As of the July, 2022, release via CMS

ST ELIZABETH HEALTHCARE

CMS id: 180035
1 MEDICAL VILLAGE DRIVE, EDGEWOOD KY 41017. County: KENTON
System: ST. ELIZABETH HEALTHCARE CORPORATE
CBSA: Cincinnati, OH-KY-IN

The 541-bed, acute-care hospital had $-154,683,178 in net service to patients*, with a total profit margin of 17.05713% in fiscal year 2021, the latest year available.
It spent 1.09% 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	388 118	380 118	390 119.5	412 118	440 119
Total beds Median	503 162	475 162	490 162	513 162	541 163.5
FTEs Median	3,934.70 788.06	4,044.89 793.42	4,127.86 806.03	4,240.48 787.61	4,502.15 804.34

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	759,665,726 150,932,746	775,591,124 158,950,878	804,678,465 168,696,998	817,651,363 163,454,693	1,036,046,063 186,589,412
Operating expenses Median	815,241,084 149,311,209	876,717,928 156,110,414	927,791,131 164,890,568	993,823,751 166,516,854	1,190,729,241 180,120,888
Net income from service 2 patients (NS2P) ? Median	-55,575,358 -964,173	-101,126,804 -643,601.5	-123,112,666 -116,254	-176,172,388 -5,025,862	-154,683,178 -1,284,564
NS2P margin ? Median	-7.32% -0.62	-13.04% -0.29	-15.30% 0.18	-21.55% -5.07	-14.93% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST ELIZABETH HEALTHCARE 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	173,160,899 5,089,215	35,334,667 4,572,541	243,438,927 5,268,134	285,438,269 13,092,619	399,555,681 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	374,701 224,999	347,719 199,009	400,045 206,870.5	5,284,333 194,343	536,800 249,496
⊳ Line 7: Investments ? ⊳ Median	119,578,724 299,524	-35,426,493 188,688.5	158,827,095 370,813	102,553,506 309,361.5	220,589,074 375,329
⊳ 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	62,579	-157,900	-485,000	350,218	908,765
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,884,879	2,967,961	3,133,874	2,244,982	2,374,780
⊳ 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	4,517,386	4,742,040	18,240,898	45,141,577	62,889,824
⊳ Line 18: Revenue from sale of medical records and abstracts	111,023	122,206	128,486	107,996	116,876
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	24,856	16,100	27,191	15,610	11,500
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	858,525	937,311	864,327	672,238	655,040
⊳ Line 21: Rental of vending machines	77,823	89,578	105,768	41,094	38,895
⊳ Line 22: Rental of hospital space	1,249,448	1,963,418	6,856,471	8,676,850	11,760,613
⊳ 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	43,420,955	59,732,727	55,339,772	120,349,865	99,673,514
Total income ? Median	117,585,541 6,586,430	-65,792,137 6,767,106	120,326,261 8,419,950	109,265,881 8,094,175	244,872,503 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	117,585,541 6,043,842	-65,792,137 5,845,112	120,326,261 7,606,259	109,265,881 7,283,041	244,872,503 14,957,241
Net margin Median	12.60529% 4.62%	-8.11321% 4.42%	11.48023% 5.16%	9.90544% 5.2%	17.05713% 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 HEALTHCARE 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	89,485,584 23,241,334	82,200,095 23,709,545	87,788,158 24,248,380	80,225,176 22,858,541	89,602,505 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	87,213,011 21,577,146	81,662,894 22,041,594	87,788,158 22,722,063	80,225,176 21,570,441	89,602,505 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	2,272,573 1,845,420	537,201 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	49,238,436 11,160,864	50,049,641 11,987,345	52,226,225 12,926,866	50,161,657 11,884,480	57,854,740 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	49,238,436 10,918,923	50,049,641 11,706,976	52,226,225 12,615,917	50,161,657 11,458,116	57,854,740 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	2,973,717 3,284,314	3,013,857 3,250,551	3,256,588 3,386,837	3,034,136 3,360,806	3,409,689 3,508,953
Disproportionate-share hospital (DSH) Median	2,719,835 594,888	2,477,635 595,761	2,266,560 577,894	2,300,246 542,168	2,379,006 549,667
Outlier Median	4,544,861 582,572	2,146,999 538,116	490,695 212,434	398,713 126,559	384,341 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	4,386,617 3,730,911	1,029,568 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	9,797,866 2,654,636	10,317,836 2,940,659	10,782,765 3,380,215	12,349,270 3,488,738	8,877,937 3,233,405
Uncompensated care (UCC) Median	16,192,415 5,147,790	16,789,461 5,337,617	17,320,154 5,711,082	18,206,700 5,923,418	12,995,794 5,508,107
UCC as a % of operating expenses Median	1.99% 3.24	1.92% 3.12	1.87% 3.21	1.83% 3.3	1.09% 2.86
Total shortfall/UCC Median	16,192,415 9,489,989	21,176,078 9,424,297	18,349,722 10,120,158	18,206,700 11,171,337	12,995,794 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	297,291,271 52,142,039	313,355,420 54,485,252	325,684,643 57,395,589	348,657,219 58,830,919	399,902,820 61,722,907
Salaries as a % of operating expenses Median	36.47 36.68	35.74 36.56	35.10 36.37	35.08 35.93	33.58 35.24
Intern, resident salaries* Median	1,913,995 2,598,592	1,985,277 2,686,824	1,988,290 2,753,773	2,131,351 2,937,156	2,283,769 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	1,671,189 1,449,244	3,348,892 1,475,986	4,767,329 1,563,078	4,889,215 1,721,954	5,460,566 2,991,828
Contract hours, direct-care Median	13,598.00 22,725	35,808.00 23,018.5	56,937.00 24,503.48	42,797.00 25,026.5	45,340.00 33,786
Contract wages, direct-care Median	122.90 64.67	93.52 64.53	83.73 65.06	114.24 68.97	120.44 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.