As of the July, 2022, release via CMS

ST MARKS HOSPITAL

CMS id: 460047
1200 EAST 3900 SOUTH, SALT LAKE CITY UT 84124. County: SALT LAKE
System: HCA HEALTHCARE
CBSA: Salt Lake City, UT

The 276-bed, acute-care hospital had $204,872,867 in net service to patients*, with a total profit margin of 43.76978% in fiscal year 2021, the latest year available.
It spent 4.18% 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	183 118	183 118	183 119.5	183 118	183 119
Total beds Median	277 162	263 162	263 162	263 162	276 163.5
FTEs Median	1,175.83 788.06	1,143.30 793.42	1,109.45 806.03	1,097.20 787.61	1,131.81 804.34

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	360,368,600 150,932,746	365,408,405 158,950,878	392,773,034 168,696,998	406,020,078 163,454,693	469,258,403 186,589,412
Operating expenses Median	260,323,084 149,311,209	257,055,048 156,110,414	260,667,277 164,890,568	251,404,218 166,516,854	264,385,536 180,120,888
Net income from service 2 patients (NS2P) ? Median	100,045,516 -964,173	108,353,357 -643,601.5	132,105,757 -116,254	154,615,860 -5,025,862	204,872,867 -1,284,564
NS2P margin ? Median	27.76% -0.62	29.65% -0.29	33.63% 0.18	38.08% -5.07	43.66% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST MARKS 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	1,095,883 5,089,215	979,535 4,572,541	943,008 5,268,134	828,942 13,092,619	925,677 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	75 224,999	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	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	837,880	821,421	750,733	676,405	616,492
⊳ 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	28,624	0	1,557
⊳ 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	2,916	5,243	5,803	5,969	624
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	28,517	31,670	30,173	27,726	34,112
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	1,136	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	61,758	48,311	41,052	55,618	40,617
⊳ 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	164,737	72,890	85,487	63,224	232,275
Total income ? Median	101,141,399 6,586,430	109,332,892 6,767,106	133,048,765 8,419,950	155,444,802 8,094,175	205,798,544 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	101,141,399 6,043,842	109,332,892 5,845,112	133,048,765 7,606,259	155,444,802 7,283,041	205,798,544 14,957,241
Net margin Median	27.98101% 4.62%	29.84075% 4.42%	33.79308% 5.16%	38.20700% 5.2%	43.76978% 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 MARKS 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	45,635,584 23,241,334	46,538,636 23,709,545	48,728,865 24,248,380	47,060,754 22,858,541	48,729,640 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	41,131,977 21,577,146	41,985,803 22,041,594	44,784,546 22,722,063	42,388,451 21,570,441	43,708,806 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	412,358 1,845,420	481,517 1,757,392	421,758 1,738,842	348,649 1,510,463	396,850 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,248,579 3,535,627	3,599,939 3,746,588	3,522,561 3,782,288	4,323,654 3,865,578	4,623,984 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	842,670 1,203,033	471,377 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	14,466,037 11,160,864	15,849,609 11,987,345	16,751,672 12,926,866	16,678,374 11,884,480	21,812,072 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	14,466,037 10,918,923	15,849,609 11,706,976	16,751,672 12,615,917	16,678,374 11,458,116	21,812,072 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	1,628,177 3,284,314	1,708,814 3,250,551	1,732,615 3,386,837	1,591,737 3,360,806	1,546,587 3,508,953
Disproportionate-share hospital (DSH) Median	593,499 594,888	548,452 595,761	706,945 577,894	830,293 542,168	870,371 549,667
Outlier Median	1,055,631 582,572	1,316,704 538,116	978,385 212,434	282,803 126,559	421,779 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	9,775,470 2,654,636	9,989,549 2,940,659	9,807,869 3,380,215	10,398,235 3,488,738	9,330,898 3,233,405
Uncompensated care (UCC) Median	12,344,748 5,147,790	13,743,826 5,337,617	12,821,308 5,711,082	12,409,381 5,923,418	11,048,151 5,508,107
UCC as a % of operating expenses Median	4.74% 3.24	5.35% 3.12	4.92% 3.21	4.94% 3.3	4.18% 2.86
Total shortfall/UCC Median	12,344,748 9,489,989	13,743,826 9,424,297	12,821,308 10,120,158	12,409,381 11,171,337	11,048,151 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,962,158 52,142,039	77,929,385 54,485,252	78,845,029 57,395,589	79,869,107 58,830,919	83,649,870 61,722,907
Salaries as a % of operating expenses Median	29.00 36.68	29.18 36.56	28.99 36.37	29.84 35.93	30.93 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	2,199,875 1,251,927	2,503,494 1,186,494	2,537,875 1,204,885	2,355,932 1,279,653	2,892,121 1,469,317
Contract adjusted salaries, direct-care Median	5,402,551 1,449,244	6,241,154 1,475,986	5,994,924 1,563,078	6,051,794 1,721,954	8,400,963 2,991,828
Contract hours, direct-care Median	88,530.29 22,725	94,124.60 23,018.5	89,391.00 24,503.48	96,447.00 25,026.5	126,582.00 33,786
Contract wages, direct-care Median	61.02 64.67	66.31 64.53	67.06 65.06	62.75 68.97	66.37 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.