As of the July, 2022, release via CMS

ST VINCENT MEDICAL CENTER

CMS id: 360112
2213 CHERRY STREET, TOLEDO OH 43608. County: LUCAS
System: BON SECOURS MERCY HEALTH
CBSA: Toledo, OH

The 311-bed, acute-care hospital had $-23,273,172 in net service to patients*, with a total profit margin of 5.29913% in fiscal year 2021, the latest year available.
It spent 1.88% of its operating expenses on uncompensated care and reported $11,669,942 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	132 118	157 118	163 119.5	167 118	146 119
Total beds Median	288 162	313 162	332 162	332 162	311 163.5
FTEs Median	2,183.06 788.06	2,384.62 793.42	2,314.11 806.03	2,294.68 787.61	2,306.17 804.34

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	509,825,985 150,932,746	504,905,950 158,950,878	509,209,279 168,696,998	537,457,973 163,454,693	591,385,833 186,589,412
Operating expenses Median	499,630,891 149,311,209	510,353,421 156,110,414	559,236,549 164,890,568	559,663,853 166,516,854	614,659,005 180,120,888
Net income from service 2 patients (NS2P) ? Median	10,195,094 -964,173	-5,447,471 -643,601.5	-50,027,270 -116,254	-22,205,880 -5,025,862	-23,273,172 -1,284,564
NS2P margin ? Median	2.00% -0.62	-1.08% -0.29	-9.82% 0.18	-4.13% -5.07	-3.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST VINCENT MEDICAL CENTER 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	33,674,372 5,089,215	34,245,607 4,572,541	39,582,734 5,268,134	58,826,275 13,092,619	57,667,344 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	171,147 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,537,431 299,524	-752,130 188,688.5	0 370,813	2,756,091 309,361.5	4,456,623 375,329
⊳ 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	2,037,337	2,301,087	0	1,729,890	1,754,938
⊳ 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.)	11,710,365	12,033,796	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	614,681	577,748	0	0	0
⊳ Line 21: Rental of vending machines	18,427	45,018	0	25,757	0
⊳ Line 22: Rental of hospital space	574,982	581,418	0	641,386	547,243
⊳ 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	17,181,149	19,458,670	39,582,734	53,502,004	50,908,540
Total income ? Median	43,869,466 6,586,430	28,798,136 6,767,106	-10,444,536 8,419,950	36,620,395 8,094,175	34,394,172 15,162,888
Non-operating expenses Median	0 146,289.5	2 164,857	298 89,880.5	-419,798 106,761	0 31,473.5
Net income Median	43,869,466 6,043,842	28,798,134 5,845,112	-10,444,834 7,606,259	37,040,193 7,283,041	34,394,172 14,957,241
Net margin Median	8.07165% 4.62%	5.34138% 4.42%	-1.90324% 5.16%	6.21183% 5.2%	5.29913% 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 MEDICAL CENTER 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	79,937,412 23,241,334	78,032,214 23,709,545	75,350,325 24,248,380	73,444,438 22,858,541	75,523,979 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	79,937,412 21,577,146	78,032,214 22,041,594	75,350,325 22,722,063	73,444,438 21,570,441	75,523,979 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	27,721,761 11,160,864	28,081,541 11,987,345	27,025,770 12,926,866	24,478,897 11,884,480	24,667,951 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	27,721,761 10,918,923	28,081,541 11,706,976	27,025,770 12,615,917	24,478,897 11,458,116	24,667,951 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	18,069,591 3,284,314	18,011,450 3,250,551	16,782,996 3,386,837	17,429,374 3,360,806	17,250,358 3,508,953
Disproportionate-share hospital (DSH) Median	2,809,242 594,888	2,740,241 595,761	2,740,950 577,894	2,439,822 542,168	2,587,316 549,667
Outlier Median	5,613,896 582,572	3,633,604 538,116	493,141 212,434	486,602 126,559	250,384 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,000,380 3,662,910	12,661,349 3,730,911	26,473,902 4,081,319	22,752,766 4,643,908	11,669,942 4,389,147
Charity care Median	5,770,997 2,654,636	6,710,143 2,940,659	7,129,996 3,380,215	6,473,987 3,488,738	5,368,443 3,233,405
Uncompensated care (UCC) Median	12,586,273 5,147,790	12,432,431 5,337,617	13,349,666 5,711,082	13,263,427 5,923,418	11,561,133 5,508,107
UCC as a % of operating expenses Median	2.52% 3.24	2.44% 3.12	2.39% 3.21	2.37% 3.3	1.88% 2.86
Total shortfall/UCC Median	21,586,653 9,489,989	25,093,780 9,424,297	39,823,568 10,120,158	36,016,193 11,171,337	23,231,075 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	147,868,987 52,142,039	153,458,001 54,485,252	151,901,653 57,395,589	158,117,618 58,830,919	166,968,408 61,722,907
Salaries as a % of operating expenses Median	29.60 36.68	30.07 36.56	27.16 36.37	28.25 35.93	27.16 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	157,711 1,186,494	125,684 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,384,541 1,449,244	2,140,620 1,475,986	28,189,179 1,563,078	10,144,980 1,721,954	21,043,838 2,991,828
Contract hours, direct-care Median	14,562.48 22,725	31,974.70 23,018.5	291,219.75 24,503.48	125,150.71 25,026.5	181,757.63 33,786
Contract wages, direct-care Median	95.08 64.67	66.95 64.53	96.80 65.06	81.06 68.97	115.78 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.