As of the July, 2022, release via CMS

ST GEORGE REGIONAL HOSPITAL

CMS id: 460021
1380 EAST MEDICAL CENTER DRIVE, ST GEORGE UT 84790. County: WASHINGTON
System: IHC HEALTH SERVICES INC
CBSA: St. George, UT

The 284-bed, acute-care hospital had $103,842,242 in net service to patients*, with a total profit margin of 14.88872% in fiscal year 2021, the latest year available.
It spent 2.95% of its operating expenses on uncompensated care and reported $0 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	173 118	190 118	190 119.5	190 118	190 119
Total beds Median	245 162	284 162	284 162	284 162	284 163.5
FTEs Median	1,999.95 788.06	1,980.96 793.42	1,971.82 806.03	1,978.79 787.61	2,000.92 804.34

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	495,809,536 150,932,746	552,135,852 158,950,878	612,065,322 168,696,998	634,778,130 163,454,693	753,552,659 186,589,412
Operating expenses Median	487,504,387 149,311,209	529,228,259 156,110,414	568,339,043 164,890,568	598,626,915 166,516,854	649,710,417 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,305,149 -964,173	22,907,593 -643,601.5	43,726,279 -116,254	36,151,215 -5,025,862	103,842,242 -1,284,564
NS2P margin ? Median	1.68% -0.62	4.15% -0.29	7.14% 0.18	5.70% -5.07	13.78% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST GEORGE REGIONAL 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	12,500,750 5,089,215	11,579,858 4,572,541	11,213,174 5,268,134	23,365,878 13,092,619	9,851,892 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	14 224,999	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	732 309,361.5	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	1,627,604	1,468,626	1,718,836	1,274,565	1,181,581
⊳ 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	308,354	274,171	341,699	255,799	277,409
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	763,122	729,926	734,356	791,994	304,208
⊳ 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	9,801,656	9,107,135	8,418,283	21,042,788	8,088,694
Total income ? Median	20,805,899 6,586,430	34,487,451 6,767,106	54,939,453 8,419,950	59,517,093 8,094,175	113,694,134 15,162,888
Non-operating expenses Median	15 146,289.5	27,733 164,857	93,561 89,880.5	68,893 106,761	32,999 31,473.5
Net income Median	20,805,884 6,043,842	34,459,718 5,845,112	54,845,892 7,606,259	59,448,200 7,283,041	113,661,135 14,957,241
Net margin Median	4.09315% 4.62%	6.11296% 4.42%	8.79958% 5.16%	9.03270% 5.2%	14.88872% 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 GEORGE REGIONAL 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	88,998,686 23,241,334	92,233,217 23,709,545	96,929,701 24,248,380	89,416,897 22,858,541	90,580,059 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	84,478,565 21,577,146	87,171,233 22,041,594	91,889,849 22,722,063	84,534,973 21,570,441	85,178,140 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	467,042 1,845,420	582,351 1,757,392	543,862 1,738,842	591,778 1,510,463	667,888 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,053,079 3,535,627	4,479,633 3,746,588	4,495,990 3,782,288	4,290,146 3,865,578	4,734,031 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	53,314,527 11,160,864	66,169,143 11,987,345	70,631,606 12,926,866	74,524,395 11,884,480	90,136,524 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	53,314,527 10,918,923	66,169,143 11,706,976	70,631,606 12,615,917	74,524,395 11,458,116	90,136,524 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	635,580 594,888	801,679 595,761	878,835 577,894	909,065 542,168	935,355 549,667
Outlier Median	3,853,116 582,572	5,143,104 538,116	969,195 212,434	748,230 126,559	913,569 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	227,571 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	13,615,383 2,654,636	13,920,124 2,940,659	16,372,508 3,380,215	12,887,483 3,488,738	13,573,375 3,233,405
Uncompensated care (UCC) Median	20,017,514 5,147,790	21,660,598 5,337,617	26,016,643 5,711,082	20,935,996 5,923,418	19,157,565 5,508,107
UCC as a % of operating expenses Median	4.11% 3.24	4.09% 3.12	4.58% 3.21	3.50% 3.3	2.95% 2.86
Total shortfall/UCC Median	20,017,514 9,489,989	21,888,169 9,424,297	26,016,643 10,120,158	20,935,996 11,171,337	19,157,565 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	138,032,124 52,142,039	142,662,347 54,485,252	139,881,794 57,395,589	145,955,589 58,830,919	161,944,289 61,722,907
Salaries as a % of operating expenses Median	28.29 36.68	26.91 36.56	24.57 36.37	24.32 35.93	24.87 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	4,740,232 1,449,244	61,306 1,475,986	287,668 1,563,078	625,628 1,721,954	5,949,831 2,991,828
Contract hours, direct-care Median	64,962.00 22,725	1,011.00 23,018.5	4,459.00 24,503.48	5,205.00 25,026.5	37,239.00 33,786
Contract wages, direct-care Median	72.97 64.67	60.64 64.53	64.51 65.06	120.20 68.97	159.77 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.