As of the July, 2022, release via CMS

PARK NICOLLET METHODIST HOSPITAL

CMS id: 240053
6500 EXCELSIOR BLVD, ST. LOUIS PARK MN 55426. County: HENNEPIN
System: PARK NICOLLET HEALTH SERVICES
CBSA: Minneapolis-St. Paul-Bloomington, MN-WI

The 356-bed, acute-care hospital had $52,987,423 in net service to patients*, with a total profit margin of 12.61798% in fiscal year 2021, the latest year available.
It spent 1.89% of its operating expenses on uncompensated care and reported $12,107,478 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	376 118	339 118	320 119.5	332 118	330 119
Total beds Median	402 162	365 162	346 162	358 162	356 163.5
FTEs Median	3,404.57 788.06	3,441.93 793.42	3,542.12 806.03	3,340.08 787.61	3,498.01 804.34

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	582,818,780 150,932,746	608,776,280 158,950,878	636,112,012 168,696,998	614,424,258 163,454,693	709,762,899 186,589,412
Operating expenses Median	553,102,858 149,311,209	567,831,630 156,110,414	588,521,406 164,890,568	547,469,083 166,516,854	656,775,476 180,120,888
Net income from service 2 patients (NS2P) ? Median	29,715,922 -964,173	40,944,650 -643,601.5	47,590,606 -116,254	66,955,175 -5,025,862	52,987,423 -1,284,564
NS2P margin ? Median	5.10% -0.62	6.73% -0.29	7.48% 0.18	10.90% -5.07	7.47% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PARK NICOLLET METHODIST 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	52,186,428 5,089,215	-2,199,384 4,572,541	60,370,261 5,268,134	86,178,002 13,092,619	48,576,697 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	7,528,134 299,524	7,393,983 188,688.5	7,825,758 370,813	0 309,361.5	0 375,329
⊳ 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	0 1,987,202	0 1,597,664
⊳ Sum Line 24	44,658,294	-9,593,367	52,544,503	86,178,002	48,576,697
Total income ? Median	81,902,350 6,586,430	38,745,266 6,767,106	107,960,867 8,419,950	153,133,177 8,094,175	101,564,120 15,162,888
Non-operating expenses Median	6,602,000 146,289.5	6,799,000 164,857	7,715,000 89,880.5	48,072,017 106,761	5,876,998 31,473.5
Net income Median	75,300,350 6,043,842	31,946,266 5,845,112	100,245,867 7,606,259	105,061,160 7,283,041	95,687,122 14,957,241
Net margin Median	11.85823% 4.62%	5.26665% 4.42%	14.39317% 5.16%	14.99584% 5.2%	12.61798% 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 PARK NICOLLET METHODIST 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	110,367,126 23,241,334	114,343,766 23,709,545	82,424,690 24,248,380	79,950,883 22,858,541	83,431,133 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	110,367,126 21,577,146	114,343,766 22,041,594	82,424,690 22,722,063	79,950,883 21,570,441	83,431,133 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	59,442,380 11,160,864	67,786,071 11,987,345	45,642,301 12,926,866	39,476,686 11,884,480	44,270,559 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	54,475,845 10,918,923	62,799,515 11,706,976	42,279,279 12,615,917	35,987,484 11,458,116	41,213,532 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,966,535 1,282,808	4,986,556 1,407,728	3,363,022 1,341,512	3,489,202 1,407,046	3,057,027 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	5,337,980 3,284,314	5,726,084 3,250,551	4,536,058 3,386,837	4,575,113 3,360,806	4,916,261 3,508,953
Disproportionate-share hospital (DSH) Median	1,034,212 594,888	982,335 595,761	711,510 577,894	806,792 542,168	686,679 549,667
Outlier Median	3,204,042 582,572	2,902,171 538,116	318,429 212,434	308,387 126,559	319,271 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,589,197 3,662,910	7,151,885 3,730,911	9,908,199 4,081,319	13,941,020 4,643,908	12,107,478 4,389,147
Charity care Median	4,358,422 2,654,636	4,591,865 2,940,659	4,791,249 3,380,215	5,502,806 3,488,738	5,615,153 3,233,405
Uncompensated care (UCC) Median	8,649,992 5,147,790	9,436,165 5,337,617	10,177,468 5,711,082	10,699,278 5,923,418	12,420,288 5,508,107
UCC as a % of operating expenses Median	1.56% 3.24	1.66% 3.12	1.73% 3.21	1.95% 3.3	1.89% 2.86
Total shortfall/UCC Median	16,239,189 9,489,989	16,588,050 9,424,297	20,085,667 10,120,158	24,640,298 11,171,337	24,527,766 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	218,698,605 52,142,039	226,948,630 54,485,252	239,346,062 57,395,589	236,343,858 58,830,919	252,614,426 61,722,907
Salaries as a % of operating expenses Median	39.07 36.68	39.49 36.56	40.14 36.37	39.69 35.93	38.12 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	1,320,777 1,251,927	1,338,379 1,186,494	1,089,855 1,204,885	1,097,388 1,279,653	1,097,339 1,469,317
Contract adjusted salaries, direct-care Median	5,535,536 1,449,244	6,289,611 1,475,986	5,250,009 1,563,078	3,245,242 1,721,954	6,189,911 2,991,828
Contract hours, direct-care Median	102,277.34 22,725	102,352.50 23,018.5	87,830.35 24,503.48	51,858.68 25,026.5	93,121.25 33,786
Contract wages, direct-care Median	54.12 64.67	61.45 64.53	59.77 65.06	62.58 68.97	66.47 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.