As of the July, 2022, release via CMS

SARASOTA MEMORIAL HOSPITAL

CMS id: 100087
1700 S. TAMIAMI TRAIL, SARASOTA FL 34239. County: SARASOTA
System: --
CBSA: North Port-Sarasota-Bradenton, FL

The 804-bed, acute-care hospital had $-75,310,241 in net service to patients*, with a total profit margin of 16.41887% in fiscal year 2021, the latest year available.
It spent 3.74% of its operating expenses on uncompensated care and reported $90,231,435 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	gov	gov	gov	gov	gov
Acute beds Median	569 118	578 118	613 119.5	629 118	608 119
Total beds Median	757 162	766 162	811 162	814 162	804 163.5
FTEs Median	4,335.74 788.06	4,607.66 793.42	4,978.41 806.03	4,583.77 787.61	5,619.04 804.34

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	707,155,580 150,932,746	788,693,854 158,950,878	877,647,263 168,696,998	875,706,378 163,454,693	1,017,781,763 186,589,412
Operating expenses Median	669,281,329 149,311,209	746,944,338 156,110,414	819,654,581 164,890,568	927,314,961 166,516,854	1,093,092,004 180,120,888
Net income from service 2 patients (NS2P) ? Median	37,874,251 -964,173	41,749,516 -643,601.5	57,992,682 -116,254	-51,608,583 -5,025,862	-75,310,241 -1,284,564
NS2P margin ? Median	5.36% -0.62	5.29% -0.29	6.61% 0.18	-5.89% -5.07	-7.40% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SARASOTA MEMORIAL 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	104,634,306 5,089,215	114,223,066 4,572,541	168,337,231 5,268,134	277,833,226 13,092,619	290,039,770 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	13,626,329 299,524	18,392,828 188,688.5	22,992,165 370,813	21,231,114 309,361.5	19,103,747 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ 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	0	0	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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	91,007,977	95,830,238	145,345,066	256,602,112	270,936,023
Total income ? Median	142,508,557 6,586,430	155,972,582 6,767,106	226,329,913 8,419,950	226,224,643 8,094,175	214,729,529 15,162,888
Non-operating expenses Median	28,206,767 146,289.5	15,528,206 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	114,301,790 6,043,842	140,444,376 5,845,112	226,329,913 7,606,259	226,224,643 7,283,041	214,729,529 14,957,241
Net margin Median	14.08022% 4.62%	15.55452% 4.42%	21.63798% 5.16%	19.61135% 5.2%	16.41887% 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 SARASOTA MEMORIAL 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	182,911,907 23,241,334	218,814,651 23,709,545	240,680,457 24,248,380	248,323,318 22,858,541	260,573,811 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	164,476,739 21,577,146	198,562,914 22,041,594	217,021,149 22,722,063	224,515,609 21,570,441	234,919,262 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	4,289,158 1,845,420	4,506,954 1,757,392	4,056,894 1,738,842	3,081,408 1,510,463	2,330,177 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	14,146,010 3,535,627	15,744,783 3,746,588	19,602,414 3,782,288	20,726,301 3,865,578	23,324,372 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	79,294,800 11,160,864	79,879,383 11,987,345	84,372,859 12,926,866	81,317,508 11,884,480	93,691,854 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	79,294,800 10,918,923	79,879,383 11,706,976	84,372,859 12,615,917	81,317,508 11,458,116	93,691,854 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	415,287 3,284,314	3,283,238 3,250,551	6,370,693 3,386,837	10,000,711 3,360,806	12,444,692 3,508,953
Disproportionate-share hospital (DSH) Median	2,914,659 594,888	4,458,948 595,761	4,607,160 577,894	4,588,948 542,168	3,996,572 549,667
Outlier Median	8,553,745 582,572	7,789,879 538,116	1,040,848 212,434	1,087,427 126,559	1,068,396 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	69,041,900 3,662,910	70,492,688 3,730,911	69,147,044 4,081,319	76,981,477 4,643,908	90,231,435 4,389,147
Charity care Median	13,953,927 2,654,636	16,483,153 2,940,659	15,515,286 3,380,215	18,864,932 3,488,738	18,479,109 3,233,405
Uncompensated care (UCC) Median	36,195,954 5,147,790	38,410,541 5,337,617	39,094,818 5,711,082	49,054,986 5,923,418	40,865,050 5,508,107
UCC as a % of operating expenses Median	5.41% 3.24	5.14% 3.12	4.77% 3.21	5.29% 3.3	3.74% 2.86
Total shortfall/UCC Median	105,237,854 9,489,989	108,903,229 9,424,297	108,241,862 10,120,158	126,036,463 11,171,337	131,096,485 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	271,267,196 52,142,039	295,978,269 54,485,252	330,491,618 57,395,589	354,852,232 58,830,919	407,623,501 61,722,907
Salaries as a % of operating expenses Median	39.69 36.68	39.63 36.56	40.32 36.37	38.27 35.93	37.29 35.24
Intern, resident salaries* Median	182,265 2,598,592	906,314 2,686,824	1,825,536 2,753,773	3,017,422 2,937,156	3,629,308 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	6,479,799 1,449,244	6,524,959 1,475,986	8,172,700 1,563,078	6,284,325 1,721,954	10,396,742 2,991,828
Contract hours, direct-care Median	91,233.57 22,725	80,468.40 23,018.5	101,563.32 24,503.48	76,806.00 25,026.5	106,038.00 33,786
Contract wages, direct-care Median	71.02 64.67	81.09 64.53	80.47 65.06	81.82 68.97	98.05 88.94

* in an approved program

Return to top

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.