As of the July, 2022, release via CMS

ASCENSION ST. VINCENT ANDERSON

CMS id: 150088
2015 JACKSON STREET, ANDERSON IN 46016. County: MADISON
System: ST VINCENT HEALTH
CBSA: Indianapolis-Carmel-Anderson, IN

The 157-bed, acute-care hospital had $21,164,626 in net service to patients*, with a total profit margin of 14.17827% in fiscal year 2021, the latest year available.
It spent 3.59% of its operating expenses on uncompensated care and reported $2,342,078 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	96 118	120 118	123 119.5	123 118	123 119
Total beds Median	130 162	154 162	157 162	157 162	157 163.5
FTEs Median	973.39 788.06	738.29 793.42	574.10 806.03	580.83 787.61	570.85 804.34

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	220,756,731 150,932,746	196,461,669 158,950,878	187,154,336 168,696,998	176,969,038 163,454,693	194,892,199 186,589,412
Operating expenses Median	199,165,596 149,311,209	190,843,582 156,110,414	177,071,083 164,890,568	175,637,991 166,516,854	173,727,573 180,120,888
Net income from service 2 patients (NS2P) ? Median	21,591,135 -964,173	5,618,087 -643,601.5	10,083,253 -116,254	1,331,047 -5,025,862	21,164,626 -1,284,564
NS2P margin ? Median	9.78% -0.62	2.86% -0.29	5.39% 0.18	0.75% -5.07	10.86% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION ST. VINCENT ANDERSON 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	2,878,551 5,089,215	4,746,255 4,572,541	2,478,839 5,268,134	6,179,196 13,092,619	7,543,746 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	10,871 299,524	425 188,688.5	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	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	399	0	146	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	718,823	629,465	568,080	519,732	294,587
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	9,230	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	21,695	16,830	4,236	6,944
⊳ Line 18: Revenue from sale of medical records and abstracts	43,987	30,022	26,083	26,588	15,290
⊳ 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	59,451	59,112	42,342	35,472
⊳ Line 22: Rental of hospital space	567,875	549,859	661,540	801,937	602,920
⊳ 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	1,517,680	3,444,817	1,137,444	4,784,215	6,588,533
Total income ? Median	24,469,686 6,586,430	10,364,342 6,767,106	12,562,092 8,419,950	7,510,243 8,094,175	28,708,372 15,162,888
Non-operating expenses Median	345,019 146,289.5	20,837 164,857	0 89,880.5	0 106,761	6,451 31,473.5
Net income Median	24,124,667 6,043,842	10,343,505 5,845,112	12,562,092 7,606,259	7,510,243 7,283,041	28,701,921 14,957,241
Net margin Median	10.78750% 4.62%	5.14070% 4.42%	6.62442% 5.16%	4.10064% 5.2%	14.17827% 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 ANDERSON 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	24,350,740 23,241,334	23,606,961 23,709,545	20,801,167 24,248,380	20,885,137 22,858,541	21,064,509 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	22,462,376 21,577,146	21,423,975 22,041,594	18,846,473 22,722,063	18,634,519 21,570,441	19,015,327 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	1,888,364 3,535,627	2,182,986 3,746,588	1,954,694 3,782,288	2,250,618 3,865,578	2,049,182 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	26,424,840 11,160,864	25,463,454 11,987,345	21,826,586 12,926,866	17,834,968 11,884,480	16,793,259 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	26,424,840 10,918,923	25,463,454 11,706,976	21,826,586 12,615,917	17,834,968 11,458,116	16,793,259 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	823,543 594,888	788,163 595,761	728,478 577,894	681,502 542,168	683,544 549,667
Outlier Median	1,676,266 582,572	1,473,018 538,116	450,056 212,434	185,128 126,559	150,127 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,274,066 3,662,910	10,145,067 3,730,911	12,821,999 4,081,319	10,336,639 4,643,908	2,342,078 4,389,147
Charity care Median	10,977,373 2,654,636	10,585,584 2,940,659	9,811,540 3,380,215	8,011,902 3,488,738	4,142,887 3,233,405
Uncompensated care (UCC) Median	12,215,353 5,147,790	11,756,667 5,337,617	10,471,464 5,711,082	9,346,545 5,923,418	6,241,068 5,508,107
UCC as a % of operating expenses Median	6.13% 3.24	6.16% 3.12	5.91% 3.21	5.32% 3.3	3.59% 2.86
Total shortfall/UCC Median	23,489,419 9,489,989	21,901,734 9,424,297	23,293,463 10,120,158	19,683,184 11,171,337	8,583,146 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	61,355,338 52,142,039	50,735,696 54,485,252	38,062,411 57,395,589	39,970,314 58,830,919	39,529,979 61,722,907
Salaries as a % of operating expenses Median	30.81 36.68	26.58 36.56	21.50 36.37	22.76 35.93	22.75 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	1,111,308 1,449,244	5,858,009 1,475,986	668,878 1,563,078	7,860,568 1,721,954	6,106,732 2,991,828
Contract hours, direct-care Median	13,069.27 22,725	71,323.00 23,018.5	9,426.55 24,503.48	201,052.00 25,026.5	195,013.84 33,786
Contract wages, direct-care Median	85.03 64.67	82.13 64.53	70.96 65.06	39.10 68.97	31.31 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.