As of the July, 2022, release via CMS

ST. JOSEPH MERCY HOSPITAL-OAKLAND

CMS id: 230029
44405 WOODWARD AVENUE, PONTIAC MI 48341. County: OAKLAND
System: TRINITY HEALTH
CBSA: Detroit-Warren-Dearborn, MI

The 443-bed, acute-care hospital had $-11,520,823 in net service to patients*, with a total profit margin of 14.15764% in fiscal year 2021, the latest year available.
It spent 1.97% of its operating expenses on uncompensated care and reported $5,424,059 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	309 118	309 118	287 119.5	287 118	287 119
Total beds Median	432 162	432 162	443 162	443 162	443 163.5
FTEs Median	2,381.54 788.06	2,628.70 793.42	2,509.27 806.03	2,357.44 787.61	2,204.30 804.34

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	413,802,836 150,932,746	431,323,955 158,950,878	440,546,476 168,696,998	411,794,844 163,454,693	469,638,533 186,589,412
Operating expenses Median	424,965,151 149,311,209	443,894,271 156,110,414	460,897,147 164,890,568	458,017,014 166,516,854	481,159,356 180,120,888
Net income from service 2 patients (NS2P) ? Median	-11,162,315 -964,173	-12,570,316 -643,601.5	-20,350,671 -116,254	-46,222,170 -5,025,862	-11,520,823 -1,284,564
NS2P margin ? Median	-2.70% -0.62	-2.91% -0.29	-4.62% 0.18	-11.22% -5.07	-2.45% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPH MERCY HOSPITAL-OAKLAND 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	41,196,712 5,089,215	34,857,547 4,572,541	34,866,778 5,268,134	52,332,893 13,092,619	85,111,290 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	501,797 224,999	613,900 199,009	792,835 206,870.5	424,289 194,343	183,669 249,496
⊳ Line 7: Investments ? ⊳ Median	14,583,636 299,524	7,751,761 188,688.5	6,923,165 370,813	1,941,702 309,361.5	48,413,717 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	163,875	167,45--	136,158	61,--93
⊳ 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	1,249,195	1,507,314	1,360,187	1,298,370	1,146,261
⊳ 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	6,399,164	6,663,423	7,509,508	6,621,353	7,960,102
⊳ Line 18: Revenue from sale of medical records and abstracts	16,418	12,144	7,039	-29,447	47,599
⊳ 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	48,941	0	0	0	0
⊳ Line 22: Rental of hospital space	2,311,347	2,272,701	1,284,326	739,088	1,684,347
⊳ 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	15,881,214	15,872,429	16,822,268	41,201,380	25,614,502
Total income ? Median	30,034,397 6,586,430	22,287,231 6,767,106	14,516,107 8,419,950	6,110,723 8,094,175	73,590,467 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	-3,698,155 106,761	-4,948,997 31,473.5
Net income Median	30,034,397 6,043,842	22,287,231 5,845,112	14,516,107 7,606,259	9,808,878 7,283,041	78,539,464 14,957,241
Net margin Median	6.60097% 4.62%	4.78081% 4.42%	3.05337% 5.16%	2.11340% 5.2%	14.15764% 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. JOSEPH MERCY HOSPITAL-OAKLAND 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	111,932,362 23,241,334	110,468,827 23,709,545	105,400,327 24,248,380	94,402,900 22,858,541	98,100,638 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	101,513,438 21,577,146	100,931,118 22,041,594	97,094,728 22,722,063	87,167,414 21,570,441	90,223,625 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	4,603,402 1,845,420	4,442,829 1,757,392	3,595,004 1,738,842	3,056,991 1,510,463	2,578,939 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,815,522 3,535,627	5,094,880 3,746,588	4,710,595 3,782,288	4,178,495 3,865,578	5,298,074 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	30,400,100 11,160,864	29,351,185 11,987,345	30,792,039 12,926,866	27,824,909 11,884,480	31,802,821 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	30,400,100 10,918,923	29,351,185 11,706,976	30,792,039 12,615,917	27,824,909 11,458,116	31,802,821 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	19,042,732 3,284,314	19,207,504 3,250,551	18,613,479 3,386,837	18,959,146 3,360,806	19,475,889 3,508,953
Disproportionate-share hospital (DSH) Median	2,210,154 594,888	1,937,834 595,761	1,895,677 577,894	1,563,680 542,168	1,616,471 549,667
Outlier Median	507,342 582,572	557,385 538,116	826,057 212,434	125,653 126,559	179,669 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,955,458 3,662,910	1,852,045 3,730,911	3,633,084 4,081,319	6,086,976 4,643,908	5,424,059 4,389,147
Charity care Median	4,038,740 2,654,636	4,374,500 2,940,659	5,197,511 3,380,215	3,514,052 3,488,738	5,496,433 3,233,405
Uncompensated care (UCC) Median	6,567,828 5,147,790	8,249,239 5,337,617	9,011,416 5,711,082	7,873,255 5,923,418	9,497,036 5,508,107
UCC as a % of operating expenses Median	1.55% 3.24	1.86% 3.12	1.96% 3.21	1.72% 3.3	1.97% 2.86
Total shortfall/UCC Median	10,523,286 9,489,989	10,101,284 9,424,297	12,644,500 10,120,158	13,960,231 11,171,337	14,921,095 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	166,555,778 52,142,039	179,538,055 54,485,252	185,429,348 57,395,589	184,370,394 58,830,919	190,165,141 61,722,907
Salaries as a % of operating expenses Median	39.19 36.68	40.45 36.56	40.23 36.37	40.25 35.93	39.52 35.24
Intern, resident salaries* Median	9,701,361 2,598,592	10,095,934 2,686,824	10,170,645 2,753,773	10,245,751 2,937,156	10,591,169 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	1,347,441 1,204,885	1,346,548 1,279,653	1,386,854 1,469,317
Contract adjusted salaries, direct-care Median	2,059,935 1,449,244	0 1,475,986	2,650,424 1,563,078	2,861,922 1,721,954	3,829,060 2,991,828
Contract hours, direct-care Median	15,433.00 22,725	0.00 23,018.5	60,123.17 24,503.48	61,223.00 25,026.5	67,536.70 33,786
Contract wages, direct-care Median	133.48 64.67	0.00 64.53	44.08 65.06	46.75 68.97	56.70 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.