As of the July, 2022, release via CMS

NORTH VALLEY REHAB HOSPITAL

CMS id: 062014
8451 PEARL STREET, THORNTON CO 80229. County: ADAMS
System: VIBRA MANAGEMENT LLC
CBSA: Denver-Aurora-Lakewood, CO

The 79-bed, long-term hospital had $-115,232 in net service to patients*, with a total profit margin of 5.21946% in fiscal year 2021, the latest year available.
It spent 0.00% 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 long-term 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	54 44	54 45	54 46.5	54 45	54 45
Total beds Median	79 47	79 48	79 48	79 49	79 49
FTEs Median	166.63 103.98	143.90 108.8	144.22 107.68	182.62 108.27	181.79 111.58

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	23,721,462 15,922,304	22,667,496 17,137,722	21,909,927 17,270,018	30,344,642 18,501,558	31,904,601 20,363,991
Operating expenses Median	23,586,489 16,699,110	23,597,229 17,149,459	23,406,816 17,741,870	29,674,094 17,467,608	32,019,833 19,803,177
Net income from service 2 patients (NS2P) ? Median	134,973 -265,919	-929,733 75,645.5	-1,496,889 80,328	670,548 670,921	-115,232 1,115,138
NS2P margin ? Median	0.57% -1.5	-4.10% 0.72	-6.83% 1.45	2.21% 4.42	-0.36% 5.66

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH VALLEY REHAB HOSPITAL compared to all** long-term 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 long-term hospitals available to calculate medians:

2017	2018	2019	2020	2021
408	380	353	348	323

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	664,623 72,020.5	471,651 72,701	407,120 71,539	571,899 281,596	1,878,529 547,957
⊳ Line 6: Contributions ? ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Line 7: Investments ? ⊳ Median	150,889 3,774	74,897 4,812	3,618 4,731	2,683 3,610.5	15,134 4,748
⊳ 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	43,796	44,577	44,076	41,784	35,511
⊳ 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	1,486
⊳ Line 22: Rental of hospital space	254,693	318,361	300,300	333,274	342,229
⊳ Line 23: Gov appropriations ? ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Sum Line 24	215,245	33,816	59,126	194,158	1,484,169
Total income ? Median	799,596 80,111	-458,082 382,412.5	-1,089,769 499,629	1,242,447 1,334,999	1,763,297 2,049,459
Non-operating expenses Median	440,076 644,657	142,720 385,584	0 506,122.5	0 581,714	0 586,009
Net income Median	359,520 -21,319	-600,802 112,320	-1,089,769 237,850	1,242,447 903,115.5	1,763,297 1,754,915
Net margin Median	1.47428% 0.05%	-2.59647% 1.36%	-4.88312% 1.81%	4.01871% 5.61%	5.21946% 8.54%

* 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 NORTH VALLEY REHAB HOSPITAL compared to all** long-term hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
408	380	353	348	323

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	8,632,488 9,206,255	8,406,502 9,071,514	7,935,051 9,188,446	4,994,159 9,026,156	4,018,410 8,843,005
"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	0 --	0 --	0 --	0 --	0 --
⊳ 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 --	0 --	0 --	0 --	0 --
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Long-term care hospital (LTCH) ⊳ Median	8,164,084 9,134,055	7,827,354 8,844,359	7,767,506 9,143,124	4,492,988 8,867,452	3,698,762 8,762,631
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	468,404 --	579,148 --	167,545 --	501,171 --	319,648 --
All outpatient revenue Median Click here to show/hide details	114,719 17,364	31,726 20,498	90,676 18,751	13,962 22,247	1,669 28,094.5
"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	114,719 16,964	31,726 19,915.5	90,676 18,019	13,962 21,792	1,669 25,637
⊳ Home Health agencies (HHA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ 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 --	0 --	0 --	0 --	0 --
Disproportionate-share hospital (DSH) Median	0 --	0 --	0 --	0 --	0 --
Outlier Median	2,136,163 695,093	2,885,277 588,818	1,925,380 597,565	835,376 664,226	201,208 603,099

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 --	0 --	0 --	0 --	0 --
Charity care Median	0 --	0 --	0 --	0 --	0 --
Uncompensated care (UCC) Median	0 --	0 --	0 --	0 --	0 --
UCC as a % of operating expenses Median	0.00% 0	0.00% 0	0.00% 0	0.00% 0	0.00% 0
Total shortfall/UCC Median	0 --	0 --	0 --	0 --	0 --

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	10,674,851 6,594,633	10,337,305 6,845,890	9,836,782 7,032,051	11,770,136 7,482,888	11,967,486 8,182,213
Salaries as a % of operating expenses Median	45.26 41.02	43.81 41.94	42.03 42.05	39.66 42.05	37.38 41.85
Intern, resident salaries* Median	0 --	0 --	0 --	0 --	0 --
Contract intern, resident salaries* Median	0 --	0 --	0 --	0 --	0 --
Contract adjusted salaries, direct-care Median	0 2,219,370	0 1,630,756	0 1,413,636	0 1,782,502	0 2,478,276
Contract hours, direct-care Median	0.00 33,384.5	0.00 25,381.5	0.00 23,190	0.00 27,043.5	0.00 28,018.42
Contract wages, direct-care Median	0.00 63.14	0.00 62.56	0.00 64.25	0.00 68.74	0.00 87.33

* 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.