As of the July, 2022, release via CMS

ST. FRANCIS BARTLETT MED CTR

CMS id: 440228
2986 KATE BOND ROAD, BARTLETT TN 38133. County: SHELBY
System: TENET HEALTHCARE CORPORATION
CBSA: Memphis, TN-MS-AR

The 196-bed, acute-care hospital had $21,814,432 in net service to patients*, with a total profit margin of 20.17539% in fiscal year 2021, the latest year available.
It spent 7.26% of its operating expenses on uncompensated care and reported $2,901,189 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	114 118	114 118	114 119.5	138 118	138 119
Total beds Median	156 162	156 162	156 162	196 162	196 163.5
FTEs Median	497.00 788.06	506.80 793.42	492.20 806.03	447.40 787.61	447.60 804.34

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	136,195,428 150,932,746	137,219,410 158,950,878	142,704,439 168,696,998	145,981,061 163,454,693	143,637,324 186,589,412
Operating expenses Median	114,456,477 149,311,209	115,924,619 156,110,414	123,219,430 164,890,568	121,300,286 166,516,854	121,822,892 180,120,888
Net income from service 2 patients (NS2P) ? Median	21,738,951 -964,173	21,294,791 -643,601.5	19,485,009 -116,254	24,680,775 -5,025,862	21,814,432 -1,284,564
NS2P margin ? Median	15.96% -0.62	15.52% -0.29	13.65% 0.18	16.91% -5.07	15.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. FRANCIS BARTLETT MED CTR 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	1,224,123 5,089,215	552,692 4,572,541	407,194 5,268,134	414,226 13,092,619	8,975,871 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	-1,168 299,524	91 188,688.5	-661 370,813	36 309,361.5	74 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	59	395	2,585	805	6,736
⊳ Line 11: Rebates and refunds of expenses	44,136	64,654	44,002	73,323	76,677
⊳ 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	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	100	400	200	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	267	15	15	18	321
⊳ 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	0	0	0	18,774	33,057
⊳ Line 22: Rental of hospital space	566,076	369,983	196,916	174,947	26,617
⊳ 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	614,753	117,454	163,937	146,123	8,832,389
Total income ? Median	22,963,074 6,586,430	21,847,483 6,767,106	19,892,203 8,419,950	25,095,001 8,094,175	30,790,303 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	22,963,074 6,043,842	21,847,483 5,845,112	19,892,203 7,606,259	25,095,001 7,283,041	30,790,303 14,957,241
Net margin Median	16.71019% 4.62%	15.85770% 4.42%	13.89978% 5.16%	17.14195% 5.2%	20.17539% 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 BARTLETT MED CTR 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	26,621,288 23,241,334	28,317,228 23,709,545	27,242,195 24,248,380	26,782,077 22,858,541	29,643,045 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	26,621,288 21,577,146	28,317,228 22,041,594	27,242,195 22,722,063	26,782,077 21,570,441	29,643,045 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	8,125,568 11,160,864	8,196,011 11,987,345	8,240,930 12,926,866	9,245,481 11,884,480	8,522,898 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	8,125,568 10,918,923	8,196,011 11,706,976	8,240,930 12,615,917	9,245,481 11,458,116	8,522,898 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	546,409 594,888	436,562 595,761	396,020 577,894	364,356 542,168	301,724 549,667
Outlier Median	778,728 582,572	585,734 538,116	482,844 212,434	38,971 126,559	64,413 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,510,852 3,662,910	4,414,148 3,730,911	3,605,181 4,081,319	3,282,003 4,643,908	2,901,189 4,389,147
Charity care Median	6,119,015 2,654,636	7,552,059 2,940,659	6,948,258 3,380,215	7,355,827 3,488,738	6,940,050 3,233,405
Uncompensated care (UCC) Median	8,260,046 5,147,790	9,767,170 5,337,617	9,378,476 5,711,082	9,624,271 5,923,418	8,839,494 5,508,107
UCC as a % of operating expenses Median	7.22% 3.24	8.43% 3.12	7.61% 3.21	7.93% 3.3	7.26% 2.86
Total shortfall/UCC Median	12,770,898 9,489,989	14,181,318 9,424,297	12,983,657 10,120,158	12,906,274 11,171,337	11,740,683 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	38,746,440 52,142,039	39,541,241 54,485,252	38,209,847 57,395,589	38,375,448 58,830,919	38,101,974 61,722,907
Salaries as a % of operating expenses Median	33.85 36.68	34.11 36.56	31.01 36.37	31.64 35.93	31.28 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	1,761,875 1,449,244	1,644,227 1,475,986	2,283,529 1,563,078	1,198,761 1,721,954	2,751,757 2,991,828
Contract hours, direct-care Median	32,140.00 22,725	18,484.00 23,018.5	30,957.00 24,503.48	16,930.00 25,026.5	27,699.00 33,786
Contract wages, direct-care Median	54.82 64.67	88.95 64.53	73.76 65.06	70.81 68.97	99.34 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.