As of the July, 2022, release via CMS

SUTTER SANTA ROSA REGIONAL HOSPITAL

CMS id: 050291
30 MARK WEST SPRINGS ROAD, SANTA ROSA CA 95403. County: SONOMA
System: SUTTER HEALTH
CBSA: Santa Rosa-Petaluma, CA

The 84-bed, acute-care hospital had $25,652,295 in net service to patients*, with a total profit margin of 10.01192% in fiscal year 2021, the latest year available.
It spent 1.45% of its operating expenses on uncompensated care and reported $315,159 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	60 118	60 118	50 119.5	60 118	60 119
Total beds Median	84 162	84 162	74 162	84 162	84 163.5
FTEs Median	701.45 788.06	701.39 793.42	720.40 806.03	757.38 787.61	748.29 804.34

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	308,715,688 150,932,746	280,758,187 158,950,878	288,721,620 168,696,998	315,337,626 163,454,693	348,144,480 186,589,412
Operating expenses Median	262,450,644 149,311,209	276,170,736 156,110,414	288,284,246 164,890,568	319,559,938 166,516,854	322,492,185 180,120,888
Net income from service 2 patients (NS2P) ? Median	46,265,044 -964,173	4,587,451 -643,601.5	437,374 -116,254	-4,222,312 -5,025,862	25,652,295 -1,284,564
NS2P margin ? Median	14.99% -0.62	1.63% -0.29	0.15% 0.18	-1.34% -5.07	7.37% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SUTTER SANTA ROSA REGIONAL 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	11,104,433 5,089,215	3,498,844 4,572,541	8,496,604 5,268,134	19,709,932 13,092,619	10,227,650 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	7,280 224,999	13,638 199,009	72,181 206,870.5	15,229,896 194,343	236,891 249,496
⊳ Line 7: Investments ? ⊳ Median	61,060 299,524	34,071 188,688.5	6,471,450 370,813	36,460 309,361.5	-13,436 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	330	41	50	120	105
⊳ Line 11: Rebates and refunds of expenses	15,972	8,566	9,486	0	315
⊳ 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	125,319	484,009	422,760	409,573	413,781
⊳ 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	93	75	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	10,423	9,471	12,345	8,736	21,089
⊳ Line 22: Rental of hospital space	939,753	281,360	288,326	281,952	287,321
⊳ 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	9,944,296	2,667,688	1,219,913	3,743,120	9,281,584
Total income ? Median	57,369,477 6,586,430	8,086,295 6,767,106	8,933,978 8,419,950	15,487,620 8,094,175	35,879,945 15,162,888
Non-operating expenses Median	5,005,529 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	52,363,948 6,043,842	8,086,295 5,845,112	8,933,978 7,606,259	15,487,620 7,283,041	35,879,945 14,957,241
Net margin Median	16.37294% 4.62%	2.84471% 4.42%	3.00586% 5.16%	4.62251% 5.2%	10.01192% 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 SUTTER SANTA ROSA REGIONAL 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	43,238,441 23,241,334	46,055,703 23,709,545	48,764,978 24,248,380	49,565,468 22,858,541	48,976,162 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	43,238,441 21,577,146	46,055,703 22,041,594	48,764,978 22,722,063	49,565,468 21,570,441	48,976,162 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	22,021,249 11,160,864	24,879,316 11,987,345	25,908,569 12,926,866	33,139,794 11,884,480	36,103,613 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	22,021,249 10,918,923	24,879,316 11,706,976	25,908,569 12,615,917	33,139,794 11,458,116	36,103,613 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	7,542,460 3,284,314	7,955,742 3,250,551	8,627,537 3,386,837	8,250,851 3,360,806	8,235,061 3,508,953
Disproportionate-share hospital (DSH) Median	871,324 594,888	923,621 595,761	982,267 577,894	1,014,252 542,168	982,110 549,667
Outlier Median	1,539,071 582,572	1,987,429 538,116	431,726 212,434	313,470 126,559	255,056 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	651,592 3,662,910	603,334 3,730,911	1,722,130 4,081,319	8,628,710 4,643,908	315,159 4,389,147
Charity care Median	4,501,049 2,654,636	4,406,627 2,940,659	5,406,848 3,380,215	5,536,505 3,488,738	3,521,417 3,233,405
Uncompensated care (UCC) Median	5,980,997 5,147,790	5,808,201 5,337,617	6,923,881 5,711,082	6,879,042 5,923,418	4,673,452 5,508,107
UCC as a % of operating expenses Median	2.28% 3.24	2.10% 3.12	2.40% 3.21	2.15% 3.3	1.45% 2.86
Total shortfall/UCC Median	6,632,589 9,489,989	6,411,535 9,424,297	8,646,011 10,120,158	15,507,752 11,171,337	4,988,611 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	87,183,617 52,142,039	90,047,474 54,485,252	98,454,708 57,395,589	107,820,496 58,830,919	108,841,266 61,722,907
Salaries as a % of operating expenses Median	33.22 36.68	32.61 36.56	34.15 36.37	33.74 35.93	33.75 35.24
Intern, resident salaries* Median	2,278,607 2,598,592	2,342,269 2,686,824	2,441,886 2,753,773	2,796,272 2,937,156	2,711,549 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	2,031,939 1,449,244	0 1,475,986	0 1,563,078	1,831,304 1,721,954	0 2,991,828
Contract hours, direct-care Median	22,178.48 22,725	0.00 23,018.5	0.00 24,503.48	20,510.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	91.62 64.67	0.00 64.53	0.00 65.06	89.29 68.97	0.00 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.