As of the July, 2022, release via CMS

COLORADO CANYONS HOSPITAL & MED CTR

CMS id: 061302
300 W. OTTLEY AVE, FRUITA CO 81521. County: MESA
System: --
CBSA: Grand Junction, CO

The 25-bed, CAH hospital had $9,530,278 in net service to patients*, with a total profit margin of 17.43923% in fiscal year 2021, the latest year available.
It spent 1.49% of its operating expenses on uncompensated care and reported $17,306 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from CAH 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	16 23	25 23	25 23	25 23	25 23
Total beds Median	76 25	25 25	25 25	25 25	25 25
FTEs Median	288.39 149.18	312.93 151.6	282.92 151.58	299.18 152.78	317.13 151.99

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	44,181,976 19,395,819	46,081,280 19,790,685	51,858,755 20,891,573	48,733,006 20,752,910	61,859,267 22,925,976
Operating expenses Median	40,712,014 21,082,256	46,980,497 21,740,728	45,937,732 22,449,917	48,112,285 23,028,561	52,328,989 24,906,213
Net income from service 2 patients (NS2P) ? Median	3,469,962 -1,166,928	-899,217 -1,178,891	5,921,023 -1,189,234	620,721 -1,989,193	9,530,278 -1,175,562
NS2P margin ? Median	7.85% -6.37	-1.95% -6.47	11.42% -6.58	1.27% -10.52	15.41% -5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COLORADO CANYONS HOSPITAL & MED CTR compared to all** CAH 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 CAH hospitals available to calculate medians:

2017	2018	2019	2020	2021
1,314	1,322	1,316	1,319	1,132

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	488,781 1,517,926	560,166 1,554,100	582,535 1,708,825	4,989,986 3,606,354	1,523,123 4,946,640
⊳ Line 6: Contributions ? ⊳ Median	102,986 68,435	178,699 61,711.5	207,312 71,344	124,032 80,654	154,505 103,902
⊳ Line 7: Investments ? ⊳ Median	57,190 25,389	36,916 35,427	75,893 59,240	70,879 47,652	127,595 52,317
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	153,902	90,249	42,485	3,787	2,039
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ 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	71,646	65,912	63,602	82,583	147,702
⊳ 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	7,738	8,125	5,665	6,338	3,860
⊳ 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	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 525,619.5	0 568,101.5	0 581,486	0 657,916	0 640,942
⊳ Sum Line 24	95,319	180,265	187,578	4,702,367	1,087,422
Total income ? Median	3,958,743 445,049	-339,051 379,292	6,503,558 655,032	5,610,707 1,453,054	11,053,401 3,734,026
Non-operating expenses Median	0 56,329	0 45,230	0 61,507	0 80,747	0 39,130
Net income Median	3,958,743 309,249	-339,051 305,537	6,503,558 515,321.5	5,610,707 1,282,423	11,053,401 3,678,491
Net margin Median	8.86205% 1.7%	-0.72693% 1.61%	12.40160% 2.36%	10.44377% 5.41%	17.43923% 13.38%

* 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 COLORADO CANYONS HOSPITAL & MED CTR compared to all** CAH hospitals, from CMS cost reports.
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 CAH hospitals available to calculate medians:

2017	2018	2019	2020	2021
1,314	1,322	1,316	1,319	1,132

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	2,240,935 1,512,374	1,683,713 1,478,094	1,109,612 1,365,460	907,148 1,289,169	984,232 1,354,214
"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 --	0 --	0 --	0 --	0 --
⊳ 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 1,435,730	0 1,483,001	0 1,283,328	0 992,950.5	0 --
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	2,240,935 1,441,589	1,683,713 1,403,245	1,109,612 1,290,206	907,148 1,229,191	984,232 1,287,699
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 206,041.5	0 214,490	0 174,030.5	0 236,717.5	0 192,758.5
All outpatient revenue Median Click here to show/hide details	7,338,167 4,108,627	7,981,093 4,367,646	10,304,183 4,566,928	10,797,335 4,517,324	10,853,282 4,554,272
"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	7,338,167 3,508,078	7,981,093 3,742,383	10,304,183 3,932,686	10,797,335 3,847,302	10,853,282 3,879,271
⊳ Home Health agencies (HHA) ⊳ Median	0 299,331.5	0 299,936	0 316,639	0 288,635	0 297,926
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 702,405	0 746,179	0 800,433	0 774,040	0 742,054
⊳ 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 --	0 --	0 --	0 --	0 --
Disproportionate-share hospital (DSH) Median	0 --	0 --	0 --	0 --	0 --
Outlier Median	0 4,679	0 5,256	0 5,165.5	0 6,341	0 5,998

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	72,855 553,475.5	75,707 567,149	219,347 599,174.5	62,155 641,417	17,306 631,057
Charity care Median	78,799 190,496	111,477 225,101	165,309 238,624	163,887 260,478.5	39,079 225,887
Uncompensated care (UCC) Median	581,400 860,218.5	713,401 933,428	776,032 986,290	920,169 998,939	781,649 871,713
UCC as a % of operating expenses Median	1.43% 3.77	1.52% 3.82	1.69% 3.7	1.91% 3.74	1.49% 3.04
Total shortfall/UCC Median	654,255 1,405,482	789,108 1,525,979	995,379 1,576,055	982,324 1,691,815	798,955 1,476,802

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	15,271,017 8,521,101	18,938,912 8,786,419	18,282,122 9,086,354	20,774,125 9,512,636	22,024,095 9,933,360
Salaries as a % of operating expenses Median	37.51 42.53	40.31 42.58	39.80 42.62	43.18 42.72	42.09 42.27
Intern, resident salaries* Median	0 --	0 --	0 --	0 --	0 --
Contract intern, resident salaries* Median	0 --	0 --	0 --	0 --	0 --
Contract adjusted salaries, direct-care Median	0 --	0 --	0 --	0 --	0 --
Contract hours, direct-care Median	0.00 --	0.00 --	0.00 --	0.00 --	0.00 --
Contract wages, direct-care Median	0.00 --	0.00 --	0.00 --	0.00 --	0.00 --

* in an approved program

Return to top

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.