As of the July, 2022, release via CMS

SAINT JOSEPH LONDON

CMS id: 180011
1001 SAINT JOSEPH LANE, LONDON KY 40741. County: LAUREL
System: COMMONSPIRIT HEALTH
CBSA: London, KY

The 122-bed, acute-care hospital had $5,539,521 in net service to patients*, with a total profit margin of 7.14439% in fiscal year 2021, the latest year available.
It spent 2.20% 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	88 118	91 118	92 119.5	106 118	106 119
Total beds Median	102 162	105 162	106 162	122 162	122 163.5
FTEs Median	589.70 788.06	598.20 793.42	593.58 806.03	581.02 787.61	575.67 804.34

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	126,301,822 150,932,746	126,850,662 158,950,878	127,785,051 168,696,998	151,550,013 163,454,693	168,541,234 186,589,412
Operating expenses Median	134,111,391 149,311,209	132,115,953 156,110,414	133,280,767 164,890,568	140,607,818 166,516,854	163,001,713 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,809,569 -964,173	-5,265,291 -643,601.5	-5,495,716 -116,254	10,942,195 -5,025,862	5,539,521 -1,284,564
NS2P margin ? Median	-6.18% -0.62	-4.15% -0.29	-4.30% 0.18	7.22% -5.07	3.29% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT JOSEPH LONDON 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	8,466,976 5,089,215	7,337,881 4,572,541	7,667,284 5,268,134	16,236,023 13,092,619	7,001,973 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	126,930 224,999	10,676 199,009	-22,248 206,870.5	228,260 194,343	277,943 249,496
⊳ Line 7: Investments ? ⊳ Median	-395,646 299,524	-831,596 188,688.5	-184,817 370,813	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	0	0	0	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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	2,985	2,808	1,615	30	231
⊳ 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	10,551	66	0	0	0
⊳ Line 22: Rental of hospital space	64,406	23,611	37,540	40,632	21,370
⊳ 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	8,657,750	8,132,316	7,835,194	15,967,101	6,702,429
Total income ? Median	657,407 6,586,430	2,072,590 6,767,106	2,171,568 8,419,950	27,178,218 8,094,175	12,541,494 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	657,407 6,043,842	2,072,590 5,845,112	2,171,568 7,606,259	27,178,218 7,283,041	12,541,494 14,957,241
Net margin Median	0.48780% 4.62%	1.54454% 4.42%	1.60320% 5.16%	16.19814% 5.2%	7.14439% 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 LONDON 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	21,757,178 23,241,334	22,196,310 23,709,545	21,549,983 24,248,380	20,343,626 22,858,541	20,157,771 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	21,757,178 21,577,146	22,196,310 22,041,594	21,549,983 22,722,063	20,343,626 21,570,441	20,157,771 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	16,865,795 11,160,864	15,940,803 11,987,345	14,480,711 12,926,866	12,860,318 11,884,480	12,875,177 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	16,865,795 10,918,923	15,940,803 11,706,976	14,480,711 12,615,917	12,860,318 11,458,116	12,875,149 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	28 670,558
⊳ 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	1,428,975 594,888	1,371,940 595,761	1,288,569 577,894	1,320,553 542,168	1,219,838 549,667
Outlier Median	201,315 582,572	304,004 538,116	190,562 212,434	66,158 126,559	101,895 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	195,631 4,643,908	0 4,389,147
Charity care Median	1,583,678 2,654,636	2,376,456 2,940,659	2,846,944 3,380,215	3,311,027 3,488,738	1,964,754 3,233,405
Uncompensated care (UCC) Median	3,004,982 5,147,790	4,204,235 5,337,617	4,806,113 5,711,082	5,235,457 5,923,418	3,586,862 5,508,107
UCC as a % of operating expenses Median	2.24% 3.24	3.18% 3.12	3.61% 3.21	3.72% 3.3	2.20% 2.86
Total shortfall/UCC Median	3,004,982 9,489,989	4,204,235 9,424,297	4,806,113 10,120,158	5,431,088 11,171,337	3,586,862 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	37,872,913 52,142,039	38,416,048 54,485,252	38,593,566 57,395,589	38,401,892 58,830,919	39,913,636 61,722,907
Salaries as a % of operating expenses Median	28.24 36.68	29.08 36.56	28.96 36.37	27.31 35.93	24.49 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	277,740 1,449,244	166,482 1,475,986	249,895 1,563,078	548,711 1,721,954	2,684,958 2,991,828
Contract hours, direct-care Median	3,081.11 22,725	2,178.50 23,018.5	4,334.00 24,503.48	8,609.25 25,026.5	26,707.62 33,786
Contract wages, direct-care Median	90.14 64.67	76.42 64.53	57.66 65.06	63.74 68.97	100.53 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.