As of the July, 2022, release via CMS

TAWAS ST. JOSEPH HOSPITAL

CMS id: 230100
200 HEMLOCK/M-55, TAWAS MI 48764. County: IOSCO
System: ASCENSION MICHIGAN
CBSA: Rural Michigan

The 47-bed, acute-care hospital had $-7,376,933 in net service to patients*, with a total profit margin of -7.55784% in fiscal year 2021, the latest year available.
It spent 2.32% 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	43 118	43 118	43 119.5	43 118	43 119
Total beds Median	47 162	47 162	47 162	47 162	47 163.5
FTEs Median	340.57 788.06	277.54 793.42	330.17 806.03	254.26 787.61	272.44 804.34

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	52,339,861 150,932,746	47,717,624 158,950,878	50,297,913 168,696,998	45,389,207 163,454,693	48,949,645 186,589,412
Operating expenses Median	52,502,222 149,311,209	56,343,582 156,110,414	53,945,116 164,890,568	53,321,468 166,516,854	56,326,578 180,120,888
Net income from service 2 patients (NS2P) ? Median	-162,361 -964,173	-8,625,958 -643,601.5	-3,647,203 -116,254	-7,932,261 -5,025,862	-7,376,933 -1,284,564
NS2P margin ? Median	-0.31% -0.62	-18.08% -0.29	-7.25% 0.18	-17.48% -5.07	-15.07% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TAWAS ST. 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	1,763,291 5,089,215	5,241,952 4,572,541	3,109,354 5,268,134	8,896,941 13,092,619	3,419,507 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	5,758 224,999	-2,446 199,009	16,562 206,870.5	18,067 194,343	2,331 249,496
⊳ Line 7: Investments ? ⊳ Median	22,456 299,524	-36,635 188,688.5	10,547 370,813	3,455 309,361.5	39,332 375,329
⊳ 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	115,601	119,493	132,252	121,667	131,527
⊳ 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	421	1,967	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	21,051	23,024	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	46,810	114,482	81,628	134,996	58,626
⊳ 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	1,551,194	5,022,067	2,868,365	8,618,756	3,187,691
Total income ? Median	1,600,930 6,586,430	-3,384,006 6,767,106	-537,849 8,419,950	964,680 8,094,175	-3,957,426 15,162,888
Non-operating expenses Median	85,928 146,289.5	132,171 164,857	29,729 89,880.5	4,316 106,761	550 31,473.5
Net income Median	1,515,002 6,043,842	-3,516,177 5,845,112	-567,578 7,606,259	960,364 7,283,041	-3,957,976 14,957,241
Net margin Median	2.80021% 4.62%	-6.63936% 4.42%	-1.06274% 5.16%	1.76908% 5.2%	-7.55784% 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 TAWAS ST. 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	7,156,449 23,241,334	5,584,805 23,709,545	4,894,756 24,248,380	4,395,718 22,858,541	4,881,347 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	7,156,449 21,577,146	5,584,805 22,041,594	4,894,756 22,722,063	4,395,718 21,570,441	4,881,347 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	10,796,869 11,160,864	10,124,310 11,987,345	10,828,417 12,926,866	10,063,802 11,884,480	9,525,738 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	8,399,808 10,918,923	7,894,996 11,706,976	8,460,606 12,615,917	7,338,636 11,458,116	6,929,114 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	2,397,061 618,038	2,229,314 697,279	2,367,811 690,232	2,725,166 684,010	2,596,624 670,558
⊳ 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	127,055 594,888	94,753 595,761	105,494 577,894	64,689 542,168	69,193 549,667
Outlier Median	4,779 582,572	379 538,116	18,282 212,434	9,305 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	501,042 3,662,910	1,370,526 3,730,911	212,265 4,081,319	787,559 4,643,908	0 4,389,147
Charity care Median	549,439 2,654,636	934,362 2,940,659	865,445 3,380,215	952,400 3,488,738	879,849 3,233,405
Uncompensated care (UCC) Median	924,687 5,147,790	1,403,945 5,337,617	1,357,013 5,711,082	1,576,959 5,923,418	1,308,021 5,508,107
UCC as a % of operating expenses Median	1.76% 3.24	2.49% 3.12	2.52% 3.21	2.96% 3.3	2.32% 2.86
Total shortfall/UCC Median	1,425,729 9,489,989	2,774,471 9,424,297	1,569,278 10,120,158	2,364,518 11,171,337	1,308,021 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	18,789,195 52,142,039	17,967,051 54,485,252	18,000,928 57,395,589	19,074,941 58,830,919	20,861,591 61,722,907
Salaries as a % of operating expenses Median	36.37 36.68	31.89 36.56	33.37 36.37	35.77 35.93	37.04 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	0 1,449,244	22,059 1,475,986	0 1,563,078	106,814 1,721,954	33,388 2,991,828
Contract hours, direct-care Median	0.00 22,725	294.00 23,018.5	0.00 24,503.48	1,582.00 25,026.5	300.00 33,786
Contract wages, direct-care Median	0.00 64.67	75.03 64.53	0.00 65.06	67.52 68.97	111.29 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.