As of the July, 2022, release via CMS

ST. MARY MEDICAL CENTER

CMS id: 050300
18300 HIGHWAY 18, APPLE VALLEY CA 92307. County: SAN BERNARDINO
System: ST JOSEPH HEALTH SYSTEM
CBSA: Riverside-San Bernardino-Ontario, CA

The 213-bed, acute-care hospital had $22,719,640 in net service to patients*, with a total profit margin of 20.10849% in fiscal year 2021, the latest year available.
It spent 2.28% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	184 118	184 118	184 119.5	185 118	185 119
Total beds Median	212 162	212 162	212 162	213 162	213 163.5
FTEs Median	1,343.80 788.06	1,358.90 793.42	1,306.57 806.03	1,264.77 787.61	1,137.91 804.34

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	313,759,612 150,932,746	314,455,118 158,950,878	337,879,841 168,696,998	374,219,091 163,454,693	364,387,610 186,589,412
Operating expenses Median	293,259,546 149,311,209	303,151,977 156,110,414	308,886,558 164,890,568	317,364,195 166,516,854	341,667,970 180,120,888
Net income from service 2 patients (NS2P) ? Median	20,500,066 -964,173	11,303,141 -643,601.5	28,993,283 -116,254	56,854,896 -5,025,862	22,719,640 -1,284,564
NS2P margin ? Median	6.53% -0.62	3.59% -0.29	8.58% 0.18	15.19% -5.07	6.24% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. MARY 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	29,764,252 5,089,215	15,987,947 4,572,541	17,317,097 5,268,134	17,944,869 13,092,619	63,277,331 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	333,912 199,009	275,214 206,870.5	187,188 194,343	104,847 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	14,341,509 188,688.5	9,851,221 370,813	4,090,387 309,361.5	58,054,192 375,329
⊳ 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	0	0	0	0	0
⊳ 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	541,136	300,612	584,347	521,080	413,120
⊳ 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	0	0	0	6,879	6,340
⊳ 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	0
⊳ Line 22: Rental of hospital space	0	0	0	169,167	439,592
⊳ 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	29,223,116	1,011,914	6,606,315	12,970,168	4,259,240
Total income ? Median	50,264,318 6,586,430	27,291,088 6,767,106	46,310,380 8,419,950	74,799,765 8,094,175	85,996,971 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	50,264,318 6,043,842	27,291,088 5,845,112	46,310,380 7,606,259	74,799,765 7,283,041	85,996,971 14,957,241
Net margin Median	14.63197% 4.62%	8.25894% 4.42%	13.03794% 5.16%	19.07359% 5.2%	20.10849% 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 ST. MARY 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	48,810,579 23,241,334	47,011,040 23,709,545	44,860,742 24,248,380	39,476,450 22,858,541	37,509,588 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	48,810,579 21,577,146	47,011,040 22,041,594	44,860,742 22,722,063	39,476,450 21,570,441	37,509,588 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	9,490,739 11,160,864	10,049,195 11,987,345	11,288,578 12,926,866	11,049,957 11,884,480	9,425,096 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	9,490,739 10,918,923	10,049,195 11,706,976	11,288,578 12,615,917	11,049,957 11,458,116	9,425,096 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	3,290,984 594,888	3,034,154 595,761	2,649,708 577,894	2,292,538 542,168	1,933,096 549,667
Outlier Median	2,116,054 582,572	2,395,530 538,116	1,836,971 212,434	332,350 126,559	265,249 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	34,100,579 3,662,910	33,967,145 3,730,911	46,901,907 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	2,634,146 2,654,636	9,735,448 2,940,659	11,431,472 3,380,215	8,230,980 3,488,738	5,473,555 3,233,405
Uncompensated care (UCC) Median	5,468,275 5,147,790	11,902,962 5,337,617	11,874,372 5,711,082	10,771,692 5,923,418	7,806,257 5,508,107
UCC as a % of operating expenses Median	1.86% 3.24	3.93% 3.12	3.84% 3.21	3.39% 3.3	2.28% 2.86
Total shortfall/UCC Median	39,568,854 9,489,989	45,870,107 9,424,297	58,776,279 10,120,158	10,771,692 11,171,337	7,806,257 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	120,175,944 52,142,039	125,442,990 54,485,252	126,899,091 57,395,589	124,050,943 58,830,919	121,844,100 61,722,907
Salaries as a % of operating expenses Median	40.98 36.68	41.38 36.56	46.87 36.37	52.35 35.93	46.87 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	3,320,852 1,449,244	2,235,676 1,475,986	2,861,049 1,563,078	9,415,445 1,721,954	13,824,767 2,991,828
Contract hours, direct-care Median	41,054.09 22,725	26,215.02 23,018.5	36,878.00 24,503.48	103,851.00 25,026.5	112,394.77 33,786
Contract wages, direct-care Median	80.89 64.67	85.28 64.53	77.58 65.06	90.66 68.97	123.00 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.