As of the July, 2022, release via CMS

ST LUKES MAGIC VALLEY REG MED CTR

CMS id: 130002
801 POLE LINE ROAD WEST, TWIN FALLS ID 83301. County: TWIN FALLS
System: ST LUKES HEALTH SYSTEM
CBSA: Twin Falls, ID

The 217-bed, acute-care hospital had $-5,153,966 in net service to patients*, with a total profit margin of 5.64297% in fiscal year 2021, the latest year available.
It spent 2.45% of its operating expenses on uncompensated care and reported $16,341,190 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	116 118	124 118	125 119.5	125 118	125 119
Total beds Median	195 162	214 162	213 162	213 162	217 163.5
FTEs Median	1,948.91 788.06	1,784.41 793.42	1,764.91 806.03	1,722.72 787.61	1,813.70 804.34

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	371,211,532 150,932,746	386,881,546 158,950,878	404,006,208 168,696,998	385,623,408 163,454,693	458,610,223 186,589,412
Operating expenses Median	374,059,086 149,311,209	390,963,960 156,110,414	415,275,259 164,890,568	419,765,168 166,516,854	463,764,189 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,847,554 -964,173	-4,082,414 -643,601.5	-11,269,051 -116,254	-34,141,760 -5,025,862	-5,153,966 -1,284,564
NS2P margin ? Median	-0.77% -0.62	-1.06% -0.29	-2.79% 0.18	-8.85% -5.07	-1.12% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST LUKES MAGIC VALLEY REG MED CTR 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	10,430,500 5,089,215	16,935,208 4,572,541	21,044,701 5,268,134	58,172,468 13,092,619	32,889,134 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	484,417 224,999	549,183 199,009	520,674 206,870.5	493,417 194,343	465,666 249,496
⊳ Line 7: Investments ? ⊳ Median	212,449 299,524	286,180 188,688.5	437,118 370,813	580,702 309,361.5	4,132,788 375,329
⊳ 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	90
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,878,630	1,766,814	1,815,037	1,554,826	1,563,736
⊳ 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	100,813	40	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	0	0	0	0
⊳ Line 21: Rental of vending machines	20,107	21,002	18,619	14,480	9,641
⊳ Line 22: Rental of hospital space	41,670	939,670	917,388	934,214	951,558
⊳ 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	7,692,414	13,372,319	17,335,865	54,594,829	25,765,655
Total income ? Median	7,582,946 6,586,430	12,852,794 6,767,106	9,775,650 8,419,950	24,030,708 8,094,175	27,735,168 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	7,582,946 6,043,842	12,852,794 5,845,112	9,775,650 7,606,259	24,030,708 7,283,041	27,735,168 14,957,241
Net margin Median	1.98693% 4.62%	3.18283% 4.42%	2.29988% 5.16%	5.41481% 5.2%	5.64297% 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 LUKES MAGIC VALLEY REG MED CTR 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	40,212,056 23,241,334	40,797,063 23,709,545	39,048,900 24,248,380	36,105,430 22,858,541	37,135,228 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	36,232,062 21,577,146	37,279,928 22,041,594	35,245,158 22,722,063	32,923,870 21,570,441	33,792,194 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	1,034,374 1,845,420	1,072,851 1,757,392	1,093,868 1,738,842	623,110 1,510,463	771,424 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,945,620 3,535,627	2,444,284 3,746,588	2,709,874 3,782,288	2,558,450 3,865,578	2,571,610 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	31,246,857 11,160,864	33,510,751 11,987,345	36,501,395 12,926,866	33,238,170 11,884,480	35,775,262 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	30,161,281 10,918,923	32,410,909 11,706,976	35,334,911 12,615,917	32,229,471 11,458,116	34,757,913 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,085,576 1,282,808	1,099,842 1,407,728	1,166,484 1,341,512	1,008,699 1,407,046	1,017,349 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	669,921 594,888	760,628 595,761	759,038 577,894	744,221 542,168	777,049 549,667
Outlier Median	4,489,877 582,572	3,924,807 538,116	1,994,837 212,434	1,242,241 126,559	1,240,784 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,169,500 3,662,910	4,430,381 3,730,911	5,334,631 4,081,319	15,948,096 4,643,908	16,341,190 4,389,147
Charity care Median	6,348,333 2,654,636	11,807,703 2,940,659	12,223,523 3,380,215	12,721,916 3,488,738	5,708,511 3,233,405
Uncompensated care (UCC) Median	9,644,490 5,147,790	18,690,673 5,337,617	20,501,082 5,711,082	20,017,056 5,923,418	11,344,841 5,508,107
UCC as a % of operating expenses Median	2.58% 3.24	4.78% 3.12	4.94% 3.21	4.77% 3.3	2.45% 2.86
Total shortfall/UCC Median	14,813,990 9,489,989	23,121,054 9,424,297	25,835,713 10,120,158	35,965,152 11,171,337	27,686,031 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	116,437,070 52,142,039	114,989,874 54,485,252	119,825,512 57,395,589	122,029,848 58,830,919	137,382,817 61,722,907
Salaries as a % of operating expenses Median	31.13 36.68	29.41 36.56	28.85 36.37	29.07 35.93	29.62 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	3,013,117 1,449,244	1,662,268 1,475,986	1,151,778 1,563,078	1,887,233 1,721,954	1,928,881 2,991,828
Contract hours, direct-care Median	37,269.00 22,725	21,897.00 23,018.5	15,341.00 24,503.48	25,744.00 25,026.5	20,508.00 33,786
Contract wages, direct-care Median	80.85 64.67	75.91 64.53	75.08 65.06	73.31 68.97	94.06 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.