As of the July, 2022, release via CMS

ASCENSION ST. VINCENT EVANSVILLE

CMS id: 150100
3700 WASHINGTON AVE, EVANSVILLE IN 47750. County: VANDERBURGH
System: ASCENSION ST. VINCENT
CBSA: Evansville, IN-KY

The 376-bed, acute-care hospital had $97,140,403 in net service to patients*, with a total profit margin of 19.42417% in fiscal year 2021, the latest year available.
It spent 2.38% of its operating expenses on uncompensated care and reported $25,736,065 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	294 118	294 118	292 119.5	233 118	233 119
Total beds Median	443 162	443 162	438 162	376 162	376 163.5
FTEs Median	1,901.14 788.06	1,789.91 793.42	1,568.74 806.03	1,668.42 787.61	1,549.44 804.34

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	512,195,047 150,932,746	510,170,018 158,950,878	555,232,123 168,696,998	597,640,936 163,454,693	639,400,004 186,589,412
Operating expenses Median	449,314,074 149,311,209	470,735,100 156,110,414	477,106,385 164,890,568	538,928,294 166,516,854	542,259,601 180,120,888
Net income from service 2 patients (NS2P) ? Median	62,880,973 -964,173	39,434,918 -643,601.5	78,125,738 -116,254	58,712,642 -5,025,862	97,140,403 -1,284,564
NS2P margin ? Median	12.28% -0.62	7.73% -0.29	14.07% 0.18	9.82% -5.07	15.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION ST. VINCENT EVANSVILLE 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	19,709,457 5,089,215	18,602,807 4,572,541	13,942,261 5,268,134	27,153,506 13,092,619	34,065,141 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	20,000 194,343	119,360 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	98,375 370,813	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	174,268	187,128	163,196	176,003	191,598
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	1,582,014	1,364,037	1,161,545
⊳ 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	25,581	34,066	8,188,533	11,807,252	12,102,735
⊳ Line 18: Revenue from sale of medical records and abstracts	3,604	1,790	6,626	17,484	13,121
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	37,854	41,633	4,757
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	943
⊳ Line 22: Rental of hospital space	587,446	524,162	740,328	539,663	309,213
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	57 1,987,202	0 1,597,664
⊳ Sum Line 24	18,918,558	17,855,661	3,125,335	13,187,377	20,161,869
Total income ? Median	82,590,430 6,586,430	58,037,725 6,767,106	92,067,999 8,419,950	85,866,148 8,094,175	131,205,544 15,162,888
Non-operating expenses Median	442,987 146,289.5	303,187 164,857	643,695 89,880.5	3,580 106,761	390,559 31,473.5
Net income Median	82,147,443 6,043,842	57,734,538 5,845,112	91,424,304 7,606,259	85,862,568 7,283,041	130,814,985 14,957,241
Net margin Median	15.44402% 4.62%	10.91859% 4.42%	16.06262% 5.16%	13.74253% 5.2%	19.42417% 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 EVANSVILLE 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	70,527,577 23,241,334	65,813,290 23,709,545	67,534,477 24,248,380	64,720,900 22,858,541	67,455,308 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	65,738,531 21,577,146	61,286,980 22,041,594	62,343,417 22,722,063	59,977,829 21,570,441	63,208,064 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	1,321,110 1,845,420	737,416 1,757,392	798,336 1,738,842	460,081 1,510,463	406,610 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,467,936 3,535,627	3,788,894 3,746,588	4,392,724 3,782,288	4,282,990 3,865,578	3,840,634 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	37,105,520 11,160,864	39,669,015 11,987,345	43,511,994 12,926,866	61,568,944 11,884,480	66,209,784 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	37,105,520 10,918,923	39,669,015 11,706,976	43,511,994 12,615,917	61,568,944 11,458,116	66,209,784 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	760,130 3,284,314	752,364 3,250,551	748,668 3,386,837	751,164 3,360,806	1,085,604 3,508,953
Disproportionate-share hospital (DSH) Median	2,121,372 594,888	1,707,843 595,761	1,757,886 577,894	1,736,300 542,168	1,668,969 549,667
Outlier Median	1,785,119 582,572	1,540,761 538,116	3,269,054 212,434	1,098,424 126,559	951,405 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	43,330,160 3,662,910	21,383,096 3,730,911	23,895,180 4,081,319	23,443,579 4,643,908	25,736,065 4,389,147
Charity care Median	18,068,571 2,654,636	16,747,049 2,940,659	18,634,935 3,380,215	17,347,493 3,488,738	9,072,821 3,233,405
Uncompensated care (UCC) Median	21,483,302 5,147,790	18,857,303 5,337,617	21,085,318 5,711,082	20,238,446 5,923,418	12,905,991 5,508,107
UCC as a % of operating expenses Median	4.78% 3.24	4.01% 3.12	4.42% 3.21	3.76% 3.3	2.38% 2.86
Total shortfall/UCC Median	64,813,462 9,489,989	40,240,399 9,424,297	44,980,498 10,120,158	43,682,025 11,171,337	38,642,056 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	134,302,992 52,142,039	125,762,028 54,485,252	100,061,709 57,395,589	106,237,065 58,830,919	108,565,638 61,722,907
Salaries as a % of operating expenses Median	29.89 36.68	26.72 36.56	20.97 36.37	19.71 35.93	20.02 35.24
Intern, resident salaries* Median	363,776 2,598,592	368,191 2,686,824	373,603 2,753,773	567,395 2,937,156	1,303,908 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	2,269,233 1,449,244	1,467,277 1,475,986	711,085 1,563,078	3,443,074 1,721,954	3,470,622 2,991,828
Contract hours, direct-care Median	35,291.00 22,725	20,562.00 23,018.5	9,247.16 24,503.48	53,984.00 25,026.5	29,967.00 33,786
Contract wages, direct-care Median	64.30 64.67	71.36 64.53	76.90 65.06	63.78 68.97	115.81 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.