As of the July, 2022, release via CMS

COLORADO PLAINS MEDICAL CENTER

CMS id: 060044
1000 LINCOLN STREET, FORT MORGAN CO 80701. County: MORGAN
System: LIFEPOINT HOSPITALS
CBSA: Fort Morgan, CO

The 50-bed, acute-care hospital had $-1,401,921 in net service to patients*, with a total profit margin of 7.16180% in fiscal year 2021, the latest year available.
It spent 2.25% of its operating expenses on uncompensated care and reported $1,543,334 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	30 118	30 118	30 119.5	30 118	30 119
Total beds Median	50 162	50 162	50 162	50 162	50 163.5
FTEs Median	258.86 788.06	235.84 793.42	230.19 806.03	226.08 787.61	209.79 804.34

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	57,824,958 150,932,746	55,130,229 158,950,878	52,637,722 168,696,998	43,899,734 163,454,693	41,968,490 186,589,412
Operating expenses Median	50,126,120 149,311,209	49,087,005 156,110,414	46,838,873 164,890,568	47,235,673 166,516,854	43,370,411 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,698,838 -964,173	6,043,224 -643,601.5	5,798,849 -116,254	-3,335,939 -5,025,862	-1,401,921 -1,284,564
NS2P margin ? Median	13.31% -0.62	10.96% -0.29	11.02% 0.18	-7.60% -5.07	-3.34% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COLORADO PLAINS 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	1,213,449 5,089,215	790,457 4,572,541	857,191 5,268,134	3,245,064 13,092,619	4,747,639 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	111,578 199,009	112,051 206,870.5	101,958 194,343	101,155 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	-51,206 188,688.5	170,368 370,813	118,175 309,361.5	109,231 375,329
⊳ 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	86,236	64,676	47,161	53,645
⊳ Line 15: Revenue from rental of living quarters	0	0	298,424	264,013	247,655
⊳ 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	22	0	0	50
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	4,766	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	27,361	15,947	17,145	17,512
⊳ Line 21: Rental of vending machines	0	1,755	1,844	2,027	833
⊳ Line 22: Rental of hospital space	0	398,493	91,235	81,859	75,949
⊳ 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	1,213,449	211,452	102,646	2,612,726	4,141,609
Total income ? Median	8,912,287 6,586,430	6,833,681 6,767,106	6,656,040 8,419,950	-90,875 8,094,175	3,345,718 15,162,888
Non-operating expenses Median	3,961 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	8,908,326 6,043,842	6,833,681 5,845,112	6,656,040 7,606,259	-90,875 7,283,041	3,345,718 14,957,241
Net margin Median	15.08904% 4.62%	12.22031% 4.42%	12.44238% 5.16%	-0.19276% 5.2%	7.16180% 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 COLORADO PLAINS 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	8,066,600 23,241,334	7,494,003 23,709,545	6,474,686 24,248,380	6,639,036 22,858,541	5,298,358 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	3,721,430 21,577,146	3,513,549 22,041,594	3,260,490 22,722,063	3,244,226 21,570,441	3,015,854 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	4,345,170 1,845,420	3,980,454 1,757,392	3,214,196 1,738,842	3,394,810 1,510,463	2,282,504 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	2,579,549 11,160,864	2,505,824 11,987,345	2,424,382 12,926,866	1,619,682 11,884,480	1,697,589 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	2,471,089 10,918,923	2,505,824 11,706,976	2,424,382 12,615,917	1,619,682 11,458,116	1,697,589 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	108,460 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	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	70,830 594,888	66,535 595,761	61,716 577,894	61,137 542,168	50,878 549,667
Outlier Median	39,361 582,572	27,561 538,116	6,517 212,434	20,305 126,559	30,273 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,846,869 3,662,910	1,444,832 3,730,911	1,767,644 4,081,319	1,838,684 4,643,908	1,543,334 4,389,147
Charity care Median	1,119,082 2,654,636	773,810 2,940,659	536,743 3,380,215	395,010 3,488,738	145,749 3,233,405
Uncompensated care (UCC) Median	2,041,116 5,147,790	1,585,766 5,337,617	1,366,850 5,711,082	926,720 5,923,418	973,962 5,508,107
UCC as a % of operating expenses Median	4.07% 3.24	3.23% 3.12	2.92% 3.21	1.96% 3.3	2.25% 2.86
Total shortfall/UCC Median	3,887,985 9,489,989	3,030,598 9,424,297	3,134,494 10,120,158	2,765,404 11,171,337	2,517,296 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	19,195,221 52,142,039	18,465,987 54,485,252	19,335,460 57,395,589	18,801,681 58,830,919	17,943,144 61,722,907
Salaries as a % of operating expenses Median	42.93 36.68	41.11 36.56	44.15 36.37	39.78 35.93	42.24 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	0 1,449,244	183,872 1,475,986	184,693 1,563,078	142,855 1,721,954	378,496 2,991,828
Contract hours, direct-care Median	0.00 22,725	2,971.00 23,018.5	2,595.00 24,503.48	2,074.00 25,026.5	3,821.00 33,786
Contract wages, direct-care Median	0.00 64.67	61.89 64.53	71.17 65.06	68.88 68.97	99.06 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.