As of the July, 2022, release via CMS

ST. MARYS HOSPITAL

CMS id: 490059
5801 BREMO ROAD, RICHMOND VA 23226. County: RICHMOND CITY
System: BON SECOURS MERCY HEALTH
CBSA: Richmond, VA

The 410-bed, acute-care hospital had $81,095,009 in net service to patients*, with a total profit margin of 27.71781% in fiscal year 2021, the latest year available.
It spent 2.81% 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	285 118	285 118	285 119.5	285 118	285 119
Total beds Median	410 162	410 162	410 162	410 162	410 163.5
FTEs Median	2,529.76 788.06	2,599.54 793.42	2,297.29 806.03	1,830.98 787.61	1,738.28 804.34

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	571,612,003 150,932,746	593,870,614 158,950,878	604,896,641 168,696,998	552,297,255 163,454,693	612,297,333 186,589,412
Operating expenses Median	537,615,432 149,311,209	560,470,112 156,110,414	550,857,248 164,890,568	513,970,766 166,516,854	531,202,324 180,120,888
Net income from service 2 patients (NS2P) ? Median	33,996,571 -964,173	33,400,502 -643,601.5	54,039,393 -116,254	38,326,489 -5,025,862	81,095,009 -1,284,564
NS2P margin ? Median	5.95% -0.62	5.62% -0.29	8.93% 0.18	6.94% -5.07	13.24% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. MARYS 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	40,524,802 5,089,215	45,158,609 4,572,541	16,575,850 5,268,134	147,094,694 13,092,619	122,603,420 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	-665 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	929,946 299,524	52,181 188,688.5	20,608 370,813	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	55,884	29,155	18,866	44,252	1,100
⊳ 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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	15,003	22,307	11,895	1,587
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	132,100	120,539	-170	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	260,012	351,961	325,599	94,258	1,323
⊳ 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	39,146,860	44,589,770	16,189,305	146,944,289	122,599,410
Total income ? Median	74,521,373 6,586,430	78,559,111 6,767,106	70,615,243 8,419,950	185,421,183 8,094,175	203,698,429 15,162,888
Non-operating expenses Median	2 146,289.5	0 164,857	4,810,666 89,880.5	132,151,822 106,761	0 31,473.5
Net income Median	74,521,371 6,043,842	78,559,111 5,845,112	65,804,577 7,606,259	53,269,361 7,283,041	203,698,429 14,957,241
Net margin Median	12.17397% 4.62%	12.29351% 4.42%	10.58849% 5.16%	7.61652% 5.2%	27.71781% 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. MARYS 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	86,047,079 23,241,334	97,179,126 23,709,545	93,399,596 24,248,380	85,156,654 22,858,541	92,749,125 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	83,958,550 21,577,146	94,966,408 22,041,594	91,348,154 22,722,063	83,656,323 21,570,441	91,394,981 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	2,088,529 1,845,420	2,212,718 1,757,392	2,051,442 1,738,842	1,500,331 1,510,463	1,354,144 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	32,544,554 11,160,864	34,925,615 11,987,345	34,730,318 12,926,866	32,174,937 11,884,480	35,309,563 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	32,544,554 10,918,923	34,925,615 11,706,976	34,730,318 12,615,917	32,174,937 11,458,116	35,309,563 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	2,014,940 3,284,314	2,103,925 3,250,551	2,102,981 3,386,837	1,977,956 3,360,806	2,048,906 3,508,953
Disproportionate-share hospital (DSH) Median	846,662 594,888	1,085,021 595,761	940,897 577,894	1,474,927 542,168	1,697,611 549,667
Outlier Median	8,127,352 582,572	10,614,271 538,116	8,941,246 212,434	422,341 126,559	375,923 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,835,634 3,662,910	9,858,471 3,730,911	11,679,884 4,081,319	7,611,923 4,643,908	0 4,389,147
Charity care Median	16,666,580 2,654,636	26,397,704 2,940,659	14,381,780 3,380,215	13,207,109 3,488,738	9,754,465 3,233,405
Uncompensated care (UCC) Median	21,454,261 5,147,790	30,394,802 5,337,617	18,455,974 5,711,082	17,051,292 5,923,418	14,939,885 5,508,107
UCC as a % of operating expenses Median	3.99% 3.24	5.42% 3.12	3.35% 3.21	3.32% 3.3	2.81% 2.86
Total shortfall/UCC Median	31,289,895 9,489,989	40,253,273 9,424,297	30,135,858 10,120,158	24,663,215 11,171,337	14,939,885 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	166,537,349 52,142,039	172,847,091 54,485,252	170,854,129 57,395,589	137,149,133 58,830,919	126,812,615 61,722,907
Salaries as a % of operating expenses Median	32.35 36.68	31.98 36.56	31.02 36.37	26.68 35.93	23.87 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	265,517 1,251,927	284,877 1,186,494	256,390 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,245,900 1,449,244	3,914,802 1,475,986	3,657,599 1,563,078	4,400,062 1,721,954	6,734,487 2,991,828
Contract hours, direct-care Median	33,003.91 22,725	60,529.72 23,018.5	57,488.30 24,503.48	55,944.99 25,026.5	63,823.69 33,786
Contract wages, direct-care Median	68.05 64.67	64.68 64.53	63.62 65.06	78.65 68.97	105.52 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.