As of the July, 2022, release via CMS

ST. VINCENT HOT SPRINGS

CMS id: 040026
300 WERNER STREET, HOT SPRINGS AR 71913. County: GARLAND
System: COMMONSPIRIT HEALTH
CBSA: Hot Springs, AR

The 229-bed, acute-care hospital had $46,623,607 in net service to patients*, with a total profit margin of 11.18040% in fiscal year 2021, the latest year available.
It spent 3.02% of its operating expenses on uncompensated care and reported $1,163,586 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	188 118	188 118	204 119.5	204 118	182 119
Total beds Median	213 162	213 162	229 162	229 162	229 163.5
FTEs Median	929.55 788.06	969.13 793.42	945.77 806.03	925.18 787.61	915.41 804.34

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	223,955,599 150,932,746	224,514,376 158,950,878	218,325,036 168,696,998	226,430,284 163,454,693	249,891,320 186,589,412
Operating expenses Median	182,134,512 149,311,209	190,651,093 156,110,414	188,838,540 164,890,568	192,268,524 166,516,854	203,267,713 180,120,888
Net income from service 2 patients (NS2P) ? Median	41,821,087 -964,173	33,863,283 -643,601.5	29,486,496 -116,254	34,161,760 -5,025,862	46,623,607 -1,284,564
NS2P margin ? Median	18.67% -0.62	15.08% -0.29	13.51% 0.18	15.09% -5.07	18.66% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. VINCENT HOT SPRINGS 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	3,934,296 5,089,215	5,111,591 4,572,541	8,805,257 5,268,134	14,504,793 13,092,619	3,816,064 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	384,217 199,009	255,647 206,870.5	95,198 194,343	67,125 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	11,658 188,688.5	8,658 370,813	9,456 309,361.5	13,337 375,329
⊳ 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	0	992,852	1,023,616	920,289	761,403
⊳ 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.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	48,748	49,406	0	0
⊳ Line 21: Rental of vending machines	0	0	0	44,019	28,409
⊳ Line 22: Rental of hospital space	0	744,907	1,000,733	963,298	946,019
⊳ 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	3,934,296	2,929,209	6,467,197	12,472,533	1,999,771
Total income ? Median	45,755,383 6,586,430	38,974,874 6,767,106	38,291,753 8,419,950	48,666,553 8,094,175	50,439,671 15,162,888
Non-operating expenses Median	26,143,649 146,289.5	23,443,996 164,857	21,045,795 89,880.5	28,839,248 106,761	22,074,158 31,473.5
Net income Median	19,611,734 6,043,842	15,530,878 5,845,112	17,245,958 7,606,259	19,827,305 7,283,041	28,365,513 14,957,241
Net margin Median	8.60579% 4.62%	6.76355% 4.42%	7.59298% 5.16%	8.22931% 5.2%	11.18040% 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 HOT SPRINGS 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	56,423,449 23,241,334	52,574,029 23,709,545	51,894,751 24,248,380	46,294,795 22,858,541	52,133,361 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	56,423,449 21,577,146	52,574,029 22,041,594	51,894,751 22,722,063	46,294,795 21,570,441	52,101,421 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	31,940 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	24,941,134 11,160,864	26,891,317 11,987,345	29,050,418 12,926,866	26,008,433 11,884,480	27,386,944 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	24,941,134 10,918,923	26,891,317 11,706,976	29,050,418 12,615,917	26,008,433 11,458,116	27,386,944 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	1,433,748 594,888	1,511,971 595,761	1,290,043 577,894	1,044,694 542,168	1,171,959 549,667
Outlier Median	656,553 582,572	412,423 538,116	1,050,068 212,434	23,534 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,775,329 3,662,910	6,084,325 3,730,911	5,724,471 4,081,319	1,137,434 4,643,908	1,163,586 4,389,147
Charity care Median	3,011,029 2,654,636	3,403,645 2,940,659	0 3,380,215	5,160,945 3,488,738	3,415,025 3,233,405
Uncompensated care (UCC) Median	5,174,375 5,147,790	7,591,077 5,337,617	420,272 5,711,082	7,922,905 5,923,418	6,137,546 5,508,107
UCC as a % of operating expenses Median	2.84% 3.24	3.98% 3.12	0.22% 3.21	4.12% 3.3	3.02% 2.86
Total shortfall/UCC Median	12,949,704 9,489,989	13,675,402 9,424,297	6,144,743 10,120,158	9,060,339 11,171,337	7,301,132 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	63,602,745 52,142,039	68,118,721 54,485,252	66,611,544 57,395,589	65,266,259 58,830,919	68,973,263 61,722,907
Salaries as a % of operating expenses Median	34.92 36.68	35.73 36.56	35.27 36.37	33.95 35.93	33.93 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	3,515,990 1,449,244	1,370,556 1,475,986	1,865,016 1,563,078	2,015,880 1,721,954	6,037,961 2,991,828
Contract hours, direct-care Median	46,186.00 22,725	18,876.00 23,018.5	26,702.00 24,503.48	27,367.00 25,026.5	456,936.73 33,786
Contract wages, direct-care Median	76.13 64.67	72.61 64.53	69.85 65.06	73.66 68.97	13.21 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.