As of the July, 2022, release via CMS

VALLEY BAPTIST MEDICAL CENTER

CMS id: 450033
2101 PEASE STREET, HARLINGEN TX 78551. County: CAMERON
System: TENET HEALTHCARE CORPORATION
CBSA: Brownsville-Harlingen, TX

The 407-bed, acute-care hospital had $50,087,710 in net service to patients*, with a total profit margin of 14.89320% in fiscal year 2021, the latest year available.
It spent 9.42% of its operating expenses on uncompensated care and reported $570,030 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	285 118	294 118	292 119.5	307 118	289 119
Total beds Median	395 162	404 162	412 162	426 162	407 163.5
FTEs Median	1,087.00 788.06	1,147.00 793.42	1,173.00 806.03	1,160.00 787.61	1,124.00 804.34

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	281,577,738 150,932,746	305,154,834 158,950,878	322,533,185 168,696,998	350,568,026 163,454,693	370,593,400 186,589,412
Operating expenses Median	264,178,929 149,311,209	274,618,848 156,110,414	286,511,333 164,890,568	306,250,543 166,516,854	320,505,690 180,120,888
Net income from service 2 patients (NS2P) ? Median	17,398,809 -964,173	30,535,986 -643,601.5	36,021,852 -116,254	44,317,483 -5,025,862	50,087,710 -1,284,564
NS2P margin ? Median	6.18% -0.62	10.01% -0.29	11.17% 0.18	12.64% -5.07	13.52% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for VALLEY BAPTIST 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	5,187,838 5,089,215	3,849,474 4,572,541	3,146,535 5,268,134	9,156,980 13,092,619	5,998,938 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	-51,763 299,524	-18,090 188,688.5	40,301 370,813	12,050 309,361.5	44 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	5,006	2,703	3,651	3,681	6,250
⊳ Line 11: Rebates and refunds of expenses	112,238	124,611	156,591	150,737	396,877
⊳ 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	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	30,053	31,768	31,545	20,902	42,804
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	468,478	440,502	481,710	482,687	443,512
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	443,208	406,960	433,718	555,730	597,384
⊳ Line 21: Rental of vending machines	0	0	0	28,001	46,254
⊳ Line 22: Rental of hospital space	317,835	317,835	317,835	317,835	200,131
⊳ 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	3,862,783	2,543,185	1,681,184	7,585,357	4,265,682
Total income ? Median	22,586,647 6,586,430	34,385,460 6,767,106	39,168,387 8,419,950	53,474,463 8,094,175	56,086,648 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	22,586,647 6,043,842	34,385,460 5,845,112	39,168,387 7,606,259	53,474,463 7,283,041	56,086,648 14,957,241
Net margin Median	7.87635% 4.62%	11.12783% 4.42%	12.02666% 5.16%	14.86537% 5.2%	14.89320% 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 VALLEY BAPTIST 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	56,410,336 23,241,334	60,253,616 23,709,545	59,326,403 24,248,380	57,872,765 22,858,541	51,708,507 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	52,693,114 21,577,146	55,616,858 22,041,594	53,806,835 22,722,063	52,446,538 21,570,441	47,392,220 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	0 1,845,420	475,427 1,757,392	1,567,241 1,738,842	1,815,481 1,510,463	695,835 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,717,222 3,535,627	4,161,331 3,746,588	3,952,327 3,782,288	3,610,746 3,865,578	3,620,452 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	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	14,164,932 11,160,864	14,337,087 11,987,345	14,065,309 12,926,866	13,389,545 11,884,480	11,585,646 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	14,164,932 10,918,923	14,337,087 11,706,976	14,065,309 12,615,917	13,389,545 11,458,116	11,585,646 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	1,590,587 3,284,314	1,654,073 3,250,551	1,672,975 3,386,837	1,669,370 3,360,806	1,561,340 3,508,953
Disproportionate-share hospital (DSH) Median	2,842,882 594,888	2,921,576 595,761	2,783,322 577,894	2,327,568 542,168	1,916,715 549,667
Outlier Median	2,163,046 582,572	4,646,312 538,116	2,314,476 212,434	1,248,063 126,559	403,428 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,149,370 3,662,910	1,012,822 3,730,911	891,456 4,081,319	687,767 4,643,908	570,030 4,389,147
Charity care Median	13,303,828 2,654,636	16,799,988 2,940,659	22,938,777 3,380,215	24,208,613 3,488,738	25,779,812 3,233,405
Uncompensated care (UCC) Median	27,618,404 5,147,790	27,705,323 5,337,617	32,773,331 5,711,082	29,018,021 5,923,418	30,205,580 5,508,107
UCC as a % of operating expenses Median	10.45% 3.24	10.09% 3.12	11.44% 3.21	9.48% 3.3	9.42% 2.86
Total shortfall/UCC Median	31,767,774 9,489,989	28,718,145 9,424,297	33,664,787 10,120,158	29,705,788 11,171,337	30,775,610 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	83,387,675 52,142,039	89,689,760 54,485,252	94,433,158 57,395,589	95,312,848 58,830,919	98,914,136 61,722,907
Salaries as a % of operating expenses Median	31.56 36.68	32.66 36.56	32.96 36.37	31.12 35.93	30.86 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	2,256,104 1,449,244	1,924,194 1,475,986	1,324,675 1,563,078	2,559,294 1,721,954	11,820,712 2,991,828
Contract hours, direct-care Median	33,423.00 22,725	27,724.00 23,018.5	19,516.00 24,503.48	37,435.14 25,026.5	85,871.00 33,786
Contract wages, direct-care Median	67.50 64.67	69.41 64.53	67.88 65.06	68.37 68.97	137.66 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.