As of the July, 2022, release via CMS

SEQUOIA HOSPITAL

CMS id: 050197
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY CA 94160. County: SAN MATEO
System: DIGNITY HEALTH
CBSA: San Francisco-Oakland-Berkeley, CA

The 208-bed, acute-care hospital had $-23,147,223 in net service to patients*, with a total profit margin of 3.78214% in fiscal year 2021, the latest year available.
It spent 0.94% of its operating expenses on uncompensated care and reported $14,848,081 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	334	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	171 118	171 118	192 119.5	192 118	192 119
Total beds Median	208 162	208 162	208 162	208 162	208 163.5
FTEs Median	677.70 788.06	667.08 793.42	675.91 806.03	622.64 787.61	631.28 804.34

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	272,658,268 150,932,746	283,409,148 158,950,878	261,877,681 168,696,998	250,707,785 163,454,693	273,819,683 186,589,412
Operating expenses Median	281,396,917 149,311,209	291,428,910 156,110,414	257,287,984 164,890,568	280,454,535 166,516,854	296,966,906 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,738,649 -964,173	-8,019,762 -643,601.5	4,589,697 -116,254	-29,746,750 -5,025,862	-23,147,223 -1,284,564
NS2P margin ? Median	-3.20% -0.62	-2.83% -0.29	1.75% 0.18	-11.87% -5.07	-8.45% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SEQUOIA 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	12,543,339 5,089,215	8,996,301 4,572,541	81,254,795 5,268,134	-12,459,379 13,092,619	34,820,412 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	334,210 224,999	341,687 199,009	1,256,074 206,870.5	-29,746,749 194,343	763,199 249,496
⊳ Line 7: Investments ? ⊳ Median	7,085,781 299,524	5,513,674 188,688.5	6,269,550 370,813	210,338 309,361.5	13,731,569 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	49,509	19,065	30,558	0	8,681
⊳ Line 11: Rebates and refunds of expenses	0	2,013	0	11,135	1,041,807
⊳ Line 12: Parking lot receipts	0	0	0	249	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	577,238	586,435	498,582	0	489,100
⊳ Line 15: Revenue from rental of living quarters	825	450	1,625	454,775	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	150	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	11,824	9,703	9,001	0	7,201
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	6,528	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	3,989	1,463	1,488	0	391
⊳ Line 22: Rental of hospital space	2,628,295	2,771,367	2,620,338	0	3,035,994
⊳ Line 23: Gov appropriations ? ⊳ Median	441,811 1,017,693	-118,758 983,261.5	0 1,173,286	2,437,930 1,987,202	-10,426 1,597,664
⊳ Sum Line 24	1,409,857	-130,798	70,567,579	2,416,792	15,752,896
Total income ? Median	3,804,690 6,586,430	976,539 6,767,106	85,844,492 8,419,950	-42,206,129 8,094,175	11,673,189 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-1,968,015 89,880.5	0 106,761	0 31,473.5
Net income Median	3,804,690 6,043,842	976,539 5,845,112	87,812,507 7,606,259	-42,206,129 7,283,041	11,673,189 14,957,241
Net margin Median	1.33404% 4.62%	0.33397% 4.42%	25.59143% 5.16%	-17.71518% 5.2%	3.78214% 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 SEQUOIA 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	47,264,972 23,241,334	46,099,025 23,709,545	45,242,133 24,248,380	39,273,298 22,858,541	40,786,489 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	47,264,972 21,577,146	46,099,025 22,041,594	45,242,133 22,722,063	39,273,298 21,570,441	40,786,489 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	25,492,674 11,160,864	28,253,307 11,987,345	27,212,350 12,926,866	28,923,476 11,884,480	37,866,938 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	25,492,674 10,918,923	28,253,307 11,706,976	27,212,350 12,615,917	28,923,476 11,458,116	37,866,938 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	6,341,063 582,572	5,218,818 538,116	1,519,078 212,434	1,243,005 126,559	1,376,852 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,028,830 3,662,910	14,732,766 3,730,911	8,515,777 4,081,319	17,646,745 4,643,908	14,848,081 4,389,147
Charity care Median	2,002,729 2,654,636	2,871,314 2,940,659	1,938,687 3,380,215	3,358,700 3,488,738	2,248,434 3,233,405
Uncompensated care (UCC) Median	3,854,906 5,147,790	4,249,771 5,337,617	3,217,519 5,711,082	4,533,233 5,923,418	2,789,703 5,508,107
UCC as a % of operating expenses Median	1.37% 3.24	1.46% 3.12	1.25% 3.21	1.62% 3.3	0.94% 2.86
Total shortfall/UCC Median	11,883,736 9,489,989	18,982,537 9,424,297	11,733,296 10,120,158	22,179,978 11,171,337	17,637,784 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	89,697,604 52,142,039	89,968,070 54,485,252	86,942,708 57,395,589	92,434,554 58,830,919	96,196,593 61,722,907
Salaries as a % of operating expenses Median	31.88 36.68	30.87 36.56	33.79 36.37	32.96 35.93	32.39 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	1,503,326 1,449,244	4,145,376 1,475,986	2,501,419 1,563,078	2,656,770 1,721,954	1,983,360 2,991,828
Contract hours, direct-care Median	15,121.00 22,725	43,443.00 23,018.5	29,498.00 24,503.48	29,584.00 25,026.5	18,132.00 33,786
Contract wages, direct-care Median	99.42 64.67	95.42 64.53	84.80 65.06	89.80 68.97	109.38 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.