As of the July, 2022, release via CMS

TITUS REGIONAL MEDICAL CENTER

CMS id: 450080
2001 NORTH JEFFERSON, MT. PLEASANT TX 75455. County: TITUS
System: --
CBSA: Mount Pleasant, TX

The 70-bed, acute-care hospital had $-9,658,351 in net service to patients*, with a total profit margin of 4.61127% in fiscal year 2021, the latest year available.
It spent 6.76% of its operating expenses on uncompensated care and reported $187,863 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	gov	gov	gov	gov	gov
Acute beds Median	88 118	41 118	41 119.5	41 118	41 119
Total beds Median	117 162	70 162	70 162	70 162	70 163.5
FTEs Median	525.71 788.06	602.12 793.42	646.24 806.03	668.28 787.61	642.88 804.34

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	67,655,048 150,932,746	70,833,927 158,950,878	79,385,261 168,696,998	75,476,516 163,454,693	91,006,869 186,589,412
Operating expenses Median	79,496,821 149,311,209	83,540,787 156,110,414	93,082,240 164,890,568	86,765,017 166,516,854	100,665,220 180,120,888
Net income from service 2 patients (NS2P) ? Median	-11,841,773 -964,173	-12,706,860 -643,601.5	-13,696,979 -116,254	-11,288,501 -5,025,862	-9,658,351 -1,284,564
NS2P margin ? Median	-17.50% -0.62	-17.94% -0.29	-17.25% 0.18	-14.96% -5.07	-10.61% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TITUS REGIONAL 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	11,161,868 5,089,215	10,104,017 4,572,541	7,660,435 5,268,134	18,761,104 13,092,619	14,524,700 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	580,000 224,999	120,000 199,009	148,581 206,870.5	3,000 194,343	171,359 249,496
⊳ Line 7: Investments ? ⊳ Median	223,858 299,524	207,916 188,688.5	175,036 370,813	158,403 309,361.5	93,255 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	10,704	11,584	5,029	5,506	74,832
⊳ Line 11: Rebates and refunds of expenses	78,419	84,502	106,345	120,287	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	218,464	227,850	254,896	258,040	264,577
⊳ 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	33,396	41,871	26,663	24,667	26,814
⊳ 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	8,792	9,541	10,694	8,319	5,770
⊳ Line 22: Rental of hospital space	442,493	421,517	437,742	533,317	447,939
⊳ Line 23: Gov appropriations ? ⊳ Median	4,882,226 1,017,693	1,339,373 983,261.5	-952,484 1,173,286	-91,940 1,987,202	-94,634 1,597,664
⊳ Sum Line 24	4,683,516	7,639,863	7,447,933	17,741,505	13,534,788
Total income ? Median	-679,905 6,586,430	-2,602,843 6,767,106	-6,036,544 8,419,950	7,472,603 8,094,175	4,866,349 15,162,888
Non-operating expenses Median	18,366 146,289.5	282 164,857	976 89,880.5	0 106,761	0 31,473.5
Net income Median	-698,271 6,043,842	-2,603,125 5,845,112	-6,037,520 7,606,259	7,472,603 7,283,041	4,866,349 14,957,241
Net margin Median	-0.88594% 4.62%	-3.21620% 4.42%	-6.93604% 5.16%	7.92953% 5.2%	4.61127% 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 TITUS REGIONAL 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	14,202,011 23,241,334	14,000,585 23,709,545	14,249,887 24,248,380	14,589,721 22,858,541	15,750,989 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	9,569,324 21,577,146	9,664,542 22,041,594	9,181,482 22,722,063	10,182,763 21,570,441	11,761,870 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	3,054,712 1,845,420	3,014,210 1,757,392	3,176,179 1,738,842	2,133,848 1,510,463	2,215,550 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,577,975 3,535,627	1,321,833 3,746,588	1,892,226 3,782,288	2,273,110 3,865,578	1,773,569 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	7,090,446 11,160,864	7,248,610 11,987,345	7,404,376 12,926,866	7,194,209 11,884,480	7,644,149 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	7,055,900 10,918,923	7,113,285 11,706,976	7,345,783 12,615,917	6,982,615 11,458,116	7,056,706 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	34,546 618,038	135,325 697,279	58,593 690,232	211,594 684,010	587,443 670,558
⊳ 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	199,298 594,888	196,939 595,761	296,421 577,894	292,933 542,168	278,685 549,667
Outlier Median	85,782 582,572	114,477 538,116	54,197 212,434	67,562 126,559	104,360 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	229,803 3,662,910	191,591 3,730,911	37,603 4,081,319	2,112 4,643,908	187,863 4,389,147
Charity care Median	505,998 2,654,636	3,590,032 2,940,659	1,298,123 3,380,215	4,206,454 3,488,738	6,235,073 3,233,405
Uncompensated care (UCC) Median	9,392,558 5,147,790	7,406,073 5,337,617	4,510,013 5,711,082	7,611,021 5,923,418	6,809,244 5,508,107
UCC as a % of operating expenses Median	11.82% 3.24	8.87% 3.12	4.85% 3.21	8.77% 3.3	6.76% 2.86
Total shortfall/UCC Median	9,622,361 9,489,989	7,597,664 9,424,297	4,547,616 10,120,158	7,613,133 11,171,337	6,997,107 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	26,925,161 52,142,039	30,155,437 54,485,252	34,612,749 57,395,589	33,925,484 58,830,919	38,230,365 61,722,907
Salaries as a % of operating expenses Median	33.87 36.68	36.10 36.56	37.19 36.37	39.10 35.93	37.98 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	3,582,684 1,449,244	707,236 1,475,986	868,465 1,563,078	768,310 1,721,954	2,876,879 2,991,828
Contract hours, direct-care Median	41,815.00 22,725	12,414.11 23,018.5	15,438.00 24,503.48	12,955.92 25,026.5	37,373.32 33,786
Contract wages, direct-care Median	85.68 64.67	56.97 64.53	56.26 65.06	59.30 68.97	76.98 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.