As of the July, 2022, release via CMS

ST. JOSEPHS HOSPITAL INC.

CMS id: 110043
11705 MERCY BLVD, SAVANNAH GA 31419. County: CHATHAM
System: ST. JOSEPHS/CANDLER HEALTH SYSTEM
CBSA: Savannah, GA

The 243-bed, acute-care hospital had $-8,843,308 in net service to patients*, with a total profit margin of 8.39498% in fiscal year 2021, the latest year available.
It spent 5.49% of its operating expenses on uncompensated care and reported $442,719 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	178 118	172 118	172 119.5	172 118	183 119
Total beds Median	249 162	243 162	243 162	243 162	243 163.5
FTEs Median	1,152.51 788.06	1,080.42 793.42	1,116.52 806.03	1,197.74 787.61	1,165.54 804.34

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	202,910,119 150,932,746	214,224,166 158,950,878	245,091,799 168,696,998	248,630,757 163,454,693	273,892,580 186,589,412
Operating expenses Median	225,003,342 149,311,209	226,599,684 156,110,414	251,055,509 164,890,568	264,891,896 166,516,854	282,735,888 180,120,888
Net income from service 2 patients (NS2P) ? Median	-22,093,223 -964,173	-12,375,518 -643,601.5	-5,963,710 -116,254	-16,261,139 -5,025,862	-8,843,308 -1,284,564
NS2P margin ? Median	-10.89% -0.62	-5.78% -0.29	-2.43% 0.18	-6.54% -5.07	-3.23% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPHS HOSPITAL 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	17,341,930 5,089,215	15,462,897 4,572,541	23,444,029 5,268,134	19,382,318 13,092,619	34,754,139 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	122,114 224,999	117,797 199,009	114,812 206,870.5	92,825 194,343	66,375 249,496
⊳ Line 7: Investments ? ⊳ Median	1,510,500 299,524	1,945,106 188,688.5	1,889,370 370,813	300,372 309,361.5	3,239,990 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ 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	1,326,370	1,292,461	1,323,432	1,096,068	915,294
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	1,760,374	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	0
⊳ 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	23,234	25,321	28,719	25,983	2,999
⊳ Line 22: Rental of hospital space	148,424	131,530	195,355	712,004	851,365
⊳ 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	12,450,914	11,950,682	19,892,341	17,155,066	29,678,116
Total income ? Median	-4,751,293 6,586,430	3,087,379 6,767,106	17,480,319 8,419,950	3,121,179 8,094,175	25,910,831 15,162,888
Non-operating expenses Median	84,993 146,289.5	0 164,857	0 89,880.5	252,891 106,761	0 31,473.5
Net income Median	-4,836,286 6,043,842	3,087,379 5,845,112	17,480,319 7,606,259	2,868,288 7,283,041	25,910,831 14,957,241
Net margin Median	-2.19580% 4.62%	1.34417% 4.42%	6.50949% 5.16%	1.07020% 5.2%	8.39498% 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 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	56,793,017 23,241,334	55,927,648 23,709,545	54,929,146 24,248,380	51,306,332 22,858,541	47,290,661 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	50,972,884 21,577,146	49,645,739 22,041,594	48,918,679 22,722,063	44,558,632 21,570,441	40,605,502 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	5,205,148 3,535,627	5,763,861 3,746,588	5,536,588 3,782,288	6,328,772 3,865,578	6,685,159 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	614,985 1,203,033	518,048 1,215,295	473,879 1,313,657	418,928 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	20,950,083 11,160,864	21,882,357 11,987,345	25,733,965 12,926,866	26,159,623 11,884,480	29,037,534 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	16,200,859 10,918,923	18,574,274 11,706,976	22,555,245 12,615,917	23,154,109 11,458,116	26,345,741 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,749,224 1,282,808	3,308,083 1,407,728	3,178,720 1,341,512	3,005,514 1,407,046	2,691,793 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	2,105,012 582,572	1,672,672 538,116	1,709,835 212,434	181,848 126,559	207,842 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,578,315 3,662,910	565,598 3,730,911	990,943 4,081,319	1,111,849 4,643,908	442,719 4,389,147
Charity care Median	23,572,230 2,654,636	24,100,079 2,940,659	15,664,524 3,380,215	14,711,896 3,488,738	12,971,122 3,233,405
Uncompensated care (UCC) Median	24,415,645 5,147,790	27,786,255 5,337,617	17,586,410 5,711,082	17,106,014 5,923,418	15,526,746 5,508,107
UCC as a % of operating expenses Median	10.85% 3.24	12.26% 3.12	7.00% 3.21	6.46% 3.3	5.49% 2.86
Total shortfall/UCC Median	26,993,960 9,489,989	28,351,853 9,424,297	18,577,353 10,120,158	18,217,863 11,171,337	15,969,465 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,967,177 52,142,039	77,612,995 54,485,252	86,180,197 57,395,589	91,634,975 58,830,919	94,760,260 61,722,907
Salaries as a % of operating expenses Median	34.65 36.68	34.25 36.56	34.33 36.37	34.59 35.93	33.52 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	4,689,958 1,449,244	3,669,218 1,475,986	4,521,582 1,563,078	6,410,468 1,721,954	8,091,482 2,991,828
Contract hours, direct-care Median	99,582.00 22,725	78,155.00 23,018.5	87,076.00 24,503.48	110,317.00 25,026.5	128,912.92 33,786
Contract wages, direct-care Median	47.10 64.67	46.95 64.53	51.93 65.06	58.11 68.97	62.77 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.