As of the July, 2022, release via CMS

UNITED REGIONAL HEALTH CARE SYSTEM

CMS id: 450010
1600 ELEVENTH STREET, WICHITA FALLS TX 76301. County: WICHITA
System: --
CBSA: Wichita Falls, TX

The 248-bed, acute-care hospital had $-30,098,485 in net service to patients*, with a total profit margin of 4.53577% in fiscal year 2020, the latest year available.
It spent 9.70% of its operating expenses on uncompensated care and reported $434,527 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	232 118	226 118	226 119.5	220 118	-- 119
Total beds Median	256 162	250 162	250 162	248 162	-- 163.5
FTEs Median	1,617.42 788.06	1,625.00 793.42	1,841.00 806.03	1,805.00 787.61	-- 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	321,869,807 150,932,746	359,468,901 158,950,878	363,836,363 168,696,998	343,391,444 163,454,693	-- 186,589,412
Operating expenses Median	290,099,261 149,311,209	343,041,443 156,110,414	367,886,912 164,890,568	373,489,929 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	31,770,546 -964,173	16,427,458 -643,601.5	-4,050,549 -116,254	-30,098,485 -5,025,862	-- -1,284,564
NS2P margin ? Median	9.87% -0.62	4.57% -0.29	-1.11% 0.18	-8.77% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNITED REGIONAL HEALTH CARE SYSTEM 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	39,526,390 5,089,215	31,874,130 4,572,541	61,533,893 5,268,134	47,844,019 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	720,342 224,999	1,889,714 199,009	0 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	37,900,555 299,524	0 188,688.5	60,632,989 370,813	34,111,317 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	10,022	12,518	8,110	5,694	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	81,672	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	99,898	82,497	0	86,863	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	9,301	11,161	14,750	8,837	--
⊳ Line 22: Rental of hospital space	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	-- 1,597,664
⊳ Sum Line 24	786,272	29,878,240	796,372	13,631,308	--
Total income ? Median	71,296,936 6,586,430	48,301,588 6,767,106	57,483,344 8,419,950	17,745,534 8,094,175	-- 15,162,888
Non-operating expenses Median	190,658 146,289.5	21,633,061 164,857	33,816 89,880.5	0 106,761	-- 31,473.5
Net income Median	71,106,278 6,043,842	26,668,527 5,845,112	57,449,528 7,606,259	17,745,534 7,283,041	-- 14,957,241
Net margin Median	19.67544% 4.62%	6.81462% 4.42%	13.50577% 5.16%	4.53577% 5.2%	--% 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 UNITED REGIONAL HEALTH CARE SYSTEM 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	81,363,223 23,241,334	80,027,787 23,709,545	79,084,295 24,248,380	77,073,965 22,858,541	-- 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	81,363,223 21,577,146	80,027,787 22,041,594	79,084,295 22,722,063	77,073,965 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	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	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	28,449,409 11,160,864	31,011,492 11,987,345	31,654,339 12,926,866	30,841,497 11,884,480	-- 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	28,449,409 10,918,923	31,011,492 11,706,976	31,654,339 12,615,917	30,841,497 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	2,871,908 3,284,314	2,109,176 3,250,551	0 3,386,837	0 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	1,143,982 594,888	873,313 595,761	1,150,898 577,894	1,446,126 542,168	-- 549,667
Outlier Median	921,931 582,572	1,395,576 538,116	191,846 212,434	116,849 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,489,416 3,662,910	407,633 3,730,911	1,420,659 4,081,319	434,527 4,643,908	-- 4,389,147
Charity care Median	22,260,992 2,654,636	24,937,926 2,940,659	25,656,575 3,380,215	23,997,265 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	33,015,620 5,147,790	32,055,201 5,337,617	29,734,558 5,711,082	36,219,604 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	11.38% 3.24	9.34% 3.12	8.08% 3.21	9.70% 3.3	--% 2.86
Total shortfall/UCC Median	34,505,036 9,489,989	32,462,834 9,424,297	31,155,217 10,120,158	36,654,131 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	111,702,445 52,142,039	115,759,619 54,485,252	125,709,051 57,395,589	133,177,096 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	38.50 36.68	36.87 36.56	37.41 36.37	39.33 35.93	-- 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	1,572,199 1,251,927	775,194 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	1,901,733 1,449,244	1,375,174 1,475,986	3,134,749 1,563,078	2,462,675 1,721,954	-- 2,991,828
Contract hours, direct-care Median	54,876.00 22,725	36,575.00 23,018.5	41,563.00 24,503.48	66,597.00 25,026.5	-- 33,786
Contract wages, direct-care Median	34.66 64.67	37.60 64.53	75.42 65.06	36.98 68.97	-- 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.