As of the July, 2022, release via CMS

SONOMA VALLEY HEALTH CARE DISTRICT

CMS id: 050090
347 ANDRIEUX STREET, SONOMA CA 94576. County: SONOMA
System: --
CBSA: Santa Rosa-Petaluma, CA

The 75-bed, acute-care hospital had $-9,229,544 in net service to patients*, with a total profit margin of 8.03287% in fiscal year 2021, the latest year available.
It spent 1.00% of its operating expenses on uncompensated care and reported $3,974 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	gov	gov	gov	gov	gov
Acute beds Median	42 118	42 118	42 119.5	42 118	42 119
Total beds Median	75 162	75 162	75 162	75 162	75 163.5
FTEs Median	310.03 788.06	301.72 793.42	317.49 806.03	222.20 787.61	227.49 804.34

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	53,977,779 150,932,746	54,278,105 158,950,878	57,452,939 168,696,998	46,538,428 163,454,693	48,903,637 186,589,412
Operating expenses Median	63,622,167 149,311,209	64,370,324 156,110,414	65,278,368 164,890,568	55,503,117 166,516,854	58,133,181 180,120,888
Net income from service 2 patients (NS2P) ? Median	-9,644,388 -964,173	-10,092,219 -643,601.5	-7,825,429 -116,254	-8,964,689 -5,025,862	-9,229,544 -1,284,564
NS2P margin ? Median	-17.87% -0.62	-18.59% -0.29	-13.62% 0.18	-19.26% -5.07	-18.87% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SONOMA VALLEY HEALTH CARE DISTRICT 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	10,106,751 5,089,215	9,792,383 4,572,541	12,101,420 5,268,134	18,202,341 13,092,619	14,307,186 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	974,392 224,999	1,070,164 199,009	1,998,014 206,870.5	2,439,977 194,343	5,923,121 249,496
⊳ Line 7: Investments ? ⊳ Median	53,997 299,524	70,890 188,688.5	96,036 370,813	111,196 309,361.5	29,495 375,329
⊳ 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	92,427	1,809	32,612	38,069	33,248
⊳ 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	132,522	125,923	114,874	77,743	50,174
⊳ 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	161,974	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	6,283,141 1,017,693	6,955,985 983,261.5	7,054,240 1,173,286	7,036,016 1,987,202	7,037,886 1,597,664
⊳ Sum Line 24	2,408,298	1,567,612	2,805,644	8,499,340	1,233,262
Total income ? Median	462,363 6,586,430	-299,836 6,767,106	4,275,991 8,419,950	9,237,652 8,094,175	5,077,642 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	37,534 89,880.5	0 106,761	0 31,473.5
Net income Median	462,363 6,043,842	-299,836 5,845,112	4,238,457 7,606,259	9,237,652 7,283,041	5,077,642 14,957,241
Net margin Median	0.72149% 4.62%	-0.46798% 4.42%	6.09373% 5.16%	14.26868% 5.2%	8.03287% 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 SONOMA VALLEY HEALTH CARE DISTRICT 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	11,355,447 23,241,334	10,404,824 23,709,545	8,690,630 24,248,380	8,592,910 22,858,541	7,914,571 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	8,802,658 21,577,146	7,889,108 22,041,594	6,913,855 22,722,063	5,800,196 21,570,441	5,702,080 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	2,552,789 1,203,033	2,515,716 1,215,295	1,776,775 1,313,657	2,792,714 1,365,298	2,212,491 1,179,746
All outpatient revenue Median Click here to show/hide details	6,487,836 11,160,864	7,123,776 11,987,345	7,629,404 12,926,866	5,742,868 11,884,480	5,735,980 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	4,738,900 10,918,923	5,196,246 11,706,976	6,134,501 12,615,917	5,742,868 11,458,116	5,735,980 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,748,936 1,282,808	1,927,530 1,407,728	1,494,903 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	232,011 594,888	176,075 595,761	161,606 577,894	75,443 542,168	114,617 549,667
Outlier Median	204,684 582,572	111,552 538,116	42,683 212,434	26,039 126,559	53,112 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,301,943 3,662,910	1,986,434 3,730,911	0 4,081,319	0 4,643,908	3,974 4,389,147
Charity care Median	140,779 2,654,636	290,951 2,940,659	421,068 3,380,215	366,414 3,488,738	233,026 3,233,405
Uncompensated care (UCC) Median	561,984 5,147,790	899,702 5,337,617	811,642 5,711,082	928,361 5,923,418	580,260 5,508,107
UCC as a % of operating expenses Median	0.88% 3.24	1.40% 3.12	1.24% 3.21	1.67% 3.3	1.00% 2.86
Total shortfall/UCC Median	2,863,927 9,489,989	2,886,136 9,424,297	811,642 10,120,158	928,361 11,171,337	584,234 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	29,902,809 52,142,039	30,018,099 54,485,252	26,834,013 57,395,589	23,080,079 58,830,919	23,740,887 61,722,907
Salaries as a % of operating expenses Median	47.00 36.68	46.63 36.56	41.11 36.37	41.58 35.93	40.84 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	828,995 1,449,244	1,258,369 1,475,986	1,411,469 1,563,078	481,255 1,721,954	761,626 2,991,828
Contract hours, direct-care Median	10,133.00 22,725	13,695.00 23,018.5	17,341.00 24,503.48	6,126.00 25,026.5	9,465.00 33,786
Contract wages, direct-care Median	81.81 64.67	91.89 64.53	81.39 65.06	78.56 68.97	80.47 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.