As of the July, 2022, release via CMS

ROPER HOSPITAL INC.

CMS id: 420087
316 CALHOUN ST, CHARLESTON SC 29401. County: CHARLESTON
System: ROPER ST FRANCIS HEALTHCARE
CBSA: Charleston-North Charleston, SC

The 332-bed, acute-care hospital had $49,313,715 in net service to patients*, with a total profit margin of 15.65713% in fiscal year 2021, the latest year available.
It spent 6.45% of its operating expenses on uncompensated care and reported $3,697,265 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	278 118	278 118	228 119.5	228 118	228 119
Total beds Median	368 162	382 162	332 162	332 162	332 163.5
FTEs Median	1,723.71 788.06	1,698.02 793.42	1,711.82 806.03	1,609.76 787.61	1,602.41 804.34

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	375,968,017 150,932,746	377,420,843 158,950,878	387,915,192 168,696,998	373,360,985 163,454,693	422,575,803 186,589,412
Operating expenses Median	351,575,498 149,311,209	349,274,901 156,110,414	350,680,121 164,890,568	358,553,161 166,516,854	373,262,088 180,120,888
Net income from service 2 patients (NS2P) ? Median	24,392,519 -964,173	28,145,942 -643,601.5	37,235,071 -116,254	14,807,824 -5,025,862	49,313,715 -1,284,564
NS2P margin ? Median	6.49% -0.62	7.46% -0.29	9.60% 0.18	3.97% -5.07	11.67% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ROPER 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	10,210,317 5,089,215	8,991,193 4,572,541	3,018,114 5,268,134	17,584,664 13,092,619	20,113,201 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	1,746,150	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	683	1,625,931	1,630,276	1,006,674	867,506
⊳ 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	478,584	1,533	789	1,508	1,740
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	462,711	421,571	190,452	0	0
⊳ 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	7,522,189	6,942,158	1,196,597	16,576,482	19,243,955
Total income ? Median	34,602,836 6,586,430	37,137,135 6,767,106	40,253,185 8,419,950	32,392,488 8,094,175	69,426,916 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	4,495 106,761	114,511 31,473.5
Net income Median	34,602,836 6,043,842	37,137,135 5,845,112	40,253,185 7,606,259	32,387,993 7,283,041	69,312,405 14,957,241
Net margin Median	8.96033% 4.62%	9.61076% 4.42%	10.29669% 5.16%	8.28453% 5.2%	15.65713% 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 ROPER 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	81,554,192 23,241,334	75,265,041 23,709,545	74,082,292 24,248,380	74,693,038 22,858,541	76,839,982 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	68,444,653 21,577,146	61,964,473 22,041,594	60,019,074 22,722,063	59,585,713 21,570,441	62,163,825 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	13,109,539 3,535,627	13,300,568 3,746,588	14,063,218 3,782,288	15,107,325 3,865,578	14,676,157 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	37,227,083 11,160,864	40,926,746 11,987,345	41,289,663 12,926,866	36,676,216 11,884,480	42,923,635 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	28,908,073 10,918,923	32,591,522 11,706,976	32,787,840 12,615,917	28,689,330 11,458,116	34,468,525 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	8,319,010 1,282,808	8,335,224 1,407,728	8,501,823 1,341,512	7,986,886 1,407,046	8,455,110 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	1,879,791 582,572	3,062,302 538,116	818,669 212,434	897,439 126,559	582,433 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,221,678 3,662,910	4,013,068 3,730,911	3,040,434 4,081,319	1,093,499 4,643,908	3,697,265 4,389,147
Charity care Median	13,297,321 2,654,636	26,211,305 2,940,659	21,697,754 3,380,215	19,103,530 3,488,738	19,077,237 3,233,405
Uncompensated care (UCC) Median	25,484,976 5,147,790	29,849,983 5,337,617	27,139,268 5,711,082	24,359,614 5,923,418	24,081,054 5,508,107
UCC as a % of operating expenses Median	7.25% 3.24	8.55% 3.12	7.74% 3.21	6.79% 3.3	6.45% 2.86
Total shortfall/UCC Median	28,706,654 9,489,989	33,863,051 9,424,297	30,179,702 10,120,158	25,453,113 11,171,337	27,778,319 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	107,118,620 52,142,039	106,277,947 54,485,252	109,273,729 57,395,589	112,234,484 58,830,919	114,926,030 61,722,907
Salaries as a % of operating expenses Median	30.47 36.68	30.43 36.56	31.16 36.37	31.30 35.93	30.79 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	1,394,141 1,449,244	3,242,671 1,475,986	3,027,391 1,563,078	6,632,794 1,721,954	19,849,513 2,991,828
Contract hours, direct-care Median	23,899.00 22,725	55,106.46 23,018.5	51,167.00 24,503.48	88,378.56 25,026.5	160,108.94 33,786
Contract wages, direct-care Median	58.33 64.67	58.84 64.53	59.17 65.06	75.05 68.97	123.98 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.