As of the July, 2022, release via CMS

SIOUX FALLS SPECIALTY HOSPITAL

CMS id: 430090
910 EAST 20TH STREET, SIOUX FALLS SD 57105. County: MINNEHAHA
System: --
CBSA: Sioux Falls, SD

The 33-bed, acute-care hospital had $35,501,273 in net service to patients*, with a total profit margin of 30.12770% in fiscal year 2021, the latest year available.
It spent 2.42% of its operating expenses on uncompensated care and reported $0 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	26 118	26 118	33 119.5	33 118	33 119
Total beds Median	26 162	26 162	33 162	33 162	33 163.5
FTEs Median	256.64 788.06	272.38 793.42	288.76 806.03	297.65 787.61	295.42 804.34

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	113,885,744 150,932,746	115,629,799 158,950,878	119,463,570 168,696,998	111,978,106 163,454,693	126,027,651 186,589,412
Operating expenses Median	72,390,385 149,311,209	78,990,513 156,110,414	85,416,053 164,890,568	85,127,509 166,516,854	90,526,378 180,120,888
Net income from service 2 patients (NS2P) ? Median	41,495,359 -964,173	36,639,286 -643,601.5	34,047,517 -116,254	26,850,597 -5,025,862	35,501,273 -1,284,564
NS2P margin ? Median	36.44% -0.62	31.69% -0.29	28.50% 0.18	23.98% -5.07	28.17% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SIOUX FALLS SPECIALTY 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	399,890 5,089,215	343,395 4,572,541	1,722,325 5,268,134	8,278,751 13,092,619	3,532,105 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	4,761 299,524	5,902 188,688.5	27,933 370,813	5,503 309,361.5	15,855 375,329
⊳ 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	24,779	33,450	38,816	39,335
⊳ 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	7,347	65,653	56,499	61,272	35,750
⊳ Line 23: Gov appropriations ? ⊳ Median	257,411 1,017,693	44,417 983,261.5	3,872 1,173,286	0 1,987,202	19,265 1,597,664
⊳ Sum Line 24	130,371	202,644	1,600,571	8,173,160	3,421,900
Total income ? Median	41,895,249 6,586,430	36,982,681 6,767,106	35,769,842 8,419,950	35,129,348 8,094,175	39,033,378 15,162,888
Non-operating expenses Median	499,359 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	41,395,890 6,043,842	36,982,681 5,845,112	35,769,842 7,606,259	35,129,348 7,283,041	39,033,378 14,957,241
Net margin Median	36.22143% 4.62%	31.88899% 4.42%	29.51651% 5.16%	29.21193% 5.2%	30.12770% 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 SIOUX FALLS SPECIALTY 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	13,557,965 23,241,334	11,826,886 23,709,545	13,419,260 24,248,380	14,280,169 22,858,541	11,811,870 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	13,557,965 21,577,146	11,826,886 22,041,594	13,419,260 22,722,063	14,280,169 21,570,441	11,811,870 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	8,246,335 11,160,864	13,664,221 11,987,345	12,752,155 12,926,866	10,794,140 11,884,480	18,933,318 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	8,246,335 10,918,923	13,664,221 11,706,976	12,752,155 12,615,917	10,794,140 11,458,116	18,933,318 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	424,184 582,572	364,427 538,116	230,242 212,434	191,405 126,559	244,470 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	333,437 3,662,910	260,228 3,730,911	214,195 4,081,319	308,784 4,643,908	0 4,389,147
Charity care Median	125,411 2,654,636	72,148 2,940,659	181,117 3,380,215	165,553 3,488,738	1,903,358 3,233,405
Uncompensated care (UCC) Median	401,250 5,147,790	187,716 5,337,617	494,766 5,711,082	629,402 5,923,418	2,189,509 5,508,107
UCC as a % of operating expenses Median	0.55% 3.24	0.24% 3.12	0.58% 3.21	0.74% 3.3	2.42% 2.86
Total shortfall/UCC Median	734,687 9,489,989	447,944 9,424,297	708,961 10,120,158	938,186 11,171,337	2,189,509 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	16,575,420 52,142,039	17,494,217 54,485,252	18,770,891 57,395,589	19,683,731 58,830,919	20,403,773 61,722,907
Salaries as a % of operating expenses Median	22.90 36.68	22.15 36.56	22.43 36.37	23.37 35.93	22.76 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	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,024,134 1,449,244	1,137,299 1,475,986	992,652 1,563,078	678,462 1,721,954	759,574 2,991,828
Contract hours, direct-care Median	12,344.91 22,725	13,651.09 23,018.5	12,498.60 24,503.48	10,230.00 25,026.5	10,758.00 33,786
Contract wages, direct-care Median	82.96 64.67	83.31 64.53	79.42 65.06	66.32 68.97	70.61 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.