As of the July, 2022, release via CMS

SUTTER DAVIS HOSPITAL

CMS id: 050537
2000 SUTTER PLACE, DAVIS CA 95616. County: YOLO
System: SUTTER HEALTH
CBSA: Sacramento-Roseville-Folsom, CA

The 48-bed, acute-care hospital had $733,379 in net service to patients*, with a total profit margin of 3.65910% in fiscal year 2020, the latest year available.
It spent 2.43% of its operating expenses on uncompensated care and reported $10,682,488 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	42 118	42 118	42 119.5	42 118	-- 119
Total beds Median	48 162	48 162	48 162	48 162	-- 163.5
FTEs Median	368.72 788.06	387.33 793.42	376.71 806.03	401.49 787.61	-- 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	143,994,197 150,932,746	139,064,902 158,950,878	145,397,179 168,696,998	140,085,241 163,454,693	-- 186,589,412
Operating expenses Median	114,199,190 149,311,209	128,727,795 156,110,414	135,261,493 164,890,568	139,351,862 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	29,795,007 -964,173	10,337,107 -643,601.5	10,135,686 -116,254	733,379 -5,025,862	-- -1,284,564
NS2P margin ? Median	20.69% -0.62	7.43% -0.29	6.97% 0.18	0.52% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SUTTER DAVIS 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	1,447,110 5,089,215	1,411,675 4,572,541	1,355,086 5,268,134	4,559,315 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	26,365 224,999	204,323 199,009	311,148 206,870.5	211,444 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	18,473 299,524	57,058 188,688.5	75,439 370,813	21,298 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	152	6	0	143	--
⊳ Line 11: Rebates and refunds of expenses	8,533	0	0	93	--
⊳ 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	337,667	368,650	354,111	270,096	--
⊳ 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	0	0	0	0	--
⊳ 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	6,911	6,744	7,146	1,798	--
⊳ Line 22: Rental of hospital space	0	0	0	13,201	--
⊳ 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	1,049,009	774,894	607,242	4,041,242	--
Total income ? Median	31,242,117 6,586,430	11,748,782 6,767,106	11,490,772 8,419,950	5,292,694 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	31,242,117 6,043,842	11,748,782 5,845,112	11,490,772 7,606,259	5,292,694 7,283,041	-- 14,957,241
Net margin Median	21.48091% 4.62%	8.36352% 4.42%	7.83005% 5.16%	3.65910% 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 DAVIS 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	14,217,220 23,241,334	13,653,799 23,709,545	14,518,956 24,248,380	13,766,136 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	14,217,220 21,577,146	13,653,799 22,041,594	14,518,956 22,722,063	13,766,136 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	0 3,535,627	0 3,746,588	0 3,782,288	0 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	11,507,824 11,160,864	12,487,577 11,987,345	12,887,526 12,926,866	12,508,024 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	11,507,824 10,918,923	12,487,577 11,706,976	12,887,526 12,615,917	12,508,024 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	258,987 3,284,314	264,616 3,250,551	288,262 3,386,837	294,402 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	360,723 594,888	345,724 595,761	363,249 577,894	334,724 542,168	-- 549,667
Outlier Median	344,587 582,572	264,273 538,116	111,316 212,434	141,248 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	18,373 3,662,910	6,767,424 3,730,911	2,678,907 4,081,319	10,682,488 4,643,908	-- 4,389,147
Charity care Median	2,058,621 2,654,636	2,284,568 2,940,659	2,339,640 3,380,215	2,703,902 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	2,751,995 5,147,790	3,061,095 5,337,617	3,125,124 5,711,082	3,383,779 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	2.41% 3.24	2.38% 3.12	2.31% 3.21	2.43% 3.3	--% 2.86
Total shortfall/UCC Median	2,770,368 9,489,989	9,828,519 9,424,297	5,804,031 10,120,158	14,066,267 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	43,590,387 52,142,039	49,899,179 54,485,252	50,230,423 57,395,589	52,974,632 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	38.17 36.68	38.76 36.56	37.14 36.37	38.02 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	96,541 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	1,571,160 1,449,244	0 1,475,986	0 1,563,078	2,121,242 1,721,954	-- 2,991,828
Contract hours, direct-care Median	22,909.59 22,725	0.00 23,018.5	0.00 24,503.48	28,023.73 25,026.5	-- 33,786
Contract wages, direct-care Median	68.58 64.67	0.00 64.53	0.00 65.06	75.69 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.