As of the July, 2022, release via CMS

ST FRANCIS HOSPITAL

CMS id: 510031
333 LAIDLEY STREET, CHARLESTON WV 25301. County: KANAWHA
System: THOMAS HEALTH SYSTEM INC.
CBSA: Charleston, WV

The 65-bed, acute-care hospital had $18,946,585 in net service to patients*, with a total profit margin of 42.07620% in fiscal year 2021, the latest year available.
It spent 1.79% of its operating expenses on uncompensated care and reported $418,162 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	98 118	27 118	36 119.5	40 118	40 119
Total beds Median	142 162	44 162	64 162	65 162	65 163.5
FTEs Median	420.32 788.06	360.25 793.42	326.79 806.03	0.00 787.61	291.94 804.34

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	72,369,567 150,932,746	62,030,208 158,950,878	62,579,620 168,696,998	55,970,613 163,454,693	55,570,123 186,589,412
Operating expenses Median	71,907,410 149,311,209	65,735,266 156,110,414	62,037,688 164,890,568	38,261,518 166,516,854	36,623,538 180,120,888
Net income from service 2 patients (NS2P) ? Median	462,157 -964,173	-3,705,058 -643,601.5	541,932 -116,254	17,709,095 -5,025,862	18,946,585 -1,284,564
NS2P margin ? Median	0.64% -0.62	-5.97% -0.29	0.87% 0.18	31.64% -5.07	34.09% -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	2,055,497 5,089,215	1,903,939 4,572,541	2,153,098 5,268,134	3,869,558 13,092,619	7,656,979 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	69,500 224,999	11,000 199,009	9,000 206,870.5	6,066 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	8,815 309,361.5	4,794 375,329
⊳ 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	180,697	125,229	248,527	106,843	59,049
⊳ Line 12: Parking lot receipts	36,844	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	323,092	320,625	311,225	282,090	236,510
⊳ 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	180	26	550	394
⊳ 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	9,836	10,030	9,680	0	0
⊳ Line 22: Rental of hospital space	22,333	0	0	99,502	98,056
⊳ 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	1,413,195	1,436,875	1,574,640	3,365,692	7,258,176
Total income ? Median	2,517,654 6,586,430	-1,801,119 6,767,106	2,695,030 8,419,950	21,578,653 8,094,175	26,603,564 15,162,888
Non-operating expenses Median	2,206,129 146,289.5	2,399,583 164,857	2,636,980 89,880.5	0 106,761	0 31,473.5
Net income Median	311,525 6,043,842	-4,200,702 5,845,112	58,050 7,606,259	21,578,653 7,283,041	26,603,564 14,957,241
Net margin Median	0.41858% 4.62%	-6.57036% 4.42%	0.08968% 5.16%	36.06048% 5.2%	42.07620% 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	3,806,426 23,241,334	2,330,146 23,709,545	1,405,457 24,248,380	1,475,296 22,858,541	1,402,628 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	3,362,234 21,577,146	1,888,753 22,041,594	697,724 22,722,063	496,651 21,570,441	608,421 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	444,192 1,203,033	441,393 1,215,295	707,733 1,313,657	978,645 1,365,298	794,207 1,179,746
All outpatient revenue Median Click here to show/hide details	16,130,341 11,160,864	15,701,568 11,987,345	15,347,186 12,926,866	12,323,976 11,884,480	11,598,281 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	16,130,341 10,918,923	15,701,568 11,706,976	15,347,186 12,615,917	12,323,976 11,458,116	11,598,281 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	64,431 594,888	31,816 595,761	3,802 577,894	2,844 542,168	9,281 549,667
Outlier Median	400,348 582,572	533,892 538,116	133,860 212,434	178,426 126,559	91,535 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	657,974 3,662,910	4,232,164 3,730,911	3,381,139 4,081,319	927,433 4,643,908	418,162 4,389,147
Charity care Median	50,745 2,654,636	64,893 2,940,659	86,117 3,380,215	160,089 3,488,738	42,963 3,233,405
Uncompensated care (UCC) Median	1,042,693 5,147,790	1,126,513 5,337,617	967,417 5,711,082	866,930 5,923,418	654,686 5,508,107
UCC as a % of operating expenses Median	1.45% 3.24	1.71% 3.12	1.56% 3.21	2.27% 3.3	1.79% 2.86
Total shortfall/UCC Median	1,700,667 9,489,989	5,358,677 9,424,297	4,348,556 10,120,158	1,794,363 11,171,337	1,072,848 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	18,721,536 52,142,039	18,279,940 54,485,252	17,986,675 57,395,589	12,294,492 58,830,919	11,948,734 61,722,907
Salaries as a % of operating expenses Median	26.04 36.68	27.81 36.56	28.99 36.37	32.13 35.93	32.63 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	594,445 1,449,244	252,994 1,475,986	255,603 1,563,078	345,339 1,721,954	301,974 2,991,828
Contract hours, direct-care Median	8,665.00 22,725	4,825.00 23,018.5	5,164.74 24,503.48	7,188.85 25,026.5	6,348.80 33,786
Contract wages, direct-care Median	68.60 64.67	52.43 64.53	49.49 65.06	48.04 68.97	47.56 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.