As of the July, 2022, release via CMS

SUTTER ROSEVILLE MEDICAL CENTER

CMS id: 050309
1 MEDICAL PLAZA, ROSEVILLE CA 95661. County: PLACER
System: SUTTER HEALTH
CBSA: Sacramento-Roseville-Folsom, CA

The 343-bed, acute-care hospital had $48,053,741 in net service to patients*, with a total profit margin of 9.88149% in fiscal year 2020, the latest year available.
It spent 1.53% of its operating expenses on uncompensated care and reported $30,872,871 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	225 118	225 118	216 119.5	216 118	-- 119
Total beds Median	328 162	328 162	319 162	343 162	-- 163.5
FTEs Median	1,785.88 788.06	1,921.04 793.42	1,879.40 806.03	2,072.79 787.61	-- 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	669,335,334 150,932,746	738,121,122 158,950,878	779,925,937 168,696,998	813,243,665 163,454,693	-- 186,589,412
Operating expenses Median	551,054,505 149,311,209	608,781,983 156,110,414	681,187,821 164,890,568	765,189,924 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	118,280,829 -964,173	129,339,139 -643,601.5	98,738,116 -116,254	48,053,741 -5,025,862	-- -1,284,564
NS2P margin ? Median	17.67% -0.62	17.52% -0.29	12.66% 0.18	5.91% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SUTTER ROSEVILLE 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	8,366,790 5,089,215	7,060,527 4,572,541	6,329,432 5,268,134	35,849,256 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	585,881 224,999	1,078,857 199,009	297,874 206,870.5	763,761 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	562,736 299,524	886,575 188,688.5	921,270 370,813	557,522 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	482	4	3	267	--
⊳ Line 11: Rebates and refunds of expenses	36,524	0	0	4,355	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,464,359	1,508,603	1,605,200	1,119,176	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	1,470	1,415	2,450	1,089	--
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	32,203	33,581	35,718	22,001	--
⊳ Line 22: Rental of hospital space	1,213,359	780,915	803,205	845,021	--
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	-- 1,597,664
⊳ Sum Line 24	4,469,776	2,770,577	2,663,712	32,536,064	--
Total income ? Median	126,647,619 6,586,430	136,399,666 6,767,106	105,067,548 8,419,950	83,902,997 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	126,647,619 6,043,842	136,399,666 5,845,112	105,067,548 7,606,259	83,902,997 7,283,041	-- 14,957,241
Net margin Median	18.68780% 4.62%	18.30422% 4.42%	13.36303% 5.16%	9.88149% 5.2%	--% 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 ROSEVILLE 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	116,449,642 23,241,334	113,479,655 23,709,545	125,037,268 24,248,380	128,599,168 22,858,541	-- 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	98,843,632 21,577,146	94,865,941 22,041,594	104,331,075 22,722,063	109,937,729 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	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	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	17,606,010 3,535,627	18,613,714 3,746,588	20,706,193 3,782,288	18,661,439 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	46,608,993 11,160,864	53,434,297 11,987,345	55,886,991 12,926,866	58,230,842 11,884,480	-- 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	46,608,993 10,918,923	53,434,297 11,706,976	55,886,991 12,615,917	58,230,842 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	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	-- 3,508,953
Disproportionate-share hospital (DSH) Median	2,926,395 594,888	2,716,424 595,761	2,713,655 577,894	2,762,075 542,168	-- 549,667
Outlier Median	3,665,233 582,572	1,964,949 538,116	540,420 212,434	613,081 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,419,814 3,662,910	7,257,408 3,730,911	12,118,113 4,081,319	30,872,871 4,643,908	-- 4,389,147
Charity care Median	6,725,144 2,654,636	7,622,911 2,940,659	9,435,884 3,380,215	8,165,256 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	9,629,032 5,147,790	10,911,738 5,337,617	13,283,214 5,711,082	11,698,318 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	1.75% 3.24	1.79% 3.12	1.95% 3.21	1.53% 3.3	--% 2.86
Total shortfall/UCC Median	32,048,846 9,489,989	18,169,146 9,424,297	25,401,327 10,120,158	42,571,189 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	205,226,272 52,142,039	227,635,372 54,485,252	250,331,377 57,395,589	282,371,471 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	37.24 36.68	37.39 36.56	36.75 36.37	36.90 35.93	-- 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	4,060,348 1,449,244	0 1,475,986	0 1,563,078	2,554,076 1,721,954	-- 2,991,828
Contract hours, direct-care Median	63,105.17 22,725	0.00 23,018.5	0.00 24,503.48	44,661.67 25,026.5	-- 33,786
Contract wages, direct-care Median	64.34 64.67	0.00 64.53	0.00 65.06	57.19 68.97	-- 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.