Sutter Health's investment portfolio surged back into the black in 2009 after being awash in losses the year before, according to the Sacramento-based health system's latest financial report. The report shows net income for Sutter rose to $697 million systemwide, a marked improvement from the $187 million in 2008. However, income from day-to-day operations dipped to $453 million last year from $461 million the year before, dropping the system's operating margin from 5.6% in 2008 to 5.2% in 2009, the Sacramento Bee reports.