As of the July, 2022, release via CMS

ST VINCENT INFIRMARY MEDICAL CENTER

CMS id: 040007
TWO ST VINCENT CIRCLE, LITTLE ROCK AR 72205. County: PULASKI
System: COMMONSPIRIT HEALTH
CBSA: Little Rock-North Little Rock-Conway, AR

The 396-bed, acute-care hospital had $-75,860,483 in net service to patients*, with a total profit margin of -9.48886% in fiscal year 2021, the latest year available.
It spent 1.96% of its operating expenses on uncompensated care and reported $7,219,253 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	337 118	333 118	330 119.5	294 118	303 119
Total beds Median	414 162	414 162	393 162	387 162	396 163.5
FTEs Median	1,701.55 788.06	1,741.62 793.42	1,690.22 806.03	1,453.34 787.61	1,576.08 804.34

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	381,256,990 150,932,746	378,627,543 158,950,878	358,679,798 168,696,998	354,166,874 163,454,693	384,612,271 186,589,412
Operating expenses Median	415,197,933 149,311,209	423,214,235 156,110,414	433,491,671 164,890,568	428,245,086 166,516,854	460,472,754 180,120,888
Net income from service 2 patients (NS2P) ? Median	-33,940,943 -964,173	-44,586,692 -643,601.5	-74,811,873 -116,254	-74,078,212 -5,025,862	-75,860,483 -1,284,564
NS2P margin ? Median	-8.90% -0.62	-11.78% -0.29	-20.86% 0.18	-20.92% -5.07	-19.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST VINCENT INFIRMARY MEDICAL CENTER 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	12,051,036 5,089,215	6,996,789 4,572,541	-54,125,547 5,268,134	47,962,642 13,092,619	36,388,024 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	160,554 199,009	763,162 206,870.5	-2,581,561 194,343	216,727 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	-4,925,752 188,688.5	-1,733,658 370,813	487,399 309,361.5	63,835 375,329
⊳ 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	2,237,511	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	0	1,227,738	1,148,558	931,452	663,795
⊳ 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	5,482,043	5,978,469	11,175,000	6,326,994
⊳ 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	142,934	137,300	251,960	209,690
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	-964	0	0	0
⊳ Line 21: Rental of vending machines	0	18,000	0	0	0
⊳ Line 22: Rental of hospital space	0	1,106,417	1,076,404	1,125,537	1,213,426
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	2,399,647 1,173,286	11,067,269 1,987,202	0 1,597,664
⊳ Sum Line 24	12,051,036	1,548,308	-63,895,429	25,505,586	27,693,557
Total income ? Median	-21,889,907 6,586,430	-37,589,903 6,767,106	-128,937,420 8,419,950	-26,115,570 8,094,175	-39,472,459 15,162,888
Non-operating expenses Median	0 146,289.5	5 164,857	0 89,880.5	971,752 106,761	475,660 31,473.5
Net income Median	-21,889,907 6,043,842	-37,589,908 5,845,112	-128,937,420 7,606,259	-27,087,322 7,283,041	-39,948,119 14,957,241
Net margin Median	-5.56559% 4.62%	-9.74781% 4.42%	-42.33644% 5.16%	-6.73597% 5.2%	-9.48886% 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 VINCENT INFIRMARY MEDICAL CENTER 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	106,295,614 23,241,334	107,415,627 23,709,545	96,885,313 24,248,380	87,383,179 22,858,541	88,600,412 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	106,295,614 21,577,146	107,415,627 22,041,594	96,885,313 22,722,063	87,383,179 21,570,441	88,600,412 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	35,643,139 11,160,864	37,804,815 11,987,345	43,674,680 12,926,866	40,819,861 11,884,480	45,947,356 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	35,643,139 10,918,923	37,804,815 11,706,976	43,674,680 12,615,917	40,819,861 11,458,116	45,947,356 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	685,296 3,284,314	728,912 3,250,551	699,855 3,386,837	653,236 3,360,806	727,126 3,508,953
Disproportionate-share hospital (DSH) Median	5,286,742 594,888	4,824,664 595,761	4,245,313 577,894	3,043,357 542,168	4,024,178 549,667
Outlier Median	4,454,621 582,572	4,532,578 538,116	4,490,110 212,434	1,198,570 126,559	977,885 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	18,903,605 3,662,910	10,971,491 3,730,911	10,060,434 4,081,319	4,652,689 4,643,908	7,219,253 4,389,147
Charity care Median	2,505,880 2,654,636	6,963,642 2,940,659	0 3,380,215	6,203,337 3,488,738	6,189,561 3,233,405
Uncompensated care (UCC) Median	4,834,702 5,147,790	10,243,103 5,337,617	168,461 5,711,082	8,880,017 5,923,418	9,032,009 5,508,107
UCC as a % of operating expenses Median	1.16% 3.24	2.42% 3.12	0.04% 3.21	2.07% 3.3	1.96% 2.86
Total shortfall/UCC Median	23,738,307 9,489,989	21,214,594 9,424,297	10,228,895 10,120,158	13,532,706 11,171,337	16,251,262 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	139,478,759 52,142,039	147,310,218 54,485,252	149,785,024 57,395,589	136,585,196 58,830,919	148,491,389 61,722,907
Salaries as a % of operating expenses Median	35.85 36.68	36.86 36.56	36.47 36.37	33.74 35.93	33.58 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	231,491 2,753,773	104,655 2,937,156	26,763 2,909,848
Contract intern, resident salaries* Median	285,557 1,251,927	328,543 1,186,494	342,709 1,204,885	351,034 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	11,311,466 1,449,244	16,234,184 1,475,986	8,454,157 1,563,078	19,679,691 1,721,954	34,650,607 2,991,828
Contract hours, direct-care Median	157,442.00 22,725	202,023.00 23,018.5	116,980.00 24,503.48	225,616.00 25,026.5	316,883.38 33,786
Contract wages, direct-care Median	71.85 64.67	80.36 64.53	72.27 65.06	87.23 68.97	109.35 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.