As of the July, 2022, release via CMS

SOUTH TEXAS HEALTH SYSTEM

CMS id: 450119
1102 W. TRENTON ROAD, EDINBURG TX 78539. County: HIDALGO
System: UNIVERSAL HEALTH SERVICES INC
CBSA: McAllen-Edinburg-Mission, TX

The 838-bed, acute-care hospital had $25,338,569 in net service to patients*, with a total profit margin of 6.10882% in fiscal year 2021, the latest year available.
It spent 10.63% of its operating expenses on uncompensated care and reported $8,591,685 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	575 118	601 118	583 119.5	583 118	583 119
Total beds Median	816 162	838 162	838 162	838 162	838 163.5
FTEs Median	2,491.71 788.06	2,133.83 793.42	2,601.66 806.03	0.00 787.61	2,353.13 804.34

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	536,425,280 150,932,746	645,454,681 158,950,878	476,746,565 168,696,998	472,149,743 163,454,693	579,118,789 186,589,412
Operating expenses Median	519,732,604 149,311,209	635,918,538 156,110,414	448,516,901 164,890,568	482,591,743 166,516,854	553,780,220 180,120,888
Net income from service 2 patients (NS2P) ? Median	16,692,676 -964,173	9,536,143 -643,601.5	28,229,664 -116,254	-10,442,000 -5,025,862	25,338,569 -1,284,564
NS2P margin ? Median	3.11% -0.62	1.48% -0.29	5.92% 0.18	-2.21% -5.07	4.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SOUTH TEXAS HEALTH 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	4,452,800 5,089,215	5,015,116 4,572,541	4,759,917 5,268,134	52,706,490 13,092,619	10,691,910 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	0	0	0	0	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	0	0	0	882,931	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	0	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	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	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	0 1,597,664
⊳ Sum Line 24	4,452,800	5,015,116	4,759,917	51,823,559	10,691,910
Total income ? Median	21,145,476 6,586,430	14,551,259 6,767,106	32,989,581 8,419,950	42,264,490 8,094,175	36,030,479 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	21,145,476 6,043,842	14,551,259 5,845,112	32,989,581 7,606,259	42,264,490 7,283,041	36,030,479 14,957,241
Net margin Median	3.90947% 4.62%	2.23704% 4.42%	6.85133% 5.16%	8.05258% 5.2%	6.10882% 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 SOUTH TEXAS HEALTH 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	59,699,666 23,241,334	63,242,783 23,709,545	72,487,476 24,248,380	75,967,305 22,858,541	73,783,617 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	55,141,021 21,577,146	57,234,585 22,041,594	63,232,024 22,722,063	64,786,736 21,570,441	63,326,062 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	879,687 1,845,420	643,592 1,757,392	710,462 1,738,842	538,622 1,510,463	398,536 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,678,958 3,535,627	5,364,606 3,746,588	8,544,990 3,782,288	10,641,947 3,865,578	10,059,019 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	11,578,610 11,160,864	12,039,312 11,987,345	12,112,877 12,926,866	8,318,606 11,884,480	8,119,790 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	11,578,610 10,918,923	12,039,312 11,706,976	12,112,877 12,615,917	8,318,606 11,458,116	8,119,790 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	442,566 3,284,314	489,155 3,250,551	543,506 3,386,837	598,344 3,360,806	551,201 3,508,953
Disproportionate-share hospital (DSH) Median	4,033,116 594,888	4,683,437 595,761	4,813,329 577,894	4,276,869 542,168	3,815,750 549,667
Outlier Median	1,537,284 582,572	1,091,317 538,116	1,110,224 212,434	1,679,463 126,559	926,679 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,264,586 3,662,910	6,842,978 3,730,911	7,676,472 4,081,319	4,698,095 4,643,908	8,591,685 4,389,147
Charity care Median	47,922,149 2,654,636	37,000,833 2,940,659	45,708,258 3,380,215	41,723,059 3,488,738	36,056,910 3,233,405
Uncompensated care (UCC) Median	59,223,737 5,147,790	55,123,928 5,337,617	66,045,003 5,711,082	67,999,425 5,923,418	58,866,503 5,508,107
UCC as a % of operating expenses Median	11.40% 3.24	8.67% 3.12	14.73% 3.21	14.09% 3.3	10.63% 2.86
Total shortfall/UCC Median	61,488,323 9,489,989	61,966,906 9,424,297	73,721,475 10,120,158	72,697,520 11,171,337	67,458,188 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	121,301,312 52,142,039	131,457,231 54,485,252	143,993,653 57,395,589	154,453,614 58,830,919	178,762,322 61,722,907
Salaries as a % of operating expenses Median	23.34 36.68	20.67 36.56	18.36 36.37	19.18 35.93	20.32 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	143,982 1,449,244	448,109 1,475,986	555,444 1,563,078	1,515,544 1,721,954	14,092,163 2,991,828
Contract hours, direct-care Median	2,984.00 22,725	7,754.00 23,018.5	7,941.00 24,503.48	15,537.00 25,026.5	103,625.00 33,786
Contract wages, direct-care Median	48.25 64.67	57.79 64.53	69.95 65.06	97.54 68.97	135.99 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.