As of the July, 2022, release via CMS

ST. JOSEPH MEDICAL CENTER

CMS id: 500030
2901 SQUALICUM PARKWAY, BELLINGHAM WA 98225. County: WHATCOM
System: PEACEHEALTH
CBSA: Bellingham, WA

The 248-bed, acute-care hospital had $30,899,567 in net service to patients*, with a total profit margin of 5.72576% in fiscal year 2021, the latest year available.
It spent 3.09% of its operating expenses on uncompensated care and reported $29,329,037 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	183 118	183 118	183 119.5	180 118	180 119
Total beds Median	241 162	241 162	241 162	237 162	248 163.5
FTEs Median	1,889.64 788.06	2,150.41 793.42	2,192.83 806.03	2,134.17 787.61	2,333.00 804.34

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	512,576,635 150,932,746	587,324,829 158,950,878	603,917,747 168,696,998	600,590,977 163,454,693	658,028,979 186,589,412
Operating expenses Median	505,206,049 149,311,209	536,199,395 156,110,414	566,964,554 164,890,568	581,992,889 166,516,854	627,129,412 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,370,586 -964,173	51,125,434 -643,601.5	36,953,193 -116,254	18,598,088 -5,025,862	30,899,567 -1,284,564
NS2P margin ? Median	1.44% -0.62	8.70% -0.29	6.12% 0.18	3.10% -5.07	4.70% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOSEPH MEDICAL 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	17,778,872 5,089,215	-317,457,771 4,572,541	-73,424,402 5,268,134	33,939,780 13,092,619	7,189,201 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	7,201,226 224,999	997,627 199,009	1,852,820 206,870.5	980,712 194,343	877,111 249,496
⊳ Line 7: Investments ? ⊳ Median	4,824,739 299,524	91,175 188,688.5	83,262 370,813	73,287 309,361.5	90,690 375,329
⊳ 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	490,617	888,935	727,519	0	0
⊳ Line 12: Parking lot receipts	653,373	24,000	24,000	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	-844	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	1,266,182	838,596	224,324	464,492	2,048,633
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	425	0	28,275	8,275	10,100
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	-245	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	2,082,413	2,037,878	2,003,637	1,910,940	1,962,759
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	62,526 983,261.5	62,472 1,173,286	86,510 1,987,202	124,912 1,597,664
⊳ Sum Line 24	1,294,605	-322,398,508	-78,430,711	30,415,564	2,074,996
Total income ? Median	25,149,458 6,586,430	-266,332,337 6,767,106	-36,471,209 8,419,950	52,537,868 8,094,175	38,088,768 15,162,888
Non-operating expenses Median	4,863,130 146,289.5	42,925 164,857	-1,839,547 89,880.5	0 106,761	0 31,473.5
Net income Median	20,286,328 6,043,842	-266,375,262 5,845,112	-34,631,662 7,606,259	52,537,868 7,283,041	38,088,768 14,957,241
Net margin Median	3.82504% 4.62%	-98.70611% 4.42%	-6.52820% 5.16%	8.27980% 5.2%	5.72576% 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 MEDICAL 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	76,757,179 23,241,334	85,921,871 23,709,545	82,049,821 24,248,380	72,465,099 22,858,541	73,255,344 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	72,206,242 21,577,146	80,086,539 22,041,594	79,507,946 22,722,063	71,393,400 21,570,441	71,692,370 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	1,514,691 1,845,420	1,517,171 1,757,392	1,561,464 1,738,842	1,071,699 1,510,463	1,562,974 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,036,246 3,535,627	4,318,161 3,746,588	980,411 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	40,552,439 11,160,864	47,658,744 11,987,345	53,230,733 12,926,866	52,913,612 11,884,480	56,083,088 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	40,552,439 10,918,923	47,658,744 11,706,976	53,230,733 12,615,917	52,913,612 11,458,116	56,083,088 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	1,722,960 594,888	1,887,833 595,761	1,835,765 577,894	1,662,848 542,168	1,648,367 549,667
Outlier Median	3,603,527 582,572	3,623,037 538,116	2,890,404 212,434	1,304,246 126,559	1,279,765 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,438,037 3,662,910	33,134,414 3,730,911	30,084,691 4,081,319	27,958,452 4,643,908	29,329,037 4,389,147
Charity care Median	8,163,219 2,654,636	11,641,673 2,940,659	13,015,096 3,380,215	16,111,221 3,488,738	16,565,429 3,233,405
Uncompensated care (UCC) Median	12,047,475 5,147,790	16,486,670 5,337,617	16,217,361 5,711,082	18,709,625 5,923,418	19,379,351 5,508,107
UCC as a % of operating expenses Median	2.38% 3.24	3.07% 3.12	2.86% 3.21	3.21% 3.3	3.09% 2.86
Total shortfall/UCC Median	34,485,512 9,489,989	49,621,084 9,424,297	46,302,052 10,120,158	46,668,077 11,171,337	48,708,388 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	195,859,878 52,142,039	213,899,229 54,485,252	222,945,247 57,395,589	227,966,803 58,830,919	239,724,270 61,722,907
Salaries as a % of operating expenses Median	38.77 36.68	39.89 36.56	39.32 36.37	39.76 35.93	38.23 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	13,197,458 1,449,244	3,584,664 1,475,986	5,700,196 1,563,078	4,543,848 1,721,954	4,543,848 2,991,828
Contract hours, direct-care Median	164,168.00 22,725	41,743.76 23,018.5	71,304.00 24,503.48	58,951.00 25,026.5	58,949.77 33,786
Contract wages, direct-care Median	80.39 64.67	85.87 64.53	79.94 65.06	77.08 68.97	77.08 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.