As of the July, 2022, release via CMS

SPRING VIEW HOSPITAL

CMS id: 180024
320 LORETTO ROAD, LEBANON KY 40333. County: MARION
System: LIFEPOINT HEALTH
CBSA: Rural Kentucky

The 75-bed, acute-care hospital had $4,903,652 in net service to patients*, with a total profit margin of 14.65906% in fiscal year 2021, the latest year available.
It spent 2.06% of its operating expenses on uncompensated care and reported $1,096,672 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	57 118	57 118	57 119.5	57 118	57 119
Total beds Median	75 162	75 162	75 162	75 162	75 163.5
FTEs Median	219.37 788.06	220.12 793.42	226.08 806.03	216.42 787.61	229.05 804.34

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	35,232,832 150,932,746	34,490,819 158,950,878	37,842,564 168,696,998	33,243,695 163,454,693	44,523,508 186,589,412
Operating expenses Median	34,720,526 149,311,209	34,733,166 156,110,414	35,007,444 164,890,568	35,311,971 166,516,854	39,619,856 180,120,888
Net income from service 2 patients (NS2P) ? Median	512,306 -964,173	-242,347 -643,601.5	2,835,120 -116,254	-2,068,276 -5,025,862	4,903,652 -1,284,564
NS2P margin ? Median	1.45% -0.62	-0.70% -0.29	7.49% 0.18	-6.22% -5.07	11.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SPRING VIEW HOSPITAL 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	584,984 5,089,215	356,098 4,572,541	616,374 5,268,134	3,735,352 13,092,619	1,901,872 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	200 224,999	200 199,009	200 206,870.5	200 194,343	200 249,496
⊳ Line 7: Investments ? ⊳ Median	10,375 299,524	84,242 188,688.5	76,184 370,813	7,829 309,361.5	11,554 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	477	500	475	150	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	80,771	80,626	94,878	52,193	40,431
⊳ 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	1,633	1,431	1,264	761	296
⊳ Line 18: Revenue from sale of medical records and abstracts	1,150	2,312	1,202	1,033	1,398
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	5,191	3,195	3,376	929	2,672
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	107,652	96,665	65,699	81,958	78,423
⊳ 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	377,535	86,927	373,096	3,590,299	1,766,898
Total income ? Median	1,097,290 6,586,430	113,751 6,767,106	3,451,494 8,419,950	1,667,076 8,094,175	6,805,524 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	1,097,290 6,043,842	113,751 5,845,112	3,451,494 7,606,259	1,667,076 7,283,041	6,805,524 14,957,241
Net margin Median	3.06353% 4.62%	0.32643% 4.42%	8.97449% 5.16%	4.50816% 5.2%	14.65906% 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 SPRING VIEW HOSPITAL 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	4,629,191 23,241,334	4,218,085 23,709,545	5,453,871 24,248,380	4,792,491 22,858,541	5,682,692 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	3,112,707 21,577,146	3,360,783 22,041,594	3,747,973 22,722,063	3,241,478 21,570,441	4,398,681 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	1,516,484 1,845,420	857,302 1,757,392	1,705,898 1,738,842	1,551,013 1,510,463	1,284,011 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	3,028,249 11,160,864	3,025,597 11,987,345	3,254,227 12,926,866	2,988,086 11,884,480	2,870,024 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	2,957,264 10,918,923	2,945,557 11,706,976	3,169,023 12,615,917	2,894,066 11,458,116	2,816,351 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	70,985 618,038	80,040 697,279	85,204 690,232	94,020 684,010	53,673 670,558
⊳ 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	62,060 594,888	66,731 595,761	71,524 577,894	64,712 542,168	87,370 549,667
Outlier Median	215,628 582,572	72,198 538,116	152,424 212,434	48,963 126,559	4,825 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	49,838 3,662,910	27,641 3,730,911	36,039 4,081,319	165,541 4,643,908	1,096,672 4,389,147
Charity care Median	0 2,654,636	0 2,940,659	0 3,380,215	295,094 3,488,738	174,849 3,233,405
Uncompensated care (UCC) Median	973,791 5,147,790	641,602 5,337,617	792,576 5,711,082	776,288 5,923,418	817,361 5,508,107
UCC as a % of operating expenses Median	2.80% 3.24	1.85% 3.12	2.26% 3.21	2.20% 3.3	2.06% 2.86
Total shortfall/UCC Median	1,023,629 9,489,989	669,243 9,424,297	828,615 10,120,158	941,829 11,171,337	1,914,033 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	13,979,944 52,142,039	14,722,884 54,485,252	15,159,805 57,395,589	14,783,435 58,830,919	16,401,200 61,722,907
Salaries as a % of operating expenses Median	41.04 36.68	42.57 36.56	46.05 36.37	42.40 35.93	43.38 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	541,534 1,449,244	171,214 1,475,986	86,773 1,563,078	95,248 1,721,954	251,404 2,991,828
Contract hours, direct-care Median	9,611.00 22,725	3,078.00 23,018.5	1,984.00 24,503.48	2,080.00 25,026.5	2,969.00 33,786
Contract wages, direct-care Median	56.35 64.67	55.63 64.53	43.74 65.06	45.79 68.97	84.68 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.