As of the July, 2022, release via CMS

ASCENSION ST. VINCENT HOSPITAL

CMS id: 150084
2001 WEST 86TH STREET, INDIANAPOLIS IN 46260. County: MARION
System: ASCENSION ST. VINCENT
CBSA: Indianapolis-Carmel-Anderson, IN

The 789-bed, acute-care hospital had $188,663,027 in net service to patients*, with a total profit margin of 22.72198% in fiscal year 2021, the latest year available.
It spent 2.22% of its operating expenses on uncompensated care and reported $21,172,591 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	571 118	563 118	583 119.5	567 118	481 119
Total beds Median	832 162	822 162	825 162	836 162	789 163.5
FTEs Median	5,181.00 788.06	4,570.89 793.42	4,223.22 806.03	4,157.28 787.61	4,050.32 804.34

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	1,282,077,203 150,932,746	1,273,280,488 158,950,878	1,301,504,495 168,696,998	1,292,611,713 163,454,693	1,426,284,604 186,589,412
Operating expenses Median	1,078,592,873 149,311,209	1,147,319,141 156,110,414	1,141,577,835 164,890,568	1,266,448,757 166,516,854	1,237,621,577 180,120,888
Net income from service 2 patients (NS2P) ? Median	203,484,330 -964,173	125,961,347 -643,601.5	159,926,660 -116,254	26,162,956 -5,025,862	188,663,027 -1,284,564
NS2P margin ? Median	15.87% -0.62	9.89% -0.29	12.29% 0.18	2.02% -5.07	13.23% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION ST. VINCENT 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	55,827,435 5,089,215	106,437,675 4,572,541	80,008,148 5,268,134	118,810,849 13,092,619	175,233,538 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-548,714 224,999	-703,469 199,009	-776,911 206,870.5	-437,404 194,343	3,396,015 249,496
⊳ Line 7: Investments ? ⊳ Median	4,597 299,524	1,630 188,688.5	-4,056 370,813	307,723 309,361.5	183,073 375,329
⊳ 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	0	4,241,204	3,908,803	3,492,046	2,346,272
⊳ 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	8,627,176	9,402,265	12,490,357	13,971,344	9,960,364
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	53	6,770	2,072
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	569,980	101,846	39,835	21,520	-11,032
⊳ Line 21: Rental of vending machines	94,481	276,522	252,395	207,065	102,815
⊳ Line 22: Rental of hospital space	934,594	742,168	958,931	973,694	957,487
⊳ Line 23: Gov appropriations ? ⊳ Median	881,251 1,017,693	541,430 983,261.5	429,442 1,173,286	60,790 1,987,202	297,500 1,597,664
⊳ Sum Line 24	41,488,600	91,834,079	62,709,299	100,207,301	157,998,972
Total income ? Median	259,311,765 6,586,430	232,399,022 6,767,106	239,934,808 8,419,950	144,973,805 8,094,175	363,896,565 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	259,311,765 6,043,842	232,399,022 5,845,112	239,934,808 7,606,259	144,973,805 7,283,041	363,896,565 14,957,241
Net margin Median	19.38193% 4.62%	16.84395% 4.42%	17.36754% 5.16%	10.27147% 5.2%	22.72198% 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 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	167,730,122 23,241,334	167,664,153 23,709,545	178,549,065 24,248,380	168,102,820 22,858,541	164,802,509 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	162,005,988 21,577,146	162,033,411 22,041,594	175,048,593 22,722,063	166,129,332 21,570,441	163,025,366 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	2,335,525 1,845,420	2,564,584 1,757,392	2,307,799 1,738,842	1,973,488 1,510,463	1,777,143 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,388,609 3,535,627	3,066,158 3,746,588	1,192,673 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	55,391,019 11,160,864	55,977,144 11,987,345	55,979,420 12,926,866	52,479,381 11,884,480	54,393,755 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	55,391,019 10,918,923	55,977,144 11,706,976	55,979,420 12,615,917	52,479,381 11,458,116	54,393,755 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	13,866,451 3,284,314	13,954,332 3,250,551	14,461,557 3,386,837	13,790,928 3,360,806	13,401,526 3,508,953
Disproportionate-share hospital (DSH) Median	5,255,831 594,888	5,218,294 595,761	5,269,106 577,894	5,141,230 542,168	5,121,260 549,667
Outlier Median	5,905,829 582,572	5,954,821 538,116	6,694,221 212,434	789,610 126,559	878,371 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,041,833 3,662,910	58,813,358 3,730,911	47,252,261 4,081,319	72,648,992 4,643,908	21,172,591 4,389,147
Charity care Median	41,556,139 2,654,636	48,504,455 2,940,659	40,313,408 3,380,215	40,638,234 3,488,738	17,605,997 3,233,405
Uncompensated care (UCC) Median	46,876,010 5,147,790	52,615,777 5,337,617	45,362,430 5,711,082	49,071,116 5,923,418	27,527,550 5,508,107
UCC as a % of operating expenses Median	4.35% 3.24	4.59% 3.12	3.97% 3.21	3.87% 3.3	2.22% 2.86
Total shortfall/UCC Median	53,917,843 9,489,989	111,429,135 9,424,297	92,614,691 10,120,158	121,720,108 11,171,337	48,700,141 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	375,903,933 52,142,039	359,633,428 54,485,252	336,476,094 57,395,589	359,328,990 58,830,919	356,266,064 61,722,907
Salaries as a % of operating expenses Median	34.85 36.68	31.35 36.56	29.47 36.37	28.37 35.93	28.79 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	9,165,506 1,449,244	9,195,517 1,475,986	5,025,787 1,563,078	11,890,394 1,721,954	8,002,577 2,991,828
Contract hours, direct-care Median	128,161.00 22,725	116,797.00 23,018.5	69,292.00 24,503.48	148,373.00 25,026.5	68,758.00 33,786
Contract wages, direct-care Median	71.52 64.67	78.73 64.53	72.53 65.06	80.14 68.97	116.39 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.