As of the July, 2022, release via CMS

ASCENSION SACRED HEART PENSACOLA

CMS id: 100025
5151 NORTH 9TH AVENUE, PENSACOLA FL 32504. County: ESCAMBIA
System: SACRED HEART MSO
CBSA: Pensacola-Ferry Pass-Brent, FL

The 536-bed, acute-care hospital had $-86,200,916 in net service to patients*, with a total profit margin of -6.86309% in fiscal year 2021, the latest year available.
It spent 4.23% of its operating expenses on uncompensated care and reported $28,054,142 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	429 118	429 118	419 119.5	392 118	382 119
Total beds Median	566 162	566 162	561 162	533 162	536 163.5
FTEs Median	3,007.66 788.06	2,760.33 793.42	2,757.66 806.03	2,814.45 787.61	2,948.70 804.34

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	708,450,714 150,932,746	712,432,890 158,950,878	741,520,434 168,696,998	768,525,598 163,454,693	854,863,352 186,589,412
Operating expenses Median	753,195,682 149,311,209	801,031,540 156,110,414	799,055,806 164,890,568	886,285,006 166,516,854	941,064,268 180,120,888
Net income from service 2 patients (NS2P) ? Median	-44,744,968 -964,173	-88,598,650 -643,601.5	-57,535,372 -116,254	-117,759,408 -5,025,862	-86,200,916 -1,284,564
NS2P margin ? Median	-6.32% -0.62	-12.44% -0.29	-7.76% 0.18	-15.32% -5.07	-10.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION SACRED HEART PENSACOLA 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	68,874,582 5,089,215	77,955,745 4,572,541	50,872,864 5,268,134	101,463,389 13,092,619	25,762,727 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-571,602 224,999	-488,575 199,009	-772,823 206,870.5	-539,253 194,343	-610,755 249,496
⊳ Line 7: Investments ? ⊳ Median	351,064 299,524	531,406 188,688.5	82,293 370,813	330,820 309,361.5	130,694 375,329
⊳ 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	2,298,112	2,419,064	2,413,319	2,255,931	2,110,288
⊳ 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	7,105,493	11,558,651	19,156,594	20,215,986	17,717,292
⊳ Line 18: Revenue from sale of medical records and abstracts	0	13,784	5,160	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	0	0	0	0
⊳ Line 21: Rental of vending machines	176,274	218,150	124,061	71,234	73,208
⊳ Line 22: Rental of hospital space	213,796	482,602	550,740	547,142	565,630
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	333,073 983,261.5	4,573,743 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	59,301,445	62,887,590	24,739,777	78,581,529	5,776,370
Total income ? Median	24,129,614 6,586,430	-10,642,905 6,767,106	-6,662,508 8,419,950	-16,296,019 8,094,175	-60,438,189 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	210 106,761	0 31,473.5
Net income Median	24,129,614 6,043,842	-10,642,905 5,845,112	-6,662,508 7,606,259	-16,296,229 7,283,041	-60,438,189 14,957,241
Net margin Median	3.10418% 4.62%	-1.34654% 4.42%	-0.84081% 5.16%	-1.87315% 5.2%	-6.86309% 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 ASCENSION SACRED HEART PENSACOLA 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	77,816,315 23,241,334	80,340,644 23,709,545	80,936,358 24,248,380	86,262,099 22,858,541	87,860,705 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	77,816,315 21,577,146	80,340,644 22,041,594	80,936,358 22,722,063	86,262,099 21,570,441	87,860,705 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	73,340,846 11,160,864	70,049,377 11,987,345	72,529,728 12,926,866	75,338,135 11,884,480	75,977,917 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	73,340,846 10,918,923	70,049,377 11,706,976	72,529,728 12,615,917	75,338,135 11,458,116	75,977,917 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	2,767,123 3,284,314	2,856,324 3,250,551	2,787,770 3,386,837	2,935,735 3,360,806	3,317,348 3,508,953
Disproportionate-share hospital (DSH) Median	3,621,600 594,888	3,419,584 595,761	3,320,357 577,894	3,339,427 542,168	3,294,746 549,667
Outlier Median	2,917,678 582,572	2,090,919 538,116	1,772,500 212,434	690,108 126,559	746,669 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,719,910 3,662,910	19,076,867 3,730,911	27,185,692 4,081,319	28,433,021 4,643,908	28,054,142 4,389,147
Charity care Median	28,509,170 2,654,636	29,623,792 2,940,659	32,306,509 3,380,215	30,356,074 3,488,738	34,922,571 3,233,405
Uncompensated care (UCC) Median	30,266,329 5,147,790	31,400,316 5,337,617	34,594,780 5,711,082	33,732,185 5,923,418	39,784,567 5,508,107
UCC as a % of operating expenses Median	4.02% 3.24	3.92% 3.12	4.33% 3.21	3.81% 3.3	4.23% 2.86
Total shortfall/UCC Median	41,986,239 9,489,989	50,477,183 9,424,297	61,780,472 10,120,158	62,165,206 11,171,337	67,838,709 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	218,154,284 52,142,039	205,987,546 54,485,252	216,050,997 57,395,589	226,288,457 58,830,919	243,083,860 61,722,907
Salaries as a % of operating expenses Median	33.14 36.68	31.30 36.56	32.63 36.37	31.65 35.93	31.80 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	2,925,785 1,251,927	3,801,126 1,186,494	3,279,184 1,204,885	3,777,971 1,279,653	3,999,077 1,469,317
Contract adjusted salaries, direct-care Median	8,790,837 1,449,244	5,014,207 1,475,986	3,665,030 1,563,078	4,119,704 1,721,954	6,487,036 2,991,828
Contract hours, direct-care Median	227,168.00 22,725	130,873.00 23,018.5	122,399.83 24,503.48	120,472.00 25,026.5	133,324.00 33,786
Contract wages, direct-care Median	38.70 64.67	38.31 64.53	29.94 65.06	34.20 68.97	48.66 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.