As of the July, 2022, release via CMS

CHRISTUS MOTHER FRANCES HOSP-TYLER

CMS id: 450102
800 EAST DAWSON, TYLER TX 75701. County: SMITH
System: CHRISTUS TMF HEALTH SYSTEM
CBSA: Tyler, TX

The 457-bed, acute-care hospital had $-74,494,610 in net service to patients*, with a total profit margin of 6.46186% in fiscal year 2021, the latest year available.
It spent 6.25% of its operating expenses on uncompensated care and reported $799,112 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	345 118	295 118	295 119.5	301 118	301 119
Total beds Median	457 162	421 162	445 162	457 162	457 163.5
FTEs Median	3,282.12 788.06	3,116.93 793.42	2,912.10 806.03	2,918.55 787.61	3,794.21 804.34

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	551,187,154 150,932,746	591,502,561 158,950,878	639,540,529 168,696,998	628,367,112 163,454,693	764,480,416 186,589,412
Operating expenses Median	534,401,887 149,311,209	552,017,798 156,110,414	1,137,884,968 164,890,568	833,447,423 166,516,854	838,975,026 180,120,888
Net income from service 2 patients (NS2P) ? Median	16,785,267 -964,173	39,484,763 -643,601.5	-498,344,439 -116,254	-205,080,311 -5,025,862	-74,494,610 -1,284,564
NS2P margin ? Median	3.05% -0.62	6.68% -0.29	-77.92% 0.18	-32.64% -5.07	-9.74% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CHRISTUS MOTHER FRANCES HOSP-TYLER 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	70,264,471 5,089,215	62,865,513 4,572,541	576,328,810 5,268,134	234,987,253 13,092,619	132,453,214 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	520,384 224,999	783,842 199,009	144,754 206,870.5	2,905 194,343	21,291,428 249,496
⊳ Line 7: Investments ? ⊳ Median	-15,550,058 299,524	-18,521,602 188,688.5	-17,785,632 370,813	19,709,764 309,361.5	11,009,717 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	104,864	147,993	93,840	153,008	46,289
⊳ Line 11: Rebates and refunds of expenses	1,744,536	2,631,906	4,748,397	6,811,998	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	2,006,200	901,264	734,613	713,013	331,972
⊳ 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	-200,761
⊳ Line 18: Revenue from sale of medical records and abstracts	291,755	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	343,135	203,931	192,633	67,329	105,807
⊳ Line 21: Rental of vending machines	25,195	14,948	14,080	12,418	1,364
⊳ Line 22: Rental of hospital space	3,170,292	3,126,697	2,838,420	3,025,022	2,742,734
⊳ 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	77,608,168	73,576,534	585,347,705	204,491,796	97,124,664
Total income ? Median	87,049,738 6,586,430	102,350,276 6,767,106	77,984,371 8,419,950	29,906,942 8,094,175	57,958,604 15,162,888
Non-operating expenses Median	650 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	87,049,088 6,043,842	102,350,276 5,845,112	77,984,371 7,606,259	29,906,942 7,283,041	57,958,604 14,957,241
Net margin Median	14.00738% 4.62%	15.64109% 4.42%	6.41388% 5.16%	3.46404% 5.2%	6.46186% 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 CHRISTUS MOTHER FRANCES HOSP-TYLER 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	99,504,226 23,241,334	101,795,592 23,709,545	104,883,789 24,248,380	103,959,238 22,858,541	114,621,910 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	99,504,226 21,577,146	101,795,592 22,041,594	104,883,789 22,722,063	103,959,238 21,570,441	114,621,910 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	0 1,757,392	0 1,738,842	0 1,510,463	0 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	86,832,504 11,160,864	90,261,338 11,987,345	90,968,262 12,926,866	85,284,096 11,884,480	85,752,509 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	86,832,504 10,918,923	90,261,338 11,706,976	90,968,262 12,615,917	85,284,096 11,458,116	85,752,509 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	375,101 3,284,314	383,104 3,250,551	373,408 3,386,837	369,437 3,360,806	381,018 3,508,953
Disproportionate-share hospital (DSH) Median	1,952,238 594,888	1,962,986 595,761	1,801,151 577,894	2,018,716 542,168	3,048,686 549,667
Outlier Median	1,312,953 582,572	1,839,981 538,116	2,410,640 212,434	284,085 126,559	775,638 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	517,794 3,662,910	367,320 3,730,911	371,707 4,081,319	803,626 4,643,908	799,112 4,389,147
Charity care Median	45,381,149 2,654,636	38,026,973 2,940,659	44,641,036 3,380,215	44,507,201 3,488,738	44,539,483 3,233,405
Uncompensated care (UCC) Median	57,954,502 5,147,790	55,495,549 5,337,617	51,784,214 5,711,082	53,994,683 5,923,418	52,428,193 5,508,107
UCC as a % of operating expenses Median	10.84% 3.24	10.05% 3.12	4.55% 3.21	6.48% 3.3	6.25% 2.86
Total shortfall/UCC Median	58,472,296 9,489,989	55,862,869 9,424,297	52,155,921 10,120,158	54,798,309 11,171,337	53,227,305 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	183,753,725 52,142,039	183,058,847 54,485,252	192,836,700 57,395,589	179,480,839 58,830,919	199,036,597 61,722,907
Salaries as a % of operating expenses Median	31.38 36.68	30.34 36.56	29.05 36.37	24.29 35.93	23.72 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	352,961 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	3,028,478 1,449,244	3,290,819 1,475,986	5,069,103 1,563,078	3,703,784 1,721,954	3,099,041 2,991,828
Contract hours, direct-care Median	67,555.00 22,725	67,671.00 23,018.5	78,787.00 24,503.48	57,437.00 25,026.5	39,411.65 33,786
Contract wages, direct-care Median	44.83 64.67	48.63 64.53	64.34 65.06	64.48 68.97	78.63 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.