As of the July, 2022, release via CMS

STRAUB CLINIC & HOSPITAL

CMS id: 120022
888 S. KING STREET, HONOLULU HI 96813. County: HONOLULU
System: HAWAII PACIFIC HEALTH
CBSA: Urban Honolulu, HI

The 159-bed, acute-care hospital had $28,618,825 in net service to patients*, with a total profit margin of 21.97714% in fiscal year 2021, the latest year available.
It spent 1.17% of its operating expenses on uncompensated care and reported $3,457,202 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	140 118	140 118	140 119.5	140 118	140 119
Total beds Median	159 162	159 162	159 162	159 162	159 163.5
FTEs Median	1,716.18 788.06	1,804.62 793.42	1,792.25 806.03	1,709.49 787.61	1,568.36 804.34

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	439,829,519 150,932,746	438,847,072 158,950,878	449,921,090 168,696,998	427,873,313 163,454,693	461,165,462 186,589,412
Operating expenses Median	450,354,065 149,311,209	467,517,529 156,110,414	482,339,865 164,890,568	459,495,534 166,516,854	432,546,637 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,524,546 -964,173	-28,670,457 -643,601.5	-32,418,775 -116,254	-31,622,221 -5,025,862	28,618,825 -1,284,564
NS2P margin ? Median	-2.39% -0.62	-6.53% -0.29	-7.21% 0.18	-7.39% -5.07	6.21% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STRAUB CLINIC & HOSPITAL 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	11,810,219 5,089,215	27,426,630 4,572,541	28,155,217 5,268,134	53,418,546 13,092,619	94,382,165 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	727,359 224,999	488,374 199,009	450,959 206,870.5	606,920 194,343	1,133,418 249,496
⊳ Line 7: Investments ? ⊳ Median	157,498 299,524	113,724 188,688.5	87,424 370,813	86,759 309,361.5	124,998 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	34,886	13,180	14,612	14,912	17,676
⊳ Line 11: Rebates and refunds of expenses	0	0	0	9,935	4,952
⊳ Line 12: Parking lot receipts	919,312	918,517	1,057,712	1,093,979	562,073
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ 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	19,249	135,964	103,881	161,549	97,517
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	212,730	214,941	247,527	188,032	163,276
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	543,449	0	0	0	0
⊳ 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	9,195,736	25,541,930	26,193,102	51,256,460	92,278,255
Total income ? Median	1,285,673 6,586,430	-1,243,827 6,767,106	-4,263,558 8,419,950	21,796,325 8,094,175	123,000,990 15,162,888
Non-operating expenses Median	836,089 146,289.5	1,105,508 164,857	31,188 89,880.5	469,193 106,761	907,490 31,473.5
Net income Median	449,584 6,043,842	-2,349,335 5,845,112	-4,294,746 7,606,259	21,327,132 7,283,041	122,093,500 14,957,241
Net margin Median	0.09954% 4.62%	-0.50385% 4.42%	-0.89834% 5.16%	4.43123% 5.2%	21.97714% 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 STRAUB CLINIC & HOSPITAL 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	39,088,898 23,241,334	37,098,672 23,709,545	37,376,185 24,248,380	36,717,026 22,858,541	41,959,540 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	39,088,898 21,577,146	37,098,672 22,041,594	37,376,185 22,722,063	36,717,026 21,570,441	41,959,540 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	31,353,811 11,160,864	33,343,332 11,987,345	35,571,199 12,926,866	31,896,526 11,884,480	33,053,334 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	31,353,811 10,918,923	33,343,332 11,706,976	35,571,199 12,615,917	31,896,526 11,458,116	33,053,334 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	1,417,421 3,284,314	1,351,200 3,250,551	1,401,767 3,386,837	1,296,119 3,360,806	1,295,821 3,508,953
Disproportionate-share hospital (DSH) Median	845,484 594,888	825,353 595,761	779,678 577,894	839,543 542,168	1,037,268 549,667
Outlier Median	2,344,001 582,572	2,651,435 538,116	2,586,311 212,434	645,461 126,559	552,016 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,282,409 3,662,910	7,727,471 3,730,911	7,247,861 4,081,319	16,949,979 4,643,908	3,457,202 4,389,147
Charity care Median	5,740,736 2,654,636	4,138,478 2,940,659	2,577,720 3,380,215	3,358,832 3,488,738	3,467,899 3,233,405
Uncompensated care (UCC) Median	7,918,347 5,147,790	6,224,205 5,337,617	4,291,508 5,711,082	4,786,734 5,923,418	5,042,668 5,508,107
UCC as a % of operating expenses Median	1.76% 3.24	1.33% 3.12	0.89% 3.21	1.04% 3.3	1.17% 2.86
Total shortfall/UCC Median	15,200,756 9,489,989	13,951,676 9,424,297	11,539,369 10,120,158	21,736,713 11,171,337	8,499,870 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	197,075,666 52,142,039	205,876,382 54,485,252	212,806,195 57,395,589	180,724,011 58,830,919	131,861,056 61,722,907
Salaries as a % of operating expenses Median	43.76 36.68	44.04 36.56	44.12 36.37	39.33 35.93	30.48 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	462,909 1,251,927	477,766 1,186,494	455,273 1,204,885	404,968 1,279,653	392,724 1,469,317
Contract adjusted salaries, direct-care Median	696,259 1,449,244	861,737 1,475,986	744,015 1,563,078	987,590 1,721,954	994,971 2,991,828
Contract hours, direct-care Median	21,975.38 22,725	26,922.25 23,018.5	21,899.85 24,503.48	22,344.95 25,026.5	20,440.28 33,786
Contract wages, direct-care Median	31.68 64.67	32.01 64.53	33.97 65.06	44.20 68.97	48.68 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.