As of the July, 2022, release via CMS

ST. CLAIRE MEDICAL CENTER

CMS id: 180018
222 MEDICAL CIRCLE, MOREHEAD KY 40351. County: ROWAN
System: --
CBSA: Rural Kentucky

The 129-bed, acute-care hospital had $-7,674,587 in net service to patients*, with a total profit margin of 13.75188% in fiscal year 2021, the latest year available.
It spent 1.56% 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	77 118	81 118	76 119.5	76 118	75 119
Total beds Median	123 162	129 162	130 162	129 162	129 163.5
FTEs Median	1,155.16 788.06	1,155.42 793.42	1,151.59 806.03	904.72 787.61	873.28 804.34

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	135,151,504 150,932,746	137,128,956 158,950,878	138,003,540 168,696,998	138,129,785 163,454,693	156,920,782 186,589,412
Operating expenses Median	143,536,202 149,311,209	148,520,901 156,110,414	158,399,192 164,890,568	151,825,711 166,516,854	164,595,369 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,384,698 -964,173	-11,391,945 -643,601.5	-20,395,652 -116,254	-13,695,926 -5,025,862	-7,674,587 -1,284,564
NS2P margin ? Median	-6.20% -0.62	-8.31% -0.29	-14.78% 0.18	-9.92% -5.07	-4.89% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. CLAIRE 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	12,199,593 5,089,215	12,037,945 4,572,541	12,746,665 5,268,134	15,744,587 13,092,619	33,918,588 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,375,765 224,999	2,477,470 199,009	2,014,057 206,870.5	1,374,585 194,343	1,148,359 249,496
⊳ Line 7: Investments ? ⊳ Median	2,608,113 299,524	2,036,648 188,688.5	1,031,035 370,813	871,959 309,361.5	5,568,890 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	2,537,006	2,684,455	4,616,125	7,144,266	41,434
⊳ Line 11: Rebates and refunds of expenses	333,080	385,792	316,175	302,223	350,165
⊳ 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	990,523	929,852	941,735	679,139	442,511
⊳ 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	72,483	672,470	1,215,173	1,570,083	3,284,767
⊳ Line 18: Revenue from sale of medical records and abstracts	3,728	-1,513	1,940	924	1,108
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	724,973	773,440	757,732	470,336	304,445
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	415,324	329,307	297,538	278,528	277,769
⊳ 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	2,138,598	1,750,024	1,555,155	3,052,544	22,499,140
Total income ? Median	3,814,895 6,586,430	646,000 6,767,106	-7,648,987 8,419,950	2,048,661 8,094,175	26,244,001 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	3,814,895 6,043,842	646,000 5,845,112	-7,648,987 7,606,259	2,048,661 7,283,041	26,244,001 14,957,241
Net margin Median	2.58898% 4.62%	0.43307% 4.42%	-5.07395% 5.16%	1.33139% 5.2%	13.75188% 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. CLAIRE 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	19,028,661 23,241,334	18,739,665 23,709,545	18,181,768 24,248,380	17,623,768 22,858,541	16,739,249 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	16,643,610 21,577,146	16,482,057 22,041,594	15,847,175 22,722,063	14,640,717 21,570,441	14,673,392 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	1,231,800 1,845,420	1,172,776 1,757,392	948,155 1,738,842	912,980 1,510,463	589,379 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	783,134 3,535,627	651,217 3,746,588	1,086,596 3,782,288	1,678,447 3,865,578	1,336,450 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	370,117 1,203,033	433,615 1,215,295	299,842 1,313,657	391,624 1,365,298	140,028 1,179,746
All outpatient revenue Median Click here to show/hide details	19,820,526 11,160,864	20,463,376 11,987,345	20,437,756 12,926,866	19,167,726 11,884,480	17,077,361 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	14,094,548 10,918,923	14,627,447 11,706,976	14,909,409 12,615,917	14,037,709 11,458,116	12,492,022 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,023,968 1,282,808	5,120,020 1,407,728	4,854,377 1,341,512	4,597,314 1,407,046	3,967,443 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	702,010 618,038	715,909 697,279	673,970 690,232	532,703 684,010	617,896 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	1,083,561 3,284,314	1,150,872 3,250,551	1,052,585 3,386,837	1,028,329 3,360,806	1,002,570 3,508,953
Disproportionate-share hospital (DSH) Median	921,469 594,888	889,748 595,761	947,648 577,894	703,586 542,168	655,182 549,667
Outlier Median	229,515 582,572	158,910 538,116	180,480 212,434	146,884 126,559	79,917 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,877,289 3,662,910	4,650,777 3,730,911	1,683,806 4,081,319	3,154,255 4,643,908	0 4,389,147
Charity care Median	1,661,778 2,654,636	527,723 2,940,659	679,703 3,380,215	597,705 3,488,738	386,731 3,233,405
Uncompensated care (UCC) Median	4,306,044 5,147,790	3,415,630 5,337,617	2,920,396 5,711,082	2,231,434 5,923,418	2,573,954 5,508,107
UCC as a % of operating expenses Median	3.00% 3.24	2.30% 3.12	1.84% 3.21	1.47% 3.3	1.56% 2.86
Total shortfall/UCC Median	8,183,333 9,489,989	8,066,407 9,424,297	4,604,202 10,120,158	5,385,689 11,171,337	2,573,954 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	70,143,448 52,142,039	75,102,822 54,485,252	80,568,667 57,395,589	73,906,825 58,830,919	76,141,520 61,722,907
Salaries as a % of operating expenses Median	48.87 36.68	50.57 36.56	50.86 36.37	48.68 35.93	46.26 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	394,093 1,251,927	704,335 1,186,494	908,311 1,204,885	927,842 1,279,653	1,102,218 1,469,317
Contract adjusted salaries, direct-care Median	1,256,051 1,449,244	2,062,427 1,475,986	1,199,395 1,563,078	1,097,005 1,721,954	2,990,192 2,991,828
Contract hours, direct-care Median	23,059.00 22,725	37,499.73 23,018.5	28,692.64 24,503.48	28,741.00 25,026.5	48,856.00 33,786
Contract wages, direct-care Median	54.47 64.67	55.00 64.53	41.80 65.06	38.17 68.97	61.20 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.