As of the July, 2022, release via CMS

DOMINICAN HOSPITAL

CMS id: 050242
1555 SOQUEL DRIVE, SANTA CRUZ CA 95065. County: SANTA CRUZ
System: DIGNITY HEALTH
CBSA: Santa Cruz-Watsonville, CA

The 222-bed, acute-care hospital had $16,206,715 in net service to patients*, with a total profit margin of 28.62411% in fiscal year 2021, the latest year available.
It spent 1.74% of its operating expenses on uncompensated care and reported $17,681,896 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	172 118	172 118	172 119.5	172 118	172 119
Total beds Median	222 162	222 162	222 162	222 162	222 163.5
FTEs Median	1,216.33 788.06	1,202.26 793.42	1,197.40 806.03	1,169.34 787.61	1,163.20 804.34

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	429,323,114 150,932,746	446,361,603 158,950,878	453,222,467 168,696,998	454,997,679 163,454,693	454,315,162 186,589,412
Operating expenses Median	383,300,085 149,311,209	419,096,107 156,110,414	417,418,291 164,890,568	418,543,343 166,516,854	438,108,447 180,120,888
Net income from service 2 patients (NS2P) ? Median	46,023,029 -964,173	27,265,496 -643,601.5	35,804,176 -116,254	36,454,336 -5,025,862	16,206,715 -1,284,564
NS2P margin ? Median	10.72% -0.62	6.11% -0.29	7.90% 0.18	8.01% -5.07	3.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DOMINICAN HOSPITAL 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	50,212,412 5,089,215	44,818,810 4,572,541	31,361,553 5,268,134	130,324,684 13,092,619	159,489,393 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	2,000 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	36,267,765 299,524	31,802,318 188,688.5	18,354,778 370,813	15,341,572 309,361.5	140,682,876 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	50,038	25,858	22,891	29,299	11,302
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	1,073,402
⊳ 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	788,583	752,789	771,667	655,600	457,611
⊳ 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	3,818	0
⊳ Line 18: Revenue from sale of medical records and abstracts	9,537	5,880	4,927	7,189	2,825
⊳ 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	4,201	2,030	1,430	3,027	3,338
⊳ Line 22: Rental of hospital space	850,558	802,256	863,021	855,495	991,591
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	-5,314 983,261.5	0 1,173,286	0 1,987,202	29,998 1,597,664
⊳ Sum Line 24	12,241,730	11,432,993	11,342,839	113,426,684	16,236,450
Total income ? Median	96,235,441 6,586,430	72,084,306 6,767,106	67,165,729 8,419,950	166,779,020 8,094,175	175,696,108 15,162,888
Non-operating expenses Median	5,703,189 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	90,532,252 6,043,842	72,084,306 5,845,112	67,165,729 7,606,259	166,779,020 7,283,041	175,696,108 14,957,241
Net margin Median	18.87915% 4.62%	14.67573% 4.42%	13.86049% 5.16%	28.49353% 5.2%	28.62411% 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 DOMINICAN HOSPITAL 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	91,201,203 23,241,334	98,528,804 23,709,545	99,194,914 24,248,380	96,074,610 22,858,541	100,576,558 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	80,879,739 21,577,146	86,155,265 22,041,594	86,763,448 22,722,063	83,021,827 21,570,441	85,750,010 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	10,321,464 3,535,627	12,373,539 3,746,588	12,431,466 3,782,288	13,052,783 3,865,578	14,826,548 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	34,785,385 11,160,864	35,506,992 11,987,345	36,231,487 12,926,866	38,378,031 11,884,480	38,112,706 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	28,885,309 10,918,923	29,411,297 11,706,976	30,618,450 12,615,917	32,453,122 11,458,116	32,272,883 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,900,076 1,282,808	6,095,695 1,407,728	5,613,037 1,341,512	5,924,909 1,407,046	5,839,823 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	2,916,648 594,888	3,213,551 595,761	3,155,729 577,894	3,057,037 542,168	2,862,260 549,667
Outlier Median	7,162,991 582,572	7,801,082 538,116	7,294,364 212,434	1,484,462 126,559	1,476,292 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,409,473 3,662,910	25,532,808 3,730,911	17,170,563 4,081,319	18,278,610 4,643,908	17,681,896 4,389,147
Charity care Median	2,473,527 2,654,636	3,100,940 2,940,659	2,965,129 3,380,215	4,901,629 3,488,738	5,458,602 3,233,405
Uncompensated care (UCC) Median	5,878,765 5,147,790	6,129,759 5,337,617	5,653,457 5,711,082	7,348,099 5,923,418	7,634,274 5,508,107
UCC as a % of operating expenses Median	1.53% 3.24	1.46% 3.12	1.35% 3.21	1.76% 3.3	1.74% 2.86
Total shortfall/UCC Median	27,288,238 9,489,989	31,662,567 9,424,297	22,824,020 10,120,158	25,626,709 11,171,337	25,316,170 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	157,669,223 52,142,039	157,877,445 54,485,252	163,449,217 57,395,589	164,700,253 58,830,919	172,153,867 61,722,907
Salaries as a % of operating expenses Median	41.13 36.68	37.67 36.56	39.16 36.37	39.35 35.93	39.29 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	5,826,311 1,449,244	6,571,523 1,475,986	5,741,990 1,563,078	7,172,622 1,721,954	5,964,468 2,991,828
Contract hours, direct-care Median	67,356.00 22,725	77,911.00 23,018.5	67,427.00 24,503.48	67,105.00 25,026.5	50,359.00 33,786
Contract wages, direct-care Median	86.50 64.67	84.35 64.53	85.16 65.06	106.89 68.97	118.44 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.