As of the July, 2022, release via CMS

TRINITY HOSPITALS/ST JOES

CMS id: 350006
ONE BURDICK EXPRESSWAY WEST, MINOT ND 58702. County: WARD
System: TRINITY HEALTH
CBSA: Minot, ND

The 430-bed, acute-care hospital had $76,964,141 in net service to patients*, with a total profit margin of 12.58596% in fiscal year 2021, the latest year available.
It spent 2.37% 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	174 118	117 118	117 119.5	117 118	117 119
Total beds Median	495 162	430 162	430 162	430 162	430 163.5
FTEs Median	2,879.70 788.06	2,547.26 793.42	2,543.02 806.03	2,015.92 787.61	2,005.23 804.34

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	453,945,905 150,932,746	473,839,650 158,950,878	486,357,161 168,696,998	1,169,389,396 163,454,693	469,922,699 186,589,412
Operating expenses Median	451,815,655 149,311,209	462,675,605 156,110,414	498,319,173 164,890,568	363,322,963 166,516,854	392,958,558 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,130,250 -964,173	11,164,045 -643,601.5	-11,962,012 -116,254	806,066,433 -5,025,862	76,964,141 -1,284,564
NS2P margin ? Median	0.47% -0.62	2.36% -0.29	-2.46% 0.18	68.93% -5.07	16.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TRINITY HOSPITALS/ST JOES 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	13,234,439 5,089,215	16,557,911 4,572,541	33,481,411 5,268,134	-771,012,061 13,092,619	-20,385,594 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,003,075 224,999	1,171,858 199,009	785,442 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,421,497 299,524	4,038,080 188,688.5	4,652,379 370,813	3,947,630 309,361.5	2,849,134 375,329
⊳ 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	837,596	970,206	583,765	9,553	16,352
⊳ 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	1,308,261
⊳ 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.)	40,049	47,680	61,882	51,052	81,624
⊳ 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	161,983	156,712	166,522	167,853	167,510
⊳ 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	7,770,239	10,173,375	27,231,421	-775,188,149	-24,808,475
Total income ? Median	15,364,689 6,586,430	27,721,956 6,767,106	21,519,399 8,419,950	35,054,372 8,094,175	56,578,547 15,162,888
Non-operating expenses Median	0 146,289.5	-150,536 164,857	-526,489 89,880.5	-548,486 106,761	0 31,473.5
Net income Median	15,364,689 6,043,842	27,872,492 5,845,112	22,045,888 7,606,259	35,602,858 7,283,041	56,578,547 14,957,241
Net margin Median	3.28881% 4.62%	5.68365% 4.42%	4.24091% 5.16%	8.93697% 5.2%	12.58596% 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 TRINITY HOSPITALS/ST JOES 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	41,852,028 23,241,334	41,420,647 23,709,545	40,722,610 24,248,380	43,502,179 22,858,541	49,474,444 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	34,637,206 21,577,146	35,691,322 22,041,594	34,411,048 22,722,063	36,444,186 21,570,441	42,061,828 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	677,643 1,845,420	552,929 1,757,392	610,758 1,738,842	658,445 1,510,463	712,063 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,148,164 3,535,627	2,965,123 3,746,588	3,416,808 3,782,288	2,975,093 3,865,578	3,944,839 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	2,389,015 1,203,033	2,211,273 1,215,295	2,283,996 1,313,657	3,424,455 1,365,298	2,755,714 1,179,746
All outpatient revenue Median Click here to show/hide details	52,333,579 11,160,864	55,075,905 11,987,345	58,069,713 12,926,866	59,425,679 11,884,480	59,638,134 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	51,272,746 10,918,923	53,919,739 11,706,976	56,882,934 12,615,917	58,086,670 11,458,116	58,105,590 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,060,833 1,282,808	1,156,166 1,407,728	1,186,779 1,341,512	1,339,009 1,407,046	1,532,544 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	583,274 3,284,314	618,322 3,250,551	755,279 3,386,837	814,946 3,360,806	957,707 3,508,953
Disproportionate-share hospital (DSH) Median	636,560 594,888	725,053 595,761	667,204 577,894	604,387 542,168	706,633 549,667
Outlier Median	1,929,519 582,572	1,151,645 538,116	1,112,175 212,434	268,499 126,559	272,164 139,139

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	5,757,152 2,654,636	1,604,802 2,940,659	1,757,971 3,380,215	1,786,533 3,488,738	4,192,949 3,233,405
Uncompensated care (UCC) Median	11,650,027 5,147,790	7,976,623 5,337,617	8,167,135 5,711,082	8,128,672 5,923,418	9,310,769 5,508,107
UCC as a % of operating expenses Median	2.58% 3.24	1.72% 3.12	1.64% 3.21	2.24% 3.3	2.37% 2.86
Total shortfall/UCC Median	11,650,027 9,489,989	7,976,623 9,424,297	8,167,135 10,120,158	8,128,672 11,171,337	9,310,769 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	214,530,837 52,142,039	220,937,043 54,485,252	224,669,830 57,395,589	198,748,642 58,830,919	209,808,660 61,722,907
Salaries as a % of operating expenses Median	49.36 36.68	50.25 36.56	47.63 36.37	55.16 35.93	55.83 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	800,000 1,251,927	800,000 1,186,494	800,000 1,204,885	800,000 1,279,653	800,000 1,469,317
Contract adjusted salaries, direct-care Median	9,622,101 1,449,244	12,512,895 1,475,986	14,461,798 1,563,078	9,762,199 1,721,954	18,256,088 2,991,828
Contract hours, direct-care Median	124,880.95 22,725	162,062.70 23,018.5	218,389.55 24,503.48	181,332.20 25,026.5	145,475.60 33,786
Contract wages, direct-care Median	77.05 64.67	77.21 64.53	66.22 65.06	53.84 68.97	125.49 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.