As of the July, 2022, release via CMS

ST. MARY MEDICAL CENTER

CMS id: 050191
1050 LINDEN AVENUE, LONG BEACH CA 90813. County: LOS ANGELES
System: DIGNITY HEALTH
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 307-bed, acute-care hospital had $-49,249,468 in net service to patients*, with a total profit margin of -5.54042% in fiscal year 2021, the latest year available.
It spent 2.34% of its operating expenses on uncompensated care and reported $945,521 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	184 118	236 118	195 119.5	206 118	208 119
Total beds Median	302 162	336 162	284 162	297 162	307 163.5
FTEs Median	1,195.09 788.06	1,235.59 793.42	1,229.01 806.03	1,352.37 787.61	1,237.44 804.34

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	238,152,328 150,932,746	289,293,763 158,950,878	291,111,498 168,696,998	365,080,104 163,454,693	358,743,609 186,589,412
Operating expenses Median	316,351,960 149,311,209	332,741,889 156,110,414	355,958,495 164,890,568	379,071,344 166,516,854	407,993,077 180,120,888
Net income from service 2 patients (NS2P) ? Median	-78,199,632 -964,173	-43,448,126 -643,601.5	-64,846,997 -116,254	-13,991,240 -5,025,862	-49,249,468 -1,284,564
NS2P margin ? Median	-32.84% -0.62	-15.02% -0.29	-22.28% 0.18	-3.83% -5.07	-13.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. MARY 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	40,008,323 5,089,215	44,221,977 4,572,541	49,748,786 5,268,134	142,976,931 13,092,619	27,831,594 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	1,000 249,496
⊳ Line 7: Investments ? ⊳ Median	207,298 299,524	127,491 188,688.5	183,282 370,813	98,415 309,361.5	158,321 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	33,710	38,904	53,440	45,774	23,446
⊳ Line 11: Rebates and refunds of expenses	32,580	697	0	0	428,262
⊳ Line 12: Parking lot receipts	273,669	291,581	454,083	291,785	168,229
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	599,268	625,691	742,018	666,620	434,750
⊳ 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	2,428	1,317	752	1,656	3,262
⊳ 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	16,170	16,478	13,338	12,000	8,223
⊳ Line 22: Rental of hospital space	1,756,687	1,618,570	1,683,501	1,754,046	1,607,553
⊳ Line 23: Gov appropriations ? ⊳ Median	321,726 1,017,693	730,090 983,261.5	0 1,173,286	-193,676 1,987,202	0 1,597,664
⊳ Sum Line 24	36,764,787	40,771,158	46,618,372	140,300,311	24,998,548
Total income ? Median	-38,191,309 6,586,430	773,851 6,767,106	-15,098,211 8,419,950	128,985,691 8,094,175	-21,417,874 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	-38,191,309 6,043,842	773,851 5,845,112	-15,098,211 7,606,259	128,985,691 7,283,041	-21,417,874 14,957,241
Net margin Median	-13.72995% 4.62%	0.23203% 4.42%	-4.42944% 5.16%	25.38803% 5.2%	-5.54042% 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. MARY 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	35,692,432 23,241,334	34,704,724 23,709,545	39,315,797 24,248,380	39,805,028 22,858,541	39,802,639 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	30,544,492 21,577,146	29,957,222 22,041,594	34,669,431 22,722,063	35,438,135 21,570,441	34,663,323 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	5,147,940 3,535,627	4,747,502 3,746,588	4,646,366 3,782,288	4,366,893 3,865,578	5,139,316 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	7,734,016 11,160,864	7,708,981 11,987,345	7,983,906 12,926,866	7,222,220 11,884,480	4,584,082 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	7,734,016 10,918,923	7,708,981 11,706,976	7,983,906 12,615,917	7,222,220 11,458,116	4,584,082 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	2,066,007 3,284,314	1,988,759 3,250,551	2,432,451 3,386,837	2,596,297 3,360,806	2,539,664 3,508,953
Disproportionate-share hospital (DSH) Median	2,536,993 594,888	2,525,148 595,761	2,907,474 577,894	3,110,000 542,168	2,911,056 549,667
Outlier Median	2,177,091 582,572	1,385,491 538,116	1,600,657 212,434	503,315 126,559	573,563 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	13,223,154 3,662,910	821,946 3,730,911	1,214,360 4,081,319	958,152 4,643,908	945,521 4,389,147
Charity care Median	3,301,280 2,654,636	4,786,303 2,940,659	5,826,404 3,380,215	7,426,840 3,488,738	7,124,517 3,233,405
Uncompensated care (UCC) Median	5,699,989 5,147,790	7,387,404 5,337,617	8,875,744 5,711,082	10,157,187 5,923,418	9,534,398 5,508,107
UCC as a % of operating expenses Median	1.80% 3.24	2.22% 3.12	2.49% 3.21	2.68% 3.3	2.34% 2.86
Total shortfall/UCC Median	18,923,143 9,489,989	8,209,350 9,424,297	10,090,104 10,120,158	11,115,339 11,171,337	10,479,919 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	111,316,664 52,142,039	115,291,532 54,485,252	119,786,675 57,395,589	125,894,920 58,830,919	130,520,426 61,722,907
Salaries as a % of operating expenses Median	35.19 36.68	34.65 36.56	33.65 36.37	33.21 35.93	31.99 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	9,204,778 1,449,244	7,137,576 1,475,986	12,212,629 1,563,078	10,138,487 1,721,954	17,005,351 2,991,828
Contract hours, direct-care Median	132,831.00 22,725	100,548.00 23,018.5	184,603.00 24,503.48	148,534.00 25,026.5	177,455.00 33,786
Contract wages, direct-care Median	69.30 64.67	70.99 64.53	66.16 65.06	68.26 68.97	95.83 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.