As of the July, 2022, release via CMS

SAINT THOMAS RUTHERFORD HOSPITAL

CMS id: 440053
1700 MEDICAL CENTER PKWY, MURFREESBORO TN 37129. County: RUTHERFORD
System: ST THOMAS HEALTH SERVICES
CBSA: Nashville-Davidson--Murfreesboro--Franklin, TN

The 324-bed, acute-care hospital had $53,927,043 in net service to patients*, with a total profit margin of 15.97688% in fiscal year 2021, the latest year available.
It spent 8.22% of its operating expenses on uncompensated care and reported $11,810,921 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	253 118	202 118	202 119.5	238 118	238 119
Total beds Median	305 162	287 162	287 162	322 162	324 163.5
FTEs Median	1,066.54 788.06	1,087.75 793.42	1,109.31 806.03	1,177.58 787.61	1,286.02 804.34

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	295,837,735 150,932,746	312,022,565 158,950,878	343,850,832 168,696,998	357,647,914 163,454,693	401,662,753 186,589,412
Operating expenses Median	255,720,067 149,311,209	270,512,066 156,110,414	280,624,701 164,890,568	309,437,352 166,516,854	347,735,710 180,120,888
Net income from service 2 patients (NS2P) ? Median	40,117,668 -964,173	41,510,499 -643,601.5	63,226,131 -116,254	48,210,562 -5,025,862	53,927,043 -1,284,564
NS2P margin ? Median	13.56% -0.62	13.30% -0.29	18.39% 0.18	13.48% -5.07	13.43% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT THOMAS RUTHERFORD 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	12,009,236 5,089,215	11,097,174 4,572,541	11,716,911 5,268,134	22,432,459 13,092,619	12,194,737 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-1,700,205 224,999	-1,906,607 199,009	-1,828,813 206,870.5	-2,515,614 194,343	-2,683,015 249,496
⊳ Line 7: Investments ? ⊳ Median	-682 299,524	-8 188,688.5	-10 370,813	2 309,361.5	17 375,329
⊳ 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	25	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,623,169	1,708,897	1,723,238	1,857,774	1,877,401
⊳ 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	1,087	471	609	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	111,265	70,769	67,453	56,588	33,573
⊳ Line 22: Rental of hospital space	283,998	347,594	398,303	214,139	327,195
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	-4,194,827 1,597,664
⊳ Sum Line 24	11,690,604	10,876,058	11,356,131	22,819,545	16,834,393
Total income ? Median	52,126,904 6,586,430	52,607,673 6,767,106	74,943,042 8,419,950	70,643,021 8,094,175	66,121,780 15,162,888
Non-operating expenses Median	8,376 146,289.5	49,244 164,857	13,275 89,880.5	128,910 106,761	264 31,473.5
Net income Median	52,118,528 6,043,842	52,558,429 5,845,112	74,929,767 7,606,259	70,514,111 7,283,041	66,121,516 14,957,241
Net margin Median	16.93001% 4.62%	16.26593% 4.42%	21.07327% 5.16%	18.55242% 5.2%	15.97688% 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 SAINT THOMAS RUTHERFORD 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	53,735,244 23,241,334	57,852,220 23,709,545	62,334,453 24,248,380	62,888,596 22,858,541	69,003,954 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	53,735,244 21,577,146	57,852,220 22,041,594	62,334,453 22,722,063	62,888,596 21,570,441	69,003,954 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	17,448,354 11,160,864	20,648,949 11,987,345	20,585,484 12,926,866	20,739,300 11,884,480	21,702,085 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	17,448,354 10,918,923	20,648,949 11,706,976	20,585,484 12,615,917	20,739,300 11,458,116	21,702,085 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	3,774,144 3,284,314	6,034,300 3,250,551	6,710,907 3,386,837	6,751,187 3,360,806	6,505,151 3,508,953
Disproportionate-share hospital (DSH) Median	1,318,221 594,888	1,256,691 595,761	1,391,052 577,894	1,573,008 542,168	1,489,630 549,667
Outlier Median	751,371 582,572	434,013 538,116	442,949 212,434	42,856 126,559	91,717 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,390,986 3,662,910	6,615,409 3,730,911	6,951,020 4,081,319	6,557,232 4,643,908	11,810,921 4,389,147
Charity care Median	22,438,067 2,654,636	23,656,610 2,940,659	26,313,261 3,380,215	24,719,921 3,488,738	23,801,404 3,233,405
Uncompensated care (UCC) Median	26,209,727 5,147,790	27,535,451 5,337,617	31,611,676 5,711,082	29,846,246 5,923,418	28,570,705 5,508,107
UCC as a % of operating expenses Median	10.25% 3.24	10.18% 3.12	11.26% 3.21	9.65% 3.3	8.22% 2.86
Total shortfall/UCC Median	35,600,713 9,489,989	34,150,860 9,424,297	38,562,696 10,120,158	36,403,478 11,171,337	40,381,626 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,570,648 52,142,039	66,267,979 54,485,252	70,877,932 57,395,589	77,314,959 58,830,919	88,829,995 61,722,907
Salaries as a % of operating expenses Median	25.25 36.68	24.50 36.56	25.26 36.37	24.99 35.93	25.55 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	1,510,370 1,449,244	1,629,966 1,475,986	418,460 1,563,078	1,952,983 1,721,954	6,567,089 2,991,828
Contract hours, direct-care Median	23,244.00 22,725	28,818.00 23,018.5	10,195.99 24,503.48	27,650.69 25,026.5	68,503.65 33,786
Contract wages, direct-care Median	64.98 64.67	56.56 64.53	41.04 65.06	70.63 68.97	95.86 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.