As of the July, 2022, release via CMS

ST. MARGARETS HEALTH - SPRING VALLEY

CMS id: 140143
600 EAST FIRST ST, SPRING VALLEY IL 61362. County: BUREAU
System: SISTERS MARY OF THE PRESENTATION HC
CBSA: Ottawa, IL

The 44-bed, acute-care hospital had $-19,671,678 in net service to patients*, with a total profit margin of -1.26943% in fiscal year 2021, the latest year available.
It spent 1.05% of its operating expenses on uncompensated care and reported $6,000,100 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	50 118	38 118	38 119.5	38 118	38 119
Total beds Median	56 162	44 162	44 162	44 162	44 163.5
FTEs Median	591.07 788.06	590.29 793.42	593.91 806.03	584.80 787.61	568.98 804.34

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	82,864,414 150,932,746	84,747,319 158,950,878	85,715,061 168,696,998	77,173,881 163,454,693	79,937,651 186,589,412
Operating expenses Median	81,855,945 149,311,209	89,510,942 156,110,414	90,030,589 164,890,568	87,841,423 166,516,854	99,609,329 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,008,469 -964,173	-4,763,623 -643,601.5	-4,315,528 -116,254	-10,667,542 -5,025,862	-19,671,678 -1,284,564
NS2P margin ? Median	1.22% -0.62	-5.62% -0.29	-5.03% 0.18	-13.82% -5.07	-24.61% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. MARGARETS HEALTH - SPRING VALLEY 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	4,523,967 5,089,215	3,577,563 4,572,541	2,665,385 5,268,134	11,249,135 13,092,619	18,439,258 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	33,611 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	7,315,394 375,329
⊳ 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	205,077	229,903	237,135	219,159	191,677
⊳ Line 15: Revenue from rental of living quarters	64,321	61,999	61,776	60,556	56,201
⊳ 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	265,118	244,614	263,521	193,662	156,551
⊳ Line 18: Revenue from sale of medical records and abstracts	2,468	1,680	1,404	1,021	1,330
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	136,238	152,016	140,076	138,370	122,197
⊳ 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	3,850,745	2,887,351	1,961,473	10,636,367	10,562,297
Total income ? Median	5,532,436 6,586,430	-1,186,060 6,767,106	-1,650,143 8,419,950	581,593 8,094,175	-1,232,420 15,162,888
Non-operating expenses Median	-4,715 146,289.5	21,485 164,857	18,530 89,880.5	36,935 106,761	16,406 31,473.5
Net income Median	5,537,151 6,043,842	-1,207,545 5,845,112	-1,668,673 7,606,259	544,658 7,283,041	-1,248,826 14,957,241
Net margin Median	6.33626% 4.62%	-1.36716% 4.42%	-1.88806% 5.16%	0.61597% 5.2%	-1.26943% 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. MARGARETS HEALTH - SPRING VALLEY 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	9,225,566 23,241,334	9,427,878 23,709,545	8,447,680 24,248,380	7,260,445 22,858,541	7,329,658 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	9,225,566 21,577,146	9,427,878 22,041,594	8,447,680 22,722,063	7,260,445 21,570,441	7,329,658 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	8,234,288 11,160,864	8,902,024 11,987,345	9,589,659 12,926,866	8,519,683 11,884,480	8,154,534 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	8,234,288 10,918,923	8,902,024 11,706,976	9,589,659 12,615,917	8,519,683 11,458,116	8,131,466 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	23,068 670,558
⊳ 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	135,582 594,888	0 595,761	0 577,894	0 542,168	46,354 549,667
Outlier Median	142,952 582,572	142,142 538,116	96,106 212,434	234,530 126,559	360,962 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,272,488 3,662,910	7,777,574 3,730,911	7,087,166 4,081,319	6,711,332 4,643,908	6,000,100 4,389,147
Charity care Median	2,242,741 2,654,636	930,120 2,940,659	1,530,840 3,380,215	1,648,306 3,488,738	338,583 3,233,405
Uncompensated care (UCC) Median	2,820,712 5,147,790	1,785,983 5,337,617	2,339,891 5,711,082	2,263,792 5,923,418	1,049,377 5,508,107
UCC as a % of operating expenses Median	3.45% 3.24	2.00% 3.12	2.60% 3.21	2.58% 3.3	1.05% 2.86
Total shortfall/UCC Median	9,093,200 9,489,989	9,563,557 9,424,297	9,427,057 10,120,158	8,975,124 11,171,337	7,049,477 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	35,572,594 52,142,039	37,526,848 54,485,252	38,285,423 57,395,589	38,359,349 58,830,919	37,945,356 61,722,907
Salaries as a % of operating expenses Median	43.46 36.68	41.92 36.56	42.52 36.37	43.67 35.93	38.09 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	609,685 1,449,244	1,077,674 1,475,986	570,163 1,563,078	392,773 1,721,954	1,791,636 2,991,828
Contract hours, direct-care Median	8,745.30 22,725	15,285.35 23,018.5	8,226.75 24,503.48	5,838.80 25,026.5	17,330.96 33,786
Contract wages, direct-care Median	69.72 64.67	70.50 64.53	69.31 65.06	67.27 68.97	103.38 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.