As of the July, 2022, release via CMS

ST ROSE HOSPITAL

CMS id: 050002
27200 CALAROGA AVENUE, HAYWARD CA 94545. County: ALAMEDA
System: --
CBSA: San Francisco-Oakland-Berkeley, CA

The 153-bed, acute-care hospital had $-22,028,243 in net service to patients*, with a total profit margin of -6.60251% in fiscal year 2021, the latest year available.
It spent 1.22% of its operating expenses on uncompensated care and reported $9,083,566 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	180 118	180 118	180 119.5	138 118	138 119
Total beds Median	195 162	195 162	195 162	153 162	153 163.5
FTEs Median	698.82 788.06	674.34 793.42	659.23 806.03	521.88 787.61	537.93 804.34

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	147,750,241 150,932,746	136,818,602 158,950,878	117,609,888 168,696,998	104,245,093 163,454,693	76,325,273 186,589,412
Operating expenses Median	149,328,255 149,311,209	104,914,860 156,110,414	119,909,103 164,890,568	113,985,226 166,516,854	98,353,516 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,578,014 -964,173	31,903,742 -643,601.5	-2,299,215 -116,254	-9,740,133 -5,025,862	-22,028,243 -1,284,564
NS2P margin ? Median	-1.07% -0.62	23.32% -0.29	-1.95% 0.18	-9.34% -5.07	-28.86% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST ROSE 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	3,863,829 5,089,215	3,858,026 4,572,541	1,850,911 5,268,134	6,076,780 13,092,619	15,936,645 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	1,214,256 206,870.5	1,609,031 194,343	13,826,240 249,496
⊳ Line 7: Investments ? ⊳ Median	219,304 299,524	174,603 188,688.5	40,172 370,813	108,505 309,361.5	51,898 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	32,203	11,763	19,232	845	56,535
⊳ Line 11: Rebates and refunds of expenses	317,374	306,863	256,534	496,935	122,080
⊳ 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	209,005	128,184	144,688	127,417	97,377
⊳ 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	547	0	447	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	20,712	30,528	21,533	20,141	14,455
⊳ 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	8,620	8,961	119	0	901
⊳ 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	3,056,064	3,197,124	153,930	3,713,906	1,767,159
Total income ? Median	2,285,815 6,586,430	35,761,768 6,767,106	-448,304 8,419,950	-3,663,353 8,094,175	-6,091,598 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	2,285,815 6,043,842	35,761,768 5,845,112	-448,304 7,606,259	-3,663,353 7,283,041	-6,091,598 14,957,241
Net margin Median	1.50765% 4.62%	25.42126% 4.42%	-0.37527% 5.16%	-3.32060% 5.2%	-6.60251% 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 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	30,445,445 23,241,334	28,740,648 23,709,545	27,913,429 24,248,380	21,081,789 22,858,541	20,928,331 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	30,445,445 21,577,146	28,740,648 22,041,594	27,913,429 22,722,063	21,081,789 21,570,441	20,928,331 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	5,989,955 11,160,864	5,655,817 11,987,345	5,118,510 12,926,866	3,731,114 11,884,480	3,511,993 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	5,989,955 10,918,923	5,655,817 11,706,976	5,118,510 12,615,917	3,731,114 11,458,116	3,511,993 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	2,464,452 594,888	2,174,144 595,761	1,994,949 577,894	1,838,855 542,168	1,700,433 549,667
Outlier Median	1,089,301 582,572	1,384,870 538,116	80,631 212,434	24,689 126,559	23,435 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,801,478 3,662,910	8,945,846 3,730,911	16,570,259 4,081,319	866,677 4,643,908	9,083,566 4,389,147
Charity care Median	418,720 2,654,636	723,046 2,940,659	582,195 3,380,215	866,677 3,488,738	634,669 3,233,405
Uncompensated care (UCC) Median	1,857,229 5,147,790	2,978,641 5,337,617	3,052,256 5,711,082	7,247,931 5,923,418	1,203,857 5,508,107
UCC as a % of operating expenses Median	1.24% 3.24	2.84% 3.12	2.55% 3.21	6.36% 3.3	1.22% 2.86
Total shortfall/UCC Median	8,658,707 9,489,989	11,924,487 9,424,297	19,622,515 10,120,158	8,114,608 11,171,337	10,287,423 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	63,998,008 52,142,039	67,444,447 54,485,252	68,526,433 57,395,589	60,974,190 58,830,919	61,781,197 61,722,907
Salaries as a % of operating expenses Median	45.10 36.68	47.03 36.56	50.42 36.37	48.24 35.93	49.53 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	372,822 1,449,244	271,092 1,475,986	206,007 1,563,078	496,989 1,721,954	711,888 2,991,828
Contract hours, direct-care Median	5,070.00 22,725	4,396.00 23,018.5	3,704.00 24,503.48	4,206.00 25,026.5	8,032.00 33,786
Contract wages, direct-care Median	73.53 64.67	61.67 64.53	55.62 65.06	118.16 68.97	88.63 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.