As of the July, 2022, release via CMS

CHEYENNE REGIONAL MEDICAL CENTER

CMS id: 530014
214 EAST 23RD STREET, CHEYENNE WY 82001. County: LARAMIE
System: --
CBSA: Cheyenne, WY

The 206-bed, acute-care hospital had $20,235,794 in net service to patients*, with a total profit margin of 18.83017% in fiscal year 2021, the latest year available.
It spent 4.76% of its operating expenses on uncompensated care and reported $3,867,116 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	gov	gov	gov
Acute beds Median	155 118	155 118	155 119.5	155 118	155 119
Total beds Median	222 162	222 162	222 162	222 162	206 163.5
FTEs Median	1,795.83 788.06	1,617.94 793.42	1,620.04 806.03	1,625.04 787.61	1,670.43 804.34

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	297,142,907 150,932,746	301,390,525 158,950,878	316,303,628 168,696,998	321,871,493 163,454,693	348,185,198 186,589,412
Operating expenses Median	288,411,010 149,311,209	290,014,460 156,110,414	303,307,919 164,890,568	307,636,617 166,516,854	327,949,404 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,731,897 -964,173	11,376,065 -643,601.5	12,995,709 -116,254	14,234,876 -5,025,862	20,235,794 -1,284,564
NS2P margin ? Median	2.94% -0.62	3.77% -0.29	4.11% 0.18	4.42% -5.07	5.81% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CHEYENNE 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	21,448,856 5,089,215	7,079,986 4,572,541	27,097,841 5,268,134	13,447,135 13,092,619	71,907,309 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	609,885 224,999	740,284 199,009	826,304 206,870.5	800,441 194,343	2,685,132 249,496
⊳ Line 7: Investments ? ⊳ Median	9,545,305 299,524	-7,611,417 188,688.5	13,199,739 370,813	4,924,712 309,361.5	38,551,409 375,329
⊳ 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	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	143,258	109,945	170,727	151,595	107,880
⊳ 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	13,262	7,530	4,558	18,162	7,736
⊳ Line 18: Revenue from sale of medical records and abstracts	2,550	14,325	19,158	25,588	24,865
⊳ 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	0	0	0	0
⊳ 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	11,134,596	13,819,319	12,877,355	7,526,637	30,530,287
Total income ? Median	30,180,753 6,586,430	18,456,051 6,767,106	40,093,550 8,419,950	27,682,011 8,094,175	92,143,103 15,162,888
Non-operating expenses Median	10,065,296 146,289.5	10,478,138 164,857	11,594,198 89,880.5	5,520,616 106,761	13,038,989 31,473.5
Net income Median	20,115,457 6,043,842	7,977,913 5,845,112	28,499,352 7,606,259	22,161,395 7,283,041	79,104,114 14,957,241
Net margin Median	6.31387% 4.62%	2.58628% 4.42%	8.29914% 5.16%	6.60906% 5.2%	18.83017% 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 CHEYENNE 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	63,294,063 23,241,334	62,829,948 23,709,545	64,258,882 24,248,380	58,856,832 22,858,541	67,179,830 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	56,327,629 21,577,146	56,696,710 22,041,594	57,646,499 22,722,063	53,353,438 21,570,441	61,022,135 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	942,178 1,845,420	761,490 1,757,392	788,744 1,738,842	415,214 1,510,463	523,767 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,327,529 3,535,627	3,772,528 3,746,588	4,353,817 3,782,288	4,936,112 3,865,578	5,633,928 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	1,696,727 1,203,033	1,599,220 1,215,295	1,469,822 1,313,657	152,068 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	29,153,635 11,160,864	33,638,382 11,987,345	39,173,571 12,926,866	40,922,719 11,884,480	44,795,116 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	27,619,734 10,918,923	32,017,022 11,706,976	37,428,614 12,615,917	39,310,078 11,458,116	42,932,909 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,533,901 1,282,808	1,621,360 1,407,728	1,744,957 1,341,512	1,612,641 1,407,046	1,862,207 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	769,977 3,284,314	797,961 3,250,551	790,043 3,386,837	752,039 3,360,806	845,392 3,508,953
Disproportionate-share hospital (DSH) Median	357,948 594,888	0 595,761	338,161 577,894	260,707 542,168	307,670 549,667
Outlier Median	4,062,114 582,572	3,293,879 538,116	3,413,248 212,434	1,298,327 126,559	1,585,259 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,028,660 3,662,910	4,052,414 3,730,911	3,025,783 4,081,319	1,975,493 4,643,908	3,867,116 4,389,147
Charity care Median	6,671,776 2,654,636	5,012,340 2,940,659	7,103,361 3,380,215	4,657,545 3,488,738	2,641,836 3,233,405
Uncompensated care (UCC) Median	19,814,314 5,147,790	18,164,276 5,337,617	19,323,587 5,711,082	18,008,222 5,923,418	15,614,677 5,508,107
UCC as a % of operating expenses Median	6.87% 3.24	6.26% 3.12	6.37% 3.21	5.85% 3.3	4.76% 2.86
Total shortfall/UCC Median	20,842,974 9,489,989	22,216,690 9,424,297	22,349,370 10,120,158	19,983,715 11,171,337	19,481,793 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	115,358,034 52,142,039	116,058,390 54,485,252	118,672,358 57,395,589	121,898,217 58,830,919	129,894,238 61,722,907
Salaries as a % of operating expenses Median	40.00 36.68	40.01 36.56	39.13 36.37	39.62 35.93	39.61 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	1,119,445 1,449,244	1,635,916 1,475,986	2,255,293 1,563,078	1,919,475 1,721,954	4,930,998 2,991,828
Contract hours, direct-care Median	15,819.00 22,725	25,088.00 23,018.5	32,262.00 24,503.48	26,671.00 25,026.5	38,044.00 33,786
Contract wages, direct-care Median	70.77 64.67	65.21 64.53	69.91 65.06	71.97 68.97	129.61 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.