As of the July, 2022, release via CMS

MILLS PENINSULA MEDICAL CENTER

CMS id: 050007
1501 TROUSDALE DR., BURLINGAME CA 94010. County: SAN MATEO
System: SUTTER HEALTH
CBSA: San Francisco-Oakland-Berkeley, CA

The 301-bed, acute-care hospital had $31,094,830 in net service to patients*, with a total profit margin of 7.30265% in fiscal year 2021, the latest year available.
It spent 0.97% of its operating expenses on uncompensated care and reported $30,724,713 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	205 118	205 118	205 119.5	221 118	205 119
Total beds Median	301 162	301 162	301 162	317 162	301 163.5
FTEs Median	1,578.05 788.06	1,534.83 793.42	1,559.49 806.03	1,529.59 787.61	1,499.38 804.34

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	644,374,426 150,932,746	616,388,018 158,950,878	700,471,279 168,696,998	646,205,208 163,454,693	689,913,702 186,589,412
Operating expenses Median	607,231,522 149,311,209	612,026,343 156,110,414	655,363,048 164,890,568	641,175,994 166,516,854	658,818,872 180,120,888
Net income from service 2 patients (NS2P) ? Median	37,142,904 -964,173	4,361,675 -643,601.5	45,108,231 -116,254	5,029,214 -5,025,862	31,094,830 -1,284,564
NS2P margin ? Median	5.76% -0.62	0.71% -0.29	6.44% 0.18	0.78% -5.07	4.51% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MILLS PENINSULA 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	18,522,441 5,089,215	25,471,236 4,572,541	19,507,537 5,268,134	64,625,585 13,092,619	20,806,615 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,388,168 224,999	4,525,183 199,009	3,171,381 206,870.5	25,890,621 194,343	2,078,931 249,496
⊳ Line 7: Investments ? ⊳ Median	1,331,335 299,524	1,521,631 188,688.5	1,346,311 370,813	1,037,588 309,361.5	2,105,794 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	932	195	0	157	31
⊳ Line 11: Rebates and refunds of expenses	36,636	243	2,176	6,622	-150
⊳ Line 12: Parking lot receipts	87,992	69,247	48,596	25,207	42,378
⊳ Line 13: Revenue from laundry and linen service	0	0	-3,487	-225	-1,329
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,422,132	1,482,279	1,539,466	992,612	1,093,708
⊳ 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	4,315	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	-9,588	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	-7,039	-15,297	-2,500	6,155	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	592,268	575,493	630,690	646,713	575,971
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	6,931,502	6,952,229	7,056,149	7,619,087	9,000,068
⊳ Line 23: Gov appropriations ? ⊳ Median	411,849 1,017,693	312,522 983,261.5	351,118 1,173,286	123,668 1,987,202	518,407 1,597,664
⊳ Sum Line 24	4,322,351	10,047,511	5,367,637	28,286,968	5,392,806
Total income ? Median	55,665,345 6,586,430	29,832,911 6,767,106	64,615,768 8,419,950	69,654,799 8,094,175	51,901,445 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	55,665,345 6,043,842	29,832,911 5,845,112	64,615,768 7,606,259	69,654,799 7,283,041	51,901,445 14,957,241
Net margin Median	8.39729% 4.62%	4.64789% 4.42%	8.97468% 5.16%	9.79907% 5.2%	7.30265% 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 MILLS PENINSULA 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	71,015,939 23,241,334	75,029,970 23,709,545	74,017,649 24,248,380	69,093,593 22,858,541	76,561,259 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	67,496,059 21,577,146	72,006,862 22,041,594	71,474,172 22,722,063	65,969,236 21,570,441	73,822,104 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	3,519,880 1,845,420	3,023,108 1,757,392	2,543,477 1,738,842	3,124,357 1,510,463	2,739,155 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	31,085,375 11,160,864	34,712,280 11,987,345	38,207,257 12,926,866	33,812,383 11,884,480	41,970,748 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	31,085,375 10,918,923	34,712,280 11,706,976	38,207,257 12,615,917	33,812,383 11,458,116	41,970,748 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	792,300 594,888	665,558 595,761	538,910 577,894	653,614 542,168	733,927 549,667
Outlier Median	5,916,043 582,572	6,613,334 538,116	1,108,172 212,434	1,014,691 126,559	585,871 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	53,779 3,662,910	39,368,571 3,730,911	17,476,721 4,081,319	38,385,815 4,643,908	30,724,713 4,389,147
Charity care Median	6,698,458 2,654,636	7,160,940 2,940,659	5,948,696 3,380,215	5,570,056 3,488,738	4,865,908 3,233,405
Uncompensated care (UCC) Median	8,341,427 5,147,790	8,580,929 5,337,617	7,712,854 5,711,082	7,477,808 5,923,418	6,414,220 5,508,107
UCC as a % of operating expenses Median	1.37% 3.24	1.40% 3.12	1.18% 3.21	1.17% 3.3	0.97% 2.86
Total shortfall/UCC Median	8,395,206 9,489,989	47,949,500 9,424,297	25,189,575 10,120,158	45,863,623 11,171,337	37,138,933 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	195,090,066 52,142,039	196,227,925 54,485,252	207,786,017 57,395,589	216,955,389 58,830,919	212,781,951 61,722,907
Salaries as a % of operating expenses Median	32.13 36.68	32.06 36.56	31.71 36.37	33.84 35.93	32.30 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	13,818,124 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	150,517.40 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	91.80 64.67	0.00 64.53	0.00 65.06	0.00 68.97	0.00 88.94

* in an approved program

Return to top

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.