As of the July, 2022, release via CMS

ST VINCENTS BIRMINGHAM

CMS id: 010056
810 ST VINCENTS DRIVE, BIRMINGHAM AL 35205. County: JEFFERSON
System: ST VINCENTS HEALTH SYSTEM
CBSA: Birmingham-Hoover, AL

The 401-bed, acute-care hospital had $-11,990,467 in net service to patients*, with a total profit margin of 5.32338% in fiscal year 2021, the latest year available.
It spent 3.78% 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	300 118	300 118	275 119.5	274 118	320 119
Total beds Median	409 162	409 162	400 162	399 162	401 163.5
FTEs Median	1,780.81 788.06	1,732.09 793.42	1,757.47 806.03	1,730.89 787.61	1,679.09 804.34

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	411,030,454 150,932,746	409,140,162 158,950,878	440,107,874 168,696,998	420,643,247 163,454,693	454,259,714 186,589,412
Operating expenses Median	411,603,122 149,311,209	438,657,118 156,110,414	437,254,551 164,890,568	441,173,004 166,516,854	466,250,181 180,120,888
Net income from service 2 patients (NS2P) ? Median	-572,668 -964,173	-29,516,956 -643,601.5	2,853,323 -116,254	-20,529,757 -5,025,862	-11,990,467 -1,284,564
NS2P margin ? Median	-0.14% -0.62	-7.21% -0.29	0.65% 0.18	-4.88% -5.07	-2.64% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST VINCENTS BIRMINGHAM 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	32,870,039 5,089,215	19,614,520 4,572,541	18,339,861 5,268,134	27,013,235 13,092,619	37,926,560 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	174,060 224,999	290,100 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,255,335 299,524	636,408 188,688.5	0 370,813	0 309,361.5	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	3,161,050	3,402,956	3,425,471	3,192,984	2,515,343
⊳ 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.)	107,682	74,463	0	0	429
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	941,877	861,418	853,144	0	0
⊳ Line 21: Rental of vending machines	89,765	81,113	-6,357	0	0
⊳ Line 22: Rental of hospital space	264,335	332,656	78,291	51,867	51,668
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	1,536,182 1,597,664
⊳ Sum Line 24	26,875,935	13,935,406	13,989,312	23,768,384	33,822,938
Total income ? Median	32,297,371 6,586,430	-9,902,436 6,767,106	21,193,184 8,419,950	6,483,478 8,094,175	25,936,093 15,162,888
Non-operating expenses Median	482,653 146,289.5	724,437 164,857	-406,070 89,880.5	-440,100 106,761	-264,864 31,473.5
Net income Median	31,814,718 6,043,842	-10,626,873 5,845,112	21,599,254 7,606,259	6,923,578 7,283,041	26,200,957 14,957,241
Net margin Median	7.16708% 4.62%	-2.47854% 4.42%	4.71139% 5.16%	1.54663% 5.2%	5.32338% 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 BIRMINGHAM 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	58,802,608 23,241,334	54,542,468 23,709,545	55,563,266 24,248,380	51,067,674 22,858,541	52,542,927 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	58,802,608 21,577,146	54,542,468 22,041,594	55,563,266 22,722,063	51,067,674 21,570,441	52,542,927 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	28,434,725 11,160,864	26,938,857 11,987,345	29,373,706 12,926,866	29,333,015 11,884,480	32,148,945 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	28,434,725 10,918,923	26,938,857 11,706,976	29,373,706 12,615,917	29,333,015 11,458,116	32,148,945 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	140,811 3,284,314	108,178 3,250,551	121,627 3,386,837	142,100 3,360,806	149,620 3,508,953
Disproportionate-share hospital (DSH) Median	549,356 594,888	475,254 595,761	557,871 577,894	603,936 542,168	553,197 549,667
Outlier Median	2,631,522 582,572	2,887,643 538,116	2,479,963 212,434	290,649 126,559	329,740 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	9,105,001 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	16,613,184 2,654,636	25,493,470 2,940,659	17,696,196 3,380,215	16,732,246 3,488,738	15,209,035 3,233,405
Uncompensated care (UCC) Median	19,723,781 5,147,790	28,831,130 5,337,617	21,530,220 5,711,082	19,890,666 5,923,418	17,631,676 5,508,107
UCC as a % of operating expenses Median	4.79% 3.24	6.57% 3.12	4.92% 3.21	4.51% 3.3	3.78% 2.86
Total shortfall/UCC Median	19,723,781 9,489,989	28,831,130 9,424,297	30,635,221 10,120,158	19,890,666 11,171,337	17,631,676 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	103,036,165 52,142,039	105,195,996 54,485,252	104,040,850 57,395,589	108,761,228 58,830,919	109,414,825 61,722,907
Salaries as a % of operating expenses Median	25.03 36.68	23.98 36.56	23.79 36.37	24.65 35.93	23.47 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	125,078 1,186,494	116,103 1,204,885	97,531 1,279,653	93,056 1,469,317
Contract adjusted salaries, direct-care Median	644,457 1,449,244	376,382 1,475,986	0 1,563,078	251,911 1,721,954	6,217,930 2,991,828
Contract hours, direct-care Median	10,099.42 22,725	4,925.27 23,018.5	0.00 24,503.48	3,368.00 25,026.5	43,011.43 33,786
Contract wages, direct-care Median	63.81 64.67	76.42 64.53	0.00 65.06	74.80 68.97	144.56 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.