As of the July, 2022, release via CMS

ADVENTHEALTH SHAWNEE MISSION

CMS id: 170104
9100 WEST 74TH STREET, SHAWNEE MISSION KS 66204. County: JOHNSON
System: ADVENTHEALTH
CBSA: Kansas City, MO-KS

The 385-bed, acute-care hospital had $33,429,088 in net service to patients*, with a total profit margin of 14.28480% in fiscal year 2021, the latest year available.
It spent 3.69% of its operating expenses on uncompensated care and reported $7,513,340 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	290 118	259 118	253 119.5	279 118	279 119
Total beds Median	395 162	365 162	359 162	385 162	385 163.5
FTEs Median	2,614.10 788.06	2,794.40 793.42	2,840.88 806.03	2,590.26 787.61	2,677.48 804.34

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	480,198,520 150,932,746	494,138,855 158,950,878	535,885,026 168,696,998	497,617,635 163,454,693	583,720,944 186,589,412
Operating expenses Median	457,553,251 149,311,209	497,411,423 156,110,414	501,983,587 164,890,568	505,935,960 166,516,854	550,291,856 180,120,888
Net income from service 2 patients (NS2P) ? Median	22,645,269 -964,173	-3,272,568 -643,601.5	33,901,439 -116,254	-8,318,325 -5,025,862	33,429,088 -1,284,564
NS2P margin ? Median	4.72% -0.62	-0.66% -0.29	6.33% 0.18	-1.67% -5.07	5.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADVENTHEALTH SHAWNEE MISSION 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	43,390,002 5,089,215	15,145,652 4,572,541	60,726,524 5,268,134	62,581,699 13,092,619	58,279,380 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	21,902,804 299,524	-8,719,312 188,688.5	39,844,754 370,813	8,496,166 309,361.5	27,942,791 375,329
⊳ 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	-3,263	-275
⊳ 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	1,139,955	1,221,944
⊳ 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	28,605	74,382
⊳ 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	0 1,987,202	0 1,597,664
⊳ Sum Line 24	21,487,198	23,864,964	20,881,770	52,920,236	29,040,538
Total income ? Median	66,035,271 6,586,430	11,873,084 6,767,106	94,627,963 8,419,950	54,263,374 8,094,175	91,708,468 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-2,020 89,880.5	0 106,761	0 31,473.5
Net income Median	66,035,271 6,043,842	11,873,084 5,845,112	94,629,983 7,606,259	54,263,374 7,283,041	91,708,468 14,957,241
Net margin Median	12.61205% 4.62%	2.33133% 4.42%	15.86124% 5.16%	9.68644% 5.2%	14.28480% 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 ADVENTHEALTH SHAWNEE MISSION 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	56,244,759 23,241,334	57,768,737 23,709,545	56,258,646 24,248,380	53,005,684 22,858,541	52,655,501 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	54,633,263 21,577,146	56,137,844 22,041,594	54,618,356 22,722,063	51,718,674 21,570,441	51,760,735 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	1,611,496 1,845,420	1,630,893 1,757,392	1,640,290 1,738,842	1,287,010 1,510,463	894,766 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	33,749,775 11,160,864	38,598,727 11,987,345	40,723,075 12,926,866	39,726,642 11,884,480	43,886,942 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	29,637,956 10,918,923	34,823,684 11,706,976	37,143,273 12,615,917	36,155,416 11,458,116	40,788,856 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,111,819 1,282,808	3,775,043 1,407,728	3,579,802 1,341,512	3,571,226 1,407,046	3,098,086 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	106,200 3,284,314	108,176 3,250,551	104,381 3,386,837	98,786 3,360,806	97,760 3,508,953
Disproportionate-share hospital (DSH) Median	500,904 594,888	512,079 595,761	399,543 577,894	450,443 542,168	385,528 549,667
Outlier Median	786,477 582,572	572,095 538,116	173,737 212,434	214,438 126,559	140,701 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,041,604 3,662,910	5,681,810 3,730,911	6,587,263 4,081,319	8,064,764 4,643,908	7,513,340 4,389,147
Charity care Median	11,154,526 2,654,636	16,244,749 2,940,659	18,979,709 3,380,215	13,401,262 3,488,738	16,955,205 3,233,405
Uncompensated care (UCC) Median	14,318,175 5,147,790	19,751,827 5,337,617	23,503,122 5,711,082	17,574,832 5,923,418	20,321,469 5,508,107
UCC as a % of operating expenses Median	3.13% 3.24	3.97% 3.12	4.68% 3.21	3.47% 3.3	3.69% 2.86
Total shortfall/UCC Median	19,359,779 9,489,989	25,433,637 9,424,297	30,090,385 10,120,158	25,639,596 11,171,337	27,834,809 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	189,022,215 52,142,039	198,899,120 54,485,252	204,325,626 57,395,589	207,606,341 58,830,919	222,056,459 61,722,907
Salaries as a % of operating expenses Median	41.31 36.68	39.99 36.56	40.70 36.37	38.73 35.93	38.52 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	3,093,932 1,449,244	3,201,443 1,475,986	2,871,158 1,563,078	2,250,254 1,721,954	4,054,016 2,991,828
Contract hours, direct-care Median	46,214.87 22,725	46,821.00 23,018.5	43,182.30 24,503.48	28,785.00 25,026.5	47,520.00 33,786
Contract wages, direct-care Median	66.95 64.67	68.38 64.53	66.49 65.06	78.17 68.97	85.31 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.