As of the July, 2022, release via CMS

PARKVIEW MEDICAL CENTER

CMS id: 060020
400 W. 16TH STREET, PUEBLO CO 81003. County: PUEBLO
System: --
CBSA: Pueblo, CO

The 318-bed, acute-care hospital had $53,313,163 in net service to patients*, with a total profit margin of 16.80020% in fiscal year 2021, the latest year available.
It spent 1.02% of its operating expenses on uncompensated care and reported $12,864,244 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	229 118	233 118	226 119.5	226 118	226 119
Total beds Median	326 162	326 162	318 162	318 162	318 163.5
FTEs Median	2,502.90 788.06	2,606.26 793.42	2,714.99 806.03	2,788.97 787.61	1,975.12 804.34

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	331,515,594 150,932,746	352,870,760 158,950,878	365,008,727 168,696,998	429,095,334 163,454,693	471,745,748 186,589,412
Operating expenses Median	299,398,100 149,311,209	349,448,214 156,110,414	362,624,270 164,890,568	395,583,590 166,516,854	418,432,585 180,120,888
Net income from service 2 patients (NS2P) ? Median	32,117,494 -964,173	3,422,546 -643,601.5	2,384,457 -116,254	33,511,744 -5,025,862	53,313,163 -1,284,564
NS2P margin ? Median	9.69% -0.62	0.97% -0.29	0.65% 0.18	7.81% -5.07	11.30% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PARKVIEW 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	11,837,489 5,089,215	19,221,641 4,572,541	19,352,240 5,268,134	16,147,722 13,092,619	31,179,229 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	45,559 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,780,905 299,524	6,330,865 188,688.5	5,760,291 370,813	4,944,572 309,361.5	5,722,453 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	26,938	28,927	30,372	47,839	79,705
⊳ 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	737,876	996,537	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	238	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.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,006,634	864,617	2,119,173	1,895,687	1,868,184
⊳ Line 21: Rental of vending machines	0	0	0	0	207
⊳ Line 22: Rental of hospital space	0	0	0	0	4,706,015
⊳ 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	6,239,339	11,000,695	11,442,404	9,259,624	18,802,665
Total income ? Median	43,954,983 6,586,430	22,644,187 6,767,106	21,736,697 8,419,950	49,659,466 8,094,175	84,492,392 15,162,888
Non-operating expenses Median	29,075,418 146,289.5	453,417 164,857	67,897 89,880.5	86,447 106,761	-5 31,473.5
Net income Median	14,879,565 6,043,842	22,190,770 5,845,112	21,668,800 7,606,259	49,573,019 7,283,041	84,492,397 14,957,241
Net margin Median	4.33360% 4.62%	5.96378% 4.42%	5.63762% 5.16%	11.13392% 5.2%	16.80020% 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 PARKVIEW 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	71,950,174 23,241,334	70,533,945 23,709,545	70,460,250 24,248,380	64,166,472 22,858,541	69,411,298 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	65,441,437 21,577,146	65,940,504 22,041,594	66,107,473 22,722,063	60,199,312 21,570,441	65,297,788 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	1,627,930 1,845,420	1,332,143 1,757,392	1,277,667 1,738,842	663,758 1,510,463	1,038,044 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,082,867 3,535,627	3,261,298 3,746,588	3,075,110 3,782,288	3,303,402 3,865,578	3,075,466 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	1,797,940 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	24,719,857 11,160,864	26,901,445 11,987,345	28,313,867 12,926,866	22,771,029 11,884,480	23,011,380 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	23,020,145 10,918,923	25,137,120 11,706,976	26,710,386 12,615,917	21,922,691 11,458,116	21,971,019 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,699,712 1,282,808	1,764,325 1,407,728	1,603,481 1,341,512	848,338 1,407,046	1,040,361 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	5,666,489 3,284,314	6,348,011 3,250,551	6,618,568 3,386,837	6,687,370 3,360,806	7,521,929 3,508,953
Disproportionate-share hospital (DSH) Median	2,549,527 594,888	2,465,942 595,761	2,028,664 577,894	2,448,607 542,168	2,600,329 549,667
Outlier Median	1,262,840 582,572	1,012,742 538,116	671,425 212,434	57,098 126,559	146,404 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,315,920 3,662,910	3,802,710 3,730,911	78,157 4,081,319	54,435 4,643,908	12,864,244 4,389,147
Charity care Median	731,060 2,654,636	2,124,051 2,940,659	2,556,727 3,380,215	3,143,440 3,488,738	2,218,222 3,233,405
Uncompensated care (UCC) Median	2,451,754 5,147,790	4,063,998 5,337,617	4,960,840 5,711,082	4,981,633 5,923,418	4,252,630 5,508,107
UCC as a % of operating expenses Median	0.82% 3.24	1.16% 3.12	1.37% 3.21	1.26% 3.3	1.02% 2.86
Total shortfall/UCC Median	17,767,674 9,489,989	7,866,708 9,424,297	5,038,997 10,120,158	5,036,068 11,171,337	17,116,874 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	165,120,114 52,142,039	180,335,118 54,485,252	187,460,604 57,395,589	195,707,684 58,830,919	194,532,262 61,722,907
Salaries as a % of operating expenses Median	48.86 36.68	51.61 36.56	51.70 36.37	49.47 35.93	46.49 35.24
Intern, resident salaries* Median	4,474,251 2,598,592	4,622,319 2,686,824	4,836,655 2,753,773	5,813,344 2,937,156	5,914,857 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	5,881,306 1,449,244	2,714,199 1,475,986	3,349,902 1,563,078	8,656,860 1,721,954	8,656,860 2,991,828
Contract hours, direct-care Median	79,509.00 22,725	34,112.77 23,018.5	39,730.07 24,503.48	97,360.00 25,026.5	97,360.00 33,786
Contract wages, direct-care Median	73.97 64.67	79.57 64.53	84.32 65.06	88.92 68.97	88.92 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.