As of the July, 2022, release via CMS

DESERT HOSPITAL

CMS id: 050243
1150 N. INDIAN CANYON WAY, PALM SPRINGS CA 92262. County: RIVERSIDE
System: TENET HEALTHCARE CORPORATION
CBSA: Riverside-San Bernardino-Ontario, CA

The 369-bed, acute-care hospital had $97,893,448 in net service to patients*, with a total profit margin of 19.19605% in fiscal year 2021, the latest year available.
It spent 1.91% of its operating expenses on uncompensated care and reported $0 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	268 118	264 118	264 119.5	265 118	264 119
Total beds Median	373 162	369 162	369 162	370 162	369 163.5
FTEs Median	1,644.20 788.06	1,676.60 793.42	1,718.70 806.03	1,554.10 787.61	1,556.90 804.34

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	516,521,863 150,932,746	562,218,555 158,950,878	568,520,167 168,696,998	561,002,782 163,454,693	600,907,315 186,589,412
Operating expenses Median	463,332,366 149,311,209	464,669,839 156,110,414	488,585,699 164,890,568	494,186,898 166,516,854	503,013,867 180,120,888
Net income from service 2 patients (NS2P) ? Median	53,189,497 -964,173	97,548,716 -643,601.5	79,934,468 -116,254	66,815,884 -5,025,862	97,893,448 -1,284,564
NS2P margin ? Median	10.30% -0.62	17.35% -0.29	14.06% 0.18	11.91% -5.07	16.29% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DESERT 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	5,076,492 5,089,215	662,765 4,572,541	876,152 5,268,134	585,482 13,092,619	21,604,201 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	34,148 224,999	92,048 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	15,611 299,524	166,798 188,688.5	49,762 370,813	35,083 309,361.5	32,118 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	2,950	2,599	2,617	2,031	18,177
⊳ Line 11: Rebates and refunds of expenses	133,224	150,570	181,515	160,470	231,410
⊳ 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	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	15,503	14,342	13,008	16,440	23,436
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	50	1,207	13,528	2,174	614,075
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	15,808	25,415
⊳ Line 22: Rental of hospital space	41,479	-37,298	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	4,833,527	272,499	615,722	353,476	20,659,570
Total income ? Median	58,265,989 6,586,430	98,211,481 6,767,106	80,810,620 8,419,950	67,401,366 8,094,175	119,497,649 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	58,265,989 6,043,842	98,211,481 5,845,112	80,810,620 7,606,259	67,401,366 7,283,041	119,497,649 14,957,241
Net margin Median	11.17066% 4.62%	17.44799% 4.42%	14.19233% 5.16%	12.00192% 5.2%	19.19605% 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 DESERT 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	61,315,768 23,241,334	65,993,853 23,709,545	66,745,809 24,248,380	67,713,899 22,858,541	71,877,907 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	58,113,103 21,577,146	63,441,189 22,041,594	64,078,617 22,722,063	64,569,769 21,570,441	67,972,516 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	2,607,794 3,535,627	1,881,449 3,746,588	1,745,175 3,782,288	1,581,260 3,865,578	2,829,190 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	594,871 1,203,033	671,215 1,215,295	922,017 1,313,657	1,562,870 1,365,298	1,076,201 1,179,746
All outpatient revenue Median Click here to show/hide details	23,526,276 11,160,864	25,380,456 11,987,345	26,402,544 12,926,866	25,332,494 11,884,480	23,367,847 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	23,526,276 10,918,923	25,380,456 11,706,976	26,402,544 12,615,917	25,332,494 11,458,116	23,367,847 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	4,564,972 3,284,314	7,910,594 3,250,551	9,476,888 3,386,837	10,300,915 3,360,806	10,224,748 3,508,953
Disproportionate-share hospital (DSH) Median	3,296,706 594,888	3,189,764 595,761	3,038,646 577,894	3,050,065 542,168	2,851,152 549,667
Outlier Median	3,009,745 582,572	3,653,523 538,116	2,309,216 212,434	206,918 126,559	713,718 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	20,830,370 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	5,391,843 2,654,636	7,480,592 2,940,659	5,178,338 3,380,215	7,969,729 3,488,738	8,092,494 3,233,405
Uncompensated care (UCC) Median	7,372,643 5,147,790	9,822,292 5,337,617	7,492,188 5,711,082	9,911,427 5,923,418	9,612,928 5,508,107
UCC as a % of operating expenses Median	1.59% 3.24	2.11% 3.12	1.53% 3.21	2.01% 3.3	1.91% 2.86
Total shortfall/UCC Median	28,203,013 9,489,989	9,822,292 9,424,297	7,492,188 10,120,158	9,911,427 11,171,337	9,612,928 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	177,586,672 52,142,039	181,854,515 54,485,252	189,487,351 57,395,589	185,532,840 58,830,919	188,866,890 61,722,907
Salaries as a % of operating expenses Median	38.33 36.68	39.14 36.56	38.78 36.37	37.55 35.93	37.55 35.24
Intern, resident salaries* Median	2,330,293 2,598,592	3,999,824 2,686,824	5,487,618 2,753,773	5,907,204 2,937,156	7,115,786 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	11,894,307 1,449,244	5,055,382 1,475,986	0 1,563,078	8,562,256 1,721,954	13,202,053 2,991,828
Contract hours, direct-care Median	156,258.00 22,725	58,820.00 23,018.5	0.00 24,503.48	93,047.00 25,026.5	85,648.00 33,786
Contract wages, direct-care Median	76.12 64.67	85.95 64.53	0.00 65.06	92.02 68.97	154.14 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.