As of the July, 2022, release via CMS

HI - DESERT MEDICAL CENTER

CMS id: 050279
6601 WHITE FEATHER ROAD, JOSHUA TREE CA 92252. County: SAN BERNARDINO
System: TENET HEALTHCARE CORPORATION
CBSA: Riverside-San Bernardino-Ontario, CA

The 175-bed, acute-care hospital had $2,566,534 in net service to patients*, with a total profit margin of 9.60628% in fiscal year 2021, the latest year available.
It spent 2.32% 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	gov	gov	gov	gov	gov
Acute beds Median	51 118	51 118	51 119.5	51 118	51 119
Total beds Median	179 162	179 162	175 162	175 162	175 163.5
FTEs Median	374.10 788.06	375.00 793.42	337.00 806.03	336.30 787.61	308.70 804.34

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	59,634,501 150,932,746	71,766,664 158,950,878	70,235,698 168,696,998	69,226,666 163,454,693	75,698,650 186,589,412
Operating expenses Median	63,630,711 149,311,209	63,812,615 156,110,414	64,961,785 164,890,568	73,158,927 166,516,854	73,132,116 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,996,210 -964,173	7,954,049 -643,601.5	5,273,913 -116,254	-3,932,261 -5,025,862	2,566,534 -1,284,564
NS2P margin ? Median	-6.70% -0.62	11.08% -0.29	7.51% 0.18	-5.68% -5.07	3.39% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HI - DESERT 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	345,164 5,089,215	324,296 4,572,541	385,746 5,268,134	320,682 13,092,619	5,205,327 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	8,257	2,015	-272	1,481	2,004
⊳ Line 11: Rebates and refunds of expenses	33,687	28,701	106,293	27,636	37,333
⊳ 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	159,514	184,039	195,559	157,978	131,631
⊳ 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	10,801	10,472	5,345	3,673	3,437
⊳ 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	2,291	17,463
⊳ Line 22: Rental of hospital space	33,739	30,601	29,338	30,020	28,263
⊳ 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	99,166	68,468	49,483	97,603	4,985,196
Total income ? Median	-3,651,046 6,586,430	8,278,345 6,767,106	5,659,659 8,419,950	-3,611,579 8,094,175	7,771,861 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	-3,651,046 6,043,842	8,278,345 5,845,112	5,659,659 7,606,259	-3,611,579 7,283,041	7,771,861 14,957,241
Net margin Median	-6.08714% 4.62%	11.48319% 4.42%	8.01408% 5.16%	-5.19298% 5.2%	9.60628% 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 HI - DESERT 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	6,828,928 23,241,334	7,456,869 23,709,545	6,261,279 24,248,380	6,885,168 22,858,541	6,168,118 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	5,617,143 21,577,146	6,157,696 22,041,594	5,516,521 22,722,063	5,544,156 21,570,441	5,200,082 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	1,211,785 1,203,033	1,299,173 1,215,295	744,758 1,313,657	1,341,012 1,365,298	968,036 1,179,746
All outpatient revenue Median Click here to show/hide details	3,502,711 11,160,864	3,535,716 11,987,345	3,496,466 12,926,866	3,427,138 11,884,480	2,776,960 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	3,502,711 10,918,923	3,535,716 11,706,976	3,496,466 12,615,917	3,427,138 11,458,116	2,776,960 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	122,571 594,888	127,967 595,761	109,290 577,894	112,020 542,168	96,907 549,667
Outlier Median	34,966 582,572	30,585 538,116	99,835 212,434	34,345 126,559	54,438 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	69,866 2,654,636	11,926 2,940,659	6,340 3,380,215	1,004,472 3,488,738	928,187 3,233,405
Uncompensated care (UCC) Median	1,453,110 5,147,790	1,612,537 5,337,617	455,235 5,711,082	2,302,249 5,923,418	1,695,266 5,508,107
UCC as a % of operating expenses Median	2.28% 3.24	2.53% 3.12	0.70% 3.21	3.15% 3.3	2.32% 2.86
Total shortfall/UCC Median	1,453,110 9,489,989	1,612,537 9,424,297	455,235 10,120,158	2,302,249 11,171,337	1,695,266 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	27,289,609 52,142,039	27,328,775 54,485,252	26,802,393 57,395,589	29,165,510 58,830,919	27,378,502 61,722,907
Salaries as a % of operating expenses Median	42.86 36.68	42.82 36.56	41.29 36.37	39.87 35.93	37.44 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	1,978,679 1,449,244	483,636 1,475,986	1,604,872 1,563,078	1,380,606 1,721,954	1,345,288 2,991,828
Contract hours, direct-care Median	18,866.00 22,725	9,915.00 23,018.5	19,783.25 24,503.48	20,047.00 25,026.5	13,797.00 33,786
Contract wages, direct-care Median	104.88 64.67	48.78 64.53	81.12 65.06	68.87 68.97	97.51 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.