As of the July, 2022, release via CMS

STORMONT-VAIL REGIONAL HEALTH CENTER

CMS id: 170086
1500 SW 10TH AVE, TOPEKA KS 66604. County: SHAWNEE
System: --
CBSA: Topeka, KS

The 438-bed, acute-care hospital had $11,040,863 in net service to patients*, with a total profit margin of 17.75090% in fiscal year 2021, the latest year available.
It spent 4.18% of its operating expenses on uncompensated care and reported $5,084,483 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	368 118	370 118	357 119.5	385 118	373 119
Total beds Median	449 162	439 162	426 162	450 162	438 163.5
FTEs Median	4,134.58 788.06	4,266.53 793.42	4,335.94 806.03	4,269.08 787.61	4,465.99 804.34

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	635,635,203 150,932,746	702,603,123 158,950,878	708,195,202 168,696,998	724,971,640 163,454,693	812,033,962 186,589,412
Operating expenses Median	636,802,002 149,311,209	680,948,073 156,110,414	701,658,533 164,890,568	719,694,771 166,516,854	800,993,099 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,166,799 -964,173	21,655,050 -643,601.5	6,536,669 -116,254	5,276,869 -5,025,862	11,040,863 -1,284,564
NS2P margin ? Median	-0.18% -0.62	3.08% -0.29	0.92% 0.18	0.73% -5.07	1.36% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STORMONT-VAIL REGIONAL HEALTH 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	70,900,024 5,089,215	67,275,201 4,572,541	-25,563,657 5,268,134	49,874,902 13,092,619	161,828,515 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-490,094 224,999	3,047,613 199,009	125,414 206,870.5	94,061 194,343	26,880 249,496
⊳ Line 7: Investments ? ⊳ Median	1,817,943 299,524	46,320,951 188,688.5	1,494,619 370,813	14,875,489 309,361.5	32,772,455 375,329
⊳ 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	0	0	0	0
⊳ 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	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	0 1,017,693	0 983,261.5	0 1,173,286	18,549,033 1,987,202	22,217,203 1,597,664
⊳ Sum Line 24	69,572,175	17,906,637	-27,183,690	16,356,319	106,811,977
Total income ? Median	69,733,225 6,586,430	88,930,251 6,767,106	-19,026,988 8,419,950	55,151,771 8,094,175	172,869,378 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	69,733,225 6,043,842	88,930,251 5,845,112	-19,026,988 7,606,259	55,151,771 7,283,041	172,869,378 14,957,241
Net margin Median	9.86974% 4.62%	11.55121% 4.42%	-2.78730% 5.16%	7.11777% 5.2%	17.75090% 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 STORMONT-VAIL REGIONAL HEALTH 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	97,865,081 23,241,334	108,897,962 23,709,545	101,750,100 24,248,380	94,893,481 22,858,541	99,709,794 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	95,895,447 21,577,146	107,218,808 22,041,594	101,750,100 22,722,063	94,893,481 21,570,441	99,709,794 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	1,969,634 1,845,420	1,679,154 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	53,439,978 11,160,864	60,590,258 11,987,345	62,328,298 12,926,866	65,896,264 11,884,480	74,557,052 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	53,439,978 10,918,923	60,590,258 11,706,976	62,328,298 12,615,917	65,896,264 11,458,116	74,557,052 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	137,749 3,284,314	101,400 3,250,551	51,873 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	2,711,005 594,888	2,737,721 595,761	2,758,097 577,894	2,438,017 542,168	3,224,443 549,667
Outlier Median	2,757,421 582,572	1,952,103 538,116	251,770 212,434	241,431 126,559	330,461 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,316,657 3,662,910	72,439 3,730,911	115,864 4,081,319	1,077,041 4,643,908	5,084,483 4,389,147
Charity care Median	8,685,041 2,654,636	7,855,531 2,940,659	11,243,833 3,380,215	19,800,811 3,488,738	21,883,885 3,233,405
Uncompensated care (UCC) Median	20,878,401 5,147,790	17,900,540 5,337,617	18,045,175 5,711,082	29,324,593 5,923,418	33,518,725 5,508,107
UCC as a % of operating expenses Median	3.28% 3.24	2.63% 3.12	2.57% 3.21	4.07% 3.3	4.18% 2.86
Total shortfall/UCC Median	26,195,058 9,489,989	17,972,979 9,424,297	18,161,039 10,120,158	30,401,634 11,171,337	38,603,208 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	323,977,928 52,142,039	361,049,227 54,485,252	376,391,779 57,395,589	391,851,424 58,830,919	427,923,208 61,722,907
Salaries as a % of operating expenses Median	50.88 36.68	53.02 36.56	53.65 36.37	54.53 35.93	53.63 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	128,890 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	556,228 1,449,244	398,147 1,475,986	338,846 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	5,918.00 22,725	4,308.00 23,018.5	3,262.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	93.99 64.67	92.42 64.53	103.88 65.06	0.00 68.97	0.00 88.94

* in an approved program

Return to top

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.