As of the July, 2022, release via CMS

SAINT FRANCIS MEDICAL CENTER

CMS id: 140067
530 NE GLEN OAK AVENUE, PEORIA IL 61637. County: PEORIA
System: OSF HEALTHCARE SYSTEM
CBSA: Peoria, IL

The 669-bed, acute-care hospital had $179,844,305 in net service to patients*, with a total profit margin of 19.68587% in fiscal year 2021, the latest year available.
It spent 1.98% of its operating expenses on uncompensated care and reported $38,745,146 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	527 118	534 118	534 119.5	548 118	548 119
Total beds Median	648 162	655 162	655 162	669 162	669 163.5
FTEs Median	5,167.66 788.06	5,247.54 793.42	5,145.03 806.03	4,890.50 787.61	4,859.38 804.34

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	1,079,901,832 150,932,746	1,154,496,377 158,950,878	1,165,697,011 168,696,998	1,105,603,905 163,454,693	1,241,610,461 186,589,412
Operating expenses Median	909,967,158 149,311,209	975,564,112 156,110,414	943,271,153 164,890,568	959,686,363 166,516,854	1,061,766,156 180,120,888
Net income from service 2 patients (NS2P) ? Median	169,934,674 -964,173	178,932,265 -643,601.5	222,425,858 -116,254	145,917,542 -5,025,862	179,844,305 -1,284,564
NS2P margin ? Median	15.74% -0.62	15.50% -0.29	19.08% 0.18	13.20% -5.07	14.48% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT FRANCIS 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	86,182,893 5,089,215	114,701,917 4,572,541	126,274,778 5,268,134	163,721,655 13,092,619	85,830,353 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	8,407,495 224,999	10,816,380 199,009	1,172,991 206,870.5	8,316,112 194,343	21,590,019 249,496
⊳ Line 7: Investments ? ⊳ Median	58,314,751 299,524	69,313,882 188,688.5	88,839,501 370,813	103,457,837 309,361.5	13,739,147 375,329
⊳ 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	124,631	113,026	38,729	5,146	5,608
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	119,446	95,122	100,508	105,566	98,950
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	2,527,628	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	1,751,127	201,240	3,015,315	4,375,870	3,543,302
⊳ Line 18: Revenue from sale of medical records and abstracts	233,270	8,386,339	160,637	174,897	115,932
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	7,903,573	0	7,594,144	6,818,739	6,286,325
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	123,188	153,389	145,045	92,017	70,409
⊳ Line 22: Rental of hospital space	1,145,695	1,311,245	1,120,673	1,232,206	1,147,039
⊳ 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	8,059,717	21,783,666	24,087,235	39,143,265	39,233,622
Total income ? Median	256,117,567 6,586,430	293,634,182 6,767,106	348,700,636 8,419,950	309,639,197 8,094,175	265,674,658 15,162,888
Non-operating expenses Median	1,683,832 146,289.5	491,494 164,857	679,313 89,880.5	112,073,761 106,761	4,356,340 31,473.5
Net income Median	254,433,735 6,043,842	293,142,688 5,845,112	348,021,323 7,606,259	197,565,436 7,283,041	261,318,318 14,957,241
Net margin Median	21.81949% 4.62%	23.09668% 4.42%	26.93722% 5.16%	15.56460% 5.2%	19.68587% 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 SAINT FRANCIS 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	159,904,216 23,241,334	174,088,264 23,709,545	175,351,758 24,248,380	163,738,268 22,858,541	170,939,590 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	155,123,490 21,577,146	167,924,226 22,041,594	170,117,181 22,722,063	158,337,883 21,570,441	164,742,879 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	4,780,726 3,535,627	6,164,038 3,746,588	5,234,577 3,782,288	5,400,385 3,865,578	6,196,711 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	53,529,000 11,160,864	57,148,400 11,987,345	60,044,531 12,926,866	58,923,221 11,884,480	63,633,997 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	53,529,000 10,918,923	57,148,400 11,706,976	60,044,531 12,615,917	58,923,221 11,458,116	63,633,997 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	17,798,941 3,284,314	20,135,212 3,250,551	21,986,776 3,386,837	21,692,813 3,360,806	23,113,376 3,508,953
Disproportionate-share hospital (DSH) Median	5,057,187 594,888	5,195,588 595,761	5,325,652 577,894	4,754,716 542,168	4,866,878 549,667
Outlier Median	6,459,507 582,572	6,258,707 538,116	951,896 212,434	1,034,920 126,559	1,053,211 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	30,546,766 4,643,908	38,745,146 4,389,147
Charity care Median	14,136,842 2,654,636	24,248,120 2,940,659	18,991,731 3,380,215	30,729,154 3,488,738	17,470,455 3,233,405
Uncompensated care (UCC) Median	17,947,705 5,147,790	29,336,482 5,337,617	25,383,202 5,711,082	35,878,439 5,923,418	21,004,056 5,508,107
UCC as a % of operating expenses Median	1.97% 3.24	3.01% 3.12	2.69% 3.21	3.74% 3.3	1.98% 2.86
Total shortfall/UCC Median	17,947,705 9,489,989	29,336,482 9,424,297	25,383,202 10,120,158	66,425,205 11,171,337	59,749,202 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	317,009,518 52,142,039	339,854,319 54,485,252	339,377,616 57,395,589	308,893,989 58,830,919	322,292,935 61,722,907
Salaries as a % of operating expenses Median	34.84 36.68	34.84 36.56	35.98 36.37	32.19 35.93	30.35 35.24
Intern, resident salaries* Median	14,125,892 2,598,592	14,386,868 2,686,824	15,179,263 2,753,773	15,772,584 2,937,156	16,819,617 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	10,151,634 1,449,244	8,021,215 1,475,986	14,209,219 1,563,078	14,648,657 1,721,954	31,128,482 2,991,828
Contract hours, direct-care Median	154,409.00 22,725	109,553.00 23,018.5	192,682.00 24,503.48	201,542.74 25,026.5	286,290.00 33,786
Contract wages, direct-care Median	65.75 64.67	73.22 64.53	73.74 65.06	72.68 68.97	108.73 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.