As of the July, 2022, release via CMS

ST. RITAS MEDICAL CENTER LLC

CMS id: 360066
730 W MARKET ST, LIMA OH 45801. County: ALLEN
System: BON SECOURS MERCY HEALTH
CBSA: Lima, OH

The 357-bed, acute-care hospital had $60,455,625 in net service to patients*, with a total profit margin of 26.01333% in fiscal year 2021, the latest year available.
It spent 2.30% of its operating expenses on uncompensated care and reported $20,343,830 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	283 118	283 118	281 119.5	297 118	309 119
Total beds Median	359 162	349 162	347 162	363 162	357 163.5
FTEs Median	1,779.37 788.06	1,708.89 793.42	1,720.87 806.03	1,528.73 787.61	1,515.45 804.34

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	427,670,938 150,932,746	442,449,739 158,950,878	439,294,571 168,696,998	417,221,927 163,454,693	488,567,038 186,589,412
Operating expenses Median	367,855,681 149,311,209	382,451,116 156,110,414	375,281,617 164,890,568	382,052,523 166,516,854	428,111,413 180,120,888
Net income from service 2 patients (NS2P) ? Median	59,815,257 -964,173	59,998,623 -643,601.5	64,012,954 -116,254	35,169,404 -5,025,862	60,455,625 -1,284,564
NS2P margin ? Median	13.99% -0.62	13.56% -0.29	14.57% 0.18	8.43% -5.07	12.37% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. RITAS MEDICAL CENTER LLC 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	60,288,924 5,089,215	-875,136 4,572,541	65,234,357 5,268,134	72,504,964 13,092,619	90,066,139 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	49,245,854 309,361.5	80,201,986 375,329
⊳ 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	1,370,625	1,702,320
⊳ 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	0	0	0	10,493	56,093
⊳ Line 22: Rental of hospital space	0	0	0	1,255,987	1,193,510
⊳ 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	60,288,924	-875,136	65,234,357	20,622,005	6,912,230
Total income ? Median	120,104,181 6,586,430	59,123,487 6,767,106	129,247,311 8,419,950	107,674,368 8,094,175	150,521,764 15,162,888
Non-operating expenses Median	0 146,289.5	-5 164,857	0 89,880.5	9,781 106,761	0 31,473.5
Net income Median	120,104,181 6,043,842	59,123,492 5,845,112	129,247,311 7,606,259	107,664,587 7,283,041	150,521,764 14,957,241
Net margin Median	24.61354% 4.62%	13.38924% 4.42%	25.61742% 5.16%	21.98462% 5.2%	26.01333% 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. RITAS MEDICAL CENTER LLC 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	77,378,528 23,241,334	75,350,978 23,709,545	68,734,593 24,248,380	72,675,122 22,858,541	77,663,280 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	71,032,670 21,577,146	69,598,281 22,041,594	63,974,606 22,722,063	66,859,602 21,570,441	72,813,584 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	618,418 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,026,891 3,535,627	4,164,918 3,746,588	3,145,966 3,782,288	4,868,026 3,865,578	4,588,571 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	1,700,549 1,203,033	1,587,779 1,215,295	1,614,021 1,313,657	947,494 1,365,298	261,125 1,179,746
All outpatient revenue Median Click here to show/hide details	38,543,226 11,160,864	43,691,930 11,987,345	42,606,765 12,926,866	35,964,061 11,884,480	41,023,020 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	36,268,577 10,918,923	41,253,127 11,706,976	40,271,065 12,615,917	33,387,238 11,458,116	38,922,084 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,274,649 1,282,808	2,438,803 1,407,728	2,335,700 1,341,512	2,576,823 1,407,046	2,100,936 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	633,139 3,284,314	708,052 3,250,551	1,264,312 3,386,837	3,832,930 3,360,806	7,609,956 3,508,953
Disproportionate-share hospital (DSH) Median	1,364,299 594,888	1,694,195 595,761	1,593,482 577,894	1,457,992 542,168	1,318,316 549,667
Outlier Median	2,998,533 582,572	1,575,979 538,116	349,742 212,434	482,402 126,559	437,688 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	13,424,871 3,662,910	15,720,654 3,730,911	17,405,923 4,081,319	20,506,766 4,643,908	20,343,830 4,389,147
Charity care Median	5,712,169 2,654,636	6,969,235 2,940,659	6,041,229 3,380,215	5,440,508 3,488,738	5,290,799 3,233,405
Uncompensated care (UCC) Median	13,456,373 5,147,790	13,085,041 5,337,617	11,068,937 5,711,082	10,454,543 5,923,418	9,830,288 5,508,107
UCC as a % of operating expenses Median	3.66% 3.24	3.42% 3.12	2.95% 3.21	2.74% 3.3	2.30% 2.86
Total shortfall/UCC Median	26,881,244 9,489,989	28,805,695 9,424,297	28,474,860 10,120,158	30,961,309 11,171,337	30,174,118 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	107,681,242 52,142,039	105,470,458 54,485,252	99,940,119 57,395,589	100,894,093 58,830,919	105,789,377 61,722,907
Salaries as a % of operating expenses Median	29.27 36.68	27.58 36.56	26.63 36.37	26.41 35.93	24.71 35.24
Intern, resident salaries* Median	218,086 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	238,223 1,449,244	343,349 1,475,986	1,235,207 1,563,078	1,472,017 1,721,954	15,499,301 2,991,828
Contract hours, direct-care Median	4,080.75 22,725	5,193.04 23,018.5	16,513.22 24,503.48	18,655.93 25,026.5	118,640.59 33,786
Contract wages, direct-care Median	58.38 64.67	66.12 64.53	74.80 65.06	78.90 68.97	130.64 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.