As of the July, 2022, release via CMS

GERALD CHAMPION REGIONAL MEDICAL CTR

CMS id: 320004
2669 N SCENIC DR, ALAMOGORDO NM 83310. County: OTERO
System: --
CBSA: Alamogordo, NM

The 98-bed, acute-care hospital had $7,385,336 in net service to patients*, with a total profit margin of 17.52060% in fiscal year 2021, the latest year available.
It spent 1.37% 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	40 118	40 118	40 119.5	40 118	40 119
Total beds Median	100 162	100 162	98 162	98 162	98 163.5
FTEs Median	606.41 788.06	635.20 793.42	757.55 806.03	803.15 787.61	856.97 804.34

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	150,073,039 150,932,746	168,524,429 158,950,878	172,125,752 168,696,998	166,826,532 163,454,693	199,137,437 186,589,412
Operating expenses Median	133,236,447 149,311,209	150,623,860 156,110,414	160,356,740 164,890,568	172,582,864 166,516,854	191,752,101 180,120,888
Net income from service 2 patients (NS2P) ? Median	16,836,592 -964,173	17,900,569 -643,601.5	11,769,012 -116,254	-5,756,332 -5,025,862	7,385,336 -1,284,564
NS2P margin ? Median	11.22% -0.62	10.62% -0.29	6.84% 0.18	-3.45% -5.07	3.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GERALD CHAMPION REGIONAL MEDICAL CTR 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	10,988,234 5,089,215	12,507,623 4,572,541	15,039,511 5,268,134	28,503,520 13,092,619	33,347,398 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	200,860 224,999	146,127 199,009	178,331 206,870.5	18,831 194,343	60,639 249,496
⊳ Line 7: Investments ? ⊳ Median	6,061,572 299,524	6,284,640 188,688.5	7,860,603 370,813	9,648,862 309,361.5	25,401,343 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	38	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	421	295	436	361
⊳ 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	782,818	802,627	888,823	733,752	695,992
⊳ 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	33,983	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	17,974	13,094	13,025	15,725
⊳ 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	3,909,001	5,255,796	6,098,365	18,088,614	7,173,338
Total income ? Median	27,824,826 6,586,430	30,408,192 6,767,106	26,808,523 8,419,950	22,747,188 8,094,175	40,732,734 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	8 89,880.5	-5 106,761	0 31,473.5
Net income Median	27,824,826 6,043,842	30,408,192 5,845,112	26,808,515 7,606,259	22,747,193 7,283,041	40,732,734 14,957,241
Net margin Median	17.27593% 4.62%	16.79713% 4.42%	14.32345% 5.16%	11.64552% 5.2%	17.52060% 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 GERALD CHAMPION REGIONAL MEDICAL CTR 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	24,804,521 23,241,334	22,156,095 23,709,545	22,457,318 24,248,380	20,307,125 22,858,541	20,292,580 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	18,325,469 21,577,146	17,005,334 22,041,594	17,436,201 22,722,063	16,854,939 21,570,441	17,571,024 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	2,873,950 1,845,420	2,499,938 1,757,392	2,587,279 1,738,842	1,071,407 1,510,463	890,853 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,605,102 3,535,627	2,650,823 3,746,588	2,433,838 3,782,288	2,380,779 3,865,578	1,830,703 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	16,900,897 11,160,864	21,142,156 11,987,345	18,313,818 12,926,866	17,589,015 11,884,480	19,449,200 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	16,900,897 10,918,923	21,142,156 11,706,976	18,313,818 12,615,917	17,589,015 11,458,116	19,449,200 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	13,363 3,508,953
Disproportionate-share hospital (DSH) Median	299,758 594,888	290,316 595,761	291,361 577,894	283,027 542,168	285,536 549,667
Outlier Median	2,368,891 582,572	1,792,498 538,116	1,029,750 212,434	747,375 126,559	1,293,101 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,573,716 3,662,910	3,898,317 3,730,911	872,921 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	2,998,597 2,654,636	458,312 2,940,659	1,013,665 3,380,215	1,382,562 3,488,738	1,420,708 3,233,405
Uncompensated care (UCC) Median	3,977,584 5,147,790	828,899 5,337,617	2,325,962 5,711,082	3,009,335 5,923,418	2,619,974 5,508,107
UCC as a % of operating expenses Median	2.99% 3.24	0.55% 3.12	1.45% 3.21	1.74% 3.3	1.37% 2.86
Total shortfall/UCC Median	6,551,300 9,489,989	4,727,216 9,424,297	3,198,883 10,120,158	3,009,335 11,171,337	2,619,974 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	47,498,177 52,142,039	52,308,062 54,485,252	57,748,975 57,395,589	60,549,397 58,830,919	65,873,502 61,722,907
Salaries as a % of operating expenses Median	35.65 36.68	34.73 36.56	36.01 36.37	35.08 35.93	34.35 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	2,139,152 1,449,244	3,275,809 1,475,986	6,975,886 1,563,078	6,036,570 1,721,954	8,329,315 2,991,828
Contract hours, direct-care Median	31,780.82 22,725	47,985.39 23,018.5	88,527.27 24,503.48	95,915.16 25,026.5	123,855.37 33,786
Contract wages, direct-care Median	67.31 64.67	68.27 64.53	78.80 65.06	62.94 68.97	67.25 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.