As of the July, 2022, release via CMS

SAINT THOMAS STONES RIVER HOSPITAL

CMS id: 440200
324 DOOLITTLE ROAD, WOODBURY TN 37190. County: CANNON
System: ST. THOMAS HEALTH SERVICE
CBSA: Nashville-Davidson--Murfreesboro--Franklin, TN

The 32-bed, acute-care hospital had $-4,756,231 in net service to patients*, with a total profit margin of -58.91333% in fiscal year 2021, the latest year available.
It spent 14.21% of its operating expenses on uncompensated care and reported $1,437,079 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	30 118	30 118	30 119.5	26 118	16 119
Total beds Median	52 162	52 162	52 162	42 162	32 163.5
FTEs Median	76.08 788.06	63.62 793.42	58.48 806.03	61.74 787.61	60.41 804.34

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	7,891,981 150,932,746	7,361,313 158,950,878	6,861,919 168,696,998	6,551,396 163,454,693	6,705,593 186,589,412
Operating expenses Median	11,423,574 149,311,209	10,758,510 156,110,414	10,638,036 164,890,568	11,252,608 166,516,854	11,461,824 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,531,593 -964,173	-3,397,197 -643,601.5	-3,776,117 -116,254	-4,701,212 -5,025,862	-4,756,231 -1,284,564
NS2P margin ? Median	-44.75% -0.62	-46.15% -0.29	-55.03% 0.18	-71.76% -5.07	-70.93% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT THOMAS STONES RIVER 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	680,598 5,089,215	653,830 4,572,541	673,737 5,268,134	859,035 13,092,619	507,033 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-30,895 224,999	-6,000 199,009	-15,100 206,870.5	-6,960 194,343	-10,350 249,496
⊳ Line 7: Investments ? ⊳ Median	-418 299,524	160 188,688.5	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	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	40,790	29,994	47,855	34,827	13,232
⊳ 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	1,085	1,014	799	2,303	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	21	111	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	406	442	213	347	72
⊳ Line 22: Rental of hospital space	35,841	37,095	42,831	111,650	59,304
⊳ 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	633,789	591,125	597,118	716,757	444,775
Total income ? Median	-2,850,995 6,586,430	-2,743,367 6,767,106	-3,102,380 8,419,950	-3,842,177 8,094,175	-4,249,198 15,162,888
Non-operating expenses Median	24,780 146,289.5	33,406 164,857	663 89,880.5	0 106,761	0 31,473.5
Net income Median	-2,875,775 6,043,842	-2,776,773 5,845,112	-3,103,043 7,606,259	-3,842,177 7,283,041	-4,249,198 14,957,241
Net margin Median	-33.54621% 4.62%	-34.64409% 4.42%	-41.17814% 5.16%	-51.84823% 5.2%	-58.91333% 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 STONES RIVER 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	3,556,897 23,241,334	3,140,627 23,709,545	2,562,037 24,248,380	2,522,804 22,858,541	1,677,347 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	1,297,279 21,577,146	1,078,456 22,041,594	1,156,030 22,722,063	1,214,120 21,570,441	936,429 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	2,259,618 1,845,420	2,062,171 1,757,392	1,406,007 1,738,842	1,308,684 1,510,463	740,918 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	642,537 11,160,864	489,015 11,987,345	350,181 12,926,866	290,460 11,884,480	297,762 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	642,537 10,918,923	489,015 11,706,976	350,181 12,615,917	290,460 11,458,116	297,762 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	24,015 594,888	9,013 595,761	18,713 577,894	18,163 542,168	13,341 549,667
Outlier Median	21,948 582,572	364,971 538,116	324,468 212,434	18,554 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,091,174 3,662,910	1,105,579 3,730,911	1,351,363 4,081,319	1,127,863 4,643,908	1,437,079 4,389,147
Charity care Median	378,342 2,654,636	487,911 2,940,659	1,223,273 3,380,215	1,090,296 3,488,738	1,182,845 3,233,405
Uncompensated care (UCC) Median	935,054 5,147,790	765,803 5,337,617	1,596,611 5,711,082	1,439,034 5,923,418	1,628,834 5,508,107
UCC as a % of operating expenses Median	8.19% 3.24	7.12% 3.12	15.01% 3.21	12.79% 3.3	14.21% 2.86
Total shortfall/UCC Median	2,026,228 9,489,989	1,871,382 9,424,297	2,947,974 10,120,158	2,566,897 11,171,337	3,065,913 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	4,137,486 52,142,039	3,823,044 54,485,252	3,632,548 57,395,589	3,996,188 58,830,919	4,003,939 61,722,907
Salaries as a % of operating expenses Median	36.22 36.68	35.54 36.56	34.15 36.37	35.51 35.93	34.93 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	0 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	7,183 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	136.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	0.00 68.97	52.82 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.