As of the July, 2022, release via CMS

SAINT JOSEPH HOSPITAL

CMS id: 180010
ONE SAINT JOSEPH HOSPITAL DRIVE, LEXINGTON KY 40504. County: FAYETTE
System: COMMON SPIRIT HEALTH
CBSA: Lexington-Fayette, KY

The 252-bed, acute-care hospital had $-33,977,189 in net service to patients*, with a total profit margin of -0.99194% in fiscal year 2021, the latest year available.
It spent 1.30% 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	210 118	205 118	205 119.5	205 118	202 119
Total beds Median	258 162	255 162	255 162	255 162	252 163.5
FTEs Median	1,206.84 788.06	1,191.31 793.42	1,156.57 806.03	1,097.99 787.61	1,013.55 804.34

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	271,010,441 150,932,746	268,432,105 158,950,878	287,003,606 168,696,998	306,097,384 163,454,693	300,250,806 186,589,412
Operating expenses Median	293,969,014 149,311,209	278,046,393 156,110,414	278,303,915 164,890,568	288,339,747 166,516,854	334,227,995 180,120,888
Net income from service 2 patients (NS2P) ? Median	-22,958,573 -964,173	-9,614,288 -643,601.5	8,699,691 -116,254	17,757,637 -5,025,862	-33,977,189 -1,284,564
NS2P margin ? Median	-8.47% -0.62	-3.58% -0.29	3.03% 0.18	5.80% -5.07	-11.32% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT JOSEPH 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	14,017,609 5,089,215	8,220,980 4,572,541	9,908,033 5,268,134	19,741,732 13,092,619	30,694,412 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	57,265 224,999	40,823 199,009	12,582 206,870.5	243,258 194,343	264,380 249,496
⊳ Line 7: Investments ? ⊳ Median	496,339 299,524	-597,630 188,688.5	-135,815 370,813	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	44,103	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,271	5,099	697	0	0
⊳ 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	275,649	0	1,849,538	6,388,670	7,625,518
⊳ 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	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	420,451	502,020	943,284	530,921	530,632
⊳ 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	12,717,531	8,270,668	7,237,747	12,578,883	22,273,882
Total income ? Median	-8,940,964 6,586,430	-1,393,308 6,767,106	18,607,724 8,419,950	37,499,369 8,094,175	-3,282,777 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	-8,940,964 6,043,842	-1,393,308 5,845,112	18,607,724 7,606,259	37,499,369 7,283,041	-3,282,777 14,957,241
Net margin Median	-3.13687% 4.62%	-0.50363% 4.42%	6.26709% 5.16%	11.50855% 5.2%	-0.99194% 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 JOSEPH 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	68,361,880 23,241,334	63,883,639 23,709,545	66,884,566 24,248,380	60,837,395 22,858,541	57,067,819 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	68,361,880 21,577,146	63,883,639 22,041,594	66,884,566 22,722,063	60,837,395 21,570,441	57,067,819 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	28,100,164 11,160,864	31,478,582 11,987,345	27,520,745 12,926,866	23,186,827 11,884,480	22,045,819 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	28,100,164 10,918,923	31,478,582 11,706,976	27,520,745 12,615,917	23,186,827 11,458,116	22,045,819 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	396,422 3,284,314	289,154 3,250,551	132,783 3,386,837	191,208 3,360,806	207,081 3,508,953
Disproportionate-share hospital (DSH) Median	1,389,012 594,888	1,263,911 595,761	1,398,913 577,894	1,148,698 542,168	1,308,822 549,667
Outlier Median	2,829,652 582,572	2,481,294 538,116	3,334,768 212,434	390,783 126,559	605,130 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,080,052 3,662,910	4,572,202 3,730,911	0 4,081,319	7,438,380 4,643,908	0 4,389,147
Charity care Median	3,384,728 2,654,636	3,858,977 2,940,659	4,698,032 3,380,215	4,385,202 3,488,738	2,007,167 3,233,405
Uncompensated care (UCC) Median	6,095,617 5,147,790	7,538,186 5,337,617	6,945,660 5,711,082	8,485,405 5,923,418	4,332,562 5,508,107
UCC as a % of operating expenses Median	2.07% 3.24	2.71% 3.12	2.50% 3.21	2.94% 3.3	1.30% 2.86
Total shortfall/UCC Median	13,175,669 9,489,989	12,110,388 9,424,297	6,945,660 10,120,158	15,923,785 11,171,337	4,332,562 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,554,253 52,142,039	77,234,872 54,485,252	76,963,145 57,395,589	75,231,034 58,830,919	74,549,774 61,722,907
Salaries as a % of operating expenses Median	26.38 36.68	27.78 36.56	27.65 36.37	26.09 35.93	22.31 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	151,349 1,251,927	81,701 1,186,494	53,541 1,204,885	75,677 1,279,653	76,586 1,469,317
Contract adjusted salaries, direct-care Median	9,897,646 1,449,244	4,627,545 1,475,986	756,702 1,563,078	2,322,500 1,721,954	10,084,159 2,991,828
Contract hours, direct-care Median	157,212.77 22,725	72,917.64 23,018.5	16,511.63 24,503.48	34,082.89 25,026.5	110,359.54 33,786
Contract wages, direct-care Median	62.96 64.67	63.46 64.53	45.83 65.06	68.14 68.97	91.38 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.