As of the July, 2022, release via CMS

SAINT FRANCIS MEDICAL CENTER

CMS id: 260183
211 ST. FRANCIS DRIVE, CAPE GIRARDEAU MO 63703. County: CAPE GIRARDEAU
System: --
CBSA: Cape Girardeau, MO-IL

The 306-bed, acute-care hospital had $2,232,797 in net service to patients*, with a total profit margin of 26.63231% in fiscal year 2021, the latest year available.
It spent 4.89% of its operating expenses on uncompensated care and reported $10,093,326 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	210 118	216 118	216 119.5	216 118	216 119
Total beds Median	302 162	308 162	307 162	306 162	306 163.5
FTEs Median	2,173.50 788.06	2,328.60 793.42	2,492.48 806.03	2,428.50 787.61	2,280.96 804.34

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	449,290,006 150,932,746	491,267,439 158,950,878	527,267,909 168,696,998	493,517,940 163,454,693	498,468,786 186,589,412
Operating expenses Median	460,440,886 149,311,209	473,221,288 156,110,414	527,421,756 164,890,568	518,197,016 166,516,854	496,235,989 180,120,888
Net income from service 2 patients (NS2P) ? Median	-11,150,880 -964,173	18,046,151 -643,601.5	-153,847 -116,254	-24,679,076 -5,025,862	2,232,797 -1,284,564
NS2P margin ? Median	-2.48% -0.62	3.67% -0.29	-0.03% 0.18	-5.00% -5.07	0.45% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT FRANCIS 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	54,933,351 5,089,215	54,558,794 4,572,541	57,582,291 5,268,134	50,653,934 13,092,619	193,510,235 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,363,955 224,999	667,332 199,009	203,634 206,870.5	388,322 194,343	98,167 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	1,123,299	1,098,191	1,114,415	1,038,394	879,219
⊳ 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	4,241	2,477	1,749	335	169
⊳ Line 18: Revenue from sale of medical records and abstracts	30,357	533,603	568,183	634,282	562,537
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	52,411,499	52,257,191	55,694,310	48,592,601	191,970,143
Total income ? Median	43,782,471 6,586,430	72,604,945 6,767,106	57,428,444 8,419,950	25,974,858 8,094,175	195,743,032 15,162,888
Non-operating expenses Median	519,681 146,289.5	5,493,317 164,857	10,000,000 89,880.5	4,781,542 106,761	11,453,058 31,473.5
Net income Median	43,262,790 6,043,842	67,111,628 5,845,112	47,428,444 7,606,259	21,193,316 7,283,041	184,289,974 14,957,241
Net margin Median	8.58008% 4.62%	12.29542% 4.42%	8.10950% 5.16%	3.89460% 5.2%	26.63231% 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 SAINT FRANCIS 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	64,799,329 23,241,334	62,617,652 23,709,545	58,150,542 24,248,380	55,619,443 22,858,541	50,204,035 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	61,582,943 21,577,146	59,376,331 22,041,594	55,014,926 22,722,063	52,735,912 21,570,441	46,930,464 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	3,216,386 3,535,627	3,241,321 3,746,588	3,135,616 3,782,288	2,883,531 3,865,578	3,273,571 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	44,298,749 11,160,864	49,635,281 11,987,345	56,481,014 12,926,866	52,920,675 11,884,480	51,762,424 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	43,498,015 10,918,923	48,682,263 11,706,976	55,728,552 12,615,917	52,141,946 11,458,116	50,940,441 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	800,734 1,282,808	953,018 1,407,728	752,462 1,341,512	778,729 1,407,046	821,983 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	1,879,576 594,888	1,981,012 595,761	1,849,664 577,894	1,667,490 542,168	1,600,940 549,667
Outlier Median	4,644,193 582,572	5,100,254 538,116	3,845,105 212,434	1,181,506 126,559	1,167,366 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,178,872 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	10,093,326 4,389,147
Charity care Median	12,560,595 2,654,636	12,248,669 2,940,659	16,305,722 3,380,215	22,008,303 3,488,738	22,107,963 3,233,405
Uncompensated care (UCC) Median	16,376,833 5,147,790	16,861,891 5,337,617	20,868,985 5,711,082	25,585,674 5,923,418	24,277,112 5,508,107
UCC as a % of operating expenses Median	3.56% 3.24	3.56% 3.12	3.96% 3.21	4.94% 3.3	4.89% 2.86
Total shortfall/UCC Median	25,555,705 9,489,989	16,861,891 9,424,297	20,868,985 10,120,158	25,585,674 11,171,337	34,370,438 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	183,805,309 52,142,039	189,165,869 54,485,252	201,143,012 57,395,589	202,275,713 58,830,919	209,617,580 61,722,907
Salaries as a % of operating expenses Median	39.92 36.68	39.97 36.56	41.06 36.37	39.03 35.93	42.24 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	0 1,475,986	257,400 1,563,078	309,825 1,721,954	0 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	2,059.00 24,503.48	2,727.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	125.01 65.06	113.61 68.97	0.00 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.