As of the July, 2022, release via CMS

ST. FRANCIS HOSPITAL INC

CMS id: 420023
ONE ST. FRANCIS DRIVE, GREENVILLE SC 29601. County: GREENVILLE
System: BON SECOURS MERCY HEALTH
CBSA: Greenville-Anderson, SC

The 375-bed, acute-care hospital had $46,283,322 in net service to patients*, with a total profit margin of 13.32908% in fiscal year 2021, the latest year available.
It spent 4.19% of its operating expenses on uncompensated care and reported $4,020,010 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	286 118	286 118	286 119.5	297 118	280 119
Total beds Median	488 162	488 162	488 162	378 162	375 163.5
FTEs Median	2,308.97 788.06	2,317.70 793.42	2,201.54 806.03	1,919.41 787.61	2,016.46 804.34

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	586,758,270 150,932,746	592,956,547 158,950,878	612,381,131 168,696,998	586,512,424 163,454,693	634,732,161 186,589,412
Operating expenses Median	495,723,999 149,311,209	516,712,028 156,110,414	514,806,314 164,890,568	529,369,896 166,516,854	588,448,839 180,120,888
Net income from service 2 patients (NS2P) ? Median	91,034,271 -964,173	76,244,519 -643,601.5	97,574,817 -116,254	57,142,528 -5,025,862	46,283,322 -1,284,564
NS2P margin ? Median	15.51% -0.62	12.86% -0.29	15.93% 0.18	9.74% -5.07	7.29% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. FRANCIS HOSPITAL INC 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	168,937,027 5,089,215	175,562,333 4,572,541	166,606,879 5,268,134	180,772,721 13,092,619	44,213,969 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	3,006,083 299,524	3,697,716 188,688.5	1,090,627 370,813	2,345,617 309,361.5	7,041,193 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	34,640	49,521	33,109	16,218	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	166,381	194,921	201,489	127,597	76,948
⊳ 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	64,392	2	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	410
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	2,209,788	2,798,673	1,130,463	107,767	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,026,424	1,052,429	1,170,910	1,285,375	1,227,784
⊳ 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	162,429,319	167,769,071	162,980,281	176,890,147	35,867,634
Total income ? Median	259,971,298 6,586,430	251,806,852 6,767,106	264,181,696 8,419,950	237,915,249 8,094,175	90,497,291 15,162,888
Non-operating expenses Median	236,370,127 146,289.5	238,194,429 164,857	252,553,953 89,880.5	257,608,646 106,761	0 31,473.5
Net income Median	23,601,171 6,043,842	13,612,423 5,845,112	11,627,743 7,606,259	-19,693,397 7,283,041	90,497,291 14,957,241
Net margin Median	3.12311% 4.62%	1.77125% 4.42%	1.49267% 5.16%	-2.56663% 5.2%	13.32908% 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. FRANCIS HOSPITAL INC 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	82,551,901 23,241,334	79,088,930 23,709,545	78,928,192 24,248,380	72,447,946 22,858,541	74,491,615 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	79,145,454 21,577,146	75,959,816 22,041,594	75,925,197 22,722,063	69,930,422 21,570,441	72,631,653 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	3,406,447 3,535,627	3,129,114 3,746,588	3,002,995 3,782,288	2,517,524 3,865,578	1,859,962 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	58,461,825 11,160,864	59,976,037 11,987,345	64,722,553 12,926,866	63,824,111 11,884,480	66,493,212 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	52,669,744 10,918,923	54,401,012 11,706,976	59,102,645 12,615,917	59,213,928 11,458,116	62,075,637 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,792,081 1,282,808	5,575,025 1,407,728	5,619,908 1,341,512	4,610,183 1,407,046	4,417,575 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	535,520 594,888	630,942 595,761	548,670 577,894	531,956 542,168	414,455 549,667
Outlier Median	3,023,081 582,572	2,007,680 538,116	1,646,289 212,434	482,698 126,559	559,457 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	4,450,085 4,081,319	1,677,009 4,643,908	4,020,010 4,389,147
Charity care Median	11,725,946 2,654,636	18,347,501 2,940,659	21,177,006 3,380,215	20,487,891 3,488,738	18,567,030 3,233,405
Uncompensated care (UCC) Median	16,690,351 5,147,790	22,458,172 5,337,617	25,758,835 5,711,082	25,110,914 5,923,418	24,680,330 5,508,107
UCC as a % of operating expenses Median	3.37% 3.24	4.35% 3.12	5.00% 3.21	4.74% 3.3	4.19% 2.86
Total shortfall/UCC Median	16,690,351 9,489,989	22,458,172 9,424,297	30,208,920 10,120,158	26,787,923 11,171,337	28,700,340 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	155,956,754 52,142,039	162,967,262 54,485,252	156,459,685 57,395,589	135,186,719 58,830,919	143,248,003 61,722,907
Salaries as a % of operating expenses Median	31.46 36.68	31.54 36.56	30.39 36.37	25.54 35.93	24.34 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	725,227 1,449,244	4,248,585 1,475,986	2,547,425 1,563,078	1,733,767 1,721,954	8,171,084 2,991,828
Contract hours, direct-care Median	13,751.99 22,725	70,935.00 23,018.5	40,779.70 24,503.48	26,383.38 25,026.5	72,423.72 33,786
Contract wages, direct-care Median	52.74 64.67	59.89 64.53	62.47 65.06	65.71 68.97	112.82 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.