As of the July, 2022, release via CMS

ST. MARYS MEDICAL CENTER

CMS id: 240002
407 EAST THIRD STREET, DULUTH MN 55805. County: ST. LOUIS
System: ESSENTIA HEALTH
CBSA: Duluth, MN-WI

The 329-bed, acute-care hospital had $-2,214,367 in net service to patients*, with a total profit margin of 18.78642% in fiscal year 2021, the latest year available.
It spent 1.18% of its operating expenses on uncompensated care and reported $28,718,689 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	187 118	187 118	179 119.5	179 118	173 119
Total beds Median	328 162	328 162	325 162	329 162	329 163.5
FTEs Median	1,942.87 788.06	1,910.50 793.42	1,882.12 806.03	1,893.92 787.61	1,877.68 804.34

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	422,255,985 150,932,746	427,154,050 158,950,878	455,008,352 168,696,998	425,606,922 163,454,693	442,317,112 186,589,412
Operating expenses Median	400,845,863 149,311,209	408,804,481 156,110,414	426,175,609 164,890,568	434,377,324 166,516,854	444,531,479 180,120,888
Net income from service 2 patients (NS2P) ? Median	21,410,122 -964,173	18,349,569 -643,601.5	28,832,743 -116,254	-8,770,402 -5,025,862	-2,214,367 -1,284,564
NS2P margin ? Median	5.07% -0.62	4.30% -0.29	6.34% 0.18	-2.06% -5.07	-0.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. MARYS 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	41,647,430 5,089,215	33,601,703 4,572,541	25,585,248 5,268,134	16,329,382 13,092,619	105,043,933 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	503,633 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,454,796 299,524	26,584,833 188,688.5	16,833,597 370,813	-2,891,602 309,361.5	70,914,326 375,329
⊳ 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	983,935	970,022	865,414	949,697	925,010
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,662,896	2,604,997	2,666,191	2,363,867	1,905,976
⊳ Line 15: Revenue from rental of living quarters	62,135	62,135	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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	20	9,140	22,337	42,303	24,230
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	135,296	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	145,725	137,380	116,324
⊳ 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	33,980,015	3,370,576	5,051,984	15,592,441	31,158,067
Total income ? Median	63,057,552 6,586,430	51,951,272 6,767,106	54,417,991 8,419,950	7,558,980 8,094,175	102,829,566 15,162,888
Non-operating expenses Median	0 146,289.5	5,829,672 164,857	9,676,995 89,880.5	3 106,761	0 31,473.5
Net income Median	63,057,552 6,043,842	46,121,600 5,845,112	44,740,996 7,606,259	7,558,977 7,283,041	102,829,566 14,957,241
Net margin Median	13.59282% 4.62%	10.00999% 4.42%	9.30953% 5.16%	1.71042% 5.2%	18.78642% 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. MARYS 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	103,297,695 23,241,334	103,455,327 23,709,545	109,690,778 24,248,380	97,594,987 22,858,541	94,916,459 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	103,297,695 21,577,146	103,455,327 22,041,594	109,690,778 22,722,063	97,594,987 21,570,441	94,916,459 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	25,614,648 11,160,864	27,668,926 11,987,345	30,639,006 12,926,866	29,232,318 11,884,480	27,786,796 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	25,614,648 10,918,923	27,668,926 11,706,976	30,639,006 12,615,917	29,232,318 11,458,116	27,786,796 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	2,238,254 3,284,314	2,458,866 3,250,551	2,778,866 3,386,837	2,735,212 3,360,806	2,560,551 3,508,953
Disproportionate-share hospital (DSH) Median	2,991,293 594,888	2,736,204 595,761	2,735,319 577,894	2,325,137 542,168	2,412,626 549,667
Outlier Median	5,925,989 582,572	6,544,584 538,116	8,143,880 212,434	410,115 126,559	528,929 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	16,144,284 3,662,910	20,760,724 3,730,911	21,376,618 4,081,319	24,940,039 4,643,908	28,718,689 4,389,147
Charity care Median	4,792,389 2,654,636	6,001,860 2,940,659	3,168,197 3,380,215	5,444,412 3,488,738	2,313,370 3,233,405
Uncompensated care (UCC) Median	7,355,576 5,147,790	8,535,936 5,337,617	6,414,975 5,711,082	8,988,154 5,923,418	5,258,816 5,508,107
UCC as a % of operating expenses Median	1.84% 3.24	2.09% 3.12	1.51% 3.21	2.07% 3.3	1.18% 2.86
Total shortfall/UCC Median	23,499,860 9,489,989	29,296,660 9,424,297	27,791,593 10,120,158	33,928,193 11,171,337	33,977,505 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	146,279,494 52,142,039	147,685,787 54,485,252	151,486,429 57,395,589	155,537,198 58,830,919	165,122,992 61,722,907
Salaries as a % of operating expenses Median	40.50 36.68	39.51 36.56	38.96 36.37	39.11 35.93	40.36 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	983,358 1,449,244	450,253 1,475,986	634,981 1,563,078	289,205 1,721,954	3,876,186 2,991,828
Contract hours, direct-care Median	11,814.93 22,725	5,623.24 23,018.5	7,813.58 24,503.48	3,780.20 25,026.5	30,625.86 33,786
Contract wages, direct-care Median	83.23 64.67	80.07 64.53	81.27 65.06	76.51 68.97	126.57 88.94

* in an approved program

Return to top

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.