As of the July, 2022, release via CMS

ST. LUKES REGIONAL MEDICAL CENTER

CMS id: 130006
190 EAST BANNOCK, BOISE ID 83712. County: ADA
System: ST LUKES HEALTH SYSTEM
CBSA: Boise City, ID

The 579-bed, acute-care hospital had $-47,388,866 in net service to patients*, with a total profit margin of 11.81380% in fiscal year 2021, the latest year available.
It spent 1.21% of its operating expenses on uncompensated care and reported $50,722,565 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	410 118	410 118	410 119.5	412 118	412 119
Total beds Median	578 162	578 162	578 162	579 162	579 163.5
FTEs Median	6,913.67 788.06	6,599.53 793.42	6,569.82 806.03	6,316.86 787.61	6,625.36 804.34

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	1,474,828,839 150,932,746	1,522,425,898 158,950,878	1,605,165,760 168,696,998	1,586,932,966 163,454,693	1,783,021,304 186,589,412
Operating expenses Median	1,517,252,880 149,311,209	1,543,613,122 156,110,414	1,578,196,801 164,890,568	1,663,449,442 166,516,854	1,830,410,170 180,120,888
Net income from service 2 patients (NS2P) ? Median	-42,424,041 -964,173	-21,187,224 -643,601.5	26,968,959 -116,254	-76,516,476 -5,025,862	-47,388,866 -1,284,564
NS2P margin ? Median	-2.88% -0.62	-1.39% -0.29	1.68% 0.18	-4.82% -5.07	-2.66% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. LUKES REGIONAL 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	38,033,940 5,089,215	75,797,911 4,572,541	98,956,756 5,268,134	163,454,732 13,092,619	204,442,578 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,911,884 224,999	5,298,927 199,009	7,103,843 206,870.5	6,701,452 194,343	11,139,946 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	50,817	43,270	78,752	67,642	115,501
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,849,614	3,641,885	3,205,537	2,556,455	2,387,452
⊳ 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	90,563	1,469	290	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	94,222	96,530	78,751	67,826	56,953
⊳ Line 22: Rental of hospital space	2,542,319	5,214,743	7,454,846	4,933,073	4,237,533
⊳ 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	26,494,521	61,501,087	81,034,737	149,128,284	186,505,193
Total income ? Median	-4,390,101 6,586,430	54,610,687 6,767,106	125,925,715 8,419,950	86,938,256 8,094,175	157,053,712 15,162,888
Non-operating expenses Median	-23,875,332 146,289.5	-1,393,090 164,857	-3,672,789 89,880.5	-2,391,613 106,761	-77,741,234 31,473.5
Net income Median	19,485,231 6,043,842	56,003,777 5,845,112	129,598,504 7,606,259	89,329,869 7,283,041	234,794,946 14,957,241
Net margin Median	1.28797% 4.62%	3.50413% 4.42%	7.60500% 5.16%	5.10343% 5.2%	11.81380% 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 REGIONAL 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	90,520,186 23,241,334	95,674,684 23,709,545	100,598,414 24,248,380	94,161,340 22,858,541	93,941,244 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	87,537,332 21,577,146	92,412,896 22,041,594	98,295,241 22,722,063	91,579,173 21,570,441	91,344,007 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	2,982,854 3,535,627	3,261,788 3,746,588	2,303,173 3,782,288	2,582,167 3,865,578	2,597,237 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	98,824,862 11,160,864	108,026,749 11,987,345	114,307,840 12,926,866	108,393,600 11,884,480	119,553,651 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	95,786,937 10,918,923	105,072,385 11,706,976	111,286,808 12,615,917	105,308,363 11,458,116	116,359,131 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,037,925 1,282,808	2,954,364 1,407,728	3,021,032 1,341,512	3,085,237 1,407,046	3,194,520 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	745,190 3,284,314	783,974 3,250,551	769,356 3,386,837	736,593 3,360,806	729,759 3,508,953
Disproportionate-share hospital (DSH) Median	2,462,631 594,888	2,347,928 595,761	2,373,181 577,894	2,775,756 542,168	2,513,857 549,667
Outlier Median	11,250,066 582,572	10,600,182 538,116	4,511,505 212,434	3,735,705 126,559	4,336,880 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	17,613,319 3,662,910	18,468,059 3,730,911	18,075,253 4,081,319	54,545,262 4,643,908	50,722,565 4,389,147
Charity care Median	28,202,681 2,654,636	23,243,125 2,940,659	28,053,068 3,380,215	22,218,707 3,488,738	11,912,480 3,233,405
Uncompensated care (UCC) Median	47,534,249 5,147,790	42,697,429 5,337,617	41,677,656 5,711,082	33,340,566 5,923,418	22,180,004 5,508,107
UCC as a % of operating expenses Median	3.13% 3.24	2.77% 3.12	2.64% 3.21	2.00% 3.3	1.21% 2.86
Total shortfall/UCC Median	65,147,568 9,489,989	61,165,488 9,424,297	59,752,909 10,120,158	87,885,828 11,171,337	72,902,569 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	542,304,918 52,142,039	556,812,938 54,485,252	575,548,296 57,395,589	586,829,006 58,830,919	634,879,431 61,722,907
Salaries as a % of operating expenses Median	35.72 36.68	36.19 36.56	36.58 36.37	35.38 35.93	34.78 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	10,830,861 1,449,244	5,071,674 1,475,986	3,434,507 1,563,078	7,540,849 1,721,954	13,033,679 2,991,828
Contract hours, direct-care Median	143,624.00 22,725	61,248.00 23,018.5	39,048.00 24,503.48	91,662.00 25,026.5	150,998.00 33,786
Contract wages, direct-care Median	75.41 64.67	82.81 64.53	87.96 65.06	82.27 68.97	86.32 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.