• Financial data for hospital cost report period ending 12/31/2010 (HCRIS 267001).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2010 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2010.
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.
 Montclair Hospital Medical Center
Montclair, CA  91763
Medicare Provider Number: 050758

Identification and Characteristics
Name and Address: Montclair Hospital Medical Center
5000 San Bernardino Street
Montclair, CA  91763
Telephone Number: (909) 625-5411
Hospital Website: www.montclair-hospital.com
Medicare Provider ID: 050758
   
Type of Facility: Short Term Acute Care
Type of Control: Proprietary, Corporation
Total Staffed Beds: 102
   
Total Patient Revenue: $191,518,598
Total Discharges: 5,390
Total Patient Days: 17,618
     
 
N O T E S
This facility formerly reported under Provider ID 050584. 		 
     

This map is for general reference and should not be used in seeking medical care.

Clinical Services
Emergency Services
Emergency Department
Other Services
Hemodialysis
Inpatient Surgery
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Rehabilitation Services
Physical Therapy
Special Care
Intensive Care Unit (ICU)

Joint Commission Accreditation

  • Current Status: 02/21/2009 - Accreditation with Full Standards Compliance

Inpatient Utilization Statistics by Medical Service
  Number
Medicare
Inpatients		 Average
Length
of Stay		 Average
Charges		 Medicare
Case Mix
Index (CMI)
Cardiology 154 3.28 $26,016 0.9998
Medicine 366 3.91 $34,673 1.5241
Neurology 73 2.70 $19,025 1.0967
Oncology 14 4.64 $37,281 1.9583
Orthopedics 44 2.66 $18,867 1.0608
Pulmonology 128 3.82 $33,635 1.4272
Surgery 38 7.45 $115,846 4.1178
Urology 71 3.03 $23,833 1.2883
Total 913 3.73 $34,470 1.4766

Inpatient Origin for Top 3 Zip Codes
  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2010 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
91763 260 802 $7,200,046 13.5% 23.1%
91762 96 298 $2,514,752 1.1% 5.9%
91711 75 254 $2,170,108 -6.3% 5.8%

Outpatient Utilization Statistics by APC
APC
Number		 APC Description Number
Patient
Claims		 Average
Charge		 Average
Cost
0615 Level 4 Type A Emergency Visits 214 $846 $103
0332 Computed Tomography without Contrast 243 $1,043 $141
0260 Level I Plain Film Except Teeth 743 $296 $77
0616 Level 5 Type A Emergency Visits 123 $953 $116
0614 Level 3 Type A Emergency Visits 226 $513 $62
0697 Level I Echocardiogram Without Contrast 78 $1,362 $178
0283 Computed Tomography with Contrast 45 $1,410 $191
0141 Level I Upper GI Procedures 24 $6,229 $811
0099 Electrocardiograms 353 $242 $39
0143 Lower GI Endoscopy 18 $5,978 $781
0266 Level II Diagnostic and Screening Ultrasound 87 $546 $142
0617 Critical Care 11 $1,447 $176
0437 Level II Drug Administration 120 $601 $73
0343 Level III Pathology 27 $147 $24
0436 Level I Drug Administration 145 $538 $65
0261 Level II Plain Film Except Teeth Including Bone Density Measurement 47 $425 $111
0333 Computed Tomography without Contrast followed by Contrast 12 $1,673 $226
0439 Level IV Drug Administration 18 $742 $90
0133 Level I Skin Repair 23 $535 $65
0613 Level 2 Type A Emergency Visits 23 $315 $38

Beds and Patient Days by Unit
  Available Beds Inpatient Days
HOSPITAL
(including swing beds)		    
Routine Services 94 13,532
Special Care 8 1,594
Nursery 0 2,492
Total Hospital 102 17,618

Financial Statistics
  $ %
Gross Patient Revenue $191,518,598 98.6
Non-Patient Revenue $2,754,260 1.4
Total Revenue $194,272,858  
Net Income (or Loss) $7,699,434 4.0