As of the July, 2022, release via CMS

SAN JUAN REGIONAL MEDICAL CENTER

CMS id: 320005
O, FARMINGTON NM 87401. County: SAN JUAN
System: --
CBSA: Farmington, NM

The 198-bed, acute-care hospital had $-5,904,683 in net service to patients*, with a total profit margin of 14.25315% in fiscal year 2021, the latest year available.
It spent 1.26% 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	174 118	174 118	174 119.5	174 118	168 119
Total beds Median	184 162	184 162	184 162	184 162	198 163.5
FTEs Median	1,801.57 788.06	1,714.07 793.42	1,434.16 806.03	1,450.94 787.61	1,501.86 804.34

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	287,277,445 150,932,746	289,923,770 158,950,878	243,761,502 168,696,998	280,846,726 163,454,693	312,842,986 186,589,412
Operating expenses Median	300,552,614 149,311,209	295,910,407 156,110,414	302,867,486 164,890,568	301,501,227 166,516,854	318,747,669 180,120,888
Net income from service 2 patients (NS2P) ? Median	-13,275,169 -964,173	-5,986,637 -643,601.5	-59,105,984 -116,254	-20,654,501 -5,025,862	-5,904,683 -1,284,564
NS2P margin ? Median	-4.62% -0.62	-2.06% -0.29	-24.25% 0.18	-7.35% -5.07	-1.89% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAN JUAN REGIONAL 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	26,053,008 5,089,215	23,409,114 4,572,541	20,895,871 5,268,134	36,736,468 13,092,619	58,888,069 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	118,568 224,999	1,094,636 199,009	2,190,014 206,870.5	2,095,258 194,343	188,787 249,496
⊳ Line 7: Investments ? ⊳ Median	9,148,368 299,524	7,864,730 188,688.5	9,768,696 370,813	10,690,948 309,361.5	28,416,453 375,329
⊳ 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	458,727	748,375	631,753	527,774	1,303,920
⊳ 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	1,384,758	1,310,215	1,253,414	1,098,525	680,848
⊳ 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	27,851	27,046	20,563	14,256	9,421
⊳ Line 18: Revenue from sale of medical records and abstracts	60,716	57,536	35,170	33,000	32,977
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	524,958	511,175	524,140	544,806	312,244
⊳ 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	312,540	296,165	284,848	339,079	142,179
⊳ 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	14,016,522	11,499,236	6,187,273	21,392,822	27,801,240
Total income ? Median	12,777,839 6,586,430	17,422,477 6,767,106	-38,210,113 8,419,950	16,081,967 8,094,175	52,983,386 15,162,888
Non-operating expenses Median	21 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	12,777,818 6,043,842	17,422,477 5,845,112	-38,210,113 7,606,259	16,081,967 7,283,041	52,983,386 14,957,241
Net margin Median	4.07806% 4.62%	5.56037% 4.42%	-14.43758% 5.16%	5.06386% 5.2%	14.25315% 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 SAN JUAN REGIONAL 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	55,977,014 23,241,334	57,752,248 23,709,545	52,521,789 24,248,380	51,195,087 22,858,541	54,622,651 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	55,977,014 21,577,146	57,752,248 22,041,594	52,521,789 22,722,063	51,195,087 21,570,441	51,814,628 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	2,808,023 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	18,671,146 11,160,864	21,093,196 11,987,345	20,198,304 12,926,866	21,235,985 11,884,480	21,471,549 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	18,671,146 10,918,923	21,093,196 11,706,976	20,198,304 12,615,917	21,235,985 11,458,116	21,471,549 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	2,565,722 594,888	2,463,545 595,761	2,620,937 577,894	2,792,116 542,168	3,543,340 549,667
Outlier Median	3,201,665 582,572	2,275,309 538,116	1,520,044 212,434	161,327 126,559	365,471 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	16,143,777 4,081,319	3,757,865 4,643,908	0 4,389,147
Charity care Median	5,601,328 2,654,636	1,666,965 2,940,659	3,041,879 3,380,215	1,527,065 3,488,738	1,281,888 3,233,405
Uncompensated care (UCC) Median	10,499,171 5,147,790	7,112,350 5,337,617	4,938,546 5,711,082	7,167,677 5,923,418	4,027,080 5,508,107
UCC as a % of operating expenses Median	3.49% 3.24	2.40% 3.12	1.63% 3.21	2.38% 3.3	1.26% 2.86
Total shortfall/UCC Median	10,499,171 9,489,989	7,112,350 9,424,297	21,082,323 10,120,158	10,925,542 11,171,337	4,027,080 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	143,715,723 52,142,039	140,214,352 54,485,252	137,276,686 57,395,589	128,745,914 58,830,919	133,629,161 61,722,907
Salaries as a % of operating expenses Median	47.82 36.68	47.38 36.56	45.33 36.37	42.70 35.93	41.92 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	1,070,855 1,449,244	387,083 1,475,986	1,620,524 1,563,078	1,433,625 1,721,954	2,436,241 2,991,828
Contract hours, direct-care Median	15,521.19 22,725	6,679.00 23,018.5	23,415.00 24,503.48	19,276.00 25,026.5	18,375.00 33,786
Contract wages, direct-care Median	68.99 64.67	57.96 64.53	69.21 65.06	74.37 68.97	132.58 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.