As of the July, 2022, release via CMS

ST ELIZABETH FT THOMAS

CMS id: 180001
85 NORTH GRAND AVENUE, FT. THOMAS KY 41075. County: CAMPBELL
System: ST ELIZABETH MEDICAL CENTER INC
CBSA: Cincinnati, OH-KY-IN

The 157-bed, acute-care hospital had $22,062,322 in net service to patients*, with a total profit margin of 18.38076% in fiscal year 2021, the latest year available.
It spent 2.61% 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	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	120 118	102 118	102 119.5	113 118	113 119
Total beds Median	160 162	149 162	149 162	157 162	157 163.5
FTEs Median	716.24 788.06	712.09 793.42	719.62 806.03	675.29 787.61	691.50 804.34

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	120,059,075 150,932,746	125,412,325 158,950,878	130,121,583 168,696,998	121,052,715 163,454,693	142,893,154 186,589,412
Operating expenses Median	99,860,691 149,311,209	103,367,680 156,110,414	107,772,422 164,890,568	109,735,506 166,516,854	120,830,832 180,120,888
Net income from service 2 patients (NS2P) ? Median	20,198,384 -964,173	22,044,645 -643,601.5	22,349,161 -116,254	11,317,209 -5,025,862	22,062,322 -1,284,564
NS2P margin ? Median	16.82% -0.62	17.58% -0.29	17.18% 0.18	9.35% -5.07	15.44% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST ELIZABETH FT THOMAS 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	3,850,950 5,089,215	2,978,595 4,572,541	5,443,242 5,268,134	33,857,062 13,092,619	5,148,949 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	160 224,999	25,360 199,009	270 206,870.5	37,500 194,343	710 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	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	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	613,491	0	640,080	377,612	445,883
⊳ 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	64,293	53,714	30,657	75,140	62,412
⊳ 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	317,324	826,577	354,545	252,878	310,072
⊳ Line 21: Rental of vending machines	13,502	17,215	32,497	9,750	0
⊳ Line 22: Rental of hospital space	436,120	326,960	408,425	405,842	408,251
⊳ 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	2,406,060	1,728,769	3,976,768	32,698,340	3,921,621
Total income ? Median	24,049,334 6,586,430	25,023,240 6,767,106	27,792,403 8,419,950	45,174,271 8,094,175	27,211,271 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	24,049,334 6,043,842	25,023,240 5,845,112	27,792,403 7,606,259	45,174,271 7,283,041	27,211,271 14,957,241
Net margin Median	19.40871% 4.62%	19.48988% 4.42%	20.50119% 5.16%	29.16167% 5.2%	18.38076% 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 ELIZABETH FT THOMAS 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	21,610,981 23,241,334	20,536,283 23,709,545	20,172,617 24,248,380	22,431,165 22,858,541	21,430,257 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	20,592,911 21,577,146	19,480,342 22,041,594	18,959,952 22,722,063	21,009,207 21,570,441	19,997,118 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	1,018,070 1,203,033	1,055,941 1,215,295	1,212,665 1,313,657	1,421,958 1,365,298	1,433,139 1,179,746
All outpatient revenue Median Click here to show/hide details	11,620,398 11,160,864	10,984,845 11,987,345	11,405,902 12,926,866	8,361,609 11,884,480	8,535,920 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	11,620,398 10,918,923	10,984,845 11,706,976	11,405,902 12,615,917	8,361,609 11,458,116	8,535,920 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	741,508 594,888	719,020 595,761	684,083 577,894	465,536 542,168	398,695 549,667
Outlier Median	1,030,238 582,572	732,544 538,116	89,713 212,434	131,255 126,559	115,586 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,953,022 3,662,910	5,110,787 3,730,911	3,657,079 4,081,319	4,124,217 4,643,908	0 4,389,147
Charity care Median	4,705,685 2,654,636	3,190,190 2,940,659	2,768,875 3,380,215	3,442,619 3,488,738	2,028,497 3,233,405
Uncompensated care (UCC) Median	6,679,305 5,147,790	5,085,738 5,337,617	4,783,896 5,711,082	5,054,213 5,923,418	3,158,605 5,508,107
UCC as a % of operating expenses Median	6.69% 3.24	4.92% 3.12	4.44% 3.21	4.61% 3.3	2.61% 2.86
Total shortfall/UCC Median	10,632,327 9,489,989	10,196,525 9,424,297	8,440,975 10,120,158	9,178,430 11,171,337	3,158,605 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	45,077,299 52,142,039	46,634,267 54,485,252	47,893,278 57,395,589	46,779,107 58,830,919	51,828,008 61,722,907
Salaries as a % of operating expenses Median	45.14 36.68	45.11 36.56	44.44 36.37	42.63 35.93	42.89 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	0 1,449,244	237,326 1,475,986	265,144 1,563,078	1,413,650 1,721,954	1,690,750 2,991,828
Contract hours, direct-care Median	0.00 22,725	2,332.00 23,018.5	3,513.00 24,503.48	14,458.00 25,026.5	16,992.00 33,786
Contract wages, direct-care Median	0.00 64.67	101.77 64.53	75.48 65.06	97.78 68.97	99.50 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.