As of the July, 2022, release via CMS

STERLING REGIONAL MEDCENTER

CMS id: 060076
615 FAIRHURST STREET, STERLING CO 80751. County: LOGAN
System: BANNER HEALTH
CBSA: Sterling, CO

The 25-bed, acute-care hospital had $6,395,908 in net service to patients*, with a total profit margin of 13.21972% in fiscal year 2021, the latest year available.
It spent 2.61% 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	21 118	21 118	21 119.5	21 118	21 119
Total beds Median	25 162	25 162	25 162	25 162	25 163.5
FTEs Median	226.22 788.06	223.26 793.42	214.24 806.03	199.37 787.61	205.10 804.34

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	55,017,987 150,932,746	59,509,041 158,950,878	58,511,291 168,696,998	59,381,619 163,454,693	61,487,546 186,589,412
Operating expenses Median	45,591,583 149,311,209	48,468,326 156,110,414	50,619,254 164,890,568	53,423,841 166,516,854	55,091,638 180,120,888
Net income from service 2 patients (NS2P) ? Median	9,426,404 -964,173	11,040,715 -643,601.5	7,892,037 -116,254	5,957,778 -5,025,862	6,395,908 -1,284,564
NS2P margin ? Median	17.13% -0.62	18.55% -0.29	13.49% 0.18	10.03% -5.07	10.40% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STERLING REGIONAL MEDCENTER 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	276,938 5,089,215	422,132 4,572,541	572,960 5,268,134	4,685,952 13,092,619	1,996,507 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	2,370 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	-270 299,524	475 188,688.5	508 370,813	615 309,361.5	-992 375,329
⊳ 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	69,583	166,498	225,642	212,371	257,050
⊳ Line 15: Revenue from rental of living quarters	7,480	8,653	0	434,708	489,235
⊳ Line 16: Revenue from sale of medical and surgical supplies	94	700	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	87,636	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	37	0
⊳ Line 22: Rental of hospital space	8,700	11,800	48,445	87,664	100,401
⊳ 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	191,351	234,006	210,729	3,948,187	1,150,813
Total income ? Median	9,703,342 6,586,430	11,462,847 6,767,106	8,464,997 8,419,950	10,643,730 8,094,175	8,392,415 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	9,703,342 6,043,842	11,462,847 5,845,112	8,464,997 7,606,259	10,643,730 7,283,041	8,392,415 14,957,241
Net margin Median	17.54834% 4.62%	19.12669% 4.42%	14.32699% 5.16%	16.61329% 5.2%	13.21972% 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 STERLING REGIONAL MEDCENTER 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	6,959,869 23,241,334	7,181,129 23,709,545	6,373,162 24,248,380	5,977,540 22,858,541	6,357,490 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	6,959,869 21,577,146	7,181,129 22,041,594	6,373,162 22,722,063	5,977,540 21,570,441	6,357,490 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	9,042,109 11,160,864	9,556,156 11,987,345	10,142,645 12,926,866	8,982,529 11,884,480	9,087,632 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	7,324,871 10,918,923	7,408,027 11,706,976	8,246,466 12,615,917	7,473,382 11,458,116	7,638,492 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	1,717,238 618,038	2,148,129 697,279	1,896,179 690,232	1,509,147 684,010	1,449,140 670,558
⊳ 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	330,081 594,888	115,992 595,761	295,052 577,894	282,570 542,168	87,342 549,667
Outlier Median	130,717 582,572	70,013 538,116	13,121 212,434	85,937 126,559	66,801 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	358,095 3,662,910	0 3,730,911	3,665,920 4,081,319	4,443,232 4,643,908	0 4,389,147
Charity care Median	952,836 2,654,636	903,034 2,940,659	722,926 3,380,215	1,042,548 3,488,738	873,119 3,233,405
Uncompensated care (UCC) Median	1,309,960 5,147,790	1,418,052 5,337,617	1,328,041 5,711,082	1,483,339 5,923,418	1,435,320 5,508,107
UCC as a % of operating expenses Median	2.87% 3.24	2.93% 3.12	2.62% 3.21	2.78% 3.3	2.61% 2.86
Total shortfall/UCC Median	1,668,055 9,489,989	1,418,052 9,424,297	4,993,961 10,120,158	5,926,571 11,171,337	1,435,320 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	16,362,772 52,142,039	16,524,722 54,485,252	16,399,147 57,395,589	15,657,129 58,830,919	16,799,828 61,722,907
Salaries as a % of operating expenses Median	35.89 36.68	34.09 36.56	32.40 36.37	29.31 35.93	30.49 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	146,958 1,449,244	90,053 1,475,986	423,547 1,563,078	294,396 1,721,954	1,584,087 2,991,828
Contract hours, direct-care Median	2,251.07 22,725	1,300.00 23,018.5	5,242.00 24,503.48	3,412.00 25,026.5	8,358.00 33,786
Contract wages, direct-care Median	65.28 64.67	69.27 64.53	80.80 65.06	86.28 68.97	189.53 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.