As of the July, 2022, release via CMS

RUTLAND REGIONAL MEDICAL CENTER

CMS id: 470005
160 ALLEN STREET, RUTLAND VT 5701. County: RUTLAND
System: --
CBSA: Rutland, VT

The 119-bed, acute-care hospital had $-46,265,671 in net service to patients*, with a total profit margin of 10.38866% in fiscal year 2021, the latest year available.
It spent 2.40% of its operating expenses on uncompensated care and reported $5,065,429 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	111 118	111 118	111 119.5	106 118	106 119
Total beds Median	124 162	124 162	124 162	119 162	119 163.5
FTEs Median	1,334.85 788.06	1,363.74 793.42	1,364.58 806.03	1,238.80 787.61	1,250.10 804.34

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	242,193,429 150,932,746	254,235,028 158,950,878	248,889,859 168,696,998	225,514,979 163,454,693	257,501,000 186,589,412
Operating expenses Median	250,113,413 149,311,209	268,042,975 156,110,414	274,016,567 164,890,568	280,004,222 166,516,854	303,766,671 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,919,984 -964,173	-13,807,947 -643,601.5	-25,126,708 -116,254	-54,489,243 -5,025,862	-46,265,671 -1,284,564
NS2P margin ? Median	-3.27% -0.62	-5.43% -0.29	-10.10% 0.18	-24.16% -5.07	-17.97% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RUTLAND REGIONAL 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	12,053,770 5,089,215	15,105,207 4,572,541	26,298,834 5,268,134	69,909,973 13,092,619	81,843,662 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	537,289 224,999	567,551 199,009	553,191 206,870.5	194,343 194,343	189,908 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	12,804,862 309,361.5	26,588,664 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	5,782	4,431	3,509	0	0
⊳ Line 11: Rebates and refunds of expenses	995,648	0	0	151,041	129,405
⊳ 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	1,051,257	1,066,551	859,520	758,286
⊳ 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	2,800	6,062
⊳ Line 18: Revenue from sale of medical records and abstracts	19,633	18,839	8,989	7,225	5,920
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	150,693	165,852	137,069	91,920
⊳ Line 21: Rental of vending machines	0	0	0	1,229	895
⊳ Line 22: Rental of hospital space	259,722	220,524	215,106	209,420	225,120
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	14,925,826 1,987,202	15,095,482 1,597,664
⊳ Sum Line 24	10,235,696	13,091,912	24,285,636	40,616,638	38,752,000
Total income ? Median	4,133,786 6,586,430	1,297,260 6,767,106	1,172,126 8,419,950	15,420,730 8,094,175	35,577,991 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	2,085,563 106,761	324,615 31,473.5
Net income Median	4,133,786 6,043,842	1,297,260 5,845,112	1,172,126 7,606,259	13,335,167 7,283,041	35,253,376 14,957,241
Net margin Median	1.62589% 4.62%	0.48164% 4.42%	0.42594% 5.16%	4.51389% 5.2%	10.38866% 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 RUTLAND REGIONAL 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	43,894,869 23,241,334	45,573,694 23,709,545	42,547,947 24,248,380	34,425,628 22,858,541	35,758,530 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	43,894,869 21,577,146	45,573,694 22,041,594	42,547,947 22,722,063	34,425,628 21,570,441	35,758,530 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	27,857,515 11,160,864	30,418,495 11,987,345	33,311,894 12,926,866	31,444,537 11,884,480	37,019,174 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	27,857,515 10,918,923	30,418,495 11,706,976	33,311,894 12,615,917	31,444,537 11,458,116	37,019,174 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	858,683 594,888	1,005,936 595,761	767,574 577,894	947,714 542,168	925,540 549,667
Outlier Median	3,376,006 582,572	3,107,500 538,116	455,206 212,434	458,945 126,559	455,048 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,073,158 3,662,910	6,668,673 3,730,911	6,535,768 4,081,319	16,822,175 4,643,908	5,065,429 4,389,147
Charity care Median	2,033,448 2,654,636	1,883,975 2,940,659	3,800,452 3,380,215	3,428,702 3,488,738	2,958,603 3,233,405
Uncompensated care (UCC) Median	5,611,606 5,147,790	4,200,256 5,337,617	7,077,765 5,711,082	5,825,258 5,923,418	7,286,117 5,508,107
UCC as a % of operating expenses Median	2.24% 3.24	1.57% 3.12	2.58% 3.21	2.08% 3.3	2.40% 2.86
Total shortfall/UCC Median	11,684,764 9,489,989	10,868,929 9,424,297	13,613,533 10,120,158	22,647,433 11,171,337	12,351,546 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	107,799,207 52,142,039	114,235,527 54,485,252	118,085,445 57,395,589	123,428,469 58,830,919	128,687,360 61,722,907
Salaries as a % of operating expenses Median	43.10 36.68	42.62 36.56	43.09 36.37	44.08 35.93	42.36 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	3,727,661 1,449,244	5,515,153 1,475,986	4,578,995 1,563,078	3,650,531 1,721,954	7,913,863 2,991,828
Contract hours, direct-care Median	56,554.00 22,725	81,194.31 23,018.5	62,961.02 24,503.48	44,675.04 25,026.5	68,346.00 33,786
Contract wages, direct-care Median	65.91 64.67	67.93 64.53	72.73 65.06	81.71 68.97	115.79 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.