As of the July, 2022, release via CMS

ST. JOSEPHS HOSPITAL & MEDICAL CTR

CMS id: 030024
350 WEST THOMAS ROAD, PHOENIX AZ 85013. County: MARICOPA
System: DIGNITY HEALTH
CBSA: Phoenix-Mesa-Chandler, AZ

The 553-bed, acute-care hospital had $-123,350,474 in net service to patients*, with a total profit margin of 11.34095% in fiscal year 2021, the latest year available.
It spent 2.70% of its operating expenses on uncompensated care and reported $18,192,333 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	325 118	268 118	309 119.5	309 118	309 119
Total beds Median	571 162	512 162	553 162	553 162	553 163.5
FTEs Median	4,922.69 788.06	5,004.60 793.42	5,004.61 806.03	4,506.98 787.61	4,667.48 804.34

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	993,796,428 150,932,746	1,033,906,758 158,950,878	1,028,319,712 168,696,998	1,089,169,405 163,454,693	1,208,253,682 186,589,412
Operating expenses Median	1,155,269,373 149,311,209	1,183,251,319 156,110,414	1,131,429,615 164,890,568	1,209,810,724 166,516,854	1,331,604,156 180,120,888
Net income from service 2 patients (NS2P) ? Median	-161,472,945 -964,173	-149,344,561 -643,601.5	-103,109,903 -116,254	-120,641,319 -5,025,862	-123,350,474 -1,284,564
NS2P margin ? Median	-16.25% -0.62	-14.44% -0.29	-10.03% 0.18	-11.08% -5.07	-10.21% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPHS HOSPITAL & MEDICAL CTR 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	122,096,035 5,089,215	132,804,812 4,572,541	68,625,001 5,268,134	467,768,856 13,092,619	293,684,612 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	9,404,030 224,999	12,618,113 199,009	18,093,834 206,870.5	20,683,293 194,343	18,515,743 249,496
⊳ Line 7: Investments ? ⊳ Median	4,880,648 299,524	4,444,610 188,688.5	2,124,263 370,813	1,956,477 309,361.5	13,232,089 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	812	812	812	-7--	--
⊳ Line 10: Purchase discounts	159,247	123,483	118,443	126,357	86,978
⊳ Line 11: Rebates and refunds of expenses	0	0	0	232,923	0
⊳ Line 12: Parking lot receipts	480,148	475,199	720,903	796,614	904,645
⊳ Line 13: Revenue from laundry and linen service	10,263	10,815	8,862	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	4,982,901	5,389,039	5,953,611	4,890,102	3,698,861
⊳ 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	9,074,596	9,244,027	1,091,641	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,534	-107	426	1,329	16,852
⊳ 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	242,600	216,704	178,245	163,060	132,031
⊳ Line 22: Rental of hospital space	4,161,159	4,580,181	4,286,701	4,364,570	4,403,585
⊳ Line 23: Gov appropriations ? ⊳ Median	-160,070 1,017,693	3,261 983,261.5	24,034 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	88,858,167	95,698,675	36,023,226	434,554,201	252,693,828
Total income ? Median	-39,376,910 6,586,430	-16,539,749 6,767,106	-34,484,902 8,419,950	347,127,537 8,094,175	170,334,138 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	-39,376,910 6,043,842	-16,539,749 5,845,112	-34,484,902 7,606,259	347,127,537 7,283,041	170,334,138 14,957,241
Net margin Median	-3.52874% 4.62%	-1.41764% 4.42%	-3.14372% 5.16%	22.29552% 5.2%	11.34095% 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 ST. JOSEPHS HOSPITAL & MEDICAL CTR 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	135,207,905 23,241,334	150,156,978 23,709,545	150,870,898 24,248,380	148,030,299 22,858,541	156,297,057 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	129,345,394 21,577,146	143,780,194 22,041,594	144,748,342 22,722,063	142,349,631 21,570,441	149,640,718 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	5,862,511 3,535,627	6,376,784 3,746,588	6,122,556 3,782,288	5,680,668 3,865,578	6,656,339 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	40,711,272 11,160,864	47,102,481 11,987,345	46,594,749 12,926,866	45,094,728 11,884,480	40,401,037 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	40,711,272 10,918,923	47,102,481 11,706,976	46,594,749 12,615,917	45,094,728 11,458,116	40,401,037 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	15,422,382 3,284,314	18,256,094 3,250,551	17,572,134 3,386,837	19,878,152 3,360,806	21,038,951 3,508,953
Disproportionate-share hospital (DSH) Median	5,507,659 594,888	6,088,314 595,761	5,868,607 577,894	5,078,231 542,168	5,122,100 549,667
Outlier Median	6,197,830 582,572	6,700,589 538,116	6,773,314 212,434	1,389,777 126,559	1,750,212 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	25,879,655 3,662,910	20,495,802 3,730,911	28,148,502 4,081,319	35,411,075 4,643,908	18,192,333 4,389,147
Charity care Median	13,865,657 2,654,636	13,492,476 2,940,659	20,926,000 3,380,215	29,672,565 3,488,738	28,931,231 3,233,405
Uncompensated care (UCC) Median	18,921,998 5,147,790	23,529,325 5,337,617	30,362,579 5,711,082	36,051,126 5,923,418	36,019,701 5,508,107
UCC as a % of operating expenses Median	1.64% 3.24	1.99% 3.12	2.68% 3.21	2.98% 3.3	2.70% 2.86
Total shortfall/UCC Median	44,801,653 9,489,989	44,025,127 9,424,297	58,511,081 10,120,158	71,462,201 11,171,337	54,212,034 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	427,834,928 52,142,039	437,890,599 54,485,252	381,758,176 57,395,589	395,774,576 58,830,919	437,983,470 61,722,907
Salaries as a % of operating expenses Median	37.03 36.68	37.01 36.56	33.74 36.37	32.71 35.93	32.89 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	5,896,407 1,449,244	7,665,024 1,475,986	16,204,685 1,563,078	13,302,361 1,721,954	18,790,312 2,991,828
Contract hours, direct-care Median	76,079.00 22,725	116,349.00 23,018.5	248,555.00 24,503.48	200,590.00 25,026.5	181,837.00 33,786
Contract wages, direct-care Median	77.50 64.67	65.88 64.53	65.20 65.06	66.32 68.97	103.34 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.