As of the July, 2022, release via CMS

ST. ANNS HOSPITAL

CMS id: 360012
500 S.CLEVELAND AVE, WESTERVILLE OH 43081. County: FRANKLIN
System: TRINITY HEALTH CORPORATION
CBSA: Columbus, OH

The 284-bed, acute-care hospital had $9,993,074 in net service to patients*, with a total profit margin of 11.19517% in fiscal year 2021, the latest year available.
It spent 2.84% of its operating expenses on uncompensated care and reported $13,581,638 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	212 118	212 118	231 119.5	255 118	255 119
Total beds Median	265 162	265 162	284 162	284 162	284 163.5
FTEs Median	1,674.60 788.06	1,674.15 793.42	1,715.74 806.03	1,605.80 787.61	1,416.01 804.34

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	315,836,994 150,932,746	336,300,404 158,950,878	346,965,752 168,696,998	316,307,277 163,454,693	343,271,548 186,589,412
Operating expenses Median	301,265,453 149,311,209	313,698,050 156,110,414	334,180,208 164,890,568	334,096,673 166,516,854	333,278,474 180,120,888
Net income from service 2 patients (NS2P) ? Median	14,571,541 -964,173	22,602,354 -643,601.5	12,785,544 -116,254	-17,789,396 -5,025,862	9,993,074 -1,284,564
NS2P margin ? Median	4.61% -0.62	6.72% -0.29	3.68% 0.18	-5.62% -5.07	2.91% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. ANNS 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	20,868,644 5,089,215	23,786,438 4,572,541	27,047,935 5,268,134	31,066,807 13,092,619	32,021,623 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	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	1,917,625	1,928,132	2,061,555	1,648,823	1,145,352
⊳ 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.)	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	18,413	15,755	12,384	10,883	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	18,930,589	21,840,025	24,955,735	28,301,104	29,862,840
Total income ? Median	35,440,185 6,586,430	46,388,792 6,767,106	39,833,479 8,419,950	13,277,411 8,094,175	42,014,697 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	35,440,185 6,043,842	46,388,792 5,845,112	39,833,479 7,606,259	13,277,411 7,283,041	42,014,697 14,957,241
Net margin Median	10.52557% 4.62%	12.88267% 4.42%	10.65027% 5.16%	3.82222% 5.2%	11.19517% 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. ANNS 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	40,786,385 23,241,334	44,475,514 23,709,545	44,982,858 24,248,380	38,100,425 22,858,541	37,948,575 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	40,786,385 21,577,146	44,475,514 22,041,594	44,982,858 22,722,063	38,100,425 21,570,441	37,948,575 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	15,581,050 11,160,864	17,533,679 11,987,345	17,829,344 12,926,866	15,595,433 11,884,480	15,037,253 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	15,581,050 10,918,923	17,533,679 11,706,976	17,829,344 12,615,917	15,595,433 11,458,116	15,037,253 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	927,572 3,284,314	1,103,735 3,250,551	1,307,965 3,386,837	1,132,832 3,360,806	1,095,848 3,508,953
Disproportionate-share hospital (DSH) Median	1,235,871 594,888	1,242,031 595,761	1,278,866 577,894	1,087,380 542,168	954,065 549,667
Outlier Median	726,190 582,572	658,718 538,116	401,294 212,434	165,099 126,559	304,020 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,610,267 3,662,910	12,577,824 3,730,911	14,037,333 4,081,319	26,241,944 4,643,908	13,581,638 4,389,147
Charity care Median	6,469,742 2,654,636	8,526,519 2,940,659	8,632,517 3,380,215	9,588,696 3,488,738	5,520,136 3,233,405
Uncompensated care (UCC) Median	10,217,884 5,147,790	14,210,154 5,337,617	13,059,759 5,711,082	15,507,550 5,923,418	9,473,227 5,508,107
UCC as a % of operating expenses Median	3.39% 3.24	4.53% 3.12	3.91% 3.21	4.64% 3.3	2.84% 2.86
Total shortfall/UCC Median	25,828,151 9,489,989	26,787,978 9,424,297	27,097,092 10,120,158	41,749,494 11,171,337	23,054,865 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	101,507,827 52,142,039	106,591,679 54,485,252	110,796,421 57,395,589	108,761,976 58,830,919	104,892,531 61,722,907
Salaries as a % of operating expenses Median	39.22 36.68	39.40 36.56	38.52 36.37	32.55 35.93	31.47 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	655,393 1,251,927	854,421 1,186,494	856,081 1,204,885	597,479 1,279,653	707,051 1,469,317
Contract adjusted salaries, direct-care Median	3,341,501 1,449,244	3,263,368 1,475,986	2,437,921 1,563,078	3,191,336 1,721,954	2,594,827 2,991,828
Contract hours, direct-care Median	54,401.00 22,725	55,522.80 23,018.5	48,873.00 24,503.48	57,906.00 25,026.5	58,740.00 33,786
Contract wages, direct-care Median	61.42 64.67	58.78 64.53	49.88 65.06	55.11 68.97	44.17 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.