As of the July, 2022, release via CMS

ST.FRANCIS HEALTH CENTER

CMS id: 170016
1700 SOUTHWEST SEVENTH STREET, TOPEKA KS 66606. County: SHAWNEE
System: AHS MANAGEMENT COMPANY
CBSA: Topeka, KS

The 264-bed, acute-care hospital had $-97,455,537 in net service to patients*, with a total profit margin of 4.86938% in fiscal year 2021, the latest year available.
It spent 2.72% of its operating expenses on uncompensated care and reported $0 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	242	365	366	365
Ownership	nfp	forprofit	forprofit	forprofit	forprofit
Acute beds Median	188 118	193 118	205 119.5	205 118	197 119
Total beds Median	255 162	260 162	264 162	264 162	264 163.5
FTEs Median	1,249.27 788.06	747.37 793.42	1,167.23 806.03	1,239.35 787.61	1,534.40 804.34

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	216,126,965 150,932,746	154,335,561 158,950,878	234,433,470 168,696,998	256,524,440 163,454,693	179,076,346 186,589,412
Operating expenses Median	284,979,121 149,311,209	155,654,634 156,110,414	249,608,831 164,890,568	264,982,442 166,516,854	276,531,883 180,120,888
Net income from service 2 patients (NS2P) ? Median	-68,852,156 -964,173	-1,319,073 -643,601.5	-15,175,361 -116,254	-8,458,002 -5,025,862	-97,455,537 -1,284,564
NS2P margin ? Median	-31.86% -0.62	-0.85% -0.29	-6.47% 0.18	-3.30% -5.07	-54.42% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST.FRANCIS HEALTH 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	-49,924,262 5,089,215	0 4,572,541	11,681,228 5,268,134	23,545,266 13,092,619	111,610,161 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	183,016 224,999	0 199,009	0 206,870.5	10,000 194,343	10,000 249,496
⊳ Line 7: Investments ? ⊳ Median	-727,555 299,524	0 188,688.5	0 370,813	21,985 309,361.5	29,959 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	4,511	2,542	1,895
⊳ 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	939,173	0	961,126	915,059	719,339
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	3,223	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	22,398	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ 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	101,988	0
⊳ Line 21: Rental of vending machines	22,275	0	20,993	16,765	11,197
⊳ Line 22: Rental of hospital space	0	0	541,717	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	-50,366,792	--	10,152,881	22,476,927	110,837,771
Total income ? Median	-118,776,418 6,586,430	-1,319,073 6,767,106	-3,494,133 8,419,950	15,087,264 8,094,175	14,154,624 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-118,776,418 6,043,842	-1,319,073 5,845,112	-3,494,133 7,606,259	15,087,264 7,283,041	14,154,624 14,957,241
Net margin Median	-71.46479% 4.62%	-0.85468% 4.42%	-1.41972% 5.16%	5.38697% 5.2%	4.86938% 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.FRANCIS HEALTH 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	36,846,383 23,241,334	24,525,516 23,709,545	34,944,063 24,248,380	34,193,052 22,858,541	37,520,164 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	32,936,362 21,577,146	22,102,335 22,041,594	31,646,915 22,722,063	30,466,515 21,570,441	34,539,637 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	3,910,021 3,535,627	2,423,181 3,746,588	3,297,148 3,782,288	3,726,537 3,865,578	2,980,527 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	28,145,392 11,160,864	20,775,592 11,987,345	34,964,155 12,926,866	36,442,640 11,884,480	33,959,954 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	27,300,131 10,918,923	20,318,362 11,706,976	34,221,356 12,615,917	35,649,149 11,458,116	33,883,715 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	845,261 1,282,808	457,230 1,407,728	742,799 1,341,512	793,491 1,407,046	76,239 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	117,338 3,284,314	80,378 3,250,551	117,831 3,386,837	144,183 3,360,806	176,072 3,508,953
Disproportionate-share hospital (DSH) Median	440,032 594,888	389,280 595,761	651,902 577,894	632,719 542,168	490,499 549,667
Outlier Median	2,028,784 582,572	708,649 538,116	704,088 212,434	178,222 126,559	223,235 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,454,937 3,662,910	0 3,730,911	15,077 4,081,319	225,722 4,643,908	0 4,389,147
Charity care Median	8,439,021 2,654,636	7,312,216 2,940,659	7,799,164 3,380,215	6,696,086 3,488,738	4,845,523 3,233,405
Uncompensated care (UCC) Median	9,622,313 5,147,790	8,593,981 5,337,617	9,197,307 5,711,082	11,717,478 5,923,418	7,526,115 5,508,107
UCC as a % of operating expenses Median	3.38% 3.24	5.52% 3.12	3.68% 3.21	4.42% 3.3	2.72% 2.86
Total shortfall/UCC Median	14,077,250 9,489,989	8,593,981 9,424,297	9,212,384 10,120,158	11,943,200 11,171,337	7,526,115 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	90,470,518 52,142,039	54,150,646 54,485,252	87,519,447 57,395,589	75,939,493 58,830,919	75,856,218 61,722,907
Salaries as a % of operating expenses Median	31.72 36.68	34.79 36.56	35.06 36.37	28.66 35.93	27.43 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	95,037 1,251,927	63,600 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,790,599 1,449,244	4,575,844 1,475,986	5,661,979 1,563,078	2,966,254 1,721,954	1,740,977 2,991,828
Contract hours, direct-care Median	43,187.56 22,725	68,618.00 23,018.5	77,725.00 24,503.48	36,249.31 25,026.5	22,240.00 33,786
Contract wages, direct-care Median	64.62 64.67	66.69 64.53	72.85 65.06	81.83 68.97	78.28 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.