As of the July, 2022, release via CMS

REDLANDS COMMUNITY HOSPITAL

CMS id: 050272
350 TERRACINA BOULEVARD, REDLANDS CA 92373. County: SAN BERNARDINO
System: --
CBSA: Riverside-San Bernardino-Ontario, CA

The 229-bed, acute-care hospital had $-11,888,679 in net service to patients*, with a total profit margin of 16.80695% in fiscal year 2021, the latest year available.
It spent 1.78% of its operating expenses on uncompensated care and reported $24,782,633 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	166 118	166 118	166 119.5	166 118	166 119
Total beds Median	229 162	229 162	229 162	229 162	229 163.5
FTEs Median	1,352.62 788.06	1,369.88 793.42	1,441.43 806.03	1,470.64 787.61	1,467.57 804.34

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	180,135,227 150,932,746	203,546,911 158,950,878	217,473,461 168,696,998	200,580,032 163,454,693	213,727,828 186,589,412
Operating expenses Median	167,269,793 149,311,209	176,175,284 156,110,414	197,872,494 164,890,568	186,574,240 166,516,854	225,616,507 180,120,888
Net income from service 2 patients (NS2P) ? Median	12,865,434 -964,173	27,371,627 -643,601.5	19,600,967 -116,254	14,005,792 -5,025,862	-11,888,679 -1,284,564
NS2P margin ? Median	7.14% -0.62	13.45% -0.29	9.01% 0.18	6.98% -5.07	-5.56% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for REDLANDS COMMUNITY 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	7,195,605 5,089,215	2,330,756 4,572,541	10,532,514 5,268,134	31,079,032 13,092,619	57,468,514 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	14,625 224,999	18,338 199,009	21,824 206,870.5	214,338 194,343	196,930 249,496
⊳ Line 7: Investments ? ⊳ Median	1,017,523 299,524	42,760 188,688.5	7,874,959 370,813	15,404,680 309,361.5	50,981,583 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	39,484	--	--	--
⊳ Line 10: Purchase discounts	16,863	2,382	6,333	1,084	3,979
⊳ Line 11: Rebates and refunds of expenses	800,243	1,000,268	1,133,032	1,070,133	1,337,440
⊳ 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	818,506	806,241	819,940	721,277	579,715
⊳ 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	20,503	10,550	9,153	1,970	1,035
⊳ Line 18: Revenue from sale of medical records and abstracts	1,657	0	596	0	3,301
⊳ 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	0	0	0	0	7,524
⊳ Line 22: Rental of hospital space	0	0	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	4,505,685	410,733	603,363	13,597,736	4,293,108
Total income ? Median	20,061,039 6,586,430	29,702,383 6,767,106	30,133,481 8,419,950	45,084,824 8,094,175	45,579,835 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	20,061,039 6,043,842	29,702,383 5,845,112	30,133,481 7,606,259	45,084,824 7,283,041	45,579,835 14,957,241
Net margin Median	10.70888% 4.62%	14.42720% 4.42%	13.21609% 5.16%	19.46171% 5.2%	16.80695% 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 REDLANDS COMMUNITY 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	24,108,975 23,241,334	24,915,456 23,709,545	26,026,804 24,248,380	22,327,864 22,858,541	20,596,359 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	23,241,377 21,577,146	23,878,499 22,041,594	25,014,469 22,722,063	21,507,277 21,570,441	19,804,870 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	485,412 1,845,420	548,745 1,757,392	543,756 1,738,842	398,755 1,510,463	311,185 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	382,186 1,203,033	488,212 1,215,295	468,579 1,313,657	421,832 1,365,298	480,304 1,179,746
All outpatient revenue Median Click here to show/hide details	9,563,844 11,160,864	10,041,420 11,987,345	10,382,008 12,926,866	10,589,222 11,884,480	12,497,507 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	8,984,879 10,918,923	9,428,254 11,706,976	9,793,572 12,615,917	9,989,181 11,458,116	11,746,787 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	578,965 1,282,808	613,166 1,407,728	588,436 1,341,512	600,041 1,407,046	750,720 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	795,405 594,888	758,847 595,761	760,649 577,894	670,077 542,168	517,753 549,667
Outlier Median	1,206,060 582,572	479,233 538,116	60,842 212,434	27,381 126,559	66,680 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	13,719,420 3,662,910	13,792,708 3,730,911	2,058,464 4,081,319	20,166,376 4,643,908	24,782,633 4,389,147
Charity care Median	2,900,404 2,654,636	3,548,324 2,940,659	4,154,956 3,380,215	4,406,270 3,488,738	3,434,898 3,233,405
Uncompensated care (UCC) Median	3,785,880 5,147,790	4,069,865 5,337,617	4,730,160 5,711,082	5,127,491 5,923,418	4,012,044 5,508,107
UCC as a % of operating expenses Median	2.26% 3.24	2.31% 3.12	2.39% 3.21	2.75% 3.3	1.78% 2.86
Total shortfall/UCC Median	17,505,300 9,489,989	17,862,573 9,424,297	6,788,624 10,120,158	25,293,867 11,171,337	28,794,677 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	101,649,890 52,142,039	110,491,309 54,485,252	120,254,649 57,395,589	125,627,307 58,830,919	131,369,723 61,722,907
Salaries as a % of operating expenses Median	45.11 36.68	44.30 36.56	44.70 36.37	44.88 35.93	45.39 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	1,885,747 1,449,244	791,239 1,475,986	604,581 1,563,078	1,420,935 1,721,954	1,471,270 2,991,828
Contract hours, direct-care Median	22,731.00 22,725	9,746.00 23,018.5	7,663.00 24,503.48	15,946.00 25,026.5	13,050.00 33,786
Contract wages, direct-care Median	82.96 64.67	81.19 64.53	78.90 65.06	89.11 68.97	112.74 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.