As of the July, 2022, release via CMS

ST. JOSEPH MEDICAL CENTER

CMS id: 140162
2200 E WASHINGTON, BLOOMINGTON IL 61701. County: MCLEAN
System: OSF HEALTHCARE SYSTEM
CBSA: Bloomington, IL

The 149-bed, acute-care hospital had $37,341,772 in net service to patients*, with a total profit margin of 21.78464% in fiscal year 2021, the latest year available.
It spent 2.87% of its operating expenses on uncompensated care and reported $10,085,453 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	137 118	137 118	137 119.5	137 118	137 119
Total beds Median	149 162	149 162	149 162	147 162	149 163.5
FTEs Median	781.08 788.06	781.07 793.42	801.96 806.03	770.47 787.61	801.40 804.34

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	182,062,736 150,932,746	177,829,276 158,950,878	182,343,707 168,696,998	180,211,008 163,454,693	219,419,329 186,589,412
Operating expenses Median	152,854,897 149,311,209	156,371,536 156,110,414	155,663,002 164,890,568	157,905,621 166,516,854	182,077,557 180,120,888
Net income from service 2 patients (NS2P) ? Median	29,207,839 -964,173	21,457,740 -643,601.5	26,680,705 -116,254	22,305,387 -5,025,862	37,341,772 -1,284,564
NS2P margin ? Median	16.04% -0.62	12.07% -0.29	14.63% 0.18	12.38% -5.07	17.02% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPH 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	17,173,692 5,089,215	22,218,415 4,572,541	18,497,142 5,268,134	21,603,764 13,092,619	14,227,153 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,125,492 224,999	253,898 199,009	-36,588 206,870.5	603,373 194,343	1,354,321 249,496
⊳ Line 7: Investments ? ⊳ Median	13,192,842 299,524	16,319,569 188,688.5	14,566,695 370,813	15,275,815 309,361.5	401,508 375,329
⊳ 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	495,219	516,965	513,964	382,727	309,643
⊳ 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	71,532	63,711	46,728	55,049	21,925
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	911,185	706,798	759,367	519,609	612,636
⊳ Line 23: Gov appropriations ? ⊳ Median	12,500 1,017,693	1,500 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	1,364,922	4,355,974	2,646,976	4,767,191	11,527,120
Total income ? Median	46,381,531 6,586,430	43,676,155 6,767,106	45,177,847 8,419,950	43,909,151 8,094,175	51,568,925 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	446,384 106,761	669,887 31,473.5
Net income Median	46,381,531 6,043,842	43,676,155 5,845,112	45,177,847 7,606,259	43,462,767 7,283,041	50,899,038 14,957,241
Net margin Median	23.27964% 4.62%	21.83287% 4.42%	22.49435% 5.16%	21.53597% 5.2%	21.78464% 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. JOSEPH 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	25,676,784 23,241,334	27,701,500 23,709,545	27,997,294 24,248,380	26,144,323 22,858,541	31,805,055 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	25,372,245 21,577,146	27,286,801 22,041,594	27,695,763 22,722,063	25,608,435 21,570,441	31,683,054 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	304,539 1,203,033	414,699 1,215,295	301,531 1,313,657	535,888 1,365,298	122,001 1,179,746
All outpatient revenue Median Click here to show/hide details	9,841,886 11,160,864	11,377,935 11,987,345	11,165,502 12,926,866	10,779,888 11,884,480	11,966,419 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	9,841,886 10,918,923	11,377,935 11,706,976	11,165,502 12,615,917	10,779,888 11,458,116	11,966,419 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	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	195,139 594,888	197,261 595,761	228,322 577,894	166,469 542,168	218,712 549,667
Outlier Median	1,226,871 582,572	462,222 538,116	60,360 212,434	58,384 126,559	102,237 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,269,385 3,662,910	4,132,756 3,730,911	5,668,305 4,081,319	9,539,179 4,643,908	10,085,453 4,389,147
Charity care Median	5,787,042 2,654,636	3,469,257 2,940,659	3,409,690 3,380,215	7,797,861 3,488,738	4,261,001 3,233,405
Uncompensated care (UCC) Median	6,870,287 5,147,790	4,802,660 5,337,617	5,227,730 5,711,082	9,523,893 5,923,418	5,233,275 5,508,107
UCC as a % of operating expenses Median	4.49% 3.24	3.07% 3.12	3.36% 3.21	6.03% 3.3	2.87% 2.86
Total shortfall/UCC Median	10,139,672 9,489,989	8,935,416 9,424,297	10,896,035 10,120,158	19,063,072 11,171,337	15,318,728 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	48,874,017 52,142,039	48,285,083 54,485,252	48,900,427 57,395,589	46,331,702 58,830,919	52,866,600 61,722,907
Salaries as a % of operating expenses Median	31.97 36.68	30.88 36.56	31.41 36.37	29.34 35.93	29.04 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	1,790,533 1,449,244	314,070 1,475,986	2,774,130 1,563,078	3,347,765 1,721,954	9,486,468 2,991,828
Contract hours, direct-care Median	25,375.00 22,725	4,490.25 23,018.5	39,812.00 24,503.48	45,961.00 25,026.5	86,909.00 33,786
Contract wages, direct-care Median	70.56 64.67	69.94 64.53	69.68 65.06	72.84 68.97	109.15 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.