As of the July, 2022, release via CMS

SAINT VINCENT HOSPITAL

CMS id: 220176
123 SUMMER STREET, WORCESTER MA 1608. County: WORCESTER
System: TENET HEALTHCARE CORPORATION
CBSA: Worcester, MA-CT

The 279-bed, acute-care hospital had $15,529,884 in net service to patients*, with a total profit margin of 13.66558% in fiscal year 2021, the latest year available.
It spent 1.45% of its operating expenses on uncompensated care and reported $16,165,644 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	366	365	365	365	366
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	239 118	239 118	239 119.5	239 118	239 119
Total beds Median	272 162	272 162	272 162	272 162	279 163.5
FTEs Median	1,882.61 788.06	1,671.00 793.42	1,681.00 806.03	1,701.00 787.61	1,467.00 804.34

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	439,914,198 150,932,746	446,331,389 158,950,878	481,334,219 168,696,998	501,910,963 163,454,693	421,804,498 186,589,412
Operating expenses Median	376,510,622 149,311,209	400,983,153 156,110,414	414,990,677 164,890,568	434,800,702 166,516,854	406,274,614 180,120,888
Net income from service 2 patients (NS2P) ? Median	63,403,576 -964,173	45,348,236 -643,601.5	66,343,542 -116,254	67,110,261 -5,025,862	15,529,884 -1,284,564
NS2P margin ? Median	14.41% -0.62	10.16% -0.29	13.78% 0.18	13.37% -5.07	3.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT VINCENT 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	9,803,732 5,089,215	7,711,596 4,572,541	7,685,288 5,268,134	6,715,084 13,092,619	48,777,923 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	0 299,524	57,340 188,688.5	31,280 370,813	82,927 309,361.5	52,042 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	24,981	281	--	--
⊳ Line 10: Purchase discounts	41,698	3,172	913	6,378	560
⊳ Line 11: Rebates and refunds of expenses	0	62,854	132,886	179,010	258,979
⊳ Line 12: Parking lot receipts	547,353	484,708	582,567	478,554	376,010
⊳ 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	24,964	19,152	21,222	18,677	28,597
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	1,500
⊳ 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	5,158,298	5,099,173	5,058,332	4,339,213	4,343,882
⊳ 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	4,031,501	1,960,134	1,857,807	1,610,325	43,716,353
Total income ? Median	73,207,308 6,586,430	53,059,832 6,767,106	74,028,830 8,419,950	73,825,345 8,094,175	64,307,807 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	73,207,308 6,043,842	53,059,832 5,845,112	74,028,830 7,606,259	73,825,345 7,283,041	64,307,807 14,957,241
Net margin Median	16.27849% 4.62%	11.68608% 4.42%	15.13822% 5.16%	14.51466% 5.2%	13.66558% 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 SAINT VINCENT 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	88,226,740 23,241,334	84,420,921 23,709,545	90,390,895 24,248,380	89,382,633 22,858,541	74,678,665 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	86,887,456 21,577,146	83,040,229 22,041,594	87,664,119 22,722,063	87,719,101 21,570,441	73,159,991 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	1,339,284 1,845,420	1,380,692 1,757,392	2,726,776 1,738,842	1,663,532 1,510,463	1,518,674 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	34,856,799 11,160,864	37,993,949 11,987,345	43,197,235 12,926,866	47,671,125 11,884,480	37,658,870 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	34,856,799 10,918,923	37,993,949 11,706,976	43,197,235 12,615,917	47,671,125 11,458,116	37,658,870 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	19,066,787 3,284,314	19,045,010 3,250,551	18,514,307 3,386,837	18,539,643 3,360,806	16,047,144 3,508,953
Disproportionate-share hospital (DSH) Median	1,592,375 594,888	1,599,859 595,761	1,565,164 577,894	1,598,460 542,168	1,425,217 549,667
Outlier Median	2,292,039 582,572	2,328,667 538,116	6,735,598 212,434	578,697 126,559	146,254 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,311,451 3,662,910	3,961,778 3,730,911	4,268,723 4,081,319	9,436,205 4,643,908	16,165,644 4,389,147
Charity care Median	2,388,494 2,654,636	1,130,079 2,940,659	43,353 3,380,215	558,453 3,488,738	1,381,797 3,233,405
Uncompensated care (UCC) Median	4,909,108 5,147,790	5,449,350 5,337,617	3,064,497 5,711,082	4,096,094 5,923,418	5,900,015 5,508,107
UCC as a % of operating expenses Median	1.30% 3.24	1.36% 3.12	0.74% 3.21	0.94% 3.3	1.45% 2.86
Total shortfall/UCC Median	6,220,559 9,489,989	9,411,128 9,424,297	7,333,220 10,120,158	13,532,299 11,171,337	22,065,659 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	148,395,999 52,142,039	151,359,952 54,485,252	153,684,023 57,395,589	159,146,062 58,830,919	152,270,573 61,722,907
Salaries as a % of operating expenses Median	39.41 36.68	37.75 36.56	37.03 36.37	36.60 35.93	37.47 35.24
Intern, resident salaries* Median	7,905,850 2,598,592	8,102,914 2,686,824	7,663,797 2,753,773	7,711,259 2,937,156	7,826,161 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	2,707,156 1,449,244	704,586 1,475,986	1,093,918 1,563,078	803,921 1,721,954	2,829,679 2,991,828
Contract hours, direct-care Median	90,894.00 22,725	8,712.00 23,018.5	14,459.50 24,503.48	10,629.00 25,026.5	29,482.00 33,786
Contract wages, direct-care Median	29.78 64.67	80.88 64.53	75.65 65.06	75.63 68.97	95.98 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.