As of the July, 2022, release via CMS

CMH OF SAN BUENAVENTURA

CMS id: 050394
147 N. BRENT STREET, VENTURA CA 93003. County: VENTURA
System: COMMUNITY MEMORIAL HEALTH SYSTEM
CBSA: Oxnard-Thousand Oaks-Ventura, CA

The 229-bed, acute-care hospital had $-44,295,147 in net service to patients*, with a total profit margin of -2.94333% in fiscal year 2020, the latest year available.
It spent 0.27% 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	164 118	164 118	179 119.5	188 118	-- 119
Total beds Median	201 162	201 162	220 162	229 162	-- 163.5
FTEs Median	1,899.00 788.06	1,782.00 793.42	1,859.00 806.03	1,943.00 787.61	-- 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	361,207,532 150,932,746	387,271,118 158,950,878	456,132,321 168,696,998	437,878,301 163,454,693	-- 186,589,412
Operating expenses Median	353,713,544 149,311,209	370,564,063 156,110,414	473,365,741 164,890,568	482,173,448 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,493,988 -964,173	16,707,055 -643,601.5	-17,233,420 -116,254	-44,295,147 -5,025,862	-- -1,284,564
NS2P margin ? Median	2.07% -0.62	4.31% -0.29	-3.78% 0.18	-10.12% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CMH OF SAN BUENAVENTURA 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	23,382,812 5,089,215	24,654,684 4,572,541	27,621,184 5,268,134	30,530,218 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	177,288 224,999	39,846 199,009	32,869 206,870.5	12,905 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	15,995,693 299,524	16,037,887 188,688.5	17,441,114 370,813	5,656,924 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	47,006	52,834	45,935	83,367	--
⊳ Line 11: Rebates and refunds of expenses	1,273,447	1,342,678	1,793,566	2,153,193	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	227,579	208,745	0	272,450	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	875,933	984,481	1,408,137	978,743	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	111,386	80,699	81,556	77,725	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	0	0	0	0	--
⊳ Line 22: Rental of hospital space	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	-- 1,597,664
⊳ Sum Line 24	4,674,480	5,907,514	6,818,007	21,294,911	--
Total income ? Median	30,876,800 6,586,430	41,361,739 6,767,106	10,387,764 8,419,950	-13,764,929 8,094,175	-- 15,162,888
Non-operating expenses Median	517,934 146,289.5	23,635,419 164,857	13,291 89,880.5	21,887 106,761	-- 31,473.5
Net income Median	30,358,866 6,043,842	17,726,320 5,845,112	10,374,473 7,606,259	-13,786,816 7,283,041	-- 14,957,241
Net margin Median	7.89382% 4.62%	4.30328% 4.42%	2.14458% 5.16%	-2.94333% 5.2%	--% 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 CMH OF SAN BUENAVENTURA 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	49,541,751 23,241,334	51,870,825 23,709,545	60,107,388 24,248,380	58,322,040 22,858,541	-- 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	49,541,751 21,577,146	51,870,825 22,041,594	60,107,388 22,722,063	58,322,040 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	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	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	30,940,516 11,160,864	34,031,770 11,987,345	38,361,903 12,926,866	32,634,199 11,884,480	-- 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	30,531,472 10,918,923	33,553,308 11,706,976	37,836,125 12,615,917	32,222,197 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	409,044 618,038	478,462 697,279	525,778 690,232	412,002 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	7,303,838 3,284,314	8,502,752 3,250,551	8,849,233 3,386,837	9,185,399 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	1,222,145 594,888	1,274,316 595,761	1,629,098 577,894	1,190,915 542,168	-- 549,667
Outlier Median	874,653 582,572	615,592 538,116	83,067 212,434	133,038 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,229 3,662,910	0 3,730,911	6,412,561 4,081,319	0 4,643,908	-- 4,389,147
Charity care Median	1,117,079 2,654,636	1,737,633 2,940,659	1,492,311 3,380,215	663,332 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	2,570,623 5,147,790	2,358,015 5,337,617	2,186,920 5,711,082	1,299,338 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	0.73% 3.24	0.64% 3.12	0.46% 3.21	0.27% 3.3	--% 2.86
Total shortfall/UCC Median	2,579,852 9,489,989	2,358,015 9,424,297	8,599,481 10,120,158	1,299,338 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	143,079,816 52,142,039	150,786,000 54,485,252	174,867,163 57,395,589	183,863,152 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	40.45 36.68	40.69 36.56	36.94 36.37	38.13 35.93	-- 35.24
Intern, resident salaries* Median	2,933,693 2,598,592	3,566,064 2,686,824	3,844,718 2,753,773	4,450,188 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	5,977,721 1,449,244	8,616,176 1,475,986	14,086,052 1,563,078	10,499,052 1,721,954	-- 2,991,828
Contract hours, direct-care Median	100,437.00 22,725	142,066.00 23,018.5	211,707.00 24,503.48	157,683.00 25,026.5	-- 33,786
Contract wages, direct-care Median	59.52 64.67	60.65 64.53	66.54 65.06	66.58 68.97	-- 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.