As of the July, 2022, release via CMS

DEACONESS HOSPITAL

CMS id: 150082
600 MARY STREET, EVANSVILLE IN 47747. County: VANDERBURGH
System: DEACONESS HEALTH SYSTEM
CBSA: Evansville, IN-KY

The 549-bed, acute-care hospital had $86,700,083 in net service to patients*, with a total profit margin of 27.26203% in fiscal year 2021, the latest year available.
It spent 2.26% of its operating expenses on uncompensated care and reported $51,359,994 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	384 118	448 118	456 119.5	461 118	445 119
Total beds Median	483 162	547 162	555 162	549 162	549 163.5
FTEs Median	4,065.91 788.06	4,152.19 793.42	4,351.86 806.03	4,192.26 787.61	4,402.65 804.34

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	725,724,497 150,932,746	823,426,046 158,950,878	960,733,114 168,696,998	987,923,124 163,454,693	1,135,374,673 186,589,412
Operating expenses Median	716,421,207 149,311,209	769,322,179 156,110,414	887,859,125 164,890,568	941,057,963 166,516,854	1,048,674,590 180,120,888
Net income from service 2 patients (NS2P) ? Median	9,303,290 -964,173	54,103,867 -643,601.5	72,873,989 -116,254	46,865,161 -5,025,862	86,700,083 -1,284,564
NS2P margin ? Median	1.28% -0.62	6.57% -0.29	7.59% 0.18	4.74% -5.07	7.64% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DEACONESS HOSPITAL 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	84,769,140 5,089,215	99,024,553 4,572,541	84,403,608 5,268,134	149,423,032 13,092,619	306,340,755 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	28,706,316 299,524	25,672,515 188,688.5	19,244,791 370,813	67,874,832 309,361.5	223,446,925 375,329
⊳ 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	26,587	44,807
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	26,200	22,630
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	2,296,043	2,345,218
⊳ 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	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	1,167	0
⊳ Line 21: Rental of vending machines	0	0	0	27,160	35,534
⊳ Line 22: Rental of hospital space	0	0	0	10,465,281	10,949,605
⊳ 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	56,062,824	73,352,038	65,158,817	68,705,762	69,496,036
Total income ? Median	94,072,430 6,586,430	153,128,420 6,767,106	157,277,597 8,419,950	196,288,193 8,094,175	393,040,838 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-1 89,880.5	0 106,761	0 31,473.5
Net income Median	94,072,430 6,043,842	153,128,420 5,845,112	157,277,598 7,606,259	196,288,193 7,283,041	393,040,838 14,957,241
Net margin Median	11.60681% 4.62%	16.60018% 4.42%	15.04852% 5.16%	17.25844% 5.2%	27.26203% 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 DEACONESS HOSPITAL 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	116,796,888 23,241,334	125,569,347 23,709,545	148,227,131 24,248,380	138,631,844 22,858,541	155,021,236 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	115,713,297 21,577,146	124,487,958 22,041,594	147,428,475 22,722,063	138,135,184 21,570,441	155,021,236 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	1,083,591 1,845,420	1,081,389 1,757,392	798,656 1,738,842	496,660 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	53,797,976 11,160,864	64,217,343 11,987,345	81,698,162 12,926,866	84,578,434 11,884,480	86,957,975 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	53,797,976 10,918,923	64,217,343 11,706,976	81,698,162 12,615,917	84,578,434 11,458,116	86,957,975 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	3,185,359 3,284,314	3,224,152 3,250,551	3,506,691 3,386,837	3,419,277 3,360,806	3,877,528 3,508,953
Disproportionate-share hospital (DSH) Median	1,686,940 594,888	2,051,814 595,761	2,324,860 577,894	2,465,478 542,168	3,244,058 549,667
Outlier Median	1,830,453 582,572	1,746,134 538,116	302,485 212,434	229,754 126,559	264,634 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	26,413,210 3,662,910	18,695,668 3,730,911	24,939,036 4,081,319	27,788,582 4,643,908	51,359,994 4,389,147
Charity care Median	14,256,241 2,654,636	14,920,070 2,940,659	26,029,835 3,380,215	16,781,871 3,488,738	14,591,282 3,233,405
Uncompensated care (UCC) Median	18,661,566 5,147,790	19,101,518 5,337,617	31,555,381 5,711,082	22,401,875 5,923,418	23,711,079 5,508,107
UCC as a % of operating expenses Median	2.60% 3.24	2.48% 3.12	3.55% 3.21	2.38% 3.3	2.26% 2.86
Total shortfall/UCC Median	45,074,776 9,489,989	37,797,186 9,424,297	56,494,417 10,120,158	50,190,457 11,171,337	75,071,073 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	257,283,110 52,142,039	268,720,597 54,485,252	293,976,245 57,395,589	305,204,823 58,830,919	341,138,318 61,722,907
Salaries as a % of operating expenses Median	35.91 36.68	34.93 36.56	33.11 36.37	32.43 35.93	32.53 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	1,899,368 1,449,244	1,446,052 1,475,986	2,772,385 1,563,078	3,893,479 1,721,954	6,008,322 2,991,828
Contract hours, direct-care Median	17,411.00 22,725	10,258.00 23,018.5	25,252.11 24,503.48	41,937.13 25,026.5	52,044.73 33,786
Contract wages, direct-care Median	109.09 64.67	140.97 64.53	109.79 65.06	92.84 68.97	115.45 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.