As of the July, 2022, release via CMS

LOS ALAMOS MEDICAL CENTER

CMS id: 320033
3917 WEST ROAD, LOS ALAMOS NM 87544. County: LOS ALAMOS
System: LIFEPOINT HEALTH INC
CBSA: Los Alamos, NM

The 47-bed, acute-care hospital had $8,676,615 in net service to patients*, with a total profit margin of 15.85879% in fiscal year 2021, the latest year available.
It spent 1.03% of its operating expenses on uncompensated care and reported $591,699 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	forprofit	forprofit	forprofit	forprofit
Acute beds Median	41 118	41 118	41 119.5	41 118	41 119
Total beds Median	47 162	47 162	47 162	47 162	47 163.5
FTEs Median	203.57 788.06	190.89 793.42	190.49 806.03	177.45 787.61	178.48 804.34

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	61,424,751 150,932,746	61,081,039 158,950,878	63,178,494 168,696,998	50,420,206 163,454,693	58,781,069 186,589,412
Operating expenses Median	49,808,030 149,311,209	49,821,483 156,110,414	51,109,164 164,890,568	46,896,016 166,516,854	50,104,454 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,616,721 -964,173	11,259,556 -643,601.5	12,069,330 -116,254	3,524,190 -5,025,862	8,676,615 -1,284,564
NS2P margin ? Median	18.91% -0.62	18.43% -0.29	19.10% 0.18	6.99% -5.07	14.76% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LOS ALAMOS 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	722,652 5,089,215	737,888 4,572,541	790,403 5,268,134	6,214,090 13,092,619	766,984 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	45 224,999	49 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	17,710 299,524	16,900 188,688.5	18,520 370,813	45,620 309,361.5	38,558 375,329
⊳ 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	592	1,616	76
⊳ 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	84,744	90,774	96,460	66,911	62,744
⊳ 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	947	5,755	2,153	3,352	5,452
⊳ 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	1,509	1,105	2,157	686	401
⊳ Line 22: Rental of hospital space	557,464	555,901	606,818	580,107	582,058
⊳ Line 23: Gov appropriations ? ⊳ Median	15,795 1,017,693	15,795 983,261.5	15,795 1,173,286	15,521 1,987,202	15,000 1,597,664
⊳ Sum Line 24	44,438	51,609	47,908	5,500,277	62,695
Total income ? Median	12,339,373 6,586,430	11,997,444 6,767,106	12,859,733 8,419,950	9,738,280 8,094,175	9,443,599 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	12,339,373 6,043,842	11,997,444 5,845,112	12,859,733 7,606,259	9,738,280 7,283,041	9,443,599 14,957,241
Net margin Median	19.85501% 4.62%	19.40740% 4.42%	20.10310% 5.16%	17.19502% 5.2%	15.85879% 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 LOS ALAMOS 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	5,349,335 23,241,334	4,541,399 23,709,545	4,208,824 24,248,380	3,352,407 22,858,541	3,850,737 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	5,349,335 21,577,146	4,541,399 22,041,594	4,208,824 22,722,063	3,352,407 21,570,441	3,850,737 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	3,617,982 11,160,864	3,198,117 11,987,345	3,667,444 12,926,866	3,801,907 11,884,480	4,268,056 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	3,617,982 10,918,923	3,198,117 11,706,976	3,667,444 12,615,917	3,801,907 11,458,116	4,268,056 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	41,413 594,888	20,790 595,761	0 577,894	12,982 542,168	0 549,667
Outlier Median	672,607 582,572	194,726 538,116	54,864 212,434	71,350 126,559	47,074 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	58,098 3,662,910	305,493 3,730,911	308,756 4,081,319	29,490 4,643,908	591,699 4,389,147
Charity care Median	2,537 2,654,636	0 2,940,659	5,102 3,380,215	79,941 3,488,738	127,246 3,233,405
Uncompensated care (UCC) Median	497,762 5,147,790	564,444 5,337,617	466,805 5,711,082	406,221 5,923,418	515,767 5,508,107
UCC as a % of operating expenses Median	1.00% 3.24	1.13% 3.12	0.91% 3.21	0.87% 3.3	1.03% 2.86
Total shortfall/UCC Median	555,860 9,489,989	869,937 9,424,297	775,561 10,120,158	435,711 11,171,337	1,107,466 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	15,569,626 52,142,039	14,988,935 54,485,252	15,707,282 57,395,589	15,205,156 58,830,919	16,028,684 61,722,907
Salaries as a % of operating expenses Median	35.26 36.68	33.81 36.56	34.73 36.37	34.32 35.93	33.68 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	1,192,211 1,449,244	1,049,227 1,475,986	1,608,968 1,563,078	1,495,674 1,721,954	2,424,510 2,991,828
Contract hours, direct-care Median	13,882.00 22,725	13,607.00 23,018.5	17,085.00 24,503.48	16,626.00 25,026.5	18,298.00 33,786
Contract wages, direct-care Median	85.88 64.67	77.11 64.53	94.17 65.06	89.96 68.97	132.50 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.