As of the July, 2022, release via CMS

FRENCH HOSPITAL MEDICAL CENTER

CMS id: 050232
1911 JOHNSON AVENUE, SAN LUIS OBISPO CA 93401. County: SAN LUIS OBISPO
System: DIGNITY HEALTH
CBSA: San Luis Obispo-Paso Robles, CA

The 98-bed, acute-care hospital had $4,096,750 in net service to patients*, with a total profit margin of 5.73582% in fiscal year 2021, the latest year available.
It spent 1.33% of its operating expenses on uncompensated care and reported $15,964,781 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	334	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	87 118	87 118	87 119.5	87 118	87 119
Total beds Median	98 162	98 162	98 162	98 162	98 163.5
FTEs Median	474.93 788.06	489.98 793.42	529.88 806.03	513.42 787.61	531.22 804.34

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	134,003,753 150,932,746	143,823,187 158,950,878	159,177,102 168,696,998	158,571,776 163,454,693	196,542,986 186,589,412
Operating expenses Median	147,535,015 149,311,209	158,004,065 156,110,414	155,884,994 164,890,568	184,742,408 166,516,854	192,446,236 180,120,888
Net income from service 2 patients (NS2P) ? Median	-13,531,262 -964,173	-14,180,878 -643,601.5	3,292,108 -116,254	-26,170,632 -5,025,862	4,096,750 -1,284,564
NS2P margin ? Median	-10.10% -0.62	-9.86% -0.29	2.07% 0.18	-16.50% -5.07	2.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FRENCH HOSPITAL 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	17,986,879 5,089,215	13,968,597 4,572,541	18,041,978 5,268,134	3,249,952 13,092,619	7,613,289 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,209,638 224,999	0 199,009	300 206,870.5	-6,059,401 194,343	7,160 249,496
⊳ Line 7: Investments ? ⊳ Median	4,770 299,524	83,583 188,688.5	-1,418 370,813	2,980 309,361.5	63,024 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	42,452	16,346	26,643	0	8,608
⊳ Line 11: Rebates and refunds of expenses	0	0	0	21,420	800,624
⊳ 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	522,031	487,398	505,610	0	304,673
⊳ Line 15: Revenue from rental of living quarters	0	0	0	275,485	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	8,606	5,740	14,281	-293	3,801
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	8,595	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	5,146	6,463	7,052	0	7,497
⊳ Line 22: Rental of hospital space	32,944	32,760	51,033	3,775	47,818
⊳ Line 23: Gov appropriations ? ⊳ Median	223,404 1,017,693	0 983,261.5	-614,992 1,173,286	56,205 1,987,202	120,310 1,597,664
⊳ Sum Line 24	14,937,888	13,336,307	18,053,469	8,888,354	6,249,774
Total income ? Median	4,455,617 6,586,430	-212,281 6,767,106	21,334,086 8,419,950	-22,920,680 8,094,175	11,710,039 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	4,455,617 6,043,842	-212,281 5,845,112	21,334,086 7,606,259	-22,920,680 7,283,041	11,710,039 14,957,241
Net margin Median	2.93151% 4.62%	-0.13453% 4.42%	12.03826% 5.16%	-14.16415% 5.2%	5.73582% 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 FRENCH HOSPITAL 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	30,885,083 23,241,334	32,894,301 23,709,545	33,609,369 24,248,380	32,650,639 22,858,541	33,526,048 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	30,885,083 21,577,146	32,894,301 22,041,594	33,609,369 22,722,063	32,650,639 21,570,441	33,526,048 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	19,310,005 11,160,864	20,373,532 11,987,345	20,752,680 12,926,866	21,222,200 11,884,480	22,705,026 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	19,310,005 10,918,923	20,373,532 11,706,976	20,752,680 12,615,917	21,222,200 11,458,116	22,705,026 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	347,914 594,888	402,854 595,761	391,000 577,894	437,302 542,168	428,658 549,667
Outlier Median	1,356,410 582,572	1,899,135 538,116	288,078 212,434	316,128 126,559	219,299 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,809,225 3,662,910	11,654,816 3,730,911	13,672,466 4,081,319	15,095,903 4,643,908	15,964,781 4,389,147
Charity care Median	703,100 2,654,636	1,089,947 2,940,659	1,332,437 3,380,215	1,876,833 3,488,738	1,967,888 3,233,405
Uncompensated care (UCC) Median	1,535,883 5,147,790	2,194,916 5,337,617	2,440,886 5,711,082	2,762,224 5,923,418	2,568,733 5,508,107
UCC as a % of operating expenses Median	1.04% 3.24	1.39% 3.12	1.57% 3.21	1.50% 3.3	1.33% 2.86
Total shortfall/UCC Median	12,345,108 9,489,989	13,849,732 9,424,297	16,113,352 10,120,158	17,858,127 11,171,337	18,533,514 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	45,409,487 52,142,039	48,030,254 54,485,252	49,243,555 57,395,589	54,658,180 58,830,919	58,660,609 61,722,907
Salaries as a % of operating expenses Median	30.78 36.68	30.40 36.56	31.59 36.37	29.59 35.93	30.48 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	2,306,311 1,449,244	4,241,588 1,475,986	2,758,642 1,563,078	6,677,072 1,721,954	9,878,761 2,991,828
Contract hours, direct-care Median	26,938.00 22,725	48,289.00 23,018.5	33,158.00 24,503.48	66,133.00 25,026.5	82,495.00 33,786
Contract wages, direct-care Median	85.62 64.67	87.84 64.53	83.20 65.06	100.96 68.97	119.75 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.