As of the July, 2022, release via CMS


FOUR WINDS INC.



The 175-bed, psychiatric hospital had $-2,895,146 in net service to patients*, with a total profit margin of 4.12952% in fiscal year 2020, the latest year available.
It spent 0.00% 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 psychiatric 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 --
Ownership
forprofit forprofit forprofit forprofit --
Acute beds
Median
175
83
175
84
175
84
175
85
--
88
Total beds
Median
175
96
175
96.5
175
96
175
96
--
100
FTEs
Median
514.70
204.44
511.80
205.2
529.50
206.46
478.30
199.56
--
208.47

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

2017 2018 2019 2020 2021
Net patient revenue ?
Median
51,449,393
19,094,228
54,503,954
20,093,478
55,853,218
19,114,759
51,468,364
19,054,171
--
19,976,728
Operating expenses
Median
51,518,519
22,368,136
52,801,312
22,538,274
57,345,986
22,655,883
54,363,510
22,467,732
--
24,450,962
Net income from service 2 patients (NS2P) ?
Median
-69,126
-538,630
1,702,642
-644,522
-1,492,768
-819,986.5
-2,895,146
-1,004,176
--
-1,218,079
NS2P margin ?
Median
-0.13%
0.79
3.12%
0.82
-2.67%
-0.22
-5.63%
-1.48
--%
-1.2

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FOUR WINDS INC. compared to all** psychiatric 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 psychiatric hospitals available to calculate medians:

2017 2018 2019 2020 2021
449 452 462 475 440

2017 2018 2019 2020 2021
Other income*
Median
Click here to show/hide details
3,389,074
166,725
3,536,476
126,511
3,444,363
134,364.5
5,236,799
776,618
--
580,680
Total income ?
Median
3,319,948
578,359
5,239,118
348,012
1,951,595
178,732
2,341,653
492,827
--
422,509
Non-operating expenses
Median
0
122,784
0
624,616.5
0
319.5
0
259,907
--
833.5
Net income
Median
3,319,948
517,528.5
5,239,118
164,060.5
1,951,595
115,032
2,341,653
398,047
--
410,908
Net margin
Median
6.05405%
5.4%
9.02667%
4.03%
3.29119%
4.12%
4.12952%
5.46%
--%
6.71%

* 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 FOUR WINDS INC. compared to all** psychiatric hospitals, from CMS cost reports.
Note: Psychiatric hospitals have a wider range of total margins than other hospital types. This is partially due to the number of government-run psychiatric facilities
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 psychiatric hospitals available to calculate medians:

2017 2018 2019 2020 2021
449 452 462 475 440


Medicare revenue

Inpatient and outpatient revenue

2017 2018 2019 2020 2021
All inpatient revenue
Median
Click here to show/hide details
619,429
2,436,300
608,240
2,301,272
463,151
2,153,673
600,421
1,781,018
--
1,472,860
All outpatient revenue
Median
Click here to show/hide details
36,482
219,092
40,846
204,721
43,017
180,741
31,161
138,813
--
122,013

Other payments

Item 2017 2018 2019 2020 2021
Graduate Medical Education (GME)
Median
0
--
0
--
0
--
0
--
--
--
Disproportionate-share hospital (DSH)
Median
0
--
0
--
0
--
0
--
--
--
Outlier
Median
0
27,233
0
24,592
0
20,418
0
31,943
--
17,524.5

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
0
--
0
--
0
--
0
--
--
--
Charity care
Median
0
--
0
--
0
--
0
--
--
--
Uncompensated care (UCC)
Median
0
--
0
--
0
--
0
--
--
--
UCC as a %
of operating expenses
Median
0.00%
0
0.00%
0
0.00%
0
0.00%
0
--%
0
Total shortfall/UCC
Median
0
--
0
--
0
--
0
--
--
--

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
31,011,836
11,335,590
31,330,194
11,783,703
33,308,862
12,149,513
31,814,161
12,312,807
--
13,307,259
Salaries as a % of operating expenses
Median
60.20
50.99
59.34
51.26
58.08
50.77
58.52
50.92
--
50.8
Intern, resident salaries*
Median
0
--
0
--
0
--
0
--
--
--
Contract intern, resident salaries*
Median
0
--
0
--
0
--
0
--
--
--
Contract adjusted salaries, direct-care
Median
0
--
0
--
0
--
0
--
--
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
--
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
--
--

* 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.