As of the July, 2022, release via CMS

ST. JOSEPHS MEDICAL CENTER

CMS id: 050084
1800 N. CALIFORNIA STREET, STOCKTON CA 95204. County: SAN JOAQUIN
System: DIGNITY HEALTH
CBSA: Stockton, CA

The 348-bed, acute-care hospital had $40,723,245 in net service to patients*, with a total profit margin of 14.93708% in fiscal year 2021, the latest year available.
It spent 2.03% of its operating expenses on uncompensated care and reported $5,773,349 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	395	365	365	366	365
Ownership	forprofit	nfp	forprofit	nfp	nfp
Acute beds Median	297 118	296 118	279 119.5	279 118	266 119
Total beds Median	348 162	355 162	348 162	348 162	348 163.5
FTEs Median	1,959.59 788.06	2,068.45 793.42	2,186.29 806.03	2,204.92 787.61	2,225.79 804.34

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	540,084,874 150,932,746	590,205,536 158,950,878	630,179,551 168,696,998	644,301,302 163,454,693	686,898,274 186,589,412
Operating expenses Median	542,277,591 149,311,209	543,977,087 156,110,414	572,681,746 164,890,568	607,035,311 166,516,854	646,175,029 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,192,717 -964,173	46,228,449 -643,601.5	57,497,805 -116,254	37,265,991 -5,025,862	40,723,245 -1,284,564
NS2P margin ? Median	-0.41% -0.62	7.83% -0.29	9.12% 0.18	5.78% -5.07	5.93% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPHS 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	11,668,994 5,089,215	8,366,907 4,572,541	8,924,735 5,268,134	97,853,607 13,092,619	72,745,348 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	3,110,153 299,524	1,328,145 188,688.5	2,632,426 370,813	4,110,411 309,361.5	53,959,710 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	90,416	36,700	50,692	61,618	50,790
⊳ Line 11: Rebates and refunds of expenses	844,635	0	0	375	902,557
⊳ Line 12: Parking lot receipts	186,258	234,731	285,868	187,087	54,580
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,515,800	1,352,404	1,412,563	1,198,000	859,282
⊳ 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	35,814	31,610	37,007	30,906	14,008
⊳ 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	35,086	24,513	31,143	24,935	29,221
⊳ Line 22: Rental of hospital space	1,332,377	1,223,270	1,268,274	1,359,100	1,212,166
⊳ Line 23: Gov appropriations ? ⊳ Median	367,416 1,017,693	24,599 983,261.5	-427,816 1,173,286	-33,970 1,987,202	0 1,597,664
⊳ Sum Line 24	4,151,039	4,110,935	3,634,578	90,915,145	15,663,034
Total income ? Median	9,476,277 6,586,430	54,595,356 6,767,106	66,422,540 8,419,950	135,119,598 8,094,175	113,468,593 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	9,476,277 6,043,842	54,595,356 5,845,112	66,422,540 7,606,259	135,119,598 7,283,041	113,468,593 14,957,241
Net margin Median	1.71748% 4.62%	9.12093% 4.42%	10.39307% 5.16%	18.20639% 5.2%	14.93708% 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 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	94,912,891 23,241,334	91,941,898 23,709,545	106,803,976 24,248,380	109,404,231 22,858,541	116,177,586 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	94,912,891 21,577,146	91,941,898 22,041,594	106,803,976 22,722,063	109,404,231 21,570,441	116,177,586 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	36,587,039 11,160,864	37,527,149 11,987,345	42,594,819 12,926,866	42,786,765 11,884,480	39,352,967 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	33,491,350 10,918,923	34,883,811 11,706,976	39,930,065 12,615,917	39,532,806 11,458,116	36,003,571 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,095,689 1,282,808	2,643,338 1,407,728	2,664,754 1,341,512	3,253,959 1,407,046	3,349,396 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	2,367,757 3,386,837	4,992,292 3,360,806	10,423,190 3,508,953
Disproportionate-share hospital (DSH) Median	6,210,118 594,888	5,903,360 595,761	6,130,495 577,894	6,535,018 542,168	6,212,175 549,667
Outlier Median	4,318,043 582,572	2,737,747 538,116	3,521,553 212,434	604,130 126,559	489,366 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	23,151,960 3,662,910	2,752,276 3,730,911	1,132,121 4,081,319	26,497,866 4,643,908	5,773,349 4,389,147
Charity care Median	3,530,729 2,654,636	4,572,728 2,940,659	7,238,879 3,380,215	8,544,735 3,488,738	9,057,497 3,233,405
Uncompensated care (UCC) Median	7,884,732 5,147,790	9,180,900 5,337,617	12,517,103 5,711,082	12,705,113 5,923,418	13,137,783 5,508,107
UCC as a % of operating expenses Median	1.45% 3.24	1.69% 3.12	2.19% 3.21	2.09% 3.3	2.03% 2.86
Total shortfall/UCC Median	31,036,692 9,489,989	11,933,176 9,424,297	13,649,224 10,120,158	39,202,979 11,171,337	18,911,132 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	220,897,797 52,142,039	219,587,600 54,485,252	236,333,586 57,395,589	242,651,950 58,830,919	259,003,307 61,722,907
Salaries as a % of operating expenses Median	40.74 36.68	40.37 36.56	41.27 36.37	39.97 35.93	40.08 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	10,409,432 1,449,244	7,961,168 1,475,986	7,491,141 1,563,078	8,354,940 1,721,954	15,324,412 2,991,828
Contract hours, direct-care Median	88,404.00 22,725	74,509.00 23,018.5	94,141.00 24,503.48	90,165.00 25,026.5	114,537.00 33,786
Contract wages, direct-care Median	117.75 64.67	106.85 64.53	79.57 65.06	92.66 68.97	133.79 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.