As of the July, 2022, release via CMS

ASCENSION ST VINCENT KOKOMO

CMS id: 150010
1907 WEST SYCAMORE, KOKOMO IN 46901. County: HOWARD
System: ST VINCENT HEALTH
CBSA: Kokomo, IN

The 129-bed, acute-care hospital had $28,427,746 in net service to patients*, with a total profit margin of 19.08635% in fiscal year 2021, the latest year available.
It spent 2.84% of its operating expenses on uncompensated care and reported $9,392,437 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	94 118	98 118	98 119.5	98 118	98 119
Total beds Median	125 162	129 162	129 162	129 162	129 163.5
FTEs Median	676.79 788.06	544.10 793.42	470.03 806.03	463.76 787.61	450.90 804.34

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	159,083,342 150,932,746	153,698,296 158,950,878	160,118,314 168,696,998	158,590,938 163,454,693	169,067,532 186,589,412
Operating expenses Median	132,695,340 149,311,209	133,489,959 156,110,414	134,506,409 164,890,568	138,404,644 166,516,854	140,639,786 180,120,888
Net income from service 2 patients (NS2P) ? Median	26,388,002 -964,173	20,208,337 -643,601.5	25,611,905 -116,254	20,186,294 -5,025,862	28,427,746 -1,284,564
NS2P margin ? Median	16.59% -0.62	13.15% -0.29	16.00% 0.18	12.73% -5.07	16.81% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION ST VINCENT KOKOMO 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	1,909,490 5,089,215	1,025,064 4,572,541	1,102,446 5,268,134	4,099,556 13,092,619	4,747,132 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	0 299,524	14,000 188,688.5	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	483,923	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	597,367	0	452,985	420,216	338,109
⊳ 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	17,262	11,219	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	484	52,142	5,110	744
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	6,470	14,851	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	26,083	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	179,493	0	137,173	133,677	134,921
⊳ Line 23: Gov appropriations ? ⊳ Median	515,247 1,017,693	23,325 983,261.5	-1,893 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	588,121	466,030	425,453	3,510,202	4,273,358
Total income ? Median	28,297,492 6,586,430	21,233,401 6,767,106	26,714,351 8,419,950	24,285,850 8,094,175	33,174,878 15,162,888
Non-operating expenses Median	0 146,289.5	1,875,805 164,857	0 89,880.5	5,218,860 106,761	0 31,473.5
Net income Median	28,297,492 6,043,842	19,357,596 5,845,112	26,714,351 7,606,259	19,066,990 7,283,041	33,174,878 14,957,241
Net margin Median	17.57686% 4.62%	12.51110% 4.42%	16.57004% 5.16%	11.71979% 5.2%	19.08635% 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 ASCENSION ST VINCENT KOKOMO 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	22,893,330 23,241,334	21,550,247 23,709,545	19,219,990 24,248,380	20,355,579 22,858,541	21,593,559 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	19,173,809 21,577,146	17,512,561 22,041,594	15,346,729 22,722,063	16,114,401 21,570,441	17,432,133 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	3,719,521 3,535,627	4,037,686 3,746,588	3,873,261 3,782,288	4,241,178 3,865,578	4,161,426 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	19,833,637 11,160,864	18,698,961 11,987,345	17,223,013 12,926,866	17,494,850 11,884,480	17,192,569 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	19,833,637 10,918,923	18,698,961 11,706,976	17,223,013 12,615,917	17,494,850 11,458,116	17,192,569 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	520,775 594,888	492,936 595,761	371,450 577,894	423,426 542,168	331,936 549,667
Outlier Median	717,077 582,572	445,143 538,116	458,351 212,434	114,473 126,559	174,083 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,212,374 3,662,910	7,170,256 3,730,911	6,542,861 4,081,319	9,009,656 4,643,908	9,392,437 4,389,147
Charity care Median	6,512,986 2,654,636	6,729,268 2,940,659	6,196,148 3,380,215	5,891,514 3,488,738	2,594,701 3,233,405
Uncompensated care (UCC) Median	7,565,697 5,147,790	7,531,485 5,337,617	6,768,537 5,711,082	6,850,496 5,923,418	4,001,131 5,508,107
UCC as a % of operating expenses Median	5.70% 3.24	5.64% 3.12	5.03% 3.21	4.95% 3.3	2.84% 2.86
Total shortfall/UCC Median	17,778,071 9,489,989	14,701,741 9,424,297	13,311,398 10,120,158	15,860,152 11,171,337	13,393,568 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	41,550,020 52,142,039	35,616,017 54,485,252	31,284,853 57,395,589	31,666,357 58,830,919	32,449,481 61,722,907
Salaries as a % of operating expenses Median	31.31 36.68	26.68 36.56	23.26 36.37	22.88 35.93	23.07 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	577,656 1,449,244	1,181,695 1,475,986	700,777 1,563,078	1,472,014 1,721,954	428,420 2,991,828
Contract hours, direct-care Median	7,026.69 22,725	14,155.00 23,018.5	7,346.00 24,503.48	18,746.89 25,026.5	3,977.40 33,786
Contract wages, direct-care Median	82.21 64.67	83.48 64.53	95.40 65.06	78.52 68.97	107.71 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.