As of the July, 2022, release via CMS

ST. JOSEPH REGIONAL HEALTH CENTER

CMS id: 450011
2801 FRANCISCAN DRIVE, BRYAN TX 77802. County: BRAZOS
System: ST. JOSPEH HEALTH SYSTEMS
CBSA: College Station-Bryan, TX

The 287-bed, acute-care hospital had $-98,401,675 in net service to patients*, with a total profit margin of -4.74057% in fiscal year 2021, the latest year available.
It spent 6.18% of its operating expenses on uncompensated care and reported $204,603 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	189 118	189 118	189 119.5	193 118	257 119
Total beds Median	228 162	209 162	209 162	217 162	287 163.5
FTEs Median	1,850.87 788.06	1,724.74 793.42	1,844.05 806.03	1,870.15 787.61	2,170.45 804.34

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	306,336,866 150,932,746	308,326,703 158,950,878	341,520,555 168,696,998	333,033,379 163,454,693	406,257,239 186,589,412
Operating expenses Median	333,091,843 149,311,209	344,096,419 156,110,414	369,367,553 164,890,568	385,508,634 166,516,854	504,658,914 180,120,888
Net income from service 2 patients (NS2P) ? Median	-26,754,977 -964,173	-35,769,716 -643,601.5	-27,846,998 -116,254	-52,475,255 -5,025,862	-98,401,675 -1,284,564
NS2P margin ? Median	-8.73% -0.62	-11.60% -0.29	-8.15% 0.18	-15.76% -5.07	-24.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPH REGIONAL HEALTH CENTER 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	46,909,169 5,089,215	42,237,724 4,572,541	30,644,478 5,268,134	48,769,889 13,092,619	75,560,734 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	355,761 224,999	421,934 199,009	2,199,170 206,870.5	150,398 194,343	254,858 249,496
⊳ Line 7: Investments ? ⊳ Median	25,922,857 299,524	19,665,630 188,688.5	14,278,230 370,813	6,279,224 309,361.5	56,579,182 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	19,934	2,077	1,095	0	0
⊳ Line 11: Rebates and refunds of expenses	1,041,047	39,045	18,539	0	0
⊳ Line 12: Parking lot receipts	33,519	32,704	31,064	36,974	31,632
⊳ Line 13: Revenue from laundry and linen service	156,553	168,662	168,228	143,192	176,696
⊳ Line 14: Revenue from meals sold to emplyees and guests	-5	-33	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	10,736	11,010	9,994	3,141
⊳ Line 16: Revenue from sale of medical and surgical supplies	60	436	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	3,291,440	2,138,350	272,599	-86	9
⊳ Line 18: Revenue from sale of medical records and abstracts	11,655	-34,810	5,468	537	27
⊳ 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	32,788	29,903	26,041	6,292	1,722
⊳ 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	16,043,505	19,763,073	13,633,016	42,143,364	18,513,467
Total income ? Median	20,154,192 6,586,430	6,468,008 6,767,106	2,797,480 8,419,950	-3,705,366 8,094,175	-22,840,941 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	20,154,192 6,043,842	6,468,008 5,845,112	2,797,480 7,606,259	-3,705,366 7,283,041	-22,840,941 14,957,241
Net margin Median	5.70543% 4.62%	1.84503% 4.42%	0.75168% 5.16%	-0.97049% 5.2%	-4.74057% 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. JOSEPH REGIONAL HEALTH CENTER 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	58,541,081 23,241,334	56,111,230 23,709,545	54,865,443 24,248,380	56,580,674 22,858,541	72,722,719 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	58,152,524 21,577,146	56,111,230 22,041,594	54,865,443 22,722,063	56,580,674 21,570,441	72,722,719 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	388,557 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	22,810,447 11,160,864	23,516,113 11,987,345	25,945,058 12,926,866	25,130,754 11,884,480	25,869,977 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	22,810,447 10,918,923	23,516,113 11,706,976	25,945,058 12,615,917	25,130,754 11,458,116	25,869,977 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	3,804,657 3,284,314	3,798,629 3,250,551	3,553,222 3,386,837	3,338,325 3,360,806	3,052,489 3,508,953
Disproportionate-share hospital (DSH) Median	1,136,987 594,888	1,000,909 595,761	1,181,510 577,894	1,238,554 542,168	2,297,103 549,667
Outlier Median	195,163 582,572	220,991 538,116	347,724 212,434	42,971 126,559	62,523 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,305,917 3,662,910	3,950,393 3,730,911	307,242 4,081,319	237,123 4,643,908	204,603 4,389,147
Charity care Median	21,153,253 2,654,636	26,065,347 2,940,659	25,261,857 3,380,215	23,703,566 3,488,738	24,260,623 3,233,405
Uncompensated care (UCC) Median	29,485,276 5,147,790	34,190,845 5,337,617	31,488,021 5,711,082	31,439,108 5,923,418	31,197,726 5,508,107
UCC as a % of operating expenses Median	8.85% 3.24	9.94% 3.12	8.52% 3.21	8.16% 3.3	6.18% 2.86
Total shortfall/UCC Median	30,791,193 9,489,989	38,141,238 9,424,297	31,795,263 10,120,158	31,676,231 11,171,337	31,402,329 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	108,255,384 52,142,039	104,693,659 54,485,252	113,008,200 57,395,589	117,762,753 58,830,919	142,317,140 61,722,907
Salaries as a % of operating expenses Median	32.50 36.68	30.43 36.56	30.60 36.37	30.55 35.93	28.20 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	4,241,913 1,186,494	3,805,273 1,204,885	0 1,279,653	3,742,842 1,469,317
Contract adjusted salaries, direct-care Median	1,139,503 1,449,244	5,588,190 1,475,986	5,642,858 1,563,078	0 1,721,954	2,051,249 2,991,828
Contract hours, direct-care Median	13,643.00 22,725	75,716.00 23,018.5	86,256.00 24,503.48	0.00 25,026.5	21,335.37 33,786
Contract wages, direct-care Median	83.52 64.67	73.80 64.53	65.42 65.06	0.00 68.97	96.14 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.