As of the July, 2022, release via CMS

ST JOSEPH MEDICAL CENTER

CMS id: 500108
1717 SOUTH J STREET, TACOMA WA 98405. County: PIERCE
System: CATHOLIC HEALTH INITIATIVES
CBSA: Seattle-Tacoma-Bellevue, WA

The 328-bed, acute-care hospital had $891,421,845 in net service to patients*, with a total profit margin of 57.29573% in fiscal year 2021, the latest year available.
It spent 1.81% of its operating expenses on uncompensated care and reported $47,087,101 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	259 118	259 118	292 119.5	292 118	246 119
Total beds Median	366 162	366 162	374 162	374 162	328 163.5
FTEs Median	2,725.00 788.06	2,587.00 793.42	2,484.70 806.03	2,444.74 787.61	2,399.00 804.34

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	671,895,597 150,932,746	691,784,825 158,950,878	692,800,872 168,696,998	666,784,379 163,454,693	1,612,330,050 186,589,412
Operating expenses Median	652,326,493 149,311,209	640,495,446 156,110,414	648,191,545 164,890,568	666,591,286 166,516,854	720,908,205 180,120,888
Net income from service 2 patients (NS2P) ? Median	19,569,104 -964,173	51,289,379 -643,601.5	44,609,327 -116,254	193,093 -5,025,862	891,421,845 -1,284,564
NS2P margin ? Median	2.91% -0.62	7.41% -0.29	6.44% 0.18	0.03% -5.07	55.29% -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	153,937,331 5,089,215	32,738,411 4,572,541	17,696,153 5,268,134	27,223,606 13,092,619	75,810,709 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,014,315 299,524	7,702,444 188,688.5	2,763,048 370,813	1,056,543 309,361.5	5,829,292 375,329
⊳ 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	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	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	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	150,923,016	25,035,967	14,933,105	26,167,063	69,981,417
Total income ? Median	173,506,435 6,586,430	84,027,790 6,767,106	62,305,480 8,419,950	27,416,699 8,094,175	967,232,554 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	4,280,588 89,880.5	0 106,761	0 31,473.5
Net income Median	173,506,435 6,043,842	84,027,790 5,845,112	58,024,892 7,606,259	27,416,699 7,283,041	967,232,554 14,957,241
Net margin Median	21.00987% 4.62%	11.59767% 4.42%	8.16680% 5.16%	3.95049% 5.2%	57.29573% 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	94,267,144 23,241,334	93,457,305 23,709,545	89,793,874 24,248,380	84,223,637 22,858,541	92,641,727 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	87,238,124 21,577,146	88,499,145 22,041,594	89,793,874 22,722,063	84,223,637 21,570,441	92,641,727 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	7,029,020 3,535,627	4,958,160 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	34,677,015 11,160,864	35,996,057 11,987,345	33,436,133 12,926,866	30,461,022 11,884,480	33,517,869 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	34,677,015 10,918,923	35,996,057 11,706,976	33,436,133 12,615,917	30,461,022 11,458,116	33,517,869 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	193,473 3,360,806	380,442 3,508,953
Disproportionate-share hospital (DSH) Median	3,954,684 594,888	3,585,102 595,761	3,356,649 577,894	3,125,379 542,168	3,201,019 549,667
Outlier Median	11,512,049 582,572	13,752,656 538,116	11,527,027 212,434	865,146 126,559	1,184,524 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	31,237,098 3,662,910	46,583,137 3,730,911	43,748,762 4,081,319	42,991,034 4,643,908	47,087,101 4,389,147
Charity care Median	9,229,753 2,654,636	10,591,090 2,940,659	10,459,693 3,380,215	14,165,212 3,488,738	10,050,564 3,233,405
Uncompensated care (UCC) Median	13,553,937 5,147,790	14,112,197 5,337,617	14,246,781 5,711,082	15,204,313 5,923,418	13,014,030 5,508,107
UCC as a % of operating expenses Median	2.08% 3.24	2.20% 3.12	2.20% 3.21	2.28% 3.3	1.81% 2.86
Total shortfall/UCC Median	44,791,035 9,489,989	60,695,334 9,424,297	57,995,543 10,120,158	58,195,347 11,171,337	60,101,131 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	211,879,859 52,142,039	198,851,288 54,485,252	200,407,112 57,395,589	206,861,135 58,830,919	211,744,106 61,722,907
Salaries as a % of operating expenses Median	32.48 36.68	31.05 36.56	30.92 36.37	31.03 35.93	29.37 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	275,588 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	4,003,099 1,449,244	6,232,914 1,475,986	7,016,113 1,563,078	12,567,608 1,721,954	11,587,113 2,991,828
Contract hours, direct-care Median	49,285.00 22,725	69,068.00 23,018.5	87,653.00 24,503.48	151,127.00 25,026.5	156,952.00 33,786
Contract wages, direct-care Median	81.22 64.67	90.24 64.53	80.04 65.06	83.16 68.97	73.83 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.