As of the July, 2022, release via CMS

ROY L SCHNEIDER HOSPITAL

CMS id: 480001
9048 SUGAR ESTATE, ST. THOMAS VI 801. County: U.S. VIRGIN ISLANDS
System: --
CBSA: Rural United States Virgin Islands

The 149-bed, acute-care hospital had $-42,253,952 in net service to patients*, with a total profit margin of 4.45366% in fiscal year 2021, the latest year available.
It spent 6.20% of its operating expenses on uncompensated care and reported $8,804,065 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	99 118	99 118	99 119.5	99 118	141 119
Total beds Median	107 162	107 162	107 162	107 162	149 163.5
FTEs Median	616.95 788.06	616.95 793.42	572.92 806.03	572.92 787.61	749.56 804.34

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	53,610,175 150,932,746	36,598,947 158,950,878	52,370,168 168,696,998	61,029,224 163,454,693	48,720,002 186,589,412
Operating expenses Median	92,065,048 149,311,209	65,008,014 156,110,414	78,109,834 164,890,568	89,051,372 166,516,854	90,973,954 180,120,888
Net income from service 2 patients (NS2P) ? Median	-38,454,873 -964,173	-28,409,067 -643,601.5	-25,739,666 -116,254	-28,022,148 -5,025,862	-42,253,952 -1,284,564
NS2P margin ? Median	-71.73% -0.62	-77.62% -0.29	-49.15% 0.18	-45.92% -5.07	-86.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ROY L SCHNEIDER 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	23,074,093 5,089,215	25,123,660 4,572,541	38,908,939 5,268,134	45,772,946 13,092,619	46,494,485 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	318,069 224,999	831,574 199,009	57,457 206,870.5	36,832 194,343	237,447 249,496
⊳ Line 7: Investments ? ⊳ Median	11,955 299,524	10,112 188,688.5	49,026 370,813	42,240 309,361.5	42,952 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	47	14,959	402	1,879	21,184
⊳ Line 11: Rebates and refunds of expenses	2,967	4,280	207,895	483,466	11,466
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	497	1,602	445	1,934	9,088
⊳ Line 14: Revenue from meals sold to emplyees and guests	744,895	966,101	923,310	590,691	374,278
⊳ Line 15: Revenue from rental of living quarters	1,875	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	-41,817	4,420	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	944	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	6,129	10,989	15,545	8,580	11,694
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	76,107	118,157	168,061	196,301	185,617
⊳ 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	21,457,347 1,017,693	22,002,813 983,261.5	37,372,708 1,173,286	30,660,734 1,987,202	45,267,385 1,597,664
⊳ Sum Line 24	495,078	1,158,653	114,090	13,750,289	333,374
Total income ? Median	-15,380,780 6,586,430	-3,285,407 6,767,106	13,169,273 8,419,950	17,750,798 8,094,175	4,240,533 15,162,888
Non-operating expenses Median	11,994,385 146,289.5	0 164,857	0 89,880.5	15,338,188 106,761	0 31,473.5
Net income Median	-27,375,165 6,043,842	-3,285,407 5,845,112	13,169,273 7,606,259	2,412,610 7,283,041	4,240,533 14,957,241
Net margin Median	-35.69854% 4.62%	-5.32286% 4.42%	14.42748% 5.16%	2.25895% 5.2%	4.45366% 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 ROY L SCHNEIDER 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	0 23,241,334	0 23,709,545	0 24,248,380	0 22,858,541	0 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	0 21,577,146	0 22,041,594	0 22,722,063	0 21,570,441	0 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	6,870,586 11,160,864	2,979,854 11,987,345	4,984,042 12,926,866	5,112,866 11,884,480	3,971,760 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	6,870,586 10,918,923	2,979,854 11,706,976	4,984,042 12,615,917	5,112,866 11,458,116	3,971,760 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	0 582,572	0 538,116	0 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,589,253 3,662,910	13,345,752 3,730,911	0 4,081,319	8,317,885 4,643,908	8,804,065 4,389,147
Charity care Median	578,491 2,654,636	1,027,038 2,940,659	0 3,380,215	52,887 3,488,738	3,214 3,233,405
Uncompensated care (UCC) Median	12,238,796 5,147,790	7,607,270 5,337,617	-21,913 5,711,082	9,158,372 5,923,418	5,640,863 5,508,107
UCC as a % of operating expenses Median	13.29% 3.24	11.70% 3.12	-0.03% 3.21	10.28% 3.3	6.20% 2.86
Total shortfall/UCC Median	21,828,049 9,489,989	20,953,022 9,424,297	-21,913 10,120,158	17,476,257 11,171,337	14,444,928 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	39,523,091 52,142,039	32,624,630 54,485,252	37,238,778 57,395,589	38,241,023 58,830,919	39,779,102 61,722,907
Salaries as a % of operating expenses Median	42.93 36.68	50.19 36.56	47.67 36.37	42.94 35.93	43.73 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	0 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	0.00 68.97	0.00 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.