As of the July, 2022, release via CMS

SAN LUIS VALLEY REG MED CENTER

CMS id: 060008
106 BLANCA AVENUE, ALAMOSA CO 81101. County: ALAMOSA
System: SAN LUIS VALLEY HEALTH
CBSA: Rural Colorado

The 49-bed, acute-care hospital had $-9,211,743 in net service to patients*, with a total profit margin of 6.62237% in fiscal year 2021, the latest year available.
It spent 3.03% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	43 118	43 118	43 119.5	43 118	43 119
Total beds Median	49 162	49 162	49 162	49 162	49 163.5
FTEs Median	508.34 788.06	528.68 793.42	585.10 806.03	596.87 787.61	586.54 804.34

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	74,411,816 150,932,746	82,410,295 158,950,878	86,940,881 168,696,998	84,066,425 163,454,693	90,145,407 186,589,412
Operating expenses Median	76,381,247 149,311,209	82,213,181 156,110,414	87,783,638 164,890,568	92,409,719 166,516,854	99,357,150 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,969,431 -964,173	197,114 -643,601.5	-842,757 -116,254	-8,343,294 -5,025,862	-9,211,743 -1,284,564
NS2P margin ? Median	-2.65% -0.62	0.24% -0.29	-0.97% 0.18	-9.92% -5.07	-10.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAN LUIS VALLEY REG MED 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	3,510,640 5,089,215	4,941,596 4,572,541	6,443,048 5,268,134	15,906,603 13,092,619	16,289,720 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	674,736 224,999	2,187,871 199,009	679,524 206,870.5	1,072,669 194,343	403,610 249,496
⊳ Line 7: Investments ? ⊳ Median	165,184 299,524	181,262 188,688.5	349,671 370,813	453,329 309,361.5	303,845 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	23,541	19,208	15,507	14,133	17,123
⊳ Line 11: Rebates and refunds of expenses	28,683	22,992	13,670	13,219	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	210,518	228,710	320,201	300,433	246,912
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	60	56	62	1	225
⊳ Line 17: Revenue from sale of drugs to other than patients	4,291	2,468	3,348	3,191	1,819
⊳ Line 18: Revenue from sale of medical records and abstracts	21,642	31,294	27,497	20,159	5,685
⊳ 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	2,170	1,402	4,113	1,226	207
⊳ Line 22: Rental of hospital space	22,788	20,672	17,686	9,992	11,051
⊳ 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	2,357,027	2,245,661	5,011,769	14,018,251	15,299,243
Total income ? Median	1,541,209 6,586,430	5,138,710 6,767,106	5,600,291 8,419,950	7,563,309 8,094,175	7,077,977 15,162,888
Non-operating expenses Median	84,059 146,289.5	257,662 164,857	297,489 89,880.5	232,512 106,761	29,451 31,473.5
Net income Median	1,457,150 6,043,842	4,881,048 5,845,112	5,302,802 7,606,259	7,330,797 7,283,041	7,048,526 14,957,241
Net margin Median	1.87000% 4.62%	5.58780% 4.42%	5.67850% 5.16%	7.33277% 5.2%	6.62237% 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 SAN LUIS VALLEY REG MED 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	7,276,098 23,241,334	8,545,877 23,709,545	8,664,168 24,248,380	7,555,526 22,858,541	7,456,074 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	7,276,098 21,577,146	8,545,877 22,041,594	8,664,168 22,722,063	7,555,526 21,570,441	7,456,074 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	9,697,434 11,160,864	10,531,044 11,987,345	10,648,058 12,926,866	9,611,330 11,884,480	8,445,241 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	8,649,135 10,918,923	9,470,926 11,706,976	9,692,003 12,615,917	8,733,132 11,458,116	7,631,965 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	1,048,299 618,038	1,060,118 697,279	956,055 690,232	878,198 684,010	813,276 670,558
⊳ 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	156,850 594,888	174,518 595,761	182,771 577,894	162,098 542,168	148,499 549,667
Outlier Median	30,021 582,572	139,920 538,116	239,272 212,434	24,719 126,559	43,868 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	209,316 3,662,910	160,471 3,730,911	0 4,081,319	7,121 4,643,908	0 4,389,147
Charity care Median	644,762 2,654,636	931,565 2,940,659	959,559 3,380,215	1,433,696 3,488,738	1,356,395 3,233,405
Uncompensated care (UCC) Median	1,276,907 5,147,790	2,953,743 5,337,617	2,375,242 5,711,082	3,063,060 5,923,418	3,010,368 5,508,107
UCC as a % of operating expenses Median	1.67% 3.24	3.59% 3.12	2.71% 3.21	3.31% 3.3	3.03% 2.86
Total shortfall/UCC Median	1,486,223 9,489,989	3,114,214 9,424,297	2,375,242 10,120,158	3,070,181 11,171,337	3,010,368 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	34,779,317 52,142,039	37,887,027 54,485,252	42,426,408 57,395,589	44,431,871 58,830,919	47,607,978 61,722,907
Salaries as a % of operating expenses Median	45.53 36.68	46.08 36.56	48.33 36.37	48.08 35.93	47.92 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	1,030,423 1,449,244	1,048,158 1,475,986	513,639 1,563,078	518,182 1,721,954	546,529 2,991,828
Contract hours, direct-care Median	28,231.06 22,725	17,165.00 23,018.5	9,176.40 24,503.48	6,980.00 25,026.5	7,143.00 33,786
Contract wages, direct-care Median	36.50 64.67	61.06 64.53	55.97 65.06	74.24 68.97	76.51 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.