As of the July, 2022, release via CMS


LIMESTONE MEDICAL CENTER


  • CMS id: 451303
  • 900 N. ELLIS, GROESBECK TX 76642. County: LIMESTONE
  • System: --
  • CBSA: Rural Texas

The 20-bed, CAH hospital had $-5,311,764 in net service to patients*, with a total profit margin of 6.65021% in fiscal year 2021, the latest year available.
It spent 10.12% of its operating expenses on uncompensated care and reported $34,262 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.


Note: Medians are from CAH 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
14
23
20
23
20
23
20
23
20
23
Total beds
Median
14
25
20
25
20
25
20
25
20
25
FTEs
Median
187.79
149.18
201.12
151.6
221.00
151.58
223.63
152.78
228.66
151.99

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

2017 2018 2019 2020 2021
Net patient revenue ?
Median
14,363,881
19,395,819
15,160,629
19,790,685
16,110,296
20,891,573
14,879,350
20,752,910
18,961,321
22,925,976
Operating expenses
Median
18,995,026
21,082,256
20,064,743
21,740,728
21,863,551
22,449,917
22,514,861
23,028,561
24,273,085
24,906,213
Net income from service 2 patients (NS2P) ?
Median
-4,631,145
-1,166,928
-4,904,114
-1,178,891
-5,753,255
-1,189,234
-7,635,511
-1,989,193
-5,311,764
-1,175,562
NS2P margin ?
Median
-32.24%
-6.37
-32.35%
-6.47
-35.71%
-6.58
-51.32%
-10.52
-28.01%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LIMESTONE MEDICAL CENTER compared to all** CAH 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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132

2017 2018 2019 2020 2021
Other income*
Median
Click here to show/hide details
8,818,417
1,517,926
9,188,774
1,554,100
121,344,387
1,708,825
196,027,033
3,606,354
180,403,873
4,946,640
Total income ?
Median
4,187,272
445,049
4,284,660
379,292
115,591,132
655,032
188,391,522
1,453,054
175,092,109
3,734,026
Non-operating expenses
Median
0
56,329
0
45,230
110,027,269
61,507
182,204,461
80,747
161,833,913
39,130
Net income
Median
4,187,272
309,249
4,284,660
305,537
5,563,863
515,321.5
6,187,061
1,282,423
13,258,196
3,678,491
Net margin
Median
18.06237%
1.7%
17.59657%
1.61%
4.04778%
2.36%
2.93356%
5.41%
6.65021%
13.38%

* 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 LIMESTONE MEDICAL CENTER compared to all** CAH hospitals, from CMS cost reports.
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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132


Medicare revenue

Inpatient and outpatient revenue

2017 2018 2019 2020 2021
All inpatient revenue
Median
Click here to show/hide details
892,201
1,512,374
894,002
1,478,094
657,648
1,365,460
593,156
1,289,169
883,807
1,354,214
All outpatient revenue
Median
Click here to show/hide details
3,972,212
4,108,627
4,571,052
4,367,646
4,753,044
4,566,928
4,100,755
4,517,324
4,382,808
4,554,272

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
0
4,679
0
5,256
0
5,165.5
0
6,341
0
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
1,442,113
553,475.5
1,238,604
567,149
1,510,342
599,174.5
1,540,587
641,417
34,262
631,057
Charity care
Median
359,967
190,496
350,034
225,101
1,301,473
238,624
2,017,739
260,478.5
1,819,819
225,887
Uncompensated care (UCC)
Median
1,780,661
860,218.5
625,218
933,428
1,886,018
986,290
2,620,507
998,939
2,455,737
871,713
UCC as a %
of operating expenses
Median
9.37%
3.77
3.12%
3.82
8.63%
3.7
11.64%
3.74
10.12%
3.04
Total shortfall/UCC
Median
3,222,774
1,405,482
1,863,822
1,525,979
3,396,360
1,576,055
4,161,094
1,691,815
2,489,999
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
8,946,812
8,521,101
10,057,374
8,786,419
11,500,213
9,086,354
11,970,119
9,512,636
12,600,891
9,933,360
Salaries as a % of operating expenses
Median
47.10
42.53
50.12
42.58
52.60
42.62
53.17
42.72
51.91
42.27
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
--
0
--
0
--
0
--
0
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--

* 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.