As of the July, 2022, release via CMS

CARONDELET ST. JOSEPH HOSPITAL

CMS id: 030011
350 NORTH WILMOT ROAD, TUCSON AZ 85732. County: PIMA
System: TENET HEALTHCARE CORPORATION
CBSA: Tucson, AZ

The 486-bed, acute-care hospital had $30,449,670 in net service to patients*, with a total profit margin of 15.26429% in fiscal year 2021, the latest year available.
It spent 1.69% of its operating expenses on uncompensated care and reported $9,306,701 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	forprofit	forprofit
Acute beds Median	377 118	377 118	377 119.5	374 118	377 119
Total beds Median	486 162	486 162	486 162	483 162	486 163.5
FTEs Median	1,094.30 788.06	1,066.40 793.42	1,057.00 806.03	1,032.00 787.61	985.40 804.34

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	247,205,484 150,932,746	229,675,333 158,950,878	233,418,658 168,696,998	234,166,600 163,454,693	282,563,708 186,589,412
Operating expenses Median	237,242,064 149,311,209	232,482,756 156,110,414	252,970,454 164,890,568	257,914,290 166,516,854	252,114,038 180,120,888
Net income from service 2 patients (NS2P) ? Median	9,963,420 -964,173	-2,807,423 -643,601.5	-19,551,796 -116,254	-23,747,690 -5,025,862	30,449,670 -1,284,564
NS2P margin ? Median	4.03% -0.62	-1.22% -0.29	-8.38% 0.18	-10.14% -5.07	10.78% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CARONDELET ST. JOSEPH 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	2,456,367 5,089,215	1,990,970 4,572,541	1,385,342 5,268,134	8,619,109 13,092,619	14,966,150 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	772,003 299,524	133,090 188,688.5	228,660 370,813	460,146 309,361.5	710,952 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	856	61,487	-55,489	4,158
⊳ Line 11: Rebates and refunds of expenses	116,504	182,436	154,868	118,368	115,542
⊳ 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	1,997	1,298	9,455	23,153
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	24,505	27,060	28,626	11,346	6,623
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	4,510	23,720	12,455	11,027
⊳ Line 22: Rental of hospital space	1,000,016	1,127,058	856,796	719,405	679,148
⊳ 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	543,339	513,963	29,887	7,343,423	13,415,547
Total income ? Median	12,419,787 6,586,430	-816,453 6,767,106	-18,166,454 8,419,950	-15,128,581 8,094,175	45,415,820 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	12,419,787 6,043,842	-816,453 5,845,112	-18,166,454 7,606,259	-15,128,581 7,283,041	45,415,820 14,957,241
Net margin Median	4.97464% 4.62%	-0.35243% 4.42%	-7.73686% 5.16%	-6.23125% 5.2%	15.26429% 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 CARONDELET ST. JOSEPH 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	51,459,871 23,241,334	48,249,539 23,709,545	47,762,155 24,248,380	41,744,807 22,858,541	42,721,254 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	46,916,452 21,577,146	43,471,871 22,041,594	44,240,375 22,722,063	39,542,813 21,570,441	42,443,462 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	325,905 1,845,420	350,547 1,757,392	214,270 1,738,842	327,593 1,510,463	277,792 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,217,514 3,535,627	4,427,121 3,746,588	3,307,510 3,782,288	1,874,401 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	13,507,239 11,160,864	14,186,686 11,987,345	14,730,028 12,926,866	12,008,205 11,884,480	14,158,165 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	13,507,239 10,918,923	14,186,686 11,706,976	14,730,028 12,615,917	12,008,205 11,458,116	14,158,165 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	1,109,899 594,888	1,019,411 595,761	1,034,755 577,894	930,264 542,168	982,993 549,667
Outlier Median	2,622,283 582,572	2,109,184 538,116	305,487 212,434	185,963 126,559	257,870 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,416,607 3,662,910	20,552,141 3,730,911	19,339,915 4,081,319	19,206,317 4,643,908	9,306,701 4,389,147
Charity care Median	2,785,471 2,654,636	2,076,356 2,940,659	2,176,711 3,380,215	922,868 3,488,738	2,476,597 3,233,405
Uncompensated care (UCC) Median	4,194,844 5,147,790	4,333,429 5,337,617	4,930,205 5,711,082	3,089,352 5,923,418	4,253,871 5,508,107
UCC as a % of operating expenses Median	1.77% 3.24	1.86% 3.12	1.95% 3.21	1.20% 3.3	1.69% 2.86
Total shortfall/UCC Median	25,611,451 9,489,989	24,885,570 9,424,297	24,270,120 10,120,158	22,295,669 11,171,337	13,560,572 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	84,207,116 52,142,039	89,213,731 54,485,252	89,079,254 57,395,589	87,263,465 58,830,919	88,005,305 61,722,907
Salaries as a % of operating expenses Median	35.49 36.68	38.38 36.56	35.21 36.37	33.83 35.93	34.88 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	9,481,534 1,449,244	4,253,163 1,475,986	7,710,040 1,563,078	5,602,158 1,721,954	3,167,362 2,991,828
Contract hours, direct-care Median	136,004.00 22,725	80,726.00 23,018.5	108,432.00 24,503.48	74,295.00 25,026.5	30,735.00 33,786
Contract wages, direct-care Median	69.72 64.67	52.69 64.53	71.10 65.06	75.40 68.97	103.05 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.