As of the July, 2022, release via CMS

SANTA BARBARA COTTAGE HOSPITAL

CMS id: 050396
400 WEST PUEBLO STREET, SANTA BARBARA CA 93102. County: SANTA BARBARA
System: COTTAGE HEALTH SYSTEM
CBSA: Santa Maria-Santa Barbara, CA

The 401-bed, acute-care hospital had $-24,996,721 in net service to patients*, with a total profit margin of 11.60160% in fiscal year 2021, the latest year available.
It spent 1.13% of its operating expenses on uncompensated care and reported $61,566,527 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	255 118	255 118	267 119.5	282 118	284 119
Total beds Median	363 162	363 162	380 162	399 162	401 163.5
FTEs Median	2,587.05 788.06	2,497.80 793.42	2,590.42 806.03	2,640.82 787.61	2,618.56 804.34

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	646,433,225 150,932,746	717,073,668 158,950,878	758,904,703 168,696,998	721,952,744 163,454,693	772,022,697 186,589,412
Operating expenses Median	634,811,313 149,311,209	678,245,756 156,110,414	709,004,814 164,890,568	753,978,243 166,516,854	797,019,418 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,621,912 -964,173	38,827,912 -643,601.5	49,899,889 -116,254	-32,025,499 -5,025,862	-24,996,721 -1,284,564
NS2P margin ? Median	1.80% -0.62	5.41% -0.29	6.58% 0.18	-4.44% -5.07	-3.24% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SANTA BARBARA COTTAGE 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	167,381,438 5,089,215	35,749,562 4,572,541	107,542,433 5,268,134	75,482,209 13,092,619	120,811,110 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	67,025,770 224,999	40,679,199 199,009	3,506,293 206,870.5	3,029,724 194,343	13,500,326 249,496
⊳ Line 7: Investments ? ⊳ Median	80,298,733 299,524	-15,253,136 188,688.5	91,666,917 370,813	41,230,456 309,361.5	89,832,208 375,329
⊳ 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	94,954	84,952	88,476	23,474	7,497
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,005,349	1,999,638	2,295,387	1,557,724	1,490,337
⊳ 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	2,600	2,462	2,372	2,275	1,917
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,184,540	1,304,219	1,200,718	835,887	1,154,103
⊳ Line 21: Rental of vending machines	22,339	22,136	19,791	13,391	15,880
⊳ Line 22: Rental of hospital space	342,374	352,681	337,823	296,010	231,405
⊳ 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	16,404,779	6,557,411	8,424,656	28,493,268	14,577,437
Total income ? Median	179,003,350 6,586,430	74,577,474 6,767,106	157,442,322 8,419,950	43,456,710 8,094,175	95,814,389 15,162,888
Non-operating expenses Median	628,122 146,289.5	-190,152 164,857	-692,398 89,880.5	-11,395,260 106,761	-7,768,611 31,473.5
Net income Median	178,375,228 6,043,842	74,767,626 5,845,112	158,134,720 7,606,259	54,851,970 7,283,041	103,583,000 14,957,241
Net margin Median	21.91841% 4.62%	9.93163% 4.42%	18.25094% 5.16%	6.87855% 5.2%	11.60160% 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 SANTA BARBARA COTTAGE 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	115,395,159 23,241,334	125,049,098 23,709,545	128,850,734 24,248,380	127,594,111 22,858,541	135,086,798 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	104,615,779 21,577,146	113,981,105 22,041,594	118,043,037 22,722,063	116,061,599 21,570,441	123,241,047 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	10,779,380 3,535,627	11,067,993 3,746,588	10,807,697 3,782,288	11,532,512 3,865,578	11,845,751 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	35,765,491 11,160,864	41,803,538 11,987,345	47,346,270 12,926,866	45,640,875 11,884,480	53,528,138 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	35,765,491 10,918,923	41,803,538 11,706,976	47,346,270 12,615,917	45,640,875 11,458,116	53,528,138 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	6,293,112 3,284,314	7,602,313 3,250,551	7,698,554 3,386,837	7,115,454 3,360,806	7,688,733 3,508,953
Disproportionate-share hospital (DSH) Median	2,701,007 594,888	3,001,756 595,761	2,619,287 577,894	2,996,923 542,168	3,095,032 549,667
Outlier Median	18,160,634 582,572	19,144,421 538,116	3,826,530 212,434	3,620,511 126,559	3,888,526 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	41,495,433 3,662,910	51,890,960 3,730,911	51,723,067 4,081,319	62,263,920 4,643,908	61,566,527 4,389,147
Charity care Median	1,845,826 2,654,636	7,716,407 2,940,659	11,638,618 3,380,215	14,127,130 3,488,738	6,984,846 3,233,405
Uncompensated care (UCC) Median	4,354,514 5,147,790	9,713,848 5,337,617	13,487,075 5,711,082	16,873,837 5,923,418	9,020,508 5,508,107
UCC as a % of operating expenses Median	0.69% 3.24	1.43% 3.12	1.90% 3.21	2.24% 3.3	1.13% 2.86
Total shortfall/UCC Median	45,849,947 9,489,989	61,604,808 9,424,297	65,210,142 10,120,158	79,137,757 11,171,337	70,587,035 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	253,431,838 52,142,039	270,020,858 54,485,252	287,688,700 57,395,589	309,641,069 58,830,919	295,822,087 61,722,907
Salaries as a % of operating expenses Median	39.95 36.68	39.81 36.56	40.58 36.37	41.07 35.93	37.12 35.24
Intern, resident salaries* Median	6,436,313 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	8,304,687 1,449,244	8,275,853 1,475,986	9,718,293 1,563,078	9,717,261 1,721,954	11,896,206 2,991,828
Contract hours, direct-care Median	102,471.00 22,725	109,548.00 23,018.5	135,037.00 24,503.48	116,966.00 25,026.5	88,675.00 33,786
Contract wages, direct-care Median	81.04 64.67	75.55 64.53	71.97 65.06	83.08 68.97	134.16 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.