As of the July, 2022, release via CMS

ST MARYS HEALTH CARE SYSTEM INC

CMS id: 110006
1230 BAXTER STREET, ATHENS GA 30606. County: CLARKE
System: ST MARY HEALTHCARE SYSTEM
CBSA: Athens-Clarke County, GA

The 264-bed, acute-care hospital had $32,312,805 in net service to patients*, with a total profit margin of 19.21648% in fiscal year 2021, the latest year available.
It spent 6.29% of its operating expenses on uncompensated care and reported $1,283,833 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	96 118	96 118	97 119.5	102 118	103 119
Total beds Median	263 162	267 162	268 162	276 162	264 163.5
FTEs Median	1,074.22 788.06	1,081.83 793.42	1,198.55 806.03	1,192.32 787.61	1,173.18 804.34

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	186,744,392 150,932,746	199,166,937 158,950,878	214,386,457 168,696,998	219,161,610 163,454,693	239,721,477 186,589,412
Operating expenses Median	169,573,297 149,311,209	157,388,734 156,110,414	199,907,023 164,890,568	212,480,623 166,516,854	207,408,672 180,120,888
Net income from service 2 patients (NS2P) ? Median	17,171,095 -964,173	41,778,203 -643,601.5	14,479,434 -116,254	6,680,987 -5,025,862	32,312,805 -1,284,564
NS2P margin ? Median	9.19% -0.62	20.98% -0.29	6.75% 0.18	3.05% -5.07	13.48% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST MARYS HEALTH CARE SYSTEM INC 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	10,366,697 5,089,215	10,463,687 4,572,541	5,385,729 5,268,134	9,804,607 13,092,619	16,773,712 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	5,232,464 299,524	2,757,870 188,688.5	2,779,880 370,813	2,824,453 309,361.5	14,947,088 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	2,715	1,605	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	1,503,062	0	0	0
⊳ Line 12: Parking lot receipts	265,856	271,539	277,585	216,231	102,807
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	87,952	77,571	367,433	877,361	515,653
⊳ 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	6,051	14,864	2,880	180	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	263,472	252,668	128,348	108,846	95,514
⊳ Line 21: Rental of vending machines	13,171	15,814	13,911	14,234	0
⊳ Line 22: Rental of hospital space	9,569	9,569	8,278	8,966	5,966
⊳ Line 23: Gov appropriations ? ⊳ Median	65,000 1,017,693	100,000 983,261.5	100,000 1,173,286	100,000 1,987,202	100,000 1,597,664
⊳ Sum Line 24	4,420,447	5,459,125	1,707,414	5,654,336	1,006,684
Total income ? Median	27,537,792 6,586,430	52,241,890 6,767,106	19,865,163 8,419,950	16,485,594 8,094,175	49,086,517 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	1,269,269 89,880.5	2,058,423 106,761	-202,823 31,473.5
Net income Median	27,537,792 6,043,842	52,241,890 5,845,112	18,595,894 7,606,259	14,427,171 7,283,041	49,289,340 14,957,241
Net margin Median	13.97070% 4.62%	24.92092% 4.42%	8.46144% 5.16%	6.30100% 5.2%	19.21648% 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 HEALTH CARE SYSTEM INC 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	39,079,586 23,241,334	41,353,242 23,709,545	47,703,875 24,248,380	48,769,284 22,858,541	44,658,174 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	33,896,574 21,577,146	35,736,184 22,041,594	42,563,148 22,722,063	43,258,469 21,570,441	38,761,728 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	5,183,012 3,535,627	5,617,058 3,746,588	5,140,727 3,782,288	5,510,815 3,865,578	5,896,446 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	17,314,198 11,160,864	18,412,090 11,987,345	19,291,873 12,926,866	19,408,357 11,884,480	23,554,898 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	14,929,587 10,918,923	16,122,819 11,706,976	16,847,558 12,615,917	17,054,980 11,458,116	20,987,938 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,384,611 1,282,808	2,289,271 1,407,728	2,444,315 1,341,512	2,353,377 1,407,046	2,566,960 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	2,641,938 3,284,314	4,139,685 3,250,551	4,619,727 3,386,837	5,124,596 3,360,806	4,521,798 3,508,953
Disproportionate-share hospital (DSH) Median	756,623 594,888	607,925 595,761	705,197 577,894	713,644 542,168	716,265 549,667
Outlier Median	322,949 582,572	315,142 538,116	1,002,004 212,434	388,990 126,559	482,568 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	609,193 3,662,910	73,606 3,730,911	1,211,386 4,081,319	3,810,257 4,643,908	1,283,833 4,389,147
Charity care Median	6,978,909 2,654,636	10,379,712 2,940,659	12,684,704 3,380,215	10,540,206 3,488,738	10,160,523 3,233,405
Uncompensated care (UCC) Median	9,956,707 5,147,790	13,032,941 5,337,617	15,507,356 5,711,082	12,434,984 5,923,418	13,037,312 5,508,107
UCC as a % of operating expenses Median	5.87% 3.24	8.28% 3.12	7.76% 3.21	5.85% 3.3	6.29% 2.86
Total shortfall/UCC Median	10,565,900 9,489,989	13,106,547 9,424,297	16,718,742 10,120,158	16,245,241 11,171,337	14,321,145 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,061,033 52,142,039	65,241,825 54,485,252	71,227,636 57,395,589	75,575,570 58,830,919	78,239,652 61,722,907
Salaries as a % of operating expenses Median	37.78 36.68	41.45 36.56	35.63 36.37	35.57 35.93	37.72 35.24
Intern, resident salaries* Median	39,785 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	1,370,514 1,251,927	1,711,669 1,186,494	1,691,293 1,204,885	1,887,621 1,279,653	2,325,717 1,469,317
Contract adjusted salaries, direct-care Median	3,256,509 1,449,244	3,575,457 1,475,986	2,663,790 1,563,078	2,519,379 1,721,954	1,965,390 2,991,828
Contract hours, direct-care Median	82,035.00 22,725	111,854.00 23,018.5	82,126.00 24,503.48	103,967.00 25,026.5	17,245.00 33,786
Contract wages, direct-care Median	39.70 64.67	31.97 64.53	32.44 65.06	24.23 68.97	113.97 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.