As of the July, 2022, release via CMS

MEDICAL CENTER OF THE ROCKIES

CMS id: 060119
2500 ROCKY MOUNTAIN AVENUE, LOVELAND CO 80538. County: LARIMER
System: UNIVERSITY OF COLORADO HEALTH
CBSA: Fort Collins, CO

The 178-bed, acute-care hospital had $108,599,572 in net service to patients*, with a total profit margin of 32.34466% in fiscal year 2021, the latest year available.
It spent 2.71% of its operating expenses on uncompensated care and reported $27,673,669 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	nfp	nfp	nfp	nfp
Acute beds Median	124 118	142 118	142 119.5	158 118	154 119
Total beds Median	174 162	174 162	174 162	182 162	178 163.5
FTEs Median	1,181.00 788.06	1,279.35 793.42	1,340.64 806.03	1,272.70 787.61	1,282.62 804.34

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	460,443,741 150,932,746	521,708,124 158,950,878	567,602,232 168,696,998	473,888,203 163,454,693	504,261,048 186,589,412
Operating expenses Median	329,310,524 149,311,209	365,151,758 156,110,414	379,426,898 164,890,568	382,940,597 166,516,854	395,661,476 180,120,888
Net income from service 2 patients (NS2P) ? Median	131,133,217 -964,173	156,556,366 -643,601.5	188,175,334 -116,254	90,947,606 -5,025,862	108,599,572 -1,284,564
NS2P margin ? Median	28.48% -0.62	30.01% -0.29	33.15% 0.18	19.19% -5.07	21.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDICAL CENTER OF THE ROCKIES 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	24,791,798 5,089,215	5,590,910 4,572,541	6,578,932 5,268,134	42,580,069 13,092,619	60,041,841 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	35,748 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	21,015,415 299,524	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	-79,266	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	1,723,204	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	347,396	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	29,391	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	20,495,357 1,987,202	16,616,506 1,597,664
⊳ Sum Line 24	1,719,910	5,590,910	6,578,932	22,084,712	43,425,335
Total income ? Median	155,925,015 6,586,430	162,147,276 6,767,106	194,754,266 8,419,950	133,527,675 8,094,175	168,641,413 15,162,888
Non-operating expenses Median	69,513,786 146,289.5	51,057,841 164,857	91,991,938 89,880.5	90,878,578 106,761	-13,880,432 31,473.5
Net income Median	86,411,229 6,043,842	111,089,435 5,845,112	102,762,328 7,606,259	42,649,097 7,283,041	182,521,845 14,957,241
Net margin Median	17.80810% 4.62%	21.06763% 4.42%	17.89720% 5.16%	8.25783% 5.2%	32.34466% 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 MEDICAL CENTER OF THE ROCKIES 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	73,193,347 23,241,334	75,220,521 23,709,545	72,236,320 24,248,380	64,877,066 22,858,541	64,883,377 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	68,820,621 21,577,146	70,412,824 22,041,594	72,236,320 22,722,063	64,877,066 21,570,441	64,883,377 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	4,372,726 3,535,627	4,807,697 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	26,877,321 11,160,864	32,766,328 11,987,345	37,159,517 12,926,866	31,867,127 11,884,480	34,096,870 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	26,877,321 10,918,923	32,766,328 11,706,976	37,159,517 12,615,917	31,867,127 11,458,116	34,096,870 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	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	627,823 594,888	667,362 595,761	605,643 577,894	503,346 542,168	644,940 549,667
Outlier Median	9,021,935 582,572	7,919,395 538,116	5,767,214 212,434	359,461 126,559	469,761 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,433,716 3,662,910	12,786,821 3,730,911	6,282,666 4,081,319	20,524,699 4,643,908	27,673,669 4,389,147
Charity care Median	6,343,953 2,654,636	4,905,868 2,940,659	5,072,922 3,380,215	5,860,599 3,488,738	4,604,139 3,233,405
Uncompensated care (UCC) Median	10,068,829 5,147,790	7,765,340 5,337,617	8,070,279 5,711,082	9,268,847 5,923,418	10,732,302 5,508,107
UCC as a % of operating expenses Median	3.06% 3.24	2.13% 3.12	2.13% 3.21	2.42% 3.3	2.71% 2.86
Total shortfall/UCC Median	19,502,545 9,489,989	20,552,161 9,424,297	14,352,945 10,120,158	29,793,546 11,171,337	38,405,971 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	83,118,064 52,142,039	91,035,375 54,485,252	98,905,731 57,395,589	95,449,281 58,830,919	101,580,120 61,722,907
Salaries as a % of operating expenses Median	25.24 36.68	24.93 36.56	26.07 36.37	24.93 35.93	25.67 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	962,627 1,449,244	1,195,887 1,475,986	2,820,171 1,563,078	3,203,562 1,721,954	1,519,394 2,991,828
Contract hours, direct-care Median	12,195.54 22,725	16,720.25 23,018.5	37,717.00 24,503.48	42,460.00 25,026.5	19,540.75 33,786
Contract wages, direct-care Median	78.93 64.67	71.52 64.53	74.77 65.06	75.45 68.97	77.76 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.