As of the July, 2022, release via CMS

RIVERSIDE UNIVERSITY HEALTH SYSTEM

CMS id: 050292
26520 CACTUS AVENUE, MORENO VALLEY CA 92555. County: RIVERSIDE
System: --
CBSA: Riverside-San Bernardino-Ontario, CA

The 423-bed, acute-care hospital had $-83,091,526 in net service to patients*, with a total profit margin of 7.09233% in fiscal year 2021, the latest year available.
It spent 4.26% of its operating expenses on uncompensated care and reported $112,638,770 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	2 118	354 118	338 119.5	338 118	338 119
Total beds Median	87 162	439 162	423 162	423 162	423 163.5
FTEs Median	3,009.00 788.06	3,053.00 793.42	3,282.37 806.03	3,384.00 787.61	3,220.00 804.34

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	457,295,797 150,932,746	520,171,500 158,950,878	317,936,965 168,696,998	574,945,171 163,454,693	596,041,049 186,589,412
Operating expenses Median	570,608,607 149,311,209	618,390,264 156,110,414	644,839,542 164,890,568	723,932,694 166,516,854	679,132,575 180,120,888
Net income from service 2 patients (NS2P) ? Median	-113,312,810 -964,173	-98,218,764 -643,601.5	-326,902,577 -116,254	-148,987,523 -5,025,862	-83,091,526 -1,284,564
NS2P margin ? Median	-24.78% -0.62	-18.88% -0.29	-102.82% 0.18	-25.91% -5.07	-13.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RIVERSIDE UNIVERSITY HEALTH SYSTEM 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	113,811,802 5,089,215	50,951,453 4,572,541	60,507,410 5,268,134	94,618,601 13,092,619	134,934,714 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	551,701 224,999	93,437 199,009	7,142 206,870.5	354,586 194,343	51,101,773 249,496
⊳ Line 7: Investments ? ⊳ Median	496,003 299,524	196,075 188,688.5	1,615,774 370,813	553,230 309,361.5	-114,304 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	1,332,171	1,549,352	1,282,511	1,473,963	1,754,706
⊳ Line 12: Parking lot receipts	26,661	27,194	15,210	21,856	25,073
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,631,156	1,642,276	1,777,034	1,374,174	808,432
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	3,588	5,758	4,588	3,306	0
⊳ Line 17: Revenue from sale of drugs to other than patients	15,743,572	10,000,352	11,349,499	9,805,649	9,840,551
⊳ Line 18: Revenue from sale of medical records and abstracts	17,170	12,102	11,075	16,456	27,828
⊳ 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	5,177	4,912	7,040	5,814	709
⊳ Line 22: Rental of hospital space	850,772	669,385	449,556	1,159,556	4,435,522
⊳ Line 23: Gov appropriations ? ⊳ Median	31,746,565 1,017,693	22,481,687 983,261.5	27,620,648 1,173,286	30,466,332 1,987,202	37,544,142 1,597,664
⊳ Sum Line 24	61,407,266	14,268,923	16,367,333	49,383,679	29,510,282
Total income ? Median	498,992 6,586,430	-47,267,311 6,767,106	-266,395,167 8,419,950	-54,368,922 8,094,175	51,843,188 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-224,873,230 89,880.5	0 106,761	0 31,473.5
Net income Median	498,992 6,043,842	-47,267,311 5,845,112	-41,521,937 7,606,259	-54,368,922 7,283,041	51,843,188 14,957,241
Net margin Median	0.08737% 4.62%	-8.27621% 4.42%	-10.97174% 5.16%	-8.12005% 5.2%	7.09233% 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 RIVERSIDE UNIVERSITY HEALTH SYSTEM 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	37,076,434 23,241,334	37,460,724 23,709,545	42,716,705 24,248,380	40,001,959 22,858,541	50,121,511 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	37,076,434 21,577,146	37,460,724 22,041,594	42,716,705 22,722,063	40,001,959 21,570,441	50,121,511 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	5,920,026 11,160,864	7,020,080 11,987,345	8,334,342 12,926,866	8,657,643 11,884,480	8,860,796 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	5,920,026 10,918,923	7,020,080 11,706,976	8,334,342 12,615,917	8,657,643 11,458,116	8,860,796 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	3,091,558 3,284,314	3,183,325 3,250,551	3,459,512 3,386,837	3,497,525 3,360,806	4,172,791 3,508,953
Disproportionate-share hospital (DSH) Median	2,487,897 594,888	2,086,525 595,761	2,750,196 577,894	2,905,056 542,168	3,285,268 549,667
Outlier Median	3,504,246 582,572	4,603,034 538,116	8,112,867 212,434	777,307 126,559	839,104 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	24,925,520 3,662,910	23,319,777 3,730,911	64,900,047 4,081,319	105,798,453 4,643,908	112,638,770 4,389,147
Charity care Median	14,694,294 2,654,636	26,638,630 2,940,659	27,916,275 3,380,215	29,408,589 3,488,738	19,279,807 3,233,405
Uncompensated care (UCC) Median	19,409,288 5,147,790	39,156,389 5,337,617	37,364,293 5,711,082	43,059,159 5,923,418	28,917,517 5,508,107
UCC as a % of operating expenses Median	3.40% 3.24	6.33% 3.12	5.79% 3.21	5.95% 3.3	4.26% 2.86
Total shortfall/UCC Median	44,334,808 9,489,989	62,476,166 9,424,297	102,264,340 10,120,158	148,857,612 11,171,337	141,556,287 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	232,533,762 52,142,039	243,470,791 54,485,252	260,505,170 57,395,589	271,596,636 58,830,919	288,587,815 61,722,907
Salaries as a % of operating expenses Median	40.75 36.68	39.37 36.56	40.40 36.37	37.52 35.93	42.49 35.24
Intern, resident salaries* Median	7,373,385 2,598,592	7,772,977 2,686,824	8,031,377 2,753,773	8,546,582 2,937,156	8,909,332 2,909,848
Contract intern, resident salaries* Median	6,969,262 1,251,927	4,305,793 1,186,494	5,807,768 1,204,885	5,395,674 1,279,653	5,936,339 1,469,317
Contract adjusted salaries, direct-care Median	18,512,698 1,449,244	13,182,700 1,475,986	13,949,127 1,563,078	5,395,674 1,721,954	13,031,264 2,991,828
Contract hours, direct-care Median	411,089.00 22,725	264,056.00 23,018.5	296,404.00 24,503.48	194,136.00 25,026.5	122,063.00 33,786
Contract wages, direct-care Median	45.03 64.67	49.92 64.53	47.06 65.06	27.79 68.97	106.76 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.