As of the July, 2022, release via CMS

SAINT ANTHONY MEDICAL CENTER

CMS id: 140233
5666 EAST STATE STREET, ROCKFORD IL 61108. County: WINNEBAGO
System: OSF HEALTHCARE SYSTEM
CBSA: Rockford, IL

The 241-bed, acute-care hospital had $44,801,523 in net service to patients*, with a total profit margin of 15.73342% in fiscal year 2021, the latest year available.
It spent 2.18% of its operating expenses on uncompensated care and reported $16,495,436 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	199 118	210 118	203 119.5	203 118	203 119
Total beds Median	235 162	248 162	241 162	241 162	241 163.5
FTEs Median	1,966.05 788.06	1,984.14 793.42	1,904.92 806.03	1,308.83 787.61	1,362.06 804.34

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	345,318,979 150,932,746	365,715,796 158,950,878	358,046,762 168,696,998	324,082,811 163,454,693	398,880,088 186,589,412
Operating expenses Median	330,119,345 149,311,209	355,509,623 156,110,414	338,015,296 164,890,568	334,809,712 166,516,854	354,078,565 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,199,634 -964,173	10,206,173 -643,601.5	20,031,466 -116,254	-10,726,901 -5,025,862	44,801,523 -1,284,564
NS2P margin ? Median	4.40% -0.62	2.79% -0.29	5.59% 0.18	-3.31% -5.07	11.23% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT ANTHONY 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	8,655,119 5,089,215	15,860,810 4,572,541	14,301,198 5,268,134	25,508,217 13,092,619	21,807,487 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	460,123 224,999	2,604,445 199,009	856,483 206,870.5	1,703,957 194,343	3,188,455 249,496
⊳ Line 7: Investments ? ⊳ Median	1,401,577 299,524	664,799 188,688.5	389,239 370,813	746,715 309,361.5	1,300,582 375,329
⊳ 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	828,912	803,010	793,387	593,512	589,632
⊳ 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	4,524	1,409	90	103	513
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	5,142,284	5,451,566	5,616,603	5,659,838	5,707,416
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	108,661	915,873	464,063	158,492	271,842
⊳ Line 22: Rental of hospital space	20,726	24,651	26,867	21,747	17,331
⊳ 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	688,312	5,395,057	6,154,466	16,623,853	10,731,716
Total income ? Median	23,854,753 6,586,430	26,066,983 6,767,106	34,332,664 8,419,950	14,781,316 8,094,175	66,609,010 15,162,888
Non-operating expenses Median	-1 146,289.5	103,644 164,857	8,760 89,880.5	1,073,833 106,761	420,453 31,473.5
Net income Median	23,854,754 6,043,842	25,963,339 5,845,112	34,323,904 7,606,259	13,707,483 7,283,041	66,188,557 14,957,241
Net margin Median	6.73912% 4.62%	6.80423% 4.42%	9.21823% 5.16%	3.92101% 5.2%	15.73342% 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 ANTHONY 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	56,189,976 23,241,334	59,624,967 23,709,545	57,859,309 24,248,380	53,987,556 22,858,541	57,920,168 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	56,189,976 21,577,146	59,624,967 22,041,594	57,859,309 22,722,063	53,987,556 21,570,441	57,920,168 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	35,396,918 11,160,864	35,207,571 11,987,345	36,491,693 12,926,866	34,057,843 11,884,480	36,100,896 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	35,396,918 10,918,923	35,207,571 11,706,976	36,491,693 12,615,917	34,057,843 11,458,116	36,100,896 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	677,605 3,284,314	952,628 3,250,551	992,867 3,386,837	1,046,587 3,360,806	1,311,571 3,508,953
Disproportionate-share hospital (DSH) Median	501,285 594,888	388,639 595,761	396,673 577,894	551,107 542,168	640,801 549,667
Outlier Median	1,237,487 582,572	1,245,825 538,116	87,970 212,434	360,435 126,559	261,254 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	13,660,675 3,662,910	13,435,890 3,730,911	8,638,207 4,081,319	14,511,473 4,643,908	16,495,436 4,389,147
Charity care Median	6,368,645 2,654,636	6,054,877 2,940,659	8,335,375 3,380,215	9,438,084 3,488,738	5,901,903 3,233,405
Uncompensated care (UCC) Median	10,711,306 5,147,790	9,106,238 5,337,617	12,125,108 5,711,082	12,569,870 5,923,418	7,710,849 5,508,107
UCC as a % of operating expenses Median	3.24% 3.24	2.56% 3.12	3.59% 3.21	3.75% 3.3	2.18% 2.86
Total shortfall/UCC Median	24,371,981 9,489,989	22,542,128 9,424,297	20,763,315 10,120,158	27,081,343 11,171,337	24,206,285 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	102,547,415 52,142,039	109,145,824 54,485,252	103,236,094 57,395,589	91,836,478 58,830,919	99,133,381 61,722,907
Salaries as a % of operating expenses Median	31.06 36.68	30.70 36.56	30.54 36.37	27.43 35.93	27.99 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	67,760 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	6,207,802 1,449,244	4,817,668 1,475,986	4,580,940 1,563,078	4,189,773 1,721,954	2,753,839 2,991,828
Contract hours, direct-care Median	75,094.00 22,725	59,173.00 23,018.5	50,555.00 24,503.48	44,522.00 25,026.5	23,311.00 33,786
Contract wages, direct-care Median	82.67 64.67	81.42 64.53	90.61 65.06	94.11 68.97	118.13 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.