As of the July, 2022, release via CMS

ST. VINCENTS EAST

CMS id: 010011
50 MEDICAL PARK DRIVE EAST, BIRMINGHAM AL 35235. County: JEFFERSON
System: ST VINCENTS HEALTH SYSTEM
CBSA: Birmingham-Hoover, AL

The 277-bed, acute-care hospital had $-2,754,304 in net service to patients*, with a total profit margin of -2.44060% in fiscal year 2021, the latest year available.
It spent 8.83% 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	201 118	209 118	209 119.5	209 118	141 119
Total beds Median	344 162	357 162	349 162	345 162	277 163.5
FTEs Median	1,128.70 788.06	1,050.61 793.42	1,000.37 806.03	1,036.78 787.61	1,050.78 804.34

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	205,284,205 150,932,746	211,735,387 158,950,878	205,675,124 168,696,998	218,603,823 163,454,693	240,238,326 186,589,412
Operating expenses Median	213,977,009 149,311,209	225,417,952 156,110,414	217,524,949 164,890,568	222,674,272 166,516,854	242,992,630 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,692,804 -964,173	-13,682,565 -643,601.5	-11,849,825 -116,254	-4,070,449 -5,025,862	-2,754,304 -1,284,564
NS2P margin ? Median	-4.23% -0.62	-6.46% -0.29	-5.76% 0.18	-1.86% -5.07	-1.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. VINCENTS EAST 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	3,423,828 5,089,215	3,379,993 4,572,541	3,741,048 5,268,134	12,988,865 13,092,619	-2,493,978 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,917 224,999	0 199,009	0 206,870.5	0 194,343	-120,113 249,496
⊳ Line 7: Investments ? ⊳ Median	335 299,524	0 188,688.5	0 370,813	-2,096 309,361.5	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	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	1,146,348	1,212,311	1,195,969	1,118,671	998,525
⊳ 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	27
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	28
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	280,504	255,286	203,821	175,318	126,408
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	639,723	742,458	531,083	558,574	506,027
⊳ 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	1,352,001	1,169,938	1,810,175	11,138,398	-4,004,880
Total income ? Median	-5,268,976 6,586,430	-10,302,572 6,767,106	-8,108,777 8,419,950	8,918,416 8,094,175	-5,248,282 15,162,888
Non-operating expenses Median	22,050 146,289.5	83,797 164,857	0 89,880.5	98,381 106,761	554,107 31,473.5
Net income Median	-5,291,026 6,043,842	-10,386,369 5,845,112	-8,108,777 7,606,259	8,820,035 7,283,041	-5,802,389 14,957,241
Net margin Median	-2.53513% 4.62%	-4.82828% 4.42%	-3.87209% 5.16%	3.80843% 5.2%	-2.44060% 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. VINCENTS EAST 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	42,313,529 23,241,334	39,195,157 23,709,545	39,999,319 24,248,380	40,088,531 22,858,541	42,544,694 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	37,913,917 21,577,146	35,156,897 22,041,594	34,649,518 22,722,063	35,745,725 21,570,441	38,989,527 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	2,326,406 1,845,420	2,128,504 1,757,392	3,942,009 1,738,842	3,084,467 1,510,463	2,291,104 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,073,206 3,535,627	1,909,756 3,746,588	1,407,792 3,782,288	1,258,339 3,865,578	1,264,063 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	11,047,839 11,160,864	11,613,697 11,987,345	10,947,887 12,926,866	10,373,794 11,884,480	10,481,158 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	11,047,839 10,918,923	11,613,697 11,706,976	10,947,887 12,615,917	10,373,794 11,458,116	10,481,158 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	1,771,735 3,284,314	1,614,013 3,250,551	1,744,051 3,386,837	1,720,461 3,360,806	1,901,509 3,508,953
Disproportionate-share hospital (DSH) Median	802,669 594,888	755,342 595,761	434,976 577,894	395,225 542,168	359,099 549,667
Outlier Median	759,346 582,572	1,118,080 538,116	1,182,998 212,434	320,945 126,559	293,536 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	10,450,860 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	12,175,068 2,654,636	22,441,456 2,940,659	17,414,488 3,380,215	17,746,664 3,488,738	18,540,995 3,233,405
Uncompensated care (UCC) Median	15,398,560 5,147,790	25,705,180 5,337,617	21,142,988 5,711,082	21,097,301 5,923,418	21,454,210 5,508,107
UCC as a % of operating expenses Median	7.20% 3.24	11.40% 3.12	9.72% 3.21	9.47% 3.3	8.83% 2.86
Total shortfall/UCC Median	15,398,560 9,489,989	25,705,180 9,424,297	31,593,848 10,120,158	21,097,301 11,171,337	21,454,210 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	66,356,203 52,142,039	65,976,754 54,485,252	61,784,749 57,395,589	65,981,675 58,830,919	68,303,797 61,722,907
Salaries as a % of operating expenses Median	31.01 36.68	29.27 36.56	28.40 36.37	29.67 35.93	28.11 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	857,428 2,753,773	1,058,195 2,937,156	1,252,012 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	1,466,909 1,449,244	811,410 1,475,986	0 1,563,078	11,000 1,721,954	4,227,288 2,991,828
Contract hours, direct-care Median	23,199.00 22,725	11,608.00 23,018.5	0.00 24,503.48	352.00 25,026.5	31,332.64 33,786
Contract wages, direct-care Median	63.23 64.67	69.90 64.53	0.00 65.06	31.25 68.97	134.92 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.