As of the July, 2022, release via CMS

ST. VINCENT HOSPITAL

CMS id: 520075
835 SOUTH VAN BUREN ST., GREEN BAY WI 54307. County: BROWN
System: NAME: HOSPITAL SISTERS HEALTH SYSTE
CBSA: Green Bay, WI

The 256-bed, acute-care hospital had $4,163,135 in net service to patients*, with a total profit margin of 7.38801% in fiscal year 2021, the latest year available.
It spent 1.06% of its operating expenses on uncompensated care and reported $17,792,477 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	171 118	171 118	171 119.5	172 118	172 119
Total beds Median	255 162	255 162	255 162	256 162	256 163.5
FTEs Median	1,561.00 788.06	1,588.00 793.42	1,634.45 806.03	1,766.41 787.61	1,322.60 804.34

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	524,712,228 150,932,746	529,009,544 158,950,878	536,389,138 168,696,998	547,908,546 163,454,693	586,078,763 186,589,412
Operating expenses Median	492,736,357 149,311,209	506,953,525 156,110,414	561,591,185 164,890,568	559,414,342 166,516,854	581,915,628 180,120,888
Net income from service 2 patients (NS2P) ? Median	31,975,871 -964,173	22,056,019 -643,601.5	-25,202,047 -116,254	-11,505,796 -5,025,862	4,163,135 -1,284,564
NS2P margin ? Median	6.09% -0.62	4.17% -0.29	-4.70% 0.18	-2.10% -5.07	0.71% -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	41,205,308 5,089,215	34,727,445 4,572,541	20,759,611 5,268,134	19,888,289 13,092,619	42,258,465 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	210	204	257	0	0
⊳ Line 11: Rebates and refunds of expenses	116,416	681	2,589,956	0	0
⊳ Line 12: Parking lot receipts	17,413	14,851	3,865	0	0
⊳ Line 13: Revenue from laundry and linen service	244	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	398,241	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	491,147	979,743	2,512,653	0
⊳ Line 18: Revenue from sale of medical records and abstracts	439	1,091	1,599	2,171	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	143,258	124,221	104,742	66,973	35,737
⊳ 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	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	40,529,087	34,095,250	17,079,449	17,306,492	42,222,728
Total income ? Median	73,181,179 6,586,430	56,783,464 6,767,106	-4,442,436 8,419,950	8,382,493 8,094,175	46,421,600 15,162,888
Non-operating expenses Median	1,793,478 146,289.5	1,411,537 164,857	8,328,176 89,880.5	2,749,027 106,761	0 31,473.5
Net income Median	71,387,701 6,043,842	55,371,927 5,845,112	-12,770,612 7,606,259	5,633,466 7,283,041	46,421,600 14,957,241
Net margin Median	12.61451% 4.62%	9.82230% 4.42%	-2.29214% 5.16%	0.99216% 5.2%	7.38801% 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	37,843,396 23,241,334	33,297,048 23,709,545	34,272,891 24,248,380	35,216,247 22,858,541	31,237,288 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	35,601,870 21,577,146	30,803,291 22,041,594	31,657,266 22,722,063	32,374,433 21,570,441	28,499,684 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	2,241,526 3,535,627	2,493,757 3,746,588	2,615,625 3,782,288	2,841,814 3,865,578	2,737,604 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	25,456,566 11,160,864	26,916,850 11,987,345	27,562,324 12,926,866	29,459,315 11,884,480	30,363,508 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	24,315,171 10,918,923	25,655,593 11,706,976	26,044,173 12,615,917	28,107,274 11,458,116	28,886,641 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,141,395 1,282,808	1,261,257 1,407,728	1,518,151 1,341,512	1,352,041 1,407,046	1,476,867 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	1,200,925 594,888	959,172 595,761	964,567 577,894	1,036,710 542,168	844,670 549,667
Outlier Median	833,309 582,572	610,364 538,116	1,187,751 212,434	253,032 126,559	150,091 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	13,088,769 3,662,910	15,723,295 3,730,911	16,298,967 4,081,319	17,604,504 4,643,908	17,792,477 4,389,147
Charity care Median	3,365,187 2,654,636	3,493,356 2,940,659	4,456,009 3,380,215	4,790,601 3,488,738	3,837,137 3,233,405
Uncompensated care (UCC) Median	4,415,242 5,147,790	4,414,339 5,337,617	6,070,361 5,711,082	5,715,805 5,923,418	6,172,838 5,508,107
UCC as a % of operating expenses Median	0.90% 3.24	0.87% 3.12	1.08% 3.21	1.02% 3.3	1.06% 2.86
Total shortfall/UCC Median	17,504,011 9,489,989	20,137,634 9,424,297	22,369,328 10,120,158	23,320,309 11,171,337	23,965,315 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	89,795,696 52,142,039	90,623,484 54,485,252	95,588,141 57,395,589	95,448,802 58,830,919	84,676,171 61,722,907
Salaries as a % of operating expenses Median	17.96 36.68	18.20 36.56	17.02 36.37	17.06 35.93	14.55 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	745,148 1,449,244	657,779 1,475,986	358,951 1,563,078	877,728 1,721,954	2,479,325 2,991,828
Contract hours, direct-care Median	10,766.00 22,725	11,667.00 23,018.5	6,889.00 24,503.48	12,850.75 25,026.5	18,112.68 33,786
Contract wages, direct-care Median	69.21 64.67	56.38 64.53	52.10 65.06	68.30 68.97	136.88 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.