As of the July, 2022, release via CMS

IVINSON MEMORIAL HOSPITAL

CMS id: 530025
255 N. 30TH ST., LARAMIE WY 82072. County: ALBANY
System: --
CBSA: Laramie, WY

The 86-bed, acute-care hospital had $9,059,268 in net service to patients*, with a total profit margin of 35.25543% in fiscal year 2021, the latest year available.
It spent 5.22% of its operating expenses on uncompensated care and reported $1,958,644 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	181	365	366	365
Ownership	gov	gov	gov	gov	gov
Acute beds Median	62 118	62 118	62 119.5	72 118	72 119
Total beds Median	86 162	86 162	86 162	86 162	86 163.5
FTEs Median	397.66 788.06	417.69 793.42	446.82 806.03	461.83 787.61	455.06 804.34

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	87,156,913 150,932,746	47,344,429 158,950,878	95,119,246 168,696,998	94,274,919 163,454,693	103,833,512 186,589,412
Operating expenses Median	75,687,851 149,311,209	40,362,107 156,110,414	88,131,317 164,890,568	90,214,238 166,516,854	94,774,244 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,469,062 -964,173	6,982,322 -643,601.5	6,987,929 -116,254	4,060,681 -5,025,862	9,059,268 -1,284,564
NS2P margin ? Median	13.16% -0.62	14.75% -0.29	7.35% 0.18	4.31% -5.07	8.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for IVINSON MEMORIAL HOSPITAL 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	8,085,717 5,089,215	1,990,330 4,572,541	11,131,278 5,268,134	12,843,379 13,092,619	42,548,242 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	632,749 224,999	110,568 199,009	511,009 206,870.5	920,780 194,343	750,536 249,496
⊳ Line 7: Investments ? ⊳ Median	2,366,542 299,524	1,640,480 188,688.5	3,588,230 370,813	3,621,200 309,361.5	3,795,367 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,221	3,825	4,369	1,601	6,857
⊳ 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	362,389	197,222	450,318	434,413	319,047
⊳ 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	1,834	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	6,636	2,032	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	91,857	35,438	87,219	70,599	62,434
⊳ Line 21: Rental of vending machines	30	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	1,468,538 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	3,151,921	765	6,490,133	7,794,786	37,614,001
Total income ? Median	19,554,779 6,586,430	8,972,652 6,767,106	18,119,207 8,419,950	16,904,060 8,094,175	51,607,510 15,162,888
Non-operating expenses Median	1 146,289.5	943,724 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	19,554,778 6,043,842	8,028,928 5,845,112	18,119,207 7,606,259	16,904,060 7,283,041	51,607,510 14,957,241
Net margin Median	20.53154% 4.62%	16.27438% 4.42%	17.05329% 5.16%	15.78074% 5.2%	35.25543% 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 IVINSON MEMORIAL HOSPITAL 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	10,710,530 23,241,334	6,047,257 23,709,545	12,789,290 24,248,380	10,828,426 22,858,541	10,071,957 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	10,058,327 21,577,146	5,711,651 22,041,594	12,139,215 22,722,063	10,519,670 21,570,441	9,570,178 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	391,210 1,845,420	162,089 1,757,392	338,626 1,738,842	308,756 1,510,463	501,779 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	260,993 1,203,033	173,517 1,215,295	311,449 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	7,490,696 11,160,864	4,537,418 11,987,345	10,316,635 12,926,866	10,596,869 11,884,480	14,226,676 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	7,490,696 10,918,923	4,537,418 11,706,976	10,316,635 12,615,917	10,596,869 11,458,116	14,226,676 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	37,520 594,888	0 595,761	78,445 577,894	77,929 542,168	36,356 549,667
Outlier Median	476,434 582,572	203,466 538,116	253,377 212,434	148,571 126,559	392,892 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	812,134 3,662,910	1,059,392 3,730,911	1,743,745 4,081,319	1,493,744 4,643,908	1,958,644 4,389,147
Charity care Median	835,922 2,654,636	647,442 2,940,659	906,211 3,380,215	798,115 3,488,738	1,906,499 3,233,405
Uncompensated care (UCC) Median	2,631,309 5,147,790	1,409,727 5,337,617	3,823,314 5,711,082	2,085,737 5,923,418	4,942,936 5,508,107
UCC as a % of operating expenses Median	3.48% 3.24	3.49% 3.12	4.34% 3.21	2.31% 3.3	5.22% 2.86
Total shortfall/UCC Median	3,443,443 9,489,989	2,469,119 9,424,297	5,567,059 10,120,158	3,579,481 11,171,337	6,901,580 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	27,384,920 52,142,039	14,688,590 54,485,252	33,460,302 57,395,589	34,519,043 58,830,919	34,775,730 61,722,907
Salaries as a % of operating expenses Median	36.18 36.68	36.39 36.56	37.97 36.37	38.26 35.93	36.69 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	566,322 1,449,244	299,339 1,475,986	611,288 1,563,078	532,436 1,721,954	370,077 2,991,828
Contract hours, direct-care Median	7,905.49 22,725	4,641.32 23,018.5	7,885.00 24,503.48	7,747.00 25,026.5	5,625.87 33,786
Contract wages, direct-care Median	71.64 64.67	64.49 64.53	77.53 65.06	68.73 68.97	65.78 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.