As of the July, 2022, release via CMS

ST. VINCENT HEART CENTER

CMS id: 150153
10580 N MERIDIAN ST, INDIANAPOLIS IN 46290. County: HAMILTON
System: ST. VINCENT HEALTH
CBSA: Indianapolis-Carmel-Anderson, IN

The 107-bed, acute-care hospital had $75,111,782 in net service to patients*, with a total profit margin of 39.79840% in fiscal year 2021, the latest year available.
It spent 1.35% of its operating expenses on uncompensated care and reported $2,971,820 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	107 118	107 118	107 119.5	107 118	107 119
Total beds Median	107 162	107 162	107 162	107 162	107 163.5
FTEs Median	399.34 788.06	374.07 793.42	347.80 806.03	354.95 787.61	351.09 804.34

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	155,653,304 150,932,746	155,677,816 158,950,878	169,286,522 168,696,998	168,413,752 163,454,693	193,855,357 186,589,412
Operating expenses Median	108,213,892 149,311,209	108,208,908 156,110,414	111,427,235 164,890,568	110,711,141 166,516,854	118,743,575 180,120,888
Net income from service 2 patients (NS2P) ? Median	47,439,412 -964,173	47,468,908 -643,601.5	57,859,287 -116,254	57,702,611 -5,025,862	75,111,782 -1,284,564
NS2P margin ? Median	30.48% -0.62	30.49% -0.29	34.18% 0.18	34.26% -5.07	38.75% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. VINCENT HEART CENTER 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	1,531,082 5,089,215	1,212,356 4,572,541	1,358,459 5,268,134	5,504,399 13,092,619	3,387,850 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	560,454 299,524	678,026 188,688.5	850,771 370,813	1,227,737 309,361.5	825,545 375,329
⊳ 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	1,000	100
⊳ 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	452,718	459,463	452,694	362,940	243,277
⊳ 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	9,315	7,393	4,416	12,604	3,123
⊳ 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	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	444,558 1,017,693	-17,122 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	64,037	84,596	50,578	3,900,118	2,315,805
Total income ? Median	48,970,494 6,586,430	48,681,264 6,767,106	59,217,746 8,419,950	63,207,010 8,094,175	78,499,632 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	18,120 89,880.5	19,232 106,761	0 31,473.5
Net income Median	48,970,494 6,043,842	48,681,264 5,845,112	59,199,626 7,606,259	63,187,778 7,283,041	78,499,632 14,957,241
Net margin Median	31.15481% 4.62%	31.02888% 4.42%	34.69169% 5.16%	36.33191% 5.2%	39.79840% 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 ST. VINCENT HEART CENTER 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	41,628,958 23,241,334	40,477,052 23,709,545	43,309,756 24,248,380	41,322,576 22,858,541	41,593,731 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	41,628,958 21,577,146	40,477,052 22,041,594	43,309,756 22,722,063	41,322,576 21,570,441	41,593,731 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	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	11,401,337 11,160,864	11,699,766 11,987,345	11,882,298 12,926,866	10,584,334 11,884,480	13,460,826 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	11,401,337 10,918,923	11,699,766 11,706,976	11,882,298 12,615,917	10,584,334 11,458,116	13,460,826 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	531,080 582,572	484,786 538,116	507,391 212,434	40,198 126,559	21,340 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,671,571 3,662,910	3,704,045 3,730,911	3,276,974 4,081,319	3,447,162 4,643,908	2,971,820 4,389,147
Charity care Median	2,911,507 2,654,636	2,947,719 2,940,659	3,178,047 3,380,215	2,607,507 3,488,738	778,232 3,233,405
Uncompensated care (UCC) Median	3,251,708 5,147,790	3,277,604 5,337,617	3,531,811 5,711,082	3,045,610 5,923,418	1,602,990 5,508,107
UCC as a % of operating expenses Median	3.00% 3.24	3.03% 3.12	3.17% 3.21	2.75% 3.3	1.35% 2.86
Total shortfall/UCC Median	8,923,279 9,489,989	6,981,649 9,424,297	6,808,785 10,120,158	6,492,772 11,171,337	4,574,810 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	28,631,984 52,142,039	27,160,462 54,485,252	26,483,476 57,395,589	27,853,462 58,830,919	27,425,203 61,722,907
Salaries as a % of operating expenses Median	26.46 36.68	25.10 36.56	23.77 36.37	25.16 35.93	23.10 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	471,567 1,449,244	624,453 1,475,986	46,702 1,563,078	1,339,280 1,721,954	629,994 2,991,828
Contract hours, direct-care Median	6,601.00 22,725	8,196.00 23,018.5	673.58 24,503.48	22,061.00 25,026.5	11,701.80 33,786
Contract wages, direct-care Median	71.44 64.67	76.19 64.53	69.33 65.06	60.71 68.97	53.84 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.