As of the July, 2022, release via CMS

POUDRE VALLEY HOSPITAL

CMS id: 060010
1024 S. LEMAY AVENUE, FT. COLLINS CO 80524. County: LARIMER
System: UNIVERSITY OF COLORADO HEALTH
CBSA: Fort Collins, CO

The 303-bed, acute-care hospital had $94,006,174 in net service to patients*, with a total profit margin of 71.27132% in fiscal year 2021, the latest year available.
It spent 2.33% of its operating expenses on uncompensated care and reported $34,015,961 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	181 118	188 118	188 119.5	180 118	204 119
Total beds Median	259 162	266 162	280 162	279 162	303 163.5
FTEs Median	1,880.17 788.06	1,986.00 793.42	2,082.89 806.03	2,048.12 787.61	2,071.47 804.34

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	589,282,381 150,932,746	631,468,134 158,950,878	681,034,152 168,696,998	596,632,133 163,454,693	642,262,940 186,589,412
Operating expenses Median	490,509,106 149,311,209	482,265,935 156,110,414	506,613,534 164,890,568	519,582,806 166,516,854	548,256,766 180,120,888
Net income from service 2 patients (NS2P) ? Median	98,773,275 -964,173	149,202,199 -643,601.5	174,420,618 -116,254	77,049,327 -5,025,862	94,006,174 -1,284,564
NS2P margin ? Median	16.76% -0.62	23.63% -0.29	25.61% 0.18	12.91% -5.07	14.64% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for POUDRE VALLEY HOSPITAL 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	113,310,614 5,089,215	6,420,304 4,572,541	8,609,539 5,268,134	59,469,163 13,092,619	80,799,348 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,035,951 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	106,940,750 299,524	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	-86,778	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	1,817,176	0	0	0	0
⊳ 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	29,031	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.)	9,800	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	389,195	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	15,677	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	36,312,765 1,987,202	29,551,441 1,597,664
⊳ Sum Line 24	3,159,812	6,420,304	8,609,539	23,156,398	51,247,907
Total income ? Median	212,083,889 6,586,430	155,622,503 6,767,106	183,030,157 8,419,950	136,518,490 8,094,175	174,805,522 15,162,888
Non-operating expenses Median	5,094,611 146,289.5	-47,689,267 164,857	-44,213,482 89,880.5	-22,747,949 106,761	-340,530,539 31,473.5
Net income Median	206,989,278 6,043,842	203,311,770 5,845,112	227,243,639 7,606,259	159,266,439 7,283,041	515,336,061 14,957,241
Net margin Median	29.46077% 4.62%	31.87262% 4.42%	32.95088% 5.16%	24.27467% 5.2%	71.27132% 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 POUDRE VALLEY HOSPITAL 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	63,379,396 23,241,334	63,149,006 23,709,545	63,073,999 24,248,380	53,986,766 22,858,541	50,436,728 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	61,935,660 21,577,146	62,100,601 22,041,594	58,858,771 22,722,063	49,309,186 21,570,441	46,126,766 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	1,443,736 1,845,420	1,048,405 1,757,392	1,039,297 1,738,842	1,084,670 1,510,463	712,396 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	3,175,931 3,782,288	3,592,910 3,865,578	3,597,566 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	52,439,501 11,160,864	56,901,415 11,987,345	59,617,677 12,926,866	55,659,624 11,884,480	68,430,808 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	52,439,501 10,918,923	56,901,415 11,706,976	59,617,677 12,615,917	55,659,624 11,458,116	68,430,808 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	2,565,652 3,284,314	2,541,335 3,250,551	2,451,293 3,386,837	2,189,608 3,360,806	1,925,210 3,508,953
Disproportionate-share hospital (DSH) Median	1,354,311 594,888	1,341,718 595,761	1,325,992 577,894	1,080,399 542,168	1,275,975 549,667
Outlier Median	2,627,243 582,572	2,504,266 538,116	2,415,238 212,434	598,726 126,559	720,566 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	34,029,257 3,662,910	19,239,905 3,730,911	16,553,031 4,081,319	25,041,581 4,643,908	34,015,961 4,389,147
Charity care Median	4,487,402 2,654,636	5,112,770 2,940,659	6,060,573 3,380,215	6,702,015 3,488,738	6,225,485 3,233,405
Uncompensated care (UCC) Median	10,492,037 5,147,790	8,789,856 5,337,617	10,124,544 5,711,082	10,755,285 5,923,418	12,770,778 5,508,107
UCC as a % of operating expenses Median	2.14% 3.24	1.82% 3.12	2.00% 3.21	2.07% 3.3	2.33% 2.86
Total shortfall/UCC Median	44,521,294 9,489,989	28,029,761 9,424,297	26,677,575 10,120,158	35,796,866 11,171,337	46,786,739 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	131,127,153 52,142,039	141,176,904 54,485,252	152,727,314 57,395,589	154,807,487 58,830,919	163,191,022 61,722,907
Salaries as a % of operating expenses Median	26.73 36.68	29.27 36.56	30.15 36.37	29.79 35.93	29.77 35.24
Intern, resident salaries* Median	3,729,770 2,598,592	3,942,195 2,686,824	4,004,489 2,753,773	4,548,888 2,937,156	4,542,587 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	1,683,428 1,449,244	2,602,134 1,475,986	3,834,661 1,563,078	2,909,389 1,721,954	2,476,556 2,991,828
Contract hours, direct-care Median	22,539.00 22,725	34,154.50 23,018.5	33,905.08 24,503.48	32,879.00 25,026.5	28,885.00 33,786
Contract wages, direct-care Median	74.69 64.67	76.19 64.53	113.10 65.06	88.49 68.97	85.74 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.