As of the July, 2022, release via CMS

ST. CLAIR MEMORIAL HOSPITAL

CMS id: 390228
1000 BOWER HILL ROAD, PITTSBURGH PA 15243. County: ALLEGHENY
System: --
CBSA: Pittsburgh, PA

The 322-bed, acute-care hospital had $23,329,802 in net service to patients*, with a total profit margin of 22.70879% in fiscal year 2021, the latest year available.
It spent 1.62% of its operating expenses on uncompensated care and reported $883,599 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	262 118	256 118	264 119.5	250 118	257 119
Total beds Median	327 162	321 162	329 162	315 162	322 163.5
FTEs Median	1,712.63 788.06	1,710.45 793.42	1,710.94 806.03	1,679.52 787.61	1,658.00 804.34

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	288,083,519 150,932,746	301,064,720 158,950,878	308,117,377 168,696,998	297,870,435 163,454,693	332,736,774 186,589,412
Operating expenses Median	269,875,785 149,311,209	274,969,232 156,110,414	281,425,100 164,890,568	292,987,012 166,516,854	309,406,972 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,207,734 -964,173	26,095,488 -643,601.5	26,692,277 -116,254	4,883,423 -5,025,862	23,329,802 -1,284,564
NS2P margin ? Median	6.32% -0.62	8.67% -0.29	8.66% 0.18	1.64% -5.07	7.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. CLAIR MEMORIAL 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	31,357,013 5,089,215	25,756,850 4,572,541	25,357,341 5,268,134	26,352,268 13,092,619	67,576,475 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	4,653,821 299,524	4,630,812 188,688.5	6,592,834 370,813	7,266,147 309,361.5	6,044,105 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	5,759	5,569	16,627	20,989	21,739
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	1,244,493	1,265,869	1,140,222	998,550	889,628
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,998,991	2,003,825	1,954,764	1,660,127	1,142,669
⊳ 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	235,258	291,914	345,029	111,765	806
⊳ Line 18: Revenue from sale of medical records and abstracts	103,049	60,129	21,632	20,481	2,781
⊳ 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	1,598,976	1,892,591	1,888,473	2,221,420	2,270,084
⊳ 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	21,436,152	15,523,412	13,313,574	13,965,918	57,118,820
Total income ? Median	49,564,747 6,586,430	51,852,338 6,767,106	52,049,618 8,419,950	31,235,691 8,094,175	90,906,277 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	49,564,747 6,043,842	51,852,338 5,845,112	52,049,618 7,606,259	31,235,691 7,283,041	90,906,277 14,957,241
Net margin Median	15.51611% 4.62%	15.86564% 4.42%	15.60827% 5.16%	9.63402% 5.2%	22.70879% 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. CLAIR MEMORIAL 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	28,388,566 23,241,334	27,325,138 23,709,545	29,366,891 24,248,380	27,770,112 22,858,541	30,206,350 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	27,517,524 21,577,146	26,440,727 22,041,594	28,389,044 22,722,063	27,091,906 21,570,441	29,782,344 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	871,042 1,845,420	884,411 1,757,392	977,847 1,738,842	678,206 1,510,463	424,006 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	12,984,742 11,160,864	14,937,744 11,987,345	15,129,722 12,926,866	15,272,843 11,884,480	18,694,421 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	12,984,742 10,918,923	14,937,744 11,706,976	15,129,722 12,615,917	15,272,843 11,458,116	18,694,421 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	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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	719,368 582,572	842,223 538,116	543,840 212,434	124,379 126,559	119,479 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,402,461 3,662,910	615,489 3,730,911	1,032,103 4,081,319	928,077 4,643,908	883,599 4,389,147
Charity care Median	3,498,380 2,654,636	2,941,051 2,940,659	2,445,452 3,380,215	5,248,221 3,488,738	3,834,896 3,233,405
Uncompensated care (UCC) Median	4,435,555 5,147,790	4,172,581 5,337,617	3,855,889 5,711,082	6,586,650 5,923,418	5,026,498 5,508,107
UCC as a % of operating expenses Median	1.64% 3.24	1.52% 3.12	1.37% 3.21	2.25% 3.3	1.62% 2.86
Total shortfall/UCC Median	5,838,016 9,489,989	4,788,070 9,424,297	4,887,992 10,120,158	7,514,727 11,171,337	5,910,097 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	96,483,740 52,142,039	99,235,583 54,485,252	100,362,267 57,395,589	99,650,602 58,830,919	101,248,174 61,722,907
Salaries as a % of operating expenses Median	35.75 36.68	36.09 36.56	35.66 36.37	34.01 35.93	32.72 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	612,913 1,449,244	795,809 1,475,986	2,028,481 1,563,078	1,975,523 1,721,954	1,888,567 2,991,828
Contract hours, direct-care Median	6,590.00 22,725	6,074.00 23,018.5	28,850.19 24,503.48	31,813.00 25,026.5	34,481.00 33,786
Contract wages, direct-care Median	93.01 64.67	131.02 64.53	70.31 65.06	62.10 68.97	54.77 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.