As of the July, 2022, release via CMS

ST. ALPHONSUS MEDICAL CENTER - NAMP

CMS id: 130013
1512 12TH AVE ROAD, NAMPA ID 83686. County: CANYON
System: TRINITY HEALTH
CBSA: Boise City, ID

The 96-bed, acute-care hospital had $42,571,826 in net service to patients*, with a total profit margin of 27.06765% in fiscal year 2021, the latest year available.
It spent 3.71% of its operating expenses on uncompensated care and reported $0 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	126 118	76 118	74 119.5	74 118	74 119
Total beds Median	151 162	98 162	96 162	96 162	96 163.5
FTEs Median	625.34 788.06	634.98 793.42	684.73 806.03	720.74 787.61	765.22 804.34

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	132,010,226 150,932,746	134,803,043 158,950,878	167,077,339 168,696,998	181,353,917 163,454,693	224,387,964 186,589,412
Operating expenses Median	133,670,223 149,311,209	140,547,301 156,110,414	151,158,287 164,890,568	161,103,202 166,516,854	181,816,138 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,659,997 -964,173	-5,744,258 -643,601.5	15,919,052 -116,254	20,250,715 -5,025,862	42,571,826 -1,284,564
NS2P margin ? Median	-1.26% -0.62	-4.26% -0.29	9.53% 0.18	11.17% -5.07	18.97% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. ALPHONSUS MEDICAL CENTER - NAMP 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	7,769,920 5,089,215	6,291,266 4,572,541	3,977,439 5,268,134	8,648,470 13,092,619	25,111,872 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,162,915 299,524	1,513,391 188,688.5	754,097 370,813	1,326,144 309,361.5	21,340,968 375,329
⊳ 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	1,236	1,326
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	444,245	468,978	553,961	508,977	513,717
⊳ 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	1,757,395
⊳ Line 18: Revenue from sale of medical records and abstracts	876	0	27	620	3
⊳ 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	10,375	12,314	10,933	7,833	471
⊳ Line 22: Rental of hospital space	1,247,905	573,811	417,784	411,833	533,164
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	6,192 1,987,202	38,512 1,597,664
⊳ Sum Line 24	4,903,604	3,722,772	2,240,637	6,385,635	926,316
Total income ? Median	6,109,923 6,586,430	547,008 6,767,106	19,896,491 8,419,950	28,899,185 8,094,175	67,683,698 15,162,888
Non-operating expenses Median	0 146,289.5	-465,660 164,857	1,546,330 89,880.5	164,910 106,761	149,958 31,473.5
Net income Median	6,109,923 6,043,842	1,012,668 5,845,112	18,350,161 7,606,259	28,734,275 7,283,041	67,533,740 14,957,241
Net margin Median	4.37110% 4.62%	0.71772% 4.42%	10.72765% 5.16%	15.12311% 5.2%	27.06765% 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 MEDICAL CENTER - NAMP 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	14,092,860 23,241,334	14,017,166 23,709,545	16,309,345 24,248,380	14,791,820 22,858,541	15,496,272 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	14,092,860 21,577,146	14,017,166 22,041,594	16,309,345 22,722,063	14,791,820 21,570,441	15,496,272 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	9,295,306 11,160,864	10,183,028 11,987,345	13,904,454 12,926,866	17,381,839 11,884,480	18,726,828 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	9,295,306 10,918,923	10,183,028 11,706,976	13,904,454 12,615,917	17,381,839 11,458,116	18,726,828 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	472,560 594,888	399,107 595,761	479,221 577,894	451,708 542,168	430,150 549,667
Outlier Median	213,260 582,572	436,874 538,116	292,891 212,434	74,195 126,559	73,222 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,104,682 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	6,790,228 2,654,636	6,775,259 2,940,659	8,682,807 3,380,215	8,640,480 3,488,738	4,666,380 3,233,405
Uncompensated care (UCC) Median	9,213,365 5,147,790	10,013,632 5,337,617	12,383,668 5,711,082	12,533,618 5,923,418	6,736,753 5,508,107
UCC as a % of operating expenses Median	6.89% 3.24	7.12% 3.12	8.19% 3.21	7.78% 3.3	3.71% 2.86
Total shortfall/UCC Median	11,318,047 9,489,989	10,013,632 9,424,297	12,383,668 10,120,158	12,533,618 11,171,337	6,736,753 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	39,894,490 52,142,039	44,144,290 54,485,252	48,408,985 57,395,589	52,951,209 58,830,919	62,552,300 61,722,907
Salaries as a % of operating expenses Median	31.95 36.68	31.41 36.56	32.03 36.37	32.87 35.93	34.40 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	663,752 1,449,244	1,138,259 1,475,986	456,035 1,563,078	517,766 1,721,954	628,043 2,991,828
Contract hours, direct-care Median	9,108.49 22,725	19,850.00 23,018.5	6,036.00 24,503.48	7,806.00 25,026.5	8,605.00 33,786
Contract wages, direct-care Median	72.87 64.67	57.34 64.53	75.55 65.06	66.33 68.97	72.99 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.