As of the July, 2022, release via CMS

ST. ALPHONSUS REGIONAL MED CENTER

CMS id: 130007
1055 NORTH CURTIS ROAD, BOISE ID 83706. County: ADA
System: TRINITY HEALTH
CBSA: Boise City, ID

The 378-bed, acute-care hospital had $-11,391,122 in net service to patients*, with a total profit margin of 15.48434% in fiscal year 2021, the latest year available.
It spent 2.23% of its operating expenses on uncompensated care and reported $15,609,957 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	282 118	282 118	282 119.5	282 118	282 119
Total beds Median	393 162	393 162	378 162	378 162	378 163.5
FTEs Median	3,338.45 788.06	3,249.01 793.42	3,367.38 806.03	3,209.33 787.61	3,079.84 804.34

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	590,471,768 150,932,746	635,668,521 158,950,878	637,579,458 168,696,998	607,315,136 163,454,693	684,341,447 186,589,412
Operating expenses Median	604,934,283 149,311,209	634,779,516 156,110,414	656,439,141 164,890,568	654,739,414 166,516,854	695,732,569 180,120,888
Net income from service 2 patients (NS2P) ? Median	-14,462,515 -964,173	889,005 -643,601.5	-18,859,683 -116,254	-47,424,278 -5,025,862	-11,391,122 -1,284,564
NS2P margin ? Median	-2.45% -0.62	0.14% -0.29	-2.96% 0.18	-7.81% -5.07	-1.66% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. ALPHONSUS REGIONAL MED 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	52,400,528 5,089,215	40,234,984 4,572,541	48,100,361 5,268,134	63,719,788 13,092,619	139,476,330 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	6,786,731 224,999	4,057,286 199,009	3,573,558 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	24,588,271 299,524	10,089,088 188,688.5	8,508,643 370,813	10,068,607 309,361.5	76,792,333 375,329
⊳ 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	93,972	64,797
⊳ Line 13: Revenue from laundry and linen service	0	0	0	113,068	125,139
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,593,145	2,747,204	3,028,968	2,330,742	1,821,479
⊳ 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	30	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	10,211	16,298	19,167	14,952	0
⊳ Line 22: Rental of hospital space	0	0	0	542,473	514,854
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	488,680 983,261.5	176,048 1,173,286	319,238 1,987,202	0 1,597,664
⊳ Sum Line 24	18,422,170	22,836,428	32,793,977	50,236,706	60,157,728
Total income ? Median	37,938,013 6,586,430	41,123,989 6,767,106	29,240,678 8,419,950	16,295,510 8,094,175	128,085,208 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	703,176 106,761	522,467 31,473.5
Net income Median	37,938,013 6,043,842	41,123,989 5,845,112	29,240,678 7,606,259	15,592,334 7,283,041	127,562,741 14,957,241
Net margin Median	5.90133% 4.62%	6.08430% 4.42%	4.26448% 5.16%	2.32362% 5.2%	15.48434% 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. ALPHONSUS REGIONAL MED 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	63,015,886 23,241,334	65,219,528 23,709,545	67,053,771 24,248,380	58,815,395 22,858,541	60,875,185 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	60,184,403 21,577,146	61,320,424 22,041,594	62,110,801 22,722,063	58,213,649 21,570,441	60,875,185 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	2,057,768 3,535,627	3,598,174 3,746,588	4,942,970 3,782,288	601,746 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	773,715 1,203,033	300,930 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	33,230,483 11,160,864	39,590,584 11,987,345	38,853,151 12,926,866	37,360,019 11,884,480	36,347,601 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	33,230,483 10,918,923	39,590,584 11,706,976	38,853,151 12,615,917	37,360,019 11,458,116	36,347,601 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	1,477,800 3,284,314	1,426,196 3,250,551	1,519,564 3,386,837	1,403,091 3,360,806	1,541,611 3,508,953
Disproportionate-share hospital (DSH) Median	1,623,591 594,888	1,476,220 595,761	1,486,228 577,894	1,595,374 542,168	1,822,402 549,667
Outlier Median	4,268,266 582,572	5,245,195 538,116	3,947,797 212,434	364,437 126,559	487,503 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,704,992 3,662,910	2,185,482 3,730,911	0 4,081,319	14,515,311 4,643,908	15,609,957 4,389,147
Charity care Median	16,714,916 2,654,636	12,737,718 2,940,659	18,707,153 3,380,215	18,453,863 3,488,738	10,360,124 3,233,405
Uncompensated care (UCC) Median	21,427,468 5,147,790	19,435,426 5,337,617	28,820,441 5,711,082	27,600,571 5,923,418	15,485,868 5,508,107
UCC as a % of operating expenses Median	3.54% 3.24	3.06% 3.12	4.39% 3.21	4.22% 3.3	2.23% 2.86
Total shortfall/UCC Median	34,132,460 9,489,989	21,620,908 9,424,297	28,820,441 10,120,158	42,115,882 11,171,337	31,095,825 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	250,161,955 52,142,039	260,506,772 54,485,252	270,960,976 57,395,589	268,475,345 58,830,919	278,205,443 61,722,907
Salaries as a % of operating expenses Median	41.35 36.68	41.04 36.56	41.28 36.37	41.00 35.93	39.99 35.24
Intern, resident salaries* Median	52,950 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	2,089,194 1,251,927	1,916,962 1,186,494	1,893,710 1,204,885	654,842 1,279,653	1,648,499 1,469,317
Contract adjusted salaries, direct-care Median	5,429,534 1,449,244	4,410,219 1,475,986	2,873,837 1,563,078	1,457,871 1,721,954	5,483,121 2,991,828
Contract hours, direct-care Median	100,056.00 22,725	62,335.00 23,018.5	45,881.00 24,503.48	21,302.00 25,026.5	68,183.00 33,786
Contract wages, direct-care Median	54.26 64.67	70.75 64.53	62.64 65.06	68.44 68.97	80.42 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.