,046	8,397,577	7,833,028	13,255,760	11,534,174
Total income ? Median	-52,021,238 6,586,430	-17,284,201 6,767,106	-40,482,963 8,419,950	-31,888,856 8,094,175	-23,832,464 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	-52,021,238 6,043,842	-17,284,201 5,845,112	-40,482,963 7,606,259	-31,888,856 7,283,041	-23,832,464 14,957,241
Net margin Median	-15.50708% 4.62%	-4.24227% 4.42%	-10.68050% 5.16%	-8.09752% 5.2%	-5.45076% 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. BERNARDINE 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	45,549,495 23,241,334	44,507,686 23,709,545	40,160,742 24,248,380	35,961,702 22,858,541	37,606,597 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	45,549,495 21,577,146	44,507,686 22,041,594	40,160,742 22,722,063	35,961,702 21,570,441	37,606,597 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	9,369,383 11,160,864	9,241,263 11,987,345	8,837,020 12,926,866	8,174,078 11,884,480	7,553,023 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	9,369,383 10,918,923	9,241,263 11,706,976	8,837,020 12,615,917	8,174,078 11,458,116	7,553,023 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	607,817 3,284,314	988,009 3,250,551	773,452 3,386,837	857,010 3,360,806	891,162 3,508,953
Disproportionate-share hospital (DSH) Median	3,277,442 594,888	3,146,662 595,761	2,636,859 577,894	2,610,161 542,168	2,671,689 549,667
Outlier Median	2,220,403 582,572	1,627,409 538,116	1,961,597 212,434	186,332 126,559	222,873 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	36,462,406 3,662,910	749,092 3,730,911	13,420,933 4,081,319	10,278,277 4,643,908	11,354,314 4,389,147
Charity care Median	3,073,272 2,654,636	1,068,848 2,940,659	4,108,441 3,380,215	5,423,292 3,488,738	5,301,457 3,233,405
Uncompensated care (UCC) Median	6,403,760 5,147,790	3,539,603 5,337,617	7,332,195 5,711,082	7,682,731 5,923,418	7,832,083 5,508,107
UCC as a % of operating expenses Median	1.65% 3.24	0.83% 3.12	1.75% 3.21	1.80% 3.3	1.70% 2.86
Total shortfall/UCC Median	42,866,166 9,489,989	4,288,695 9,424,297	20,753,128 10,120,158	17,961,008 11,171,337	19,186,397 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	129,277,232 52,142,039	134,117,678 54,485,252	139,027,359 57,395,589	149,028,593 58,830,919	160,871,198 61,722,907
Salaries as a % of operating expenses Median	33.36 36.68	31.58 36.56	33.14 36.37	35.01 35.93	34.89 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	5,361,359 1,449,244	10,870,153 1,475,986	4,180,219 1,563,078	4,142,384 1,721,954	7,946,836 2,991,828
Contract hours, direct-care Median	73,144.00 22,725	135,477.00 23,018.5	54,916.00 24,503.48	56,197.00 25,026.5	73,645.00 33,786
Contract wages, direct-care Median	73.30 64.67	80.24 64.53	76.12 65.06	73.71 68.97	107.91 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.