As of the July, 2022, release via CMS

PAMPA REGIONAL MEDICAL CENTER

CMS id: 450099
ONE MEDICAL PLAZA, PAMPA TX 79065. County: GRAY
System: PRIME HEALTHCARE
CBSA: Pampa, TX

The 110-bed, acute-care hospital had $-1,388,174 in net service to patients*, with a total profit margin of 0.91559% in fiscal year 2021, the latest year available.
It spent 6.24% of its operating expenses on uncompensated care and reported $415,571 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	28 118	89 118	89 119.5	89 118	89 119
Total beds Median	45 162	110 162	110 162	110 162	110 163.5
FTEs Median	233.65 788.06	224.35 793.42	204.48 806.03	210.93 787.61	200.72 804.34

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	39,446,804 150,932,746	37,111,527 158,950,878	32,847,668 168,696,998	39,810,926 163,454,693	41,359,851 186,589,412
Operating expenses Median	40,939,696 149,311,209	38,616,447 156,110,414	37,183,993 164,890,568	39,286,834 166,516,854	42,748,025 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,492,892 -964,173	-1,504,920 -643,601.5	-4,336,325 -116,254	524,092 -5,025,862	-1,388,174 -1,284,564
NS2P margin ? Median	-3.78% -0.62	-4.06% -0.29	-13.20% 0.18	1.32% -5.07	-3.36% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PAMPA 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	304,575 5,089,215	342,097 4,572,541	97,136 5,268,134	1,408,460 13,092,619	1,798,407 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	225,233	9,134	49,087	11,460	8,151
⊳ Line 12: Parking lot receipts	1,893	3,016	1,482	1,703	254
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	11	0	0	0	7,487
⊳ 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	5,011	1,921	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	393	380	316	306	372
⊳ 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	0
⊳ Line 22: Rental of hospital space	0	25,915	26,500	32,182	41,757
⊳ 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	72,034	301,731	19,751	1,362,809	1,740,386
Total income ? Median	-1,188,317 6,586,430	-1,162,823 6,767,106	-4,239,189 8,419,950	1,932,552 8,094,175	410,233 15,162,888
Non-operating expenses Median	641,987 146,289.5	0 164,857	1,455,066 89,880.5	0 106,761	15,079 31,473.5
Net income Median	-1,830,304 6,043,842	-1,162,823 5,845,112	-5,694,255 7,606,259	1,932,552 7,283,041	395,154 14,957,241
Net margin Median	-4.60438% 4.62%	-3.10470% 4.42%	-17.28423% 5.16%	4.68845% 5.2%	0.91559% 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 PAMPA 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	10,767,884 23,241,334	7,981,046 23,709,545	8,317,249 24,248,380	8,584,667 22,858,541	6,928,690 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	9,366,261 21,577,146	6,594,257 22,041,594	7,467,318 22,722,063	7,616,163 21,570,441	6,453,566 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	1,401,623 1,845,420	1,386,789 1,757,392	849,931 1,738,842	968,504 1,510,463	475,124 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	3,080,997 11,160,864	2,324,979 11,987,345	1,887,275 12,926,866	2,309,109 11,884,480	3,079,162 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	3,080,997 10,918,923	2,324,979 11,706,976	1,887,275 12,615,917	2,309,109 11,458,116	2,622,689 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	456,473 670,558
⊳ 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	91,477 594,888	35,999 595,761	33,627 577,894	44,666 542,168	27,571 549,667
Outlier Median	344,194 582,572	488,044 538,116	260,662 212,434	328,977 126,559	227,477 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,533,876 3,662,910	495,944 3,730,911	388,311 4,081,319	970,325 4,643,908	415,571 4,389,147
Charity care Median	835,101 2,654,636	3,103,205 2,940,659	1,624,915 3,380,215	856,999 3,488,738	1,957,037 3,233,405
Uncompensated care (UCC) Median	2,885,017 5,147,790	3,720,006 5,337,617	4,011,702 5,711,082	2,440,385 5,923,418	2,666,199 5,508,107
UCC as a % of operating expenses Median	7.05% 3.24	9.63% 3.12	10.79% 3.21	6.21% 3.3	6.24% 2.86
Total shortfall/UCC Median	6,418,893 9,489,989	4,215,950 9,424,297	4,400,013 10,120,158	3,410,710 11,171,337	3,081,770 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	13,332,787 52,142,039	12,833,050 54,485,252	12,139,932 57,395,589	12,921,949 58,830,919	13,802,482 61,722,907
Salaries as a % of operating expenses Median	28.05 36.68	28.01 36.56	26.49 36.37	27.05 35.93	31.00 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	1,362,210 1,449,244	0 1,475,986	684,808 1,563,078	522,322 1,721,954	1,335,411 2,991,828
Contract hours, direct-care Median	22,839.00 22,725	0.00 23,018.5	10,374.31 24,503.48	8,512.00 25,026.5	11,464.00 33,786
Contract wages, direct-care Median	59.64 64.67	0.00 64.53	66.01 65.06	61.36 68.97	116.49 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.