As of the July, 2022, release via CMS

UNM SANDOVAL REGIONAL MEDICAL CENTER

CMS id: 320089
3001 BROADMOOR BLVD NE, RIO RANCHO NM 87144. County: SANDOVAL
System: --
CBSA: Albuquerque, NM

The 60-bed, acute-care hospital had $-9,669,675 in net service to patients*, with a total profit margin of 3.40061% in fiscal year 2021, the latest year available.
It spent 3.25% 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	gov	gov	nfp	nfp	nfp
Acute beds Median	48 118	48 118	48 119.5	48 118	48 119
Total beds Median	68 162	60 162	60 162	60 162	60 163.5
FTEs Median	276.81 788.06	453.48 793.42	492.97 806.03	519.22 787.61	548.76 804.34

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	77,423,290 150,932,746	83,720,447 158,950,878	82,965,368 168,696,998	76,453,989 163,454,693	84,893,737 186,589,412
Operating expenses Median	83,488,859 149,311,209	80,728,179 156,110,414	80,037,405 164,890,568	82,806,016 166,516,854	94,563,412 180,120,888
Net income from service 2 patients (NS2P) ? Median	-6,065,569 -964,173	2,992,268 -643,601.5	2,927,963 -116,254	-6,352,027 -5,025,862	-9,669,675 -1,284,564
NS2P margin ? Median	-7.83% -0.62	3.57% -0.29	3.53% 0.18	-8.31% -5.07	-11.39% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNM SANDOVAL 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	3,158,822 5,089,215	9,984,349 4,572,541	9,028,389 5,268,134	18,508,845 13,092,619	15,839,781 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,760 224,999	7,695 199,009	20,626 206,870.5	19,676 194,343	23,111 249,496
⊳ Line 7: Investments ? ⊳ Median	-3,631,975 299,524	8,386,552 188,688.5	7,660,739 370,813	7,295,045 309,361.5	46,779 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	2,817	549	480	904	158
⊳ 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	371,971	379,419	395,598	388,026	335,362
⊳ Line 15: Revenue from rental of living quarters	80,399	75,233	76,425	75,280	75,635
⊳ 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	479,585	284,538	694,982	707,304
⊳ Line 18: Revenue from sale of medical records and abstracts	10,991	10,829	17,389	30,495	34,537
⊳ 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	48,317	47,271	47,652	39,680	23,695
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	6,271,254 1,017,693	182,721 983,261.5	84,996 1,173,286	6,465,723 1,987,202	7,149,790 1,597,664
⊳ Sum Line 24	500	414,185	388,978	3,463,612	7,405,957
Total income ? Median	-2,906,747 6,586,430	12,976,617 6,767,106	11,956,352 8,419,950	12,156,818 8,094,175	6,170,106 15,162,888
Non-operating expenses Median	-3,009,850 146,289.5	12,052,196 164,857	11,788,894 89,880.5	11,859,167 106,761	2,744,556 31,473.5
Net income Median	103,103 6,043,842	924,421 5,845,112	167,458 7,606,259	297,651 7,283,041	3,425,550 14,957,241
Net margin Median	0.12795% 4.62%	0.98652% 4.42%	0.18203% 5.16%	0.31344% 5.2%	3.40061% 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 UNM SANDOVAL 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	10,804,884 23,241,334	9,528,496 23,709,545	9,218,575 24,248,380	7,491,943 22,858,541	8,624,835 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	9,932,133 21,577,146	9,528,496 22,041,594	9,218,575 22,722,063	7,491,943 21,570,441	8,624,835 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	872,751 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	5,400,790 11,160,864	6,652,493 11,987,345	8,266,797 12,926,866	7,126,317 11,884,480	7,175,583 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	5,400,790 10,918,923	6,652,493 11,706,976	8,266,797 12,615,917	7,126,317 11,458,116	7,175,583 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	33,273 3,284,314	43,049 3,250,551	44,352 3,386,837	41,864 3,360,806	49,698 3,508,953
Disproportionate-share hospital (DSH) Median	251,165 594,888	229,313 595,761	220,493 577,894	174,766 542,168	192,026 549,667
Outlier Median	629,120 582,572	783,712 538,116	315,219 212,434	76,108 126,559	148,981 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	83,453 3,662,910	275,133 3,730,911	0 4,081,319	1,329,851 4,643,908	0 4,389,147
Charity care Median	1,799,185 2,654,636	1,787,878 2,940,659	1,768,612 3,380,215	841,057 3,488,738	815,086 3,233,405
Uncompensated care (UCC) Median	2,519,879 5,147,790	3,676,016 5,337,617	4,190,990 5,711,082	3,477,233 5,923,418	3,072,760 5,508,107
UCC as a % of operating expenses Median	3.02% 3.24	4.55% 3.12	5.24% 3.21	4.20% 3.3	3.25% 2.86
Total shortfall/UCC Median	2,603,332 9,489,989	3,951,149 9,424,297	4,190,990 10,120,158	4,807,084 11,171,337	3,072,760 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	30,518,044 52,142,039	31,810,262 54,485,252	31,761,719 57,395,589	34,496,608 58,830,919	36,921,879 61,722,907
Salaries as a % of operating expenses Median	36.55 36.68	39.40 36.56	39.68 36.37	41.66 35.93	39.04 35.24
Intern, resident salaries* Median	3,687 2,598,592	0 2,686,824	-1 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	509,090 1,251,927	501,571 1,186,494	289,772 1,204,885	73,423 1,279,653	57,120 1,469,317
Contract adjusted salaries, direct-care Median	1,287,490 1,449,244	1,729,786 1,475,986	1,345,476 1,563,078	539,465 1,721,954	2,696,988 2,991,828
Contract hours, direct-care Median	25,627.00 22,725	34,634.13 23,018.5	36,522.33 24,503.48	26,805.32 25,026.5	45,590.93 33,786
Contract wages, direct-care Median	50.24 64.67	49.94 64.53	36.84 65.06	20.13 68.97	59.16 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.