As of the July, 2022, release via CMS

NATIONAL JEWISH HEALTH

CMS id: 060107
1400 JACKSON ST, DENVER CO 80206. County: DENVER
System: --
CBSA: Denver-Aurora-Lakewood, CO

The 13-bed, acute-care hospital had $-162,649,999 in net service to patients*, with a total profit margin of 6.42514% in fiscal year 2021, the latest year available.
It spent 0.48% of its operating expenses on uncompensated care and reported $11,245,042 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	24 118	24 118	24 119.5	12 118	13 119
Total beds Median	24 162	24 162	24 162	12 162	13 163.5
FTEs Median	1,503.00 788.06	1,507.00 793.42	1,485.00 806.03	1,475.00 787.61	1,453.00 804.34

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	230,289,320 150,932,746	237,858,323 158,950,878	147,956,000 168,696,998	148,489,000 163,454,693	178,450,001 186,589,412
Operating expenses Median	266,743,431 149,311,209	276,470,342 156,110,414	283,623,000 164,890,568	313,489,000 166,516,854	341,100,000 180,120,888
Net income from service 2 patients (NS2P) ? Median	-36,454,111 -964,173	-38,612,019 -643,601.5	-135,667,000 -116,254	-165,000,000 -5,025,862	-162,649,999 -1,284,564
NS2P margin ? Median	-15.83% -0.62	-16.23% -0.29	-91.69% 0.18	-111.12% -5.07	-91.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NATIONAL JEWISH HEALTH 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	43,678,111 5,089,215	55,555,019 4,572,541	152,191,000 5,268,134	168,785,000 13,092,619	186,070,999 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	22,568,000 224,999	23,618,000 199,009	41,370,000 206,870.5	70,951,000 194,343	92,649,000 249,496
⊳ Line 7: Investments ? ⊳ Median	5,744,000 299,524	3,208,000 188,688.5	2,768,000 370,813	1,684,000 309,361.5	8,361,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	4,144	5,--50	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	157,465	199,728	169,455
⊳ Line 12: Parking lot receipts	0	0	27,557	19,714	399
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	655,484	645,829	633,773	577,947	502,780
⊳ 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	6,871,792	7,685,032	14,066,147	42,797,321	68,467,470
⊳ Line 18: Revenue from sale of medical records and abstracts	29,842	25,082	28,595	17,606	15,254
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	530,644	732,426	566,661	591,843	461,093
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	115,041	74,568	70,997	635,899	502,780
⊳ Line 21: Rental of vending machines	53	884	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	39,487,000 1,017,693	40,670,000 983,261.5	56,016,000 1,173,286	61,322,000 1,987,202	57,270,000 1,597,664
⊳ Sum Line 24	-32,327,889	-21,109,852	36,485,805	-10,012,058	-42,328,232
Total income ? Median	7,224,000 6,586,430	16,943,000 6,767,106	16,524,000 8,419,950	3,785,000 8,094,175	23,421,000 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	7,224,000 6,043,842	16,943,000 5,845,112	16,524,000 7,606,259	3,785,000 7,283,041	23,421,000 14,957,241
Net margin Median	2.63681% 4.62%	5.77445% 4.42%	5.50530% 5.16%	1.19298% 5.2%	6.42514% 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 NATIONAL JEWISH HEALTH 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	0 23,241,334	18,584 23,709,545	221,776 24,248,380	2,003,002 22,858,541	1,083,236 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	0 21,577,146	18,584 22,041,594	221,776 22,722,063	2,003,002 21,570,441	1,083,236 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	21,727,117 11,160,864	22,685,112 11,987,345	24,304,419 12,926,866	22,995,524 11,884,480	23,336,413 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	21,727,117 10,918,923	22,685,112 11,706,976	24,304,419 12,615,917	22,995,524 11,458,116	23,336,413 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	0 3,284,314	37,439 3,250,551	96,096 3,386,837	206,372 3,360,806	164,837 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	1,118 577,894	49,863 542,168	23,979 549,667
Outlier Median	486,455 582,572	800,453 538,116	897,874 212,434	850,953 126,559	593,758 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,344,553 3,662,910	8,569,590 3,730,911	3,332,390 4,081,319	6,531,854 4,643,908	11,245,042 4,389,147
Charity care Median	49,434 2,654,636	49,373 2,940,659	115,815 3,380,215	53,080 3,488,738	370,657 3,233,405
Uncompensated care (UCC) Median	808,777 5,147,790	802,017 5,337,617	1,131,636 5,711,082	1,013,753 5,923,418	1,652,358 5,508,107
UCC as a % of operating expenses Median	0.30% 3.24	0.29% 3.12	0.40% 3.21	0.32% 3.3	0.48% 2.86
Total shortfall/UCC Median	7,153,330 9,489,989	9,371,607 9,424,297	4,464,026 10,120,158	7,545,607 11,171,337	12,897,400 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	128,242,085 52,142,039	133,398,501 54,485,252	136,420,516 57,395,589	142,864,341 58,830,919	144,945,496 61,722,907
Salaries as a % of operating expenses Median	48.08 36.68	48.25 36.56	45.57 36.37	43.33 35.93	40.43 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	0 1,475,986	0 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	0.00 68.97	0.00 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.