As of the July, 2022, release via CMS

ST. VINCENT HOSPITAL

CMS id: 320002
455 ST. MICHAELS DRIVE, SANTA FE NM 87505. County: SANTA FE
System: CHRISTUS HEALTH
CBSA: Santa Fe, NM

The 203-bed, acute-care hospital had $44,931,433 in net service to patients*, with a total profit margin of 20.13177% in fiscal year 2021, the latest year available.
It spent 2.04% of its operating expenses on uncompensated care and reported $48,296 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	152 118	152 118	167 119.5	155 118	155 119
Total beds Median	192 162	192 162	214 162	203 162	203 163.5
FTEs Median	1,858.89 788.06	1,886.20 793.42	1,930.34 806.03	1,968.03 787.61	1,935.04 804.34

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	418,486,704 150,932,746	437,130,882 158,950,878	437,546,668 168,696,998	446,243,419 163,454,693	509,090,843 186,589,412
Operating expenses Median	394,308,428 149,311,209	416,657,924 156,110,414	430,324,800 164,890,568	440,202,094 166,516,854	464,159,410 180,120,888
Net income from service 2 patients (NS2P) ? Median	24,178,276 -964,173	20,472,958 -643,601.5	7,221,868 -116,254	6,041,325 -5,025,862	44,931,433 -1,284,564
NS2P margin ? Median	5.78% -0.62	4.68% -0.29	1.65% 0.18	1.35% -5.07	8.83% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. 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	20,244,685 5,089,215	12,237,985 4,572,541	19,513,893 5,268,134	35,666,309 13,092,619	72,735,952 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	0 188,688.5	0 370,813	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	2,702	1,262	2,708	2,900	791
⊳ 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	891,370	974,657	1,033,829	1,051,971	938,757
⊳ 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	2,148	237	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	143,963	45,391	59,160	234,689	119,427
⊳ Line 23: Gov appropriations ? ⊳ Median	15,438,165 1,017,693	1,115,578 983,261.5	4,422,141 1,173,286	12,270,391 1,987,202	4,565,037 1,597,664
⊳ Sum Line 24	3,766,337	10,100,860	13,996,055	22,106,358	67,111,940
Total income ? Median	44,422,961 6,586,430	32,710,943 6,767,106	26,735,761 8,419,950	41,707,634 8,094,175	117,667,385 15,162,888
Non-operating expenses Median	-6,400,133 146,289.5	-3,367,708 164,857	31,374 89,880.5	1,347,607 106,761	535,366 31,473.5
Net income Median	50,823,094 6,043,842	36,078,651 5,845,112	26,704,387 7,606,259	40,360,027 7,283,041	117,132,019 14,957,241
Net margin Median	11.58410% 4.62%	8.02874% 4.42%	5.84264% 5.16%	8.37502% 5.2%	20.13177% 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 ST. 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	57,082,042 23,241,334	57,133,467 23,709,545	56,728,859 24,248,380	50,640,152 22,858,541	55,142,179 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	52,462,651 21,577,146	52,217,829 22,041,594	52,160,229 22,722,063	46,044,585 21,570,441	49,722,035 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	273,780 1,845,420	364,407 1,757,392	251,823 1,738,842	284,300 1,510,463	433,201 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,345,611 3,535,627	4,551,231 3,746,588	4,316,807 3,782,288	4,311,267 3,865,578	4,986,943 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	35,164,395 11,160,864	36,929,160 11,987,345	36,608,488 12,926,866	40,939,616 11,884,480	48,591,705 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	35,164,395 10,918,923	36,929,160 11,706,976	36,608,488 12,615,917	40,939,616 11,458,116	48,591,705 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	1,096,069 3,284,314	1,112,624 3,250,551	932,421 3,386,837	861,695 3,360,806	830,535 3,508,953
Disproportionate-share hospital (DSH) Median	1,848,898 594,888	1,780,044 595,761	1,009,257 577,894	863,330 542,168	1,385,629 549,667
Outlier Median	2,485,683 582,572	2,392,760 538,116	2,150,089 212,434	551,957 126,559	791,019 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	234,959 4,081,319	9,353 4,643,908	48,296 4,389,147
Charity care Median	6,146,206 2,654,636	7,264,669 2,940,659	8,286,097 3,380,215	10,861,888 3,488,738	8,271,428 3,233,405
Uncompensated care (UCC) Median	12,313,287 5,147,790	10,595,304 5,337,617	11,260,649 5,711,082	13,718,029 5,923,418	9,455,653 5,508,107
UCC as a % of operating expenses Median	3.12% 3.24	2.54% 3.12	2.62% 3.21	3.12% 3.3	2.04% 2.86
Total shortfall/UCC Median	12,313,287 9,489,989	10,595,304 9,424,297	11,495,608 10,120,158	13,727,382 11,171,337	9,503,949 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	153,372,059 52,142,039	158,028,489 54,485,252	167,267,984 57,395,589	172,561,768 58,830,919	179,920,469 61,722,907
Salaries as a % of operating expenses Median	38.68 36.68	37.93 36.56	38.86 36.37	38.92 35.93	38.53 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	833,505 1,251,927	788,809 1,186,494	737,966 1,204,885	672,276 1,279,653	869,636 1,469,317
Contract adjusted salaries, direct-care Median	9,061,773 1,449,244	11,908,146 1,475,986	8,340,737 1,563,078	5,796,963 1,721,954	8,755,037 2,991,828
Contract hours, direct-care Median	145,750.00 22,725	175,327.00 23,018.5	125,476.00 24,503.48	84,413.00 25,026.5	97,196.00 33,786
Contract wages, direct-care Median	62.17 64.67	67.92 64.53	66.47 65.06	68.67 68.97	90.08 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.