As of the July, 2022, release via CMS

CEDARS-SINAI MEDICAL CENTER

CMS id: 050625
8700 BEVERLY BLVD., LOS ANGELES CA 90048. County: LOS ANGELES
System: --
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 882-bed, acute-care hospital had $-58,764,671 in net service to patients*, with a total profit margin of 20.44171% in fiscal year 2021, the latest year available.
It spent 1.23% of its operating expenses on uncompensated care and reported $17,635,064 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	708 118	709 118	709 119.5	712 118	711 119
Total beds Median	879 162	880 162	880 162	883 162	882 163.5
FTEs Median	11,559.33 788.06	11,766.13 793.42	10,932.77 806.03	11,190.00 787.61	11,517.00 804.34

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	2,992,966,808 150,932,746	3,140,742,831 158,950,878	3,406,500,651 168,696,998	3,719,806,877 163,454,693	3,550,379,003 186,589,412
Operating expenses Median	3,013,351,310 149,311,209	3,171,148,710 156,110,414	3,158,339,122 164,890,568	3,257,287,578 166,516,854	3,609,143,674 180,120,888
Net income from service 2 patients (NS2P) ? Median	-20,384,502 -964,173	-30,405,879 -643,601.5	248,161,529 -116,254	462,519,299 -5,025,862	-58,764,671 -1,284,564
NS2P margin ? Median	-0.68% -0.62	-0.97% -0.29	7.28% 0.18	12.43% -5.07	-1.66% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CEDARS-SINAI 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	471,970,786 5,089,215	451,091,766 4,572,541	394,530,884 5,268,134	0 13,092,619	987,495,963 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	191,029,700 188,688.5	209,178,403 370,813	0 309,361.5	123,499,773 375,329
⊳ 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	9,206,989	9,889,802	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	0	0	0	0	0
⊳ 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	0	0
⊳ 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	0	0
⊳ 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	471,970,786	250,855,077	175,462,679	--	863,996,190
Total income ? Median	451,586,284 6,586,430	420,685,887 6,767,106	642,692,413 8,419,950	462,519,299 8,094,175	928,731,292 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	87,921,646 89,880.5	18,852,878 106,761	1,111,842 31,473.5
Net income Median	451,586,284 6,043,842	420,685,887 5,845,112	554,770,767 7,606,259	443,666,421 7,283,041	927,619,450 14,957,241
Net margin Median	13.03303% 4.62%	11.71228% 4.42%	14.59527% 5.16%	11.92714% 5.2%	20.44171% 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 CEDARS-SINAI 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	509,909,368 23,241,334	515,961,380 23,709,545	551,224,714 24,248,380	543,150,187 22,858,541	570,822,853 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	509,145,063 21,577,146	515,961,380 22,041,594	551,224,714 22,722,063	543,150,187 21,570,441	570,822,853 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	764,305 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	184,019,676 11,160,864	189,373,919 11,987,345	194,713,208 12,926,866	194,194,951 11,884,480	214,754,862 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	184,019,676 10,918,923	189,373,919 11,706,976	194,713,208 12,615,917	194,194,951 11,458,116	214,754,862 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	54,035,996 3,284,314	54,735,870 3,250,551	68,265,399 3,386,837	71,696,236 3,360,806	76,497,619 3,508,953
Disproportionate-share hospital (DSH) Median	14,275,433 594,888	13,293,251 595,761	13,194,053 577,894	13,388,069 542,168	15,708,699 549,667
Outlier Median	106,549,771 582,572	112,202,962 538,116	97,796,319 212,434	15,958,947 126,559	14,028,857 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	44,958,672 3,662,910	28,152,418 3,730,911	17,968,515 4,081,319	862,694 4,643,908	17,635,064 4,389,147
Charity care Median	27,145,658 2,654,636	19,857,823 2,940,659	22,270,015 3,380,215	26,951,646 3,488,738	36,784,839 3,233,405
Uncompensated care (UCC) Median	32,207,943 5,147,790	28,728,754 5,337,617	30,767,335 5,711,082	34,131,984 5,923,418	44,493,141 5,508,107
UCC as a % of operating expenses Median	1.07% 3.24	0.91% 3.12	0.97% 3.21	1.05% 3.3	1.23% 2.86
Total shortfall/UCC Median	77,166,615 9,489,989	56,881,172 9,424,297	48,735,850 10,120,158	34,994,678 11,171,337	62,128,205 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	1,232,780,676 52,142,039	1,275,492,121 54,485,252	1,281,358,111 57,395,589	1,358,056,651 58,830,919	1,477,422,406 61,722,907
Salaries as a % of operating expenses Median	40.91 36.68	40.22 36.56	40.57 36.37	41.69 35.93	40.94 35.24
Intern, resident salaries* Median	22,160,651 2,598,592	22,494,695 2,686,824	24,977,966 2,753,773	26,103,325 2,937,156	27,539,692 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	53,509,110 1,449,244	36,183,448 1,475,986	21,647,012 1,563,078	25,279,878 1,721,954	40,840,952 2,991,828
Contract hours, direct-care Median	548,327.00 22,725	353,575.00 23,018.5	204,601.00 24,503.48	243,720.00 25,026.5	379,566.00 33,786
Contract wages, direct-care Median	97.59 64.67	102.34 64.53	105.80 65.06	103.73 68.97	107.60 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.