As of the July, 2022, release via CMS

PROVIDENCE HOSPITAL

CMS id: 010090
6801 AIRPORT BLVD, MOBILE AL 36608. County: MOBILE
System: ST VINCENTS HEALTH SYSTEM
CBSA: Mobile, AL

The 349-bed, acute-care hospital had $14,699,022 in net service to patients*, with a total profit margin of -14.65400% in fiscal year 2021, the latest year available.
It spent 6.82% 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	296 118	296 118	296 119.5	296 118	296 119
Total beds Median	349 162	349 162	349 162	349 162	349 163.5
FTEs Median	1,235.90 788.06	1,100.58 793.42	1,735.45 806.03	1,059.02 787.61	1,039.76 804.34

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	216,244,855 150,932,746	206,073,205 158,950,878	212,799,581 168,696,998	224,961,275 163,454,693	251,212,497 186,589,412
Operating expenses Median	213,370,318 149,311,209	211,030,417 156,110,414	210,621,408 164,890,568	220,645,224 166,516,854	236,513,475 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,874,537 -964,173	-4,957,212 -643,601.5	2,178,173 -116,254	4,316,051 -5,025,862	14,699,022 -1,284,564
NS2P margin ? Median	1.33% -0.62	-2.41% -0.29	1.02% 0.18	1.92% -5.07	5.85% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PROVIDENCE 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	7,459,991 5,089,215	4,870,290 4,572,541	4,503,367 5,268,134	5,399,236 13,092,619	2,627,485 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	13,300 224,999	21,500 199,009	-1,845 206,870.5	0 194,343	-6,535 249,496
⊳ Line 7: Investments ? ⊳ Median	18,509 299,524	5,203 188,688.5	159 370,813	25,927 309,361.5	24,792 375,329
⊳ 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	1,084,319	1,100,035	1,211,417	846,534	735,072
⊳ 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	11,336	11,131	1,034	15,759	12,503
⊳ 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	113,871	128,028	99,626	270,526	177,481
⊳ Line 22: Rental of hospital space	121,079	246,708	270,205	179,838	248,026
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	262 1,597,664
⊳ Sum Line 24	6,097,577	3,357,685	2,922,771	4,060,652	1,435,884
Total income ? Median	10,334,528 6,586,430	-86,922 6,767,106	6,681,540 8,419,950	9,715,287 8,094,175	17,326,507 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	54,524,212 31,473.5
Net income Median	10,334,528 6,043,842	-86,922 5,845,112	6,681,540 7,606,259	9,715,287 7,283,041	-37,197,705 14,957,241
Net margin Median	4.61972% 4.62%	-0.04121% 4.42%	3.07476% 5.16%	4.21743% 5.2%	-14.65400% 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 PROVIDENCE 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	42,077,619 23,241,334	38,061,582 23,709,545	37,206,625 24,248,380	37,214,008 22,858,541	39,173,172 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	42,077,619 21,577,146	38,061,582 22,041,594	37,206,625 22,722,063	37,214,008 21,570,441	39,173,172 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	17,250,603 11,160,864	16,511,705 11,987,345	16,098,919 12,926,866	15,223,756 11,884,480	15,396,078 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	17,250,603 10,918,923	16,511,705 11,706,976	16,098,919 12,615,917	15,223,756 11,458,116	15,396,078 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	29,360 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	662,404 594,888	632,075 595,761	547,125 577,894	585,618 542,168	451,315 549,667
Outlier Median	976,254 582,572	741,591 538,116	382,822 212,434	49,793 126,559	84,963 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	4,505,571 3,730,911	9,698,966 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	9,904,469 2,654,636	17,200,675 2,940,659	15,770,561 3,380,215	16,022,862 3,488,738	13,145,172 3,233,405
Uncompensated care (UCC) Median	12,731,153 5,147,790	19,693,410 5,337,617	19,047,936 5,711,082	19,255,970 5,923,418	16,121,150 5,508,107
UCC as a % of operating expenses Median	5.97% 3.24	9.33% 3.12	9.04% 3.21	8.73% 3.3	6.82% 2.86
Total shortfall/UCC Median	12,731,153 9,489,989	24,198,981 9,424,297	28,746,902 10,120,158	19,255,970 11,171,337	16,121,150 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,606,964 52,142,039	61,950,646 54,485,252	59,237,552 57,395,589	61,140,271 58,830,919	62,776,190 61,722,907
Salaries as a % of operating expenses Median	30.28 36.68	29.36 36.56	28.13 36.37	27.71 35.93	26.54 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	1,517,992 1,449,244	0 1,475,986	179 1,563,078	0 1,721,954	140,868 2,991,828
Contract hours, direct-care Median	39,713.00 22,725	0.00 23,018.5	3.25 24,503.48	0.00 25,026.5	1,178.00 33,786
Contract wages, direct-care Median	38.22 64.67	0.00 64.53	55.08 65.06	0.00 68.97	119.58 88.94

* in an approved program

Return to top

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.