As of the July, 2022, release via CMS

MERCY HOSPITAL OF FOLSOM

CMS id: 050414
1650 CREEKSIDE DRIVE, FOLSOM CA 93630. County: SACRAMENTO
System: DIGNITY HEALTH
CBSA: Sacramento-Roseville-Folsom, CA

The 106-bed, acute-care hospital had $34,934,003 in net service to patients*, with a total profit margin of 39.98686% in fiscal year 2021, the latest year available.
It spent 2.11% of its operating expenses on uncompensated care and reported $11,251,064 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	98 118	98 118	98 119.5	98 118	98 119
Total beds Median	106 162	106 162	106 162	106 162	106 163.5
FTEs Median	571.50 788.06	556.40 793.42	592.08 806.03	580.36 787.61	606.97 804.34

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	215,872,295 150,932,746	225,063,716 158,950,878	214,620,124 168,696,998	247,375,550 163,454,693	253,698,148 186,589,412
Operating expenses Median	198,265,227 149,311,209	205,157,027 156,110,414	205,387,662 164,890,568	206,519,433 166,516,854	218,764,145 180,120,888
Net income from service 2 patients (NS2P) ? Median	17,607,068 -964,173	19,906,689 -643,601.5	9,232,462 -116,254	40,856,117 -5,025,862	34,934,003 -1,284,564
NS2P margin ? Median	8.16% -0.62	8.84% -0.29	4.30% 0.18	16.52% -5.07	13.77% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL OF FOLSOM 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	53,266,792 5,089,215	57,406,495 4,572,541	52,259,792 5,268,134	69,917,936 13,092,619	110,828,947 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	92,280 224,999	124,340 199,009	209,493 206,870.5	210,782 194,343	158,982 249,496
⊳ Line 7: Investments ? ⊳ Median	21,474,289 299,524	20,993,534 188,688.5	13,287,036 370,813	11,671,912 309,361.5	104,272,154 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	22,204	21,174	19,281	12,363	8,060
⊳ Line 11: Rebates and refunds of expenses	0	0	0	953	192,145
⊳ 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	230,281	246,173	271,695	239,930	213,506
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	1,189	858	784	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	14,484	11,838	10,755	11,129	2,683
⊳ 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	8,580	9,857	13,223	13,479	5,542
⊳ Line 22: Rental of hospital space	105,503	103,935	97,696	99,270	99,896
⊳ 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	31,317,982	35,894,786	38,349,829	57,658,118	5,875,979
Total income ? Median	70,873,860 6,586,430	77,313,184 6,767,106	61,492,254 8,419,950	110,774,053 8,094,175	145,762,950 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	70,873,860 6,043,842	77,313,184 5,845,112	61,492,254 7,606,259	110,774,053 7,283,041	145,762,950 14,957,241
Net margin Median	26.33354% 4.62%	27.37038% 4.42%	23.04117% 5.16%	34.91217% 5.2%	39.98686% 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 MERCY HOSPITAL OF FOLSOM 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	29,387,316 23,241,334	27,648,645 23,709,545	29,903,241 24,248,380	30,162,876 22,858,541	31,037,639 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	29,387,316 21,577,146	27,648,645 22,041,594	29,903,241 22,722,063	30,162,876 21,570,441	31,037,639 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	8,629,526 11,160,864	9,716,861 11,987,345	9,984,533 12,926,866	9,525,358 11,884,480	9,390,691 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	8,629,526 10,918,923	9,716,861 11,706,976	9,984,533 12,615,917	9,525,358 11,458,116	9,390,691 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	620,020 594,888	598,182 595,761	654,852 577,894	634,731 542,168	755,597 549,667
Outlier Median	1,176,682 582,572	688,878 538,116	1,401,614 212,434	43,258 126,559	35,951 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,164,790 3,662,910	11,237,090 3,730,911	15,070,050 4,081,319	10,900,943 4,643,908	11,251,064 4,389,147
Charity care Median	1,278,594 2,654,636	1,863,159 2,940,659	2,633,795 3,380,215	3,019,977 3,488,738	3,164,015 3,233,405
Uncompensated care (UCC) Median	3,503,089 5,147,790	4,297,331 5,337,617	5,234,592 5,711,082	5,673,218 5,923,418	4,623,722 5,508,107
UCC as a % of operating expenses Median	1.77% 3.24	2.09% 3.12	2.55% 3.21	2.75% 3.3	2.11% 2.86
Total shortfall/UCC Median	17,667,879 9,489,989	15,534,421 9,424,297	20,304,642 10,120,158	16,574,161 11,171,337	15,874,786 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	70,709,899 52,142,039	71,836,232 54,485,252	76,121,361 57,395,589	76,669,747 58,830,919	82,400,533 61,722,907
Salaries as a % of operating expenses Median	35.66 36.68	35.02 36.56	37.06 36.37	37.12 35.93	37.67 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	4,375,847 1,449,244	3,449,088 1,475,986	3,128,107 1,563,078	2,421,912 1,721,954	2,547,249 2,991,828
Contract hours, direct-care Median	54,916.00 22,725	42,346.00 23,018.5	43,180.00 24,503.48	32,213.00 25,026.5	24,383.00 33,786
Contract wages, direct-care Median	79.68 64.67	81.45 64.53	72.44 65.06	75.18 68.97	104.47 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.