As of the July, 2022, release via CMS

YUMA REGIONAL MEDICAL CENTER

CMS id: 030013
2400 S AVENUE A, YUMA AZ 85364. County: YUMA
System: --
CBSA: Yuma, AZ

The 406-bed, acute-care hospital had $61,524,971 in net service to patients*, with a total profit margin of 22.35866% in fiscal year 2021, the latest year available.
It spent 3.23% of its operating expenses on uncompensated care and reported $128,296 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	344 118	344 118	344 119.5	344 118	344 119
Total beds Median	406 162	406 162	406 162	406 162	406 163.5
FTEs Median	2,057.89 788.06	2,144.37 793.42	2,324.79 806.03	2,228.26 787.61	2,062.76 804.34

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	442,476,271 150,932,746	477,359,387 158,950,878	484,479,199 168,696,998	512,006,356 163,454,693	643,078,950 186,589,412
Operating expenses Median	422,476,672 149,311,209	451,987,764 156,110,414	478,760,349 164,890,568	520,492,974 166,516,854	581,553,979 180,120,888
Net income from service 2 patients (NS2P) ? Median	19,999,599 -964,173	25,371,623 -643,601.5	5,718,850 -116,254	-8,486,618 -5,025,862	61,524,971 -1,284,564
NS2P margin ? Median	4.52% -0.62	5.31% -0.29	1.18% 0.18	-1.66% -5.07	9.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for YUMA REGIONAL MEDICAL CENTER 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	30,672,988 5,089,215	26,967,184 4,572,541	20,614,885 5,268,134	62,465,117 13,092,619	105,947,251 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	386,612 224,999	308,921 199,009	2,706,860 206,870.5	6,053,674 194,343	3,651,676 249,496
⊳ Line 7: Investments ? ⊳ Median	24,818,272 299,524	22,786,682 188,688.5	12,421,611 370,813	40,480,028 309,361.5	76,465,818 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	7,035	35,968	31,291	72,556
⊳ Line 11: Rebates and refunds of expenses	535,612	539,809	755,319	948,701	1,221,120
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	4,369	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	249,757	525,763	528,189	247,470	141,022
⊳ 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.)	462,748	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	482,742	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,380,106	1,107,454	1,155,137	737,731	844,757
⊳ 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	2,357,139	1,687,151	3,011,801	13,966,222	23,550,302
Total income ? Median	50,672,587 6,586,430	52,338,807 6,767,106	26,333,735 8,419,950	53,978,499 8,094,175	167,472,222 15,162,888
Non-operating expenses Median	0 146,289.5	6 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	50,672,587 6,043,842	52,338,801 5,845,112	26,333,735 7,606,259	53,978,499 7,283,041	167,472,222 14,957,241
Net margin Median	10.70964% 4.62%	10.37796% 4.42%	5.21363% 5.16%	9.39620% 5.2%	22.35866% 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 YUMA REGIONAL MEDICAL CENTER 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	80,732,109 23,241,334	82,622,624 23,709,545	81,750,670 24,248,380	71,466,161 22,858,541	72,561,967 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	80,732,109 21,577,146	82,622,624 22,041,594	81,750,670 22,722,063	71,466,161 21,570,441	72,561,967 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	50,479,178 11,160,864	57,685,716 11,987,345	63,357,658 12,926,866	57,303,197 11,884,480	56,906,426 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	50,479,178 10,918,923	57,685,716 11,706,976	63,357,658 12,615,917	57,303,197 11,458,116	56,906,426 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	2,491,080 3,284,314	2,448,513 3,250,551	2,271,013 3,386,837	2,181,559 3,360,806	2,016,826 3,508,953
Disproportionate-share hospital (DSH) Median	3,306,300 594,888	2,723,723 595,761	3,025,149 577,894	2,215,391 542,168	2,474,324 549,667
Outlier Median	2,943,685 582,572	3,795,745 538,116	1,379,231 212,434	1,341,717 126,559	1,488,359 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,653,314 3,662,910	25,776,579 3,730,911	27,024,535 4,081,319	33,692,709 4,643,908	128,296 4,389,147
Charity care Median	7,462,921 2,654,636	7,065,920 2,940,659	5,444,587 3,380,215	12,362,370 3,488,738	11,758,034 3,233,405
Uncompensated care (UCC) Median	12,883,050 5,147,790	13,736,278 5,337,617	12,868,469 5,711,082	21,269,439 5,923,418	18,781,936 5,508,107
UCC as a % of operating expenses Median	3.05% 3.24	3.04% 3.12	2.69% 3.21	4.09% 3.3	3.23% 2.86
Total shortfall/UCC Median	21,536,364 9,489,989	39,512,857 9,424,297	39,893,004 10,120,158	54,962,148 11,171,337	18,910,232 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	157,421,361 52,142,039	163,892,622 54,485,252	180,461,810 57,395,589	204,053,523 58,830,919	213,121,943 61,722,907
Salaries as a % of operating expenses Median	37.26 36.68	36.26 36.56	37.69 36.37	39.20 35.93	36.65 35.24
Intern, resident salaries* Median	2,031,943 2,598,592	2,072,409 2,686,824	2,093,375 2,753,773	2,186,921 2,937,156	2,923,521 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	6,967,254 1,449,244	6,232,848 1,475,986	10,019,524 1,563,078	5,728,758 1,721,954	12,078,066 2,991,828
Contract hours, direct-care Median	179,084.75 22,725	94,414.00 23,018.5	149,376.00 24,503.48	150,715.00 25,026.5	127,501.00 33,786
Contract wages, direct-care Median	38.90 64.67	66.02 64.53	67.08 65.06	38.01 68.97	94.73 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.