As of the July, 2022, release via CMS

ST. ROSE DOMINICAN - SAN MARTIN

CMS id: 290053
8280 WEST WARM SPRINGS ROAD, LAS VEGAS NV 89113. County: CLARK
System: DIGNITY HEALTH
CBSA: Las Vegas-Henderson-Paradise, NV

The 130-bed, acute-care hospital had $-22,649,328 in net service to patients*, with a total profit margin of -5.05973% in fiscal year 2021, the latest year available.
It spent 5.27% of its operating expenses on uncompensated care and reported $14,953,672 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	106 118	106 118	106 119.5	100 118	100 119
Total beds Median	136 162	136 162	136 162	130 162	130 163.5
FTEs Median	616.34 788.06	697.76 793.42	697.77 806.03	657.46 787.61	682.74 804.34

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	160,438,533 150,932,746	183,499,112 158,950,878	177,994,255 168,696,998	159,354,078 163,454,693	181,761,605 186,589,412
Operating expenses Median	183,485,782 149,311,209	194,250,668 156,110,414	195,471,827 164,890,568	188,032,345 166,516,854	204,410,933 180,120,888
Net income from service 2 patients (NS2P) ? Median	-23,047,249 -964,173	-10,751,556 -643,601.5	-17,477,572 -116,254	-28,678,267 -5,025,862	-22,649,328 -1,284,564
NS2P margin ? Median	-14.37% -0.62	-5.86% -0.29	-9.82% 0.18	-18.00% -5.07	-12.46% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. ROSE DOMINICAN - SAN MARTIN 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	2,072,063 5,089,215	-1,435,777 4,572,541	6,650,407 5,268,134	77,921,902 13,092,619	12,804,799 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	219,770 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	-25,876 299,524	-42,376 188,688.5	-67,131 370,813	-12,344 309,361.5	-8,412 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	42,637	38,926	28,126	22,172	9,917
⊳ Line 11: Rebates and refunds of expenses	0	21,172	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	544,380	643,428	672,179	590,369	422,170
⊳ 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	20,390	5,219	8,077	12,920	13,354
⊳ 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	752	1,528	1,606	1,839	700
⊳ Line 22: Rental of hospital space	109,831	189,465	110,548	104,363	109,301
⊳ Line 23: Gov appropriations ? ⊳ Median	190,525 1,017,693	-44,576 983,261.5	0 1,173,286	0 1,987,202	1,080 1,597,664
⊳ Sum Line 24	969,654	-2,248,563	5,897,002	77,202,583	12,256,689
Total income ? Median	-20,975,186 6,586,430	-12,187,333 6,767,106	-10,827,165 8,419,950	49,243,635 8,094,175	-9,844,529 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	-20,975,186 6,043,842	-12,187,333 5,845,112	-10,827,165 7,606,259	49,243,635 7,283,041	-9,844,529 14,957,241
Net margin Median	-12.90697% 4.62%	-6.69401% 4.42%	-5.86378% 5.16%	20.75374% 5.2%	-5.05973% 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. ROSE DOMINICAN - SAN MARTIN 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	24,624,980 23,241,334	30,712,162 23,709,545	28,369,916 24,248,380	24,648,933 22,858,541	24,969,326 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	24,624,980 21,577,146	30,712,162 22,041,594	28,369,916 22,722,063	24,648,933 21,570,441	24,969,326 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	8,263,619 11,160,864	9,257,293 11,987,345	8,596,782 12,926,866	6,928,763 11,884,480	7,497,254 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	8,263,619 10,918,923	9,257,293 11,706,976	8,596,782 12,615,917	6,928,763 11,458,116	7,497,254 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	574,632 594,888	613,092 595,761	665,212 577,894	536,651 542,168	569,735 549,667
Outlier Median	1,914,948 582,572	2,143,579 538,116	1,494,136 212,434	122,694 126,559	111,403 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,117,145 3,662,910	11,908,912 3,730,911	14,332,519 4,081,319	18,122,943 4,643,908	14,953,672 4,389,147
Charity care Median	2,544,653 2,654,636	3,287,494 2,940,659	5,642,377 3,380,215	7,236,487 3,488,738	8,306,383 3,233,405
Uncompensated care (UCC) Median	5,112,133 5,147,790	6,129,051 5,337,617	9,492,835 5,711,082	10,762,474 5,923,418	10,780,175 5,508,107
UCC as a % of operating expenses Median	2.79% 3.24	3.16% 3.12	4.86% 3.21	5.72% 3.3	5.27% 2.86
Total shortfall/UCC Median	15,229,278 9,489,989	18,037,963 9,424,297	23,825,354 10,120,158	28,885,417 11,171,337	25,733,847 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	61,274,255 52,142,039	66,020,765 54,485,252	66,778,594 57,395,589	66,716,915 58,830,919	74,138,084 61,722,907
Salaries as a % of operating expenses Median	33.39 36.68	33.99 36.56	34.16 36.37	35.48 35.93	36.27 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	1,390,166 1,449,244	1,905,581 1,475,986	1,061,459 1,563,078	1,243,734 1,721,954	3,409,584 2,991,828
Contract hours, direct-care Median	17,626.00 22,725	19,364.00 23,018.5	15,132.00 24,503.48	13,905.00 25,026.5	31,867.00 33,786
Contract wages, direct-care Median	78.87 64.67	98.41 64.53	70.15 65.06	89.45 68.97	106.99 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.