As of the July, 2022, release via CMS

SAINT JAMES HOSPITAL

CMS id: 140161
2500 WEST REYNOLDS STREET, PONTIAC IL 61764. County: LIVINGSTON
System: OSF HEALTHCARE SYSTEM
CBSA: Pontiac, IL

The 42-bed, acute-care hospital had $16,603,279 in net service to patients*, with a total profit margin of 26.83681% in fiscal year 2021, the latest year available.
It spent 3.54% of its operating expenses on uncompensated care and reported $5,116,803 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	37 118	37 118	37 119.5	37 118	37 119
Total beds Median	42 162	42 162	42 162	42 162	42 163.5
FTEs Median	274.00 788.06	288.00 793.42	299.89 806.03	257.23 787.61	275.79 804.34

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	63,460,405 150,932,746	64,665,510 158,950,878	65,733,347 168,696,998	58,345,509 163,454,693	73,222,499 186,589,412
Operating expenses Median	47,675,312 149,311,209	51,726,365 156,110,414	52,417,589 164,890,568	51,170,900 166,516,854	56,619,220 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,785,093 -964,173	12,939,145 -643,601.5	13,315,758 -116,254	7,174,609 -5,025,862	16,603,279 -1,284,564
NS2P margin ? Median	24.87% -0.62	20.01% -0.29	20.26% 0.18	12.30% -5.07	22.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT JAMES 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	2,845,320 5,089,215	3,555,464 4,572,541	4,308,853 5,268,134	9,656,186 13,092,619	4,586,414 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	441,639 224,999	148,621 199,009	155,748 206,870.5	316,264 194,343	310,130 249,496
⊳ Line 7: Investments ? ⊳ Median	1,966,248 299,524	2,479,654 188,688.5	3,036,103 370,813	3,647,817 309,361.5	0 375,329
⊳ 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	74,999	81,250	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	133,155	140,303	141,895	133,606	133,720
⊳ 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	-51,297	18,781	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	15,626	11,600
⊳ 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	11,815	9,855	12,150	7,924	4,922
⊳ Line 22: Rental of hospital space	0	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	343,760	683,251	881,707	5,534,949	4,126,042
Total income ? Median	18,630,413 6,586,430	16,494,609 6,767,106	17,624,611 8,419,950	16,830,795 8,094,175	21,189,693 15,162,888
Non-operating expenses Median	12,854 146,289.5	1,946 164,857	-5,497 89,880.5	213,215 106,761	308,264 31,473.5
Net income Median	18,617,559 6,043,842	16,492,663 5,845,112	17,630,108 7,606,259	16,617,580 7,283,041	20,881,429 14,957,241
Net margin Median	28.07836% 4.62%	24.17536% 4.42%	25.17069% 5.16%	24.43701% 5.2%	26.83681% 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 JAMES 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	10,760,298 23,241,334	11,294,143 23,709,545	11,127,955 24,248,380	10,307,889 22,858,541	11,430,445 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	10,760,298 21,577,146	11,294,143 22,041,594	11,127,955 22,722,063	10,307,889 21,570,441	11,430,445 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	5,157,378 11,160,864	5,010,769 11,987,345	5,252,789 12,926,866	4,093,946 11,884,480	5,574,205 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	5,157,378 10,918,923	5,010,769 11,706,976	5,252,789 12,615,917	4,093,946 11,458,116	4,809,353 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	764,852 670,558
⊳ 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	93,778 594,888	89,520 595,761	96,192 577,894	65,518 542,168	68,197 549,667
Outlier Median	4,026 582,572	9,658 538,116	2,369 212,434	1,277 126,559	5,087 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,832,335 3,662,910	3,286,084 3,730,911	4,257,095 4,081,319	4,504,841 4,643,908	5,116,803 4,389,147
Charity care Median	1,143,421 2,654,636	1,355,863 2,940,659	1,301,976 3,380,215	1,565,692 3,488,738	1,402,366 3,233,405
Uncompensated care (UCC) Median	1,959,748 5,147,790	2,158,952 5,337,617	2,314,437 5,711,082	2,405,915 5,923,418	2,001,606 5,508,107
UCC as a % of operating expenses Median	4.11% 3.24	4.17% 3.12	4.42% 3.21	4.70% 3.3	3.54% 2.86
Total shortfall/UCC Median	3,792,083 9,489,989	5,445,036 9,424,297	6,571,532 10,120,158	6,910,756 11,171,337	7,118,409 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	16,629,589 52,142,039	19,030,019 54,485,252	19,113,000 57,395,589	17,940,006 58,830,919	20,456,792 61,722,907
Salaries as a % of operating expenses Median	34.88 36.68	36.79 36.56	36.46 36.37	35.06 35.93	36.13 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	1,023,863 1,449,244	323,602 1,475,986	1,353,700 1,563,078	719,431 1,721,954	1,066,940 2,991,828
Contract hours, direct-care Median	15,082.00 22,725	4,740.00 23,018.5	20,337.00 24,503.48	10,038.00 25,026.5	10,537.00 33,786
Contract wages, direct-care Median	67.89 64.67	68.27 64.53	66.56 65.06	71.67 68.97	101.26 88.94

* in an approved program

Return to top

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.