As of the July, 2022, release via CMS

ST. JOSEPHS UNIVERSITY MEDICAL CENT

CMS id: 310019
703 MAIN STREET, PATERSON NJ 7503. County: PASSAIC
System: --
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 698-bed, acute-care hospital had $-146,249,960 in net service to patients*, with a total profit margin of 7.57494% in fiscal year 2021, the latest year available.
It spent 6.20% 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	553 118	550 118	540 119.5	540 118	550 119
Total beds Median	701 162	698 162	688 162	688 162	698 163.5
FTEs Median	4,536.46 788.06	4,524.02 793.42	4,574.06 806.03	4,500.27 787.61	4,516.60 804.34

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	772,932,604 150,932,746	699,425,471 158,950,878	714,796,571 168,696,998	700,154,539 163,454,693	762,498,098 186,589,412
Operating expenses Median	805,478,997 149,311,209	797,500,258 156,110,414	816,812,891 164,890,568	891,132,167 166,516,854	908,748,058 180,120,888
Net income from service 2 patients (NS2P) ? Median	-32,546,393 -964,173	-98,074,787 -643,601.5	-102,016,320 -116,254	-190,977,628 -5,025,862	-146,249,960 -1,284,564
NS2P margin ? Median	-4.21% -0.62	-14.02% -0.29	-14.27% 0.18	-27.28% -5.07	-19.18% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPHS UNIVERSITY MEDICAL CENT 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	113,887,080 5,089,215	108,842,209 4,572,541	123,598,386 5,268,134	243,270,351 13,092,619	241,100,794 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	6,416,846 299,524	6,465,141 188,688.5	9,894,862 370,813	15,317,303 309,361.5	31,034,655 375,329
⊳ 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	1,112	0
⊳ Line 11: Rebates and refunds of expenses	135,737	116,626	8,174	512,726	707,071
⊳ 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	952,716	852,546	1,025,376	862,442	864,728
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	11,392	15,475	28,439	24,111	9,524
⊳ 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	21,065	26,731	8,779	24,078	17,826
⊳ 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	86,087
⊳ Line 22: Rental of hospital space	1,318,837	1,377,299	1,751,850	1,904,219	1,775,857
⊳ 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	105,030,487	99,988,391	110,880,906	224,624,360	206,605,046
Total income ? Median	81,340,687 6,586,430	10,767,422 6,767,106	21,582,066 8,419,950	52,292,723 8,094,175	94,850,834 15,162,888
Non-operating expenses Median	60,803,687 146,289.5	16,436,422 164,857	31,586,066 89,880.5	386,723 106,761	18,828,834 31,473.5
Net income Median	20,537,000 6,043,842	-5,669,000 5,845,112	-10,004,000 7,606,259	51,906,000 7,283,041	76,022,000 14,957,241
Net margin Median	2.31580% 4.62%	-0.70138% 4.42%	-1.19323% 5.16%	5.50187% 5.2%	7.57494% 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. JOSEPHS UNIVERSITY MEDICAL CENT 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	146,197,156 23,241,334	146,590,580 23,709,545	131,759,666 24,248,380	118,208,417 22,858,541	112,435,319 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	141,761,711 21,577,146	142,065,143 22,041,594	128,056,266 22,722,063	115,692,209 21,570,441	108,269,157 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	4,435,445 3,535,627	4,525,437 3,746,588	3,703,400 3,782,288	2,516,208 3,865,578	4,166,162 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	35,160,204 11,160,864	32,254,346 11,987,345	30,157,749 12,926,866	23,505,629 11,884,480	26,293,387 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	35,160,204 10,918,923	32,254,346 11,706,976	30,157,749 12,615,917	23,505,629 11,458,116	26,293,387 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	18,980,344 3,284,314	18,919,711 3,250,551	17,276,151 3,386,837	15,876,829 3,360,806	15,768,924 3,508,953
Disproportionate-share hospital (DSH) Median	6,858,503 594,888	7,223,739 595,761	5,750,492 577,894	4,796,856 542,168	4,249,873 549,667
Outlier Median	4,235,048 582,572	2,404,928 538,116	211,591 212,434	156,018 126,559	148,464 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	39,854,081 2,654,636	46,431,502 2,940,659	41,657,664 3,380,215	41,703,521 3,488,738	44,086,613 3,233,405
Uncompensated care (UCC) Median	55,484,679 5,147,790	61,416,844 5,337,617	55,383,255 5,711,082	58,679,314 5,923,418	56,330,106 5,508,107
UCC as a % of operating expenses Median	6.89% 3.24	7.70% 3.12	6.78% 3.21	6.58% 3.3	6.20% 2.86
Total shortfall/UCC Median	55,484,679 9,489,989	61,416,844 9,424,297	55,383,255 10,120,158	58,679,314 11,171,337	56,330,106 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	372,258,856 52,142,039	376,700,922 54,485,252	405,732,352 57,395,589	439,302,979 58,830,919	441,830,425 61,722,907
Salaries as a % of operating expenses Median	47.05 36.68	48.08 36.56	50.57 36.37	50.10 35.93	49.40 35.24
Intern, resident salaries* Median	13,516,718 2,598,592	13,592,961 2,686,824	13,820,545 2,753,773	14,635,676 2,937,156	14,586,918 2,909,848
Contract intern, resident salaries* Median	598,642 1,251,927	284,037 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,226,446 1,449,244	633,488 1,475,986	659,202 1,563,078	8,232,625 1,721,954	17,302,520 2,991,828
Contract hours, direct-care Median	27,445.00 22,725	13,794.00 23,018.5	8,457.00 24,503.48	54,594.00 25,026.5	114,829.00 33,786
Contract wages, direct-care Median	44.69 64.67	45.92 64.53	77.95 65.06	150.80 68.97	150.68 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.