As of the July, 2022, release via CMS

ST FRANCIS HOSPITAL

CMS id: 500141
34515 NINTH AVENUE S, FEDERAL WAY WA 98003. County: KING
System: CATHOLIC HEALTH INITIATIVES
CBSA: Seattle-Tacoma-Bellevue, WA

The 118-bed, acute-care hospital had $24,451,211 in net service to patients*, with a total profit margin of 14.61411% in fiscal year 2021, the latest year available.
It spent 3.16% of its operating expenses on uncompensated care and reported $16,881,192 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	110 118	110 118	110 119.5	110 118	104 119
Total beds Median	124 162	124 162	124 162	124 162	118 163.5
FTEs Median	795.00 788.06	809.00 793.42	841.67 806.03	822.31 787.61	841.00 804.34

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	243,272,185 150,932,746	252,396,447 158,950,878	259,745,995 168,696,998	248,198,300 163,454,693	274,523,476 186,589,412
Operating expenses Median	195,955,499 149,311,209	205,168,574 156,110,414	220,411,366 164,890,568	229,189,441 166,516,854	250,072,265 180,120,888
Net income from service 2 patients (NS2P) ? Median	47,316,686 -964,173	47,227,873 -643,601.5	39,334,629 -116,254	19,008,859 -5,025,862	24,451,211 -1,284,564
NS2P margin ? Median	19.45% -0.62	18.71% -0.29	15.14% 0.18	7.66% -5.07	8.91% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST FRANCIS 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	6,670,363 5,089,215	7,793,908 4,572,541	6,247,547 5,268,134	10,567,528 13,092,619	18,349,575 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	100,373 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,918,420 299,524	3,353,159 188,688.5	1,941,636 370,813	918,291 309,361.5	6,920,767 375,329
⊳ 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	1,148,865	1,015,615	1,063,548	1,103,777	786,531
⊳ 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	2,336,386	2,166,042	2,095,406	2,010,479	2,259,652
⊳ 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	114,304	101,673	0	0	0
⊳ Line 21: Rental of vending machines	11,795	15,665	15,267	13,280	1,306
⊳ 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	1,040,220	1,141,754	1,131,690	6,521,701	8,381,319
Total income ? Median	53,987,049 6,586,430	55,021,781 6,767,106	45,582,176 8,419,950	29,576,387 8,094,175	42,800,786 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	900,853 89,880.5	0 106,761	0 31,473.5
Net income Median	53,987,049 6,043,842	55,021,781 5,845,112	44,681,323 7,606,259	29,576,387 7,283,041	42,800,786 14,957,241
Net margin Median	21.59978% 4.62%	21.14674% 4.42%	16.79790% 5.16%	11.42979% 5.2%	14.61411% 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 FRANCIS 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	30,854,515 23,241,334	30,191,300 23,709,545	30,161,868 24,248,380	25,163,685 22,858,541	26,548,290 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	30,854,515 21,577,146	30,191,300 22,041,594	30,161,868 22,722,063	25,163,685 21,570,441	26,548,290 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	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	16,304,054 11,160,864	17,492,405 11,987,345	19,449,315 12,926,866	17,422,508 11,884,480	17,285,555 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	16,304,054 10,918,923	17,492,405 11,706,976	19,449,315 12,615,917	17,422,508 11,458,116	17,285,555 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	943,098 3,284,314	956,403 3,250,551	968,329 3,386,837	859,795 3,360,806	860,694 3,508,953
Disproportionate-share hospital (DSH) Median	1,142,410 594,888	1,244,518 595,761	1,096,585 577,894	1,073,084 542,168	835,805 549,667
Outlier Median	1,416,429 582,572	1,286,223 538,116	1,440,442 212,434	196,871 126,559	258,455 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,170,989 3,662,910	12,435,308 3,730,911	14,644,329 4,081,319	15,559,265 4,643,908	16,881,192 4,389,147
Charity care Median	4,652,345 2,654,636	6,174,248 2,940,659	6,598,867 3,380,215	8,240,828 3,488,738	6,253,545 3,233,405
Uncompensated care (UCC) Median	6,493,208 5,147,790	8,086,312 5,337,617	8,804,320 5,711,082	9,423,801 5,923,418	7,912,143 5,508,107
UCC as a % of operating expenses Median	3.31% 3.24	3.94% 3.12	3.99% 3.21	4.11% 3.3	3.16% 2.86
Total shortfall/UCC Median	12,664,197 9,489,989	20,521,620 9,424,297	23,448,649 10,120,158	24,983,066 11,171,337	24,793,335 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	61,766,232 52,142,039	65,791,942 54,485,252	69,614,101 57,395,589	72,382,355 58,830,919	77,007,299 61,722,907
Salaries as a % of operating expenses Median	31.52 36.68	32.07 36.56	31.58 36.37	31.58 35.93	30.79 35.24
Intern, resident salaries* Median	343,258 2,598,592	387,246 2,686,824	395,162 2,753,773	457,434 2,937,156	447,565 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	1,951,632 1,449,244	2,383,318 1,475,986	2,449,747 1,563,078	3,665,860 1,721,954	5,839,932 2,991,828
Contract hours, direct-care Median	24,955.00 22,725	34,438.36 23,018.5	33,712.00 24,503.48	46,520.00 25,026.5	103,810.00 33,786
Contract wages, direct-care Median	78.21 64.67	69.21 64.53	72.67 65.06	78.80 68.97	56.26 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.