As of the July, 2022, release via CMS

BON SECOURS ST. FRANCIS XAVIER HOSPI

CMS id: 420065
2095 HENRY TECKLENBURG DRIVE, CHARLESTON SC 29414. County: CHARLESTON
System: ROPER ST. FRANCIS HEALTHCARE
CBSA: Charleston-North Charleston, SC

The 175-bed, acute-care hospital had $41,229,227 in net service to patients*, with a total profit margin of 17.34948% in fiscal year 2021, the latest year available.
It spent 8.80% of its operating expenses on uncompensated care and reported $868,320 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	178 118	178 118	175 119.5	164 118	164 119
Total beds Median	189 162	189 162	186 162	175 162	175 163.5
FTEs Median	924.35 788.06	862.93 793.42	855.67 806.03	817.42 787.61	828.14 804.34

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	236,042,174 150,932,746	238,279,587 158,950,878	252,364,356 168,696,998	242,402,542 163,454,693	270,552,008 186,589,412
Operating expenses Median	190,936,709 149,311,209	195,010,606 156,110,414	199,227,361 164,890,568	204,394,725 166,516,854	229,322,781 180,120,888
Net income from service 2 patients (NS2P) ? Median	45,105,465 -964,173	43,268,981 -643,601.5	53,136,995 -116,254	38,007,817 -5,025,862	41,229,227 -1,284,564
NS2P margin ? Median	19.11% -0.62	18.16% -0.29	21.06% 0.18	15.68% -5.07	15.24% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BON SECOURS ST. FRANCIS XAVIER HOSPI 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	3,113,766 5,089,215	3,004,069 4,572,541	1,654,512 5,268,134	8,513,351 13,092,619	7,308,352 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	6,883 370,813	73,587 309,361.5	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	1,197,198	1,122,191	1,202,810	859,846	770,912
⊳ 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	-1,785	102	72	826	464
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	435,824	397,356	250,019	1,940	68,255
⊳ Line 21: Rental of vending machines	0	0	0	0	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	1,482,529	1,484,420	194,728	7,577,152	6,468,721
Total income ? Median	48,219,231 6,586,430	46,273,050 6,767,106	54,791,507 8,419,950	46,521,168 8,094,175	48,537,579 15,162,888
Non-operating expenses Median	342,426 146,289.5	360,190 164,857	1,246,776 89,880.5	-22,992 106,761	330,262 31,473.5
Net income Median	47,876,805 6,043,842	45,912,860 5,845,112	53,544,731 7,606,259	46,544,160 7,283,041	48,207,317 14,957,241
Net margin Median	20.01907% 4.62%	19.02858% 4.42%	21.07904% 5.16%	18.54971% 5.2%	17.34948% 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 BON SECOURS ST. FRANCIS XAVIER HOSPI 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	25,853,896 23,241,334	25,743,819 23,709,545	31,293,313 24,248,380	28,705,657 22,858,541	27,141,054 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	25,853,896 21,577,146	25,743,819 22,041,594	31,293,313 22,722,063	28,705,657 21,570,441	27,141,054 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	23,238,809 11,160,864	24,267,026 11,987,345	25,424,325 12,926,866	24,549,357 11,884,480	25,869,997 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	23,238,809 10,918,923	24,267,026 11,706,976	25,424,325 12,615,917	24,549,357 11,458,116	25,869,997 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	785,938 594,888	729,428 595,761	696,684 577,894	704,993 542,168	660,705 549,667
Outlier Median	313,950 582,572	211,857 538,116	53,552 212,434	51,440 126,559	56,254 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	977,676 3,730,911	433,110 4,081,319	702,343 4,643,908	868,320 4,389,147
Charity care Median	8,750,873 2,654,636	20,973,356 2,940,659	16,162,656 3,380,215	14,217,727 3,488,738	15,095,674 3,233,405
Uncompensated care (UCC) Median	16,615,998 5,147,790	23,385,897 5,337,617	20,116,670 5,711,082	18,260,050 5,923,418	20,175,870 5,508,107
UCC as a % of operating expenses Median	8.70% 3.24	11.99% 3.12	10.10% 3.21	8.93% 3.3	8.80% 2.86
Total shortfall/UCC Median	16,615,998 9,489,989	24,363,573 9,424,297	20,549,780 10,120,158	18,962,393 11,171,337	21,044,190 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	58,929,266 52,142,039	58,682,825 54,485,252	56,939,602 57,395,589	56,642,837 58,830,919	59,692,605 61,722,907
Salaries as a % of operating expenses Median	30.85 36.68	30.07 36.56	28.38 36.37	27.71 35.93	26.03 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	959,726 1,449,244	1,146,431 1,475,986	2,313,178 1,563,078	2,678,903 1,721,954	8,889,956 2,991,828
Contract hours, direct-care Median	16,356.58 22,725	18,156.00 23,018.5	37,279.00 24,503.48	38,002.35 25,026.5	67,422.51 33,786
Contract wages, direct-care Median	58.68 64.67	63.14 64.53	62.05 65.06	70.49 68.97	131.85 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.