As of the July, 2022, release via CMS

CANYON VISTA MEDICAL CENTER

CMS id: 030043
5700 E. HIGHWAY 90, SIERRA VISTA AZ 85635. County: COCHISE
System: LIFEPOINT HEALTH
CBSA: Sierra Vista-Douglas, AZ

The 93-bed, acute-care hospital had $2,304,101 in net service to patients*, with a total profit margin of 5.49272% in fiscal year 2021, the latest year available.
It spent 4.45% 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 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	63 118	63 118	63 119.5	63 118	56 119
Total beds Median	94 162	94 162	94 162	94 162	93 163.5
FTEs Median	585.50 788.06	586.36 793.42	600.96 806.03	543.03 787.61	462.77 804.34

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	106,931,075 150,932,746	105,143,257 158,950,878	110,503,958 168,696,998	103,648,138 163,454,693	113,679,029 186,589,412
Operating expenses Median	102,287,685 149,311,209	99,229,098 156,110,414	107,900,304 164,890,568	103,379,083 166,516,854	111,374,928 180,120,888
Net income from service 2 patients (NS2P) ? Median	4,643,390 -964,173	5,914,159 -643,601.5	2,603,654 -116,254	269,055 -5,025,862	2,304,101 -1,284,564
NS2P margin ? Median	4.34% -0.62	5.62% -0.29	2.36% 0.18	0.26% -5.07	2.03% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CANYON VISTA 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	877,237 5,089,215	777,870 4,572,541	850,330 5,268,134	716,555 13,092,619	4,168,961 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	0	0	0	0	0
⊳ 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	568,552	503,311	526,725	0	279,620
⊳ 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	11,185	10,175	9,197	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	141,805	140,005	157,226	0	119,671
⊳ Line 21: Rental of vending machines	8,864	19,752	21,147	0	0
⊳ Line 22: Rental of hospital space	8,160	8,160	8,160	0	58,400
⊳ 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	138,671	96,467	127,875	716,555	3,711,270
Total income ? Median	5,520,627 6,586,430	6,692,029 6,767,106	3,453,984 8,419,950	985,610 8,094,175	6,473,062 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	5,520,627 6,043,842	6,692,029 5,845,112	3,453,984 7,606,259	985,610 7,283,041	6,473,062 14,957,241
Net margin Median	5.12078% 4.62%	6.31794% 4.42%	3.10180% 5.16%	0.94439% 5.2%	5.49272% 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 CANYON VISTA 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	22,138,794 23,241,334	22,956,007 23,709,545	26,335,315 24,248,380	24,273,655 22,858,541	24,121,165 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	21,331,765 21,577,146	22,321,577 22,041,594	25,688,785 22,722,063	23,626,785 21,570,441	23,618,507 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	807,029 1,845,420	634,430 1,757,392	646,530 1,738,842	646,870 1,510,463	502,658 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	9,546,317 11,160,864	10,197,166 11,987,345	10,287,758 12,926,866	9,919,295 11,884,480	9,782,372 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	9,546,317 10,918,923	10,197,166 11,706,976	10,287,758 12,615,917	9,919,295 11,458,116	9,782,372 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	2,439,741 3,284,314	2,491,910 3,250,551	2,883,249 3,386,837	2,838,775 3,360,806	2,619,684 3,508,953
Disproportionate-share hospital (DSH) Median	392,816 594,888	411,513 595,761	459,973 577,894	438,252 542,168	314,924 549,667
Outlier Median	360,003 582,572	165,127 538,116	207,291 212,434	93,884 126,559	70,001 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,373,115 3,662,910	5,815,822 3,730,911	2,695,640 4,081,319	642,870 4,643,908	0 4,389,147
Charity care Median	161,438 2,654,636	137,306 2,940,659	887,788 3,380,215	846,269 3,488,738	4,739,886 3,233,405
Uncompensated care (UCC) Median	1,154,273 5,147,790	949,898 5,337,617	1,969,250 5,711,082	2,197,921 5,923,418	4,956,504 5,508,107
UCC as a % of operating expenses Median	1.13% 3.24	0.96% 3.12	1.83% 3.21	2.13% 3.3	4.45% 2.86
Total shortfall/UCC Median	3,527,388 9,489,989	6,765,720 9,424,297	4,664,890 10,120,158	2,840,791 11,171,337	4,956,504 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	35,122,764 52,142,039	33,987,147 54,485,252	35,604,584 57,395,589	35,156,493 58,830,919	31,520,316 61,722,907
Salaries as a % of operating expenses Median	34.34 36.68	34.25 36.56	33.00 36.37	34.01 35.93	28.74 35.24
Intern, resident salaries* Median	42,058 2,598,592	30,155 2,686,824	85,746 2,753,773	414,786 2,937,156	800,144 2,909,848
Contract intern, resident salaries* Median	1,518,998 1,251,927	1,954,290 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	4,233,803 1,449,244	5,645,294 1,475,986	4,225,997 1,563,078	3,203,974 1,721,954	2,143,760 2,991,828
Contract hours, direct-care Median	75,466.70 22,725	89,910.46 23,018.5	69,536.30 24,503.48	30,877.10 25,026.5	36,046.00 33,786
Contract wages, direct-care Median	56.10 64.67	62.79 64.53	60.77 65.06	103.77 68.97	59.47 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.