As of the July, 2022, release via CMS

SAINT VINCENT HOSPITAL

CMS id: 390009
232 WEST 25TH STREET, ERIE PA 16544. County: ERIE
System: --
CBSA: Erie, PA

The 348-bed, acute-care hospital had $35,697,769 in net service to patients*, with a total profit margin of 14.46873% in fiscal year 2021, the latest year available.
It spent 0.60% of its operating expenses on uncompensated care and reported $12,525,014 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	226 118	229 118	237 119.5	255 118	255 119
Total beds Median	319 162	322 162	330 162	348 162	348 163.5
FTEs Median	1,590.10 788.06	1,626.44 793.42	1,587.10 806.03	2,297.34 787.61	2,393.45 804.34

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	285,114,175 150,932,746	292,155,944 158,950,878	324,498,753 168,696,998	328,177,382 163,454,693	382,399,411 186,589,412
Operating expenses Median	273,373,528 149,311,209	278,345,379 156,110,414	279,387,120 164,890,568	300,181,878 166,516,854	346,701,642 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,740,647 -964,173	13,810,565 -643,601.5	45,111,633 -116,254	27,995,504 -5,025,862	35,697,769 -1,284,564
NS2P margin ? Median	4.12% -0.62	4.73% -0.29	13.90% 0.18	8.53% -5.07	9.34% -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	13,401,777 5,089,215	13,495,133 4,572,541	11,712,397 5,268,134	22,618,560 13,092,619	22,951,338 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	139,514 194,343	22,794 249,496
⊳ Line 7: Investments ? ⊳ Median	604,679 299,524	1,952,351 188,688.5	2,183,937 370,813	1,882,045 309,361.5	9,506,830 375,329
⊳ 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	96,821	142,524	112,482	0	425,586
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,110,228	1,217,621	1,371,236	1,249,239	1,018,707
⊳ 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	4,424,572	4,208,108	4,160,648	4,718,152	5,911,410
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	114,682	140,211	89,075	73,395	89,257
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	26,804	0	0
⊳ Line 21: Rental of vending machines	53,937	46,234	26,685	18,476	74,105
⊳ Line 22: Rental of hospital space	2,382,278	2,914,107	3,122,417	3,138,124	2,927,688
⊳ 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	4,614,580	2,873,977	619,113	11,399,615	2,974,961
Total income ? Median	25,142,424 6,586,430	27,305,698 6,767,106	56,824,030 8,419,950	50,614,064 8,094,175	58,649,107 15,162,888
Non-operating expenses Median	191,082 146,289.5	4 164,857	-360,078 89,880.5	0 106,761	0 31,473.5
Net income Median	24,951,342 6,043,842	27,305,694 5,845,112	57,184,108 7,606,259	50,614,064 7,283,041	58,649,107 14,957,241
Net margin Median	8.35846% 4.62%	8.93362% 4.42%	17.00839% 5.16%	14.42835% 5.2%	14.46873% 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	52,322,484 23,241,334	50,084,199 23,709,545	51,792,312 24,248,380	47,300,920 22,858,541	49,053,725 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	47,278,035 21,577,146	45,291,687 22,041,594	47,511,583 22,722,063	42,552,692 21,570,441	45,755,957 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	853,823 1,845,420	1,204,930 1,757,392	661,192 1,738,842	757,450 1,510,463	273,051 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,190,626 3,535,627	3,587,582 3,746,588	3,619,537 3,782,288	3,990,778 3,865,578	3,024,717 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	25,399,633 11,160,864	27,587,850 11,987,345	27,960,780 12,926,866	22,776,265 11,884,480	22,637,477 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	25,399,633 10,918,923	27,587,850 11,706,976	27,960,780 12,615,917	22,776,265 11,458,116	22,637,477 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	4,625,511 3,284,314	4,675,748 3,250,551	5,038,800 3,386,837	5,185,988 3,360,806	5,367,275 3,508,953
Disproportionate-share hospital (DSH) Median	1,471,046 594,888	1,288,213 595,761	1,398,178 577,894	1,144,700 542,168	1,047,805 549,667
Outlier Median	1,417,998 582,572	1,033,194 538,116	1,297,539 212,434	759,332 126,559	495,199 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,039,393 3,662,910	8,575,721 3,730,911	3,417,348 4,081,319	7,662,115 4,643,908	12,525,014 4,389,147
Charity care Median	2,734,766 2,654,636	2,053,182 2,940,659	2,522,316 3,380,215	1,016,283 3,488,738	1,453,447 3,233,405
Uncompensated care (UCC) Median	4,521,439 5,147,790	3,907,303 5,337,617	3,401,173 5,711,082	1,556,946 5,923,418	2,090,288 5,508,107
UCC as a % of operating expenses Median	1.65% 3.24	1.40% 3.12	1.22% 3.21	0.52% 3.3	0.60% 2.86
Total shortfall/UCC Median	12,560,832 9,489,989	12,483,024 9,424,297	6,818,521 10,120,158	9,219,061 11,171,337	14,615,302 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	80,499,114 52,142,039	86,465,899 54,485,252	88,180,750 57,395,589	88,640,394 58,830,919	91,391,492 61,722,907
Salaries as a % of operating expenses Median	29.39 36.68	31.01 36.56	31.56 36.37	29.53 35.93	26.36 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	2,234,002 1,251,927	2,434,578 1,186,494	2,627,100 1,204,885	2,821,556 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	3,080,319 1,449,244	6,728,140 1,475,986	7,244,573 1,563,078	5,868,971 1,721,954	6,531,147 2,991,828
Contract hours, direct-care Median	84,556.00 22,725	140,310.00 23,018.5	145,083.00 24,503.48	113,797.00 25,026.5	59,493.00 33,786
Contract wages, direct-care Median	36.43 64.67	47.95 64.53	49.93 65.06	51.57 68.97	109.78 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.