As of the July, 2022, release via CMS

ST. FRANCIS REGIONAL MEDICAL CENTER

CMS id: 240104
1455 ST. FRANCIS AVENUE, SHAKOPEE MN 55379. County: SCOTT
System: ALLINA HEALTH SYSTEM
CBSA: Minneapolis-St. Paul-Bloomington, MN-WI

The 89-bed, acute-care hospital had $-960,075 in net service to patients*, with a total profit margin of 9.26520% in fiscal year 2021, the latest year available.
It spent 2.33% of its operating expenses on uncompensated care and reported $1,801,433 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	85 118	89 118	89 119.5	89 118	89 119
Total beds Median	85 162	89 162	89 162	89 162	89 163.5
FTEs Median	591.51 788.06	666.98 793.42	689.54 806.03	658.37 787.61	686.78 804.34

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	160,916,776 150,932,746	171,112,997 158,950,878	174,171,734 168,696,998	163,454,693 163,454,693	178,362,649 186,589,412
Operating expenses Median	149,095,636 149,311,209	164,994,053 156,110,414	174,319,272 164,890,568	174,571,748 166,516,854	179,322,724 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,821,140 -964,173	6,118,944 -643,601.5	-147,538 -116,254	-11,117,055 -5,025,862	-960,075 -1,284,564
NS2P margin ? Median	7.35% -0.62	3.58% -0.29	-0.08% 0.18	-6.80% -5.07	-0.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. FRANCIS REGIONAL 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	11,708,116 5,089,215	9,768,729 4,572,541	19,835,615 5,268,134	21,059,683 13,092,619	19,271,244 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	540,435 224,999	456,614 199,009	480,047 206,870.5	186,389 194,343	125,054 249,496
⊳ Line 7: Investments ? ⊳ Median	1,262,965 299,524	990,657 188,688.5	952,478 370,813	-403,673 309,361.5	3,427,634 375,329
⊳ 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	0	0	0	0	317,202
⊳ 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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	25,424	12,775	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,671,535	1,675,735	609,309	583,355	570,640
⊳ Line 23: Gov appropriations ? ⊳ Median	77,565 1,017,693	59,020 983,261.5	49,864 1,173,286	48,365 1,987,202	10,074 1,597,664
⊳ Sum Line 24	8,130,192	6,573,928	17,743,917	20,645,247	14,820,640
Total income ? Median	23,529,256 6,586,430	15,887,673 6,767,106	19,688,077 8,419,950	9,942,628 8,094,175	18,311,169 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	23,529,256 6,043,842	15,887,673 5,845,112	19,688,077 7,606,259	9,942,628 7,283,041	18,311,169 14,957,241
Net margin Median	13.63028% 4.62%	8.78346% 4.42%	10.14811% 5.16%	5.38854% 5.2%	9.26520% 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. FRANCIS REGIONAL 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	18,324,519 23,241,334	20,192,424 23,709,545	15,194,365 24,248,380	13,210,889 22,858,541	12,522,348 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	18,324,519 21,577,146	20,192,424 22,041,594	15,194,365 22,722,063	13,210,889 21,570,441	12,522,348 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	10,527,424 11,160,864	11,654,918 11,987,345	8,635,498 12,926,866	9,524,205 11,884,480	9,509,987 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	10,527,424 10,918,923	11,654,918 11,706,976	8,635,498 12,615,917	9,524,205 11,458,116	9,509,987 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	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	335,708 594,888	313,544 595,761	265,493 577,894	222,125 542,168	235,717 549,667
Outlier Median	201,297 582,572	188,176 538,116	74,726 212,434	92,918 126,559	93,014 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,579,973 3,662,910	1,462,375 3,730,911	1,391,693 4,081,319	1,628,259 4,643,908	1,801,433 4,389,147
Charity care Median	1,844,096 2,654,636	1,628,877 2,940,659	2,294,713 3,380,215	2,100,785 3,488,738	1,850,875 3,233,405
Uncompensated care (UCC) Median	5,147,790 5,147,790	4,615,127 5,337,617	5,442,215 5,711,082	5,085,150 5,923,418	4,184,213 5,508,107
UCC as a % of operating expenses Median	3.45% 3.24	2.80% 3.12	3.12% 3.21	2.91% 3.3	2.33% 2.86
Total shortfall/UCC Median	6,727,763 9,489,989	6,077,502 9,424,297	6,833,908 10,120,158	6,713,409 11,171,337	5,985,646 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	52,578,345 52,142,039	59,658,908 54,485,252	62,281,173 57,395,589	63,424,349 58,830,919	65,371,913 61,722,907
Salaries as a % of operating expenses Median	35.26 36.68	36.16 36.56	35.73 36.37	36.33 35.93	36.45 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	1,420,028 1,449,244	1,614,158 1,475,986	1,336,959 1,563,078	1,367,661 1,721,954	3,948,474 2,991,828
Contract hours, direct-care Median	16,194.78 22,725	18,593.05 23,018.5	14,257.55 24,503.48	13,070.43 25,026.5	32,697.89 33,786
Contract wages, direct-care Median	87.68 64.67	86.82 64.53	93.77 65.06	104.64 68.97	120.76 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.