As of the July, 2022, release via CMS

ROSE MEDICAL CENTER

CMS id: 060032
4567 EAST NINTH AVENUE, DENVER CO 80220. County: DENVER
System: HCA
CBSA: Denver-Aurora-Lakewood, CO

The 249-bed, acute-care hospital had $85,661,200 in net service to patients*, with a total profit margin of 25.41656% in fiscal year 2021, the latest year available.
It spent 2.32% of its operating expenses on uncompensated care and reported $16,686,336 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	172 118	167 118	167 119.5	172 118	167 119
Total beds Median	231 162	226 162	226 162	217 162	249 163.5
FTEs Median	921.16 788.06	944.36 793.42	939.76 806.03	893.43 787.61	836.94 804.34

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	303,723,166 150,932,746	321,699,201 158,950,878	325,816,649 168,696,998	316,784,290 163,454,693	345,212,575 186,589,412
Operating expenses Median	189,434,793 149,311,209	180,030,087 156,110,414	246,218,790 164,890,568	237,599,129 166,516,854	259,551,375 180,120,888
Net income from service 2 patients (NS2P) ? Median	114,288,373 -964,173	141,669,114 -643,601.5	79,597,859 -116,254	79,185,161 -5,025,862	85,661,200 -1,284,564
NS2P margin ? Median	37.63% -0.62	44.04% -0.29	24.43% 0.18	25.00% -5.07	24.81% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ROSE 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	1,426,827 5,089,215	1,427,199 4,572,541	1,795,453 5,268,134	2,068,616 13,092,619	2,788,775 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	0	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	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.)	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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	1,426,827	1,427,199	1,795,453	2,068,616	2,788,775
Total income ? Median	115,715,200 6,586,430	143,096,313 6,767,106	81,393,312 8,419,950	81,253,777 8,094,175	88,449,975 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-7 89,880.5	-3 106,761	-1 31,473.5
Net income Median	115,715,200 6,043,842	143,096,313 5,845,112	81,393,319 7,606,259	81,253,780 7,283,041	88,449,976 14,957,241
Net margin Median	37.92076% 4.62%	44.28493% 4.42%	24.84442% 5.16%	25.48315% 5.2%	25.41656% 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 ROSE 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	35,960,427 23,241,334	33,494,615 23,709,545	31,122,278 24,248,380	26,686,212 22,858,541	25,285,668 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	35,960,427 21,577,146	33,494,615 22,041,594	31,122,278 22,722,063	26,686,212 21,570,441	25,285,668 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	15,444,339 11,160,864	15,929,352 11,987,345	16,444,150 12,926,866	13,899,670 11,884,480	17,075,008 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	15,444,339 10,918,923	15,929,352 11,706,976	16,444,150 12,615,917	13,899,670 11,458,116	17,075,008 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	2,423,944 3,284,314	2,049,686 3,250,551	1,482,100 3,386,837	899,472 3,360,806	847,161 3,508,953
Disproportionate-share hospital (DSH) Median	920,559 594,888	865,250 595,761	783,705 577,894	707,770 542,168	703,655 549,667
Outlier Median	1,018,911 582,572	993,391 538,116	211,957 212,434	284,905 126,559	350,401 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,540,679 3,662,910	10,616,368 3,730,911	11,352,764 4,081,319	16,618,187 4,643,908	16,686,336 4,389,147
Charity care Median	3,486,162 2,654,636	4,270,205 2,940,659	4,424,371 3,380,215	4,652,922 3,488,738	5,297,642 3,233,405
Uncompensated care (UCC) Median	4,809,342 5,147,790	5,056,511 5,337,617	5,403,119 5,711,082	5,635,324 5,923,418	6,032,833 5,508,107
UCC as a % of operating expenses Median	2.54% 3.24	2.81% 3.12	2.19% 3.21	2.37% 3.3	2.32% 2.86
Total shortfall/UCC Median	14,350,021 9,489,989	15,672,879 9,424,297	16,755,883 10,120,158	22,253,511 11,171,337	22,719,169 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	71,061,139 52,142,039	75,375,756 54,485,252	76,443,879 57,395,589	72,137,842 58,830,919	72,367,177 61,722,907
Salaries as a % of operating expenses Median	37.44 36.68	41.78 36.56	30.99 36.37	30.27 35.93	27.81 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	22 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	2,438,236 1,251,927	1,712,044 1,186,494	816,580 1,204,885	655,786 1,279,653	958,076 1,469,317
Contract adjusted salaries, direct-care Median	7,045,607 1,449,244	3,120,668 1,475,986	2,356,017 1,563,078	2,590,898 1,721,954	958,076 2,991,828
Contract hours, direct-care Median	85,717.00 22,725	69,180.00 23,018.5	51,088.00 24,503.48	56,539.00 25,026.5	24,211.00 33,786
Contract wages, direct-care Median	82.20 64.67	45.11 64.53	46.12 65.06	45.82 68.97	39.57 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.