As of the July, 2022, release via CMS

ST MARYS MEDICAL CENTER

CMS id: 100288
901 45TH STREET, WEST PALM BEACH FL 33407. County: PALM BEACH
System: TENET HEALTHCARE CORPORATION
CBSA: Miami-Fort Lauderdale-Pompano Beach, FL

The 460-bed, acute-care hospital had $53,278,778 in net service to patients*, with a total profit margin of 14.84200% in fiscal year 2021, the latest year available.
It spent 5.58% of its operating expenses on uncompensated care and reported $29,408,967 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	277 118	283 118	299 119.5	299 118	299 119
Total beds Median	446 162	444 162	460 162	460 162	460 163.5
FTEs Median	1,327.00 788.06	1,330.10 793.42	1,417.00 806.03	1,356.00 787.61	1,261.00 804.34

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	342,424,926 150,932,746	330,998,887 158,950,878	341,812,577 168,696,998	375,442,078 163,454,693	410,017,026 186,589,412
Operating expenses Median	280,977,588 149,311,209	289,626,090 156,110,414	309,644,088 164,890,568	333,964,355 166,516,854	356,738,248 180,120,888
Net income from service 2 patients (NS2P) ? Median	61,447,338 -964,173	41,372,797 -643,601.5	32,168,489 -116,254	41,477,723 -5,025,862	53,278,778 -1,284,564
NS2P margin ? Median	17.94% -0.62	12.50% -0.29	9.41% 0.18	11.05% -5.07	12.99% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST MARYS 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	1,263,522 5,089,215	1,490,873 4,572,541	1,599,202 5,268,134	1,376,917 13,092,619	8,896,322 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,528 224,999	1,100 199,009	228 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	2,200 299,524	3,930 188,688.5	2,925 370,813	3,529 309,361.5	7,078 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	4,006	12,195	3,696	-6,830	4,756
⊳ Line 11: Rebates and refunds of expenses	76,041	87,085	143,287	167,007	398,927
⊳ 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	-247	-410	362	-124	-21
⊳ 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	0	0	0	33,123
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	98,396	3,007	5,604	10,881	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	12,902
⊳ Line 22: Rental of hospital space	482,790	538,117	586,726	587,741	567,741
⊳ 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	598,808	845,849	856,374	614,713	7,871,816
Total income ? Median	62,710,860 6,586,430	42,863,670 6,767,106	33,767,691 8,419,950	42,854,640 8,094,175	62,175,100 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	62,710,860 6,043,842	42,863,670 5,845,112	33,767,691 7,606,259	42,854,640 7,283,041	62,175,100 14,957,241
Net margin Median	18.24643% 4.62%	12.89173% 4.42%	9.83300% 5.16%	11.37274% 5.2%	14.84200% 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 MARYS 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	35,203,780 23,241,334	33,446,068 23,709,545	31,105,341 24,248,380	32,766,697 22,858,541	33,833,255 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	29,269,013 21,577,146	28,300,777 22,041,594	26,487,395 22,722,063	27,807,568 21,570,441	29,287,087 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	2,737,506 1,845,420	1,899,935 1,757,392	1,325,021 1,738,842	1,180,305 1,510,463	1,003,069 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,197,261 3,535,627	3,245,356 3,746,588	3,292,925 3,782,288	3,778,824 3,865,578	3,543,099 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	3,267,242 11,160,864	3,653,371 11,987,345	3,628,285 12,926,866	3,517,459 11,884,480	4,287,329 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	3,267,242 10,918,923	3,653,371 11,706,976	3,628,285 12,615,917	3,517,459 11,458,116	4,287,329 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	18,896 3,284,314	112,627 3,250,551	230,812 3,386,837	402,771 3,360,806	477,376 3,508,953
Disproportionate-share hospital (DSH) Median	1,808,032 594,888	1,893,007 595,761	1,639,459 577,894	1,810,412 542,168	1,906,594 549,667
Outlier Median	1,106,367 582,572	1,020,844 538,116	947,206 212,434	610,914 126,559	754,203 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	29,763,834 3,662,910	31,729,294 3,730,911	30,759,484 4,081,319	22,033,277 4,643,908	29,408,967 4,389,147
Charity care Median	17,121,342 2,654,636	15,921,521 2,940,659	17,375,047 3,380,215	17,017,008 3,488,738	15,927,508 3,233,405
Uncompensated care (UCC) Median	21,953,282 5,147,790	20,350,987 5,337,617	21,547,977 5,711,082	21,096,868 5,923,418	19,918,389 5,508,107
UCC as a % of operating expenses Median	7.81% 3.24	7.03% 3.12	6.96% 3.21	6.32% 3.3	5.58% 2.86
Total shortfall/UCC Median	51,717,116 9,489,989	52,080,281 9,424,297	52,307,461 10,120,158	43,130,145 11,171,337	49,327,356 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	105,759,796 52,142,039	107,966,555 54,485,252	112,719,442 57,395,589	119,583,304 58,830,919	119,361,303 61,722,907
Salaries as a % of operating expenses Median	37.64 36.68	37.27 36.56	36.40 36.37	35.81 35.93	33.46 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	30,634 2,937,156	114,038 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	1,033,460 1,204,885	1,302,084 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,155,526 1,449,244	2,392,962 1,475,986	3,442,117 1,563,078	3,363,876 1,721,954	4,452,015 2,991,828
Contract hours, direct-care Median	19,319.00 22,725	33,588.00 23,018.5	50,340.00 24,503.48	41,908.00 25,026.5	37,893.00 33,786
Contract wages, direct-care Median	59.81 64.67	71.24 64.53	68.38 65.06	80.27 68.97	117.49 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.