As of the July, 2022, release via CMS

INNOVIS HEALTH

CMS id: 350070
3000 32ND AVENUE S, FARGO ND 58103. County: CASS
System: ESSENTIA HEALTH
CBSA: Fargo, ND-MN

The 149-bed, acute-care hospital had $3,142,290 in net service to patients*, with a total profit margin of 3.48526% in fiscal year 2021, the latest year available.
It spent 1.41% of its operating expenses on uncompensated care and reported $12,476,136 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	nfp
Acute beds Median	89 118	89 118	89 119.5	95 118	107 119
Total beds Median	133 162	133 162	133 162	137 162	149 163.5
FTEs Median	1,580.00 788.06	1,627.80 793.42	1,581.00 806.03	1,516.01 787.61	1,526.78 804.34

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	336,774,926 150,932,746	366,468,380 158,950,878	386,214,136 168,696,998	371,930,011 163,454,693	425,795,415 186,589,412
Operating expenses Median	379,726,338 149,311,209	377,924,407 156,110,414	395,776,384 164,890,568	393,973,156 166,516,854	422,653,125 180,120,888
Net income from service 2 patients (NS2P) ? Median	-42,951,412 -964,173	-11,456,027 -643,601.5	-9,562,248 -116,254	-22,043,145 -5,025,862	3,142,290 -1,284,564
NS2P margin ? Median	-12.75% -0.62	-3.13% -0.29	-2.48% 0.18	-5.93% -5.07	0.74% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for INNOVIS HEALTH 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	45,330,763 5,089,215	6,070,507 4,572,541	4,852,614 5,268,134	19,543,095 13,092,619	12,162,108 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	112,220 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	121,231 299,524	215,687 188,688.5	4,683 370,813	250,283 309,361.5	2,538,469 375,329
⊳ 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	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	1,241,576	1,263,596	1,325,909	1,170,246	1,031,877
⊳ 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	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,221,680	1,300,055	612,173	620,293	653,629
⊳ 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	42,634,056	3,291,169	2,909,849	17,502,273	7,938,133
Total income ? Median	2,379,351 6,586,430	-5,385,520 6,767,106	-4,709,634 8,419,950	-2,500,050 8,094,175	15,304,398 15,162,888
Non-operating expenses Median	1,602,366 146,289.5	306,831 164,857	1,428,884 89,880.5	3,919,000 106,761	40,428 31,473.5
Net income Median	776,985 6,043,842	-5,692,351 5,845,112	-6,138,518 7,606,259	-6,419,050 7,283,041	15,263,970 14,957,241
Net margin Median	0.20334% 4.62%	-1.52799% 4.42%	-1.56969% 5.16%	-1.63972% 5.2%	3.48526% 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 INNOVIS HEALTH 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	43,642,276 23,241,334	45,977,084 23,709,545	43,072,178 24,248,380	35,949,477 22,858,541	43,888,234 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	43,642,276 21,577,146	45,977,084 22,041,594	43,072,178 22,722,063	35,949,477 21,570,441	43,888,234 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	34,922,702 11,160,864	37,347,335 11,987,345	37,499,394 12,926,866	38,646,749 11,884,480	45,047,097 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	34,922,702 10,918,923	37,347,335 11,706,976	37,499,394 12,615,917	38,646,749 11,458,116	45,047,097 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	770,466 594,888	699,133 595,761	993,624 577,894	615,521 542,168	837,084 549,667
Outlier Median	1,934,394 582,572	2,760,663 538,116	2,156,574 212,434	598,085 126,559	982,234 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,104,456 3,662,910	8,582,483 3,730,911	11,843,268 4,081,319	14,353,252 4,643,908	12,476,136 4,389,147
Charity care Median	3,836,756 2,654,636	5,763,891 2,940,659	3,801,194 3,380,215	6,384,546 3,488,738	2,452,136 3,233,405
Uncompensated care (UCC) Median	11,767,729 5,147,790	8,983,124 5,337,617	8,180,060 5,711,082	9,953,642 5,923,418	5,978,552 5,508,107
UCC as a % of operating expenses Median	3.10% 3.24	2.38% 3.12	2.07% 3.21	2.53% 3.3	1.41% 2.86
Total shortfall/UCC Median	12,872,185 9,489,989	17,565,607 9,424,297	20,023,328 10,120,158	24,306,894 11,171,337	18,454,688 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	145,714,275 52,142,039	152,667,841 54,485,252	156,430,166 57,395,589	157,514,221 58,830,919	168,842,540 61,722,907
Salaries as a % of operating expenses Median	46.21 36.68	46.23 36.56	46.52 36.37	46.01 35.93	44.91 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	1,078,047 1,449,244	721,904 1,475,986	597,976 1,563,078	435,648 1,721,954	8,126,873 2,991,828
Contract hours, direct-care Median	10,952.29 22,725	7,384.35 23,018.5	6,331.51 24,503.48	4,930.56 25,026.5	54,987.83 33,786
Contract wages, direct-care Median	98.43 64.67	97.76 64.53	94.44 65.06	88.36 68.97	147.79 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.