As of the July, 2022, release via CMS

ST. CLOUD HOSPITAL

CMS id: 240036
1406 6TH AVENUE NORTH, ST. CLOUD MN 56303. County: STEARNS
System: CENTRACARE HEALTH SYSTEM
CBSA: St. Cloud, MN

The 484-bed, acute-care hospital had $7,969,298 in net service to patients*, with a total profit margin of 22.99109% in fiscal year 2021, the latest year available.
It spent 0.83% of its operating expenses on uncompensated care and reported $25,818,223 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	396 118	380 118	385 119.5	388 118	387 119
Total beds Median	487 162	471 162	477 162	484 162	484 163.5
FTEs Median	4,565.50 788.06	4,734.54 793.42	4,897.00 806.03	4,821.60 787.61	4,698.12 804.34

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	797,469,005 150,932,746	852,750,902 158,950,878	887,823,076 168,696,998	818,008,513 163,454,693	934,647,827 186,589,412
Operating expenses Median	747,003,279 149,311,209	801,408,730 156,110,414	835,064,472 164,890,568	819,711,594 166,516,854	926,678,529 180,120,888
Net income from service 2 patients (NS2P) ? Median	50,465,726 -964,173	51,342,172 -643,601.5	52,758,604 -116,254	-1,703,081 -5,025,862	7,969,298 -1,284,564
NS2P margin ? Median	6.33% -0.62	6.02% -0.29	5.94% 0.18	-0.21% -5.07	0.85% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. CLOUD 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	98,003,398 5,089,215	67,564,025 4,572,541	27,277,015 5,268,134	51,681,590 13,092,619	268,691,613 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,847,216 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	74,835,589 299,524	44,508,857 188,688.5	0 370,813	0 309,361.5	174,166,025 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	80,050	0	0	0	19,106
⊳ 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	88,209	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	4,790,202	0	0	0	3,434,352
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	-39,381	0	0	0	35,712,027
⊳ Line 17: Revenue from sale of drugs to other than patients	804,343	0	0	0	-14,528,143
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	145,485	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	776,182
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	3,625,520	0	0	0	3,970,704
⊳ 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	8,826,165	23,055,168	27,277,015	51,681,590	65,141,360
Total income ? Median	148,469,124 6,586,430	118,906,197 6,767,106	80,035,619 8,419,950	49,978,509 8,094,175	276,660,911 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	148,469,124 6,043,842	118,906,197 5,845,112	80,035,619 7,606,259	49,978,509 7,283,041	276,660,911 14,957,241
Net margin Median	16.57998% 4.62%	12.92016% 4.42%	8.74611% 5.16%	5.74670% 5.2%	22.99109% 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. CLOUD 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	189,662,576 23,241,334	205,214,422 23,709,545	190,278,515 24,248,380	145,921,424 22,858,541	149,198,572 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	184,467,223 21,577,146	199,375,227 22,041,594	185,250,862 22,722,063	141,786,378 21,570,441	145,809,159 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	5,195,353 3,535,627	5,839,195 3,746,588	5,027,653 3,782,288	4,135,046 3,865,578	3,389,413 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	84,782,341 11,160,864	92,907,320 11,987,345	90,612,145 12,926,866	79,452,154 11,884,480	81,945,390 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	80,778,040 10,918,923	88,531,263 11,706,976	85,908,338 12,615,917	74,643,805 11,458,116	76,433,018 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,004,301 1,282,808	4,376,057 1,407,728	4,703,807 1,341,512	4,808,349 1,407,046	5,512,372 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	2,428,388 3,284,314	2,502,682 3,250,551	2,483,746 3,386,837	2,352,942 3,360,806	2,500,018 3,508,953
Disproportionate-share hospital (DSH) Median	3,968,909 594,888	3,891,461 595,761	3,717,298 577,894	3,370,269 542,168	3,086,327 549,667
Outlier Median	5,446,802 582,572	7,345,437 538,116	6,679,375 212,434	487,546 126,559	489,823 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	7,419,101 3,730,911	12,061,784 4,081,319	16,445,626 4,643,908	25,818,223 4,389,147
Charity care Median	2,667,945 2,654,636	1,921,048 2,940,659	2,895,729 3,380,215	5,869,832 3,488,738	5,260,439 3,233,405
Uncompensated care (UCC) Median	5,903,483 5,147,790	5,514,216 5,337,617	7,831,491 5,711,082	9,205,282 5,923,418	7,665,743 5,508,107
UCC as a % of operating expenses Median	0.79% 3.24	0.69% 3.12	0.94% 3.21	1.12% 3.3	0.83% 2.86
Total shortfall/UCC Median	5,903,483 9,489,989	12,933,317 9,424,297	19,893,275 10,120,158	25,650,908 11,171,337	33,483,966 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	324,044,853 52,142,039	341,548,950 54,485,252	353,483,469 57,395,589	361,623,936 58,830,919	374,853,015 61,722,907
Salaries as a % of operating expenses Median	43.38 36.68	42.62 36.56	42.33 36.37	44.12 35.93	40.45 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	534,253 1,475,986	425,787 1,563,078	648,317 1,721,954	1,660,998 2,991,828
Contract hours, direct-care Median	0.00 22,725	7,857.59 23,018.5	5,968.00 24,503.48	7,775.00 25,026.5	10,520.50 33,786
Contract wages, direct-care Median	0.00 64.67	67.99 64.53	71.35 65.06	83.38 68.97	157.88 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.