As of the July, 2022, release via CMS

MIDLAND MEMORIAL HOSPITAL

CMS id: 450133
400 ROSALIND REDFERN GROVER PARKWAY, MIDLAND TX 79701. County: MIDLAND
System: --
CBSA: Midland, TX

The 226-bed, acute-care hospital had $-49,964,881 in net service to patients*, with a total profit margin of 3.78423% in fiscal year 2021, the latest year available.
It spent 13.61% of its operating expenses on uncompensated care and reported $3,282,108 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	170 118	180 118	178 119.5	177 118	178 119
Total beds Median	218 162	228 162	226 162	225 162	226 163.5
FTEs Median	1,686.50 788.06	1,695.15 793.42	1,682.75 806.03	1,699.43 787.61	1,740.17 804.34

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	250,533,452 150,932,746	236,158,622 158,950,878	258,461,565 168,696,998	245,701,504 163,454,693	279,974,048 186,589,412
Operating expenses Median	246,458,891 149,311,209	253,520,429 156,110,414	291,062,175 164,890,568	300,582,995 166,516,854	329,938,929 180,120,888
Net income from service 2 patients (NS2P) ? Median	4,074,561 -964,173	-17,361,807 -643,601.5	-32,600,610 -116,254	-54,881,491 -5,025,862	-49,964,881 -1,284,564
NS2P margin ? Median	1.63% -0.62	-7.35% -0.29	-12.61% 0.18	-22.34% -5.07	-17.85% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MIDLAND MEMORIAL HOSPITAL 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	9,324,422 5,089,215	21,767,139 4,572,541	47,325,777 5,268,134	62,381,742 13,092,619	67,864,624 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	2,056,207 206,870.5	2,795,364 194,343	9,061,695 249,496
⊳ Line 7: Investments ? ⊳ Median	124,765 299,524	187,498 188,688.5	323,201 370,813	381,585 309,361.5	279,913 375,329
⊳ 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	313,928	0	0
⊳ Line 12: Parking lot receipts	58,766	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	421,797	311,354	1,753,595	1,286,707	1,216,134
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	122	3,413	58	-43	337
⊳ Line 17: Revenue from sale of drugs to other than patients	717	2,445,543	2,257,249	2,069,311	1,997,937
⊳ Line 18: Revenue from sale of medical records and abstracts	83,005	90,375	115,962	125,973	117,421
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	1,737,913	911,770	641,291	553,573
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	1,947,080	2,027,592	2,104,624	669,666
⊳ 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	8,635,250	15,043,963	37,566,215	52,976,930	53,967,948
Total income ? Median	13,398,983 6,586,430	4,405,332 6,767,106	14,725,167 8,419,950	7,500,251 8,094,175	17,899,743 15,162,888
Non-operating expenses Median	1,660,280 146,289.5	7,283,040 164,857	7,571,577 89,880.5	20,826,616 106,761	4,736,718 31,473.5
Net income Median	11,738,703 6,043,842	-2,877,708 5,845,112	7,153,590 7,606,259	-13,326,365 7,283,041	13,163,025 14,957,241
Net margin Median	4.51736% 4.62%	-1.11571% 4.42%	2.33940% 5.16%	-4.32557% 5.2%	3.78423% 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 MIDLAND MEMORIAL HOSPITAL 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	32,382,380 23,241,334	31,892,071 23,709,545	34,451,643 24,248,380	37,670,978 22,858,541	39,584,444 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	32,382,380 21,577,146	31,892,071 22,041,594	34,451,643 22,722,063	37,670,978 21,570,441	39,584,444 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	15,709,667 11,160,864	15,635,883 11,987,345	16,520,600 12,926,866	15,228,866 11,884,480	15,201,419 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	15,709,667 10,918,923	15,635,883 11,706,976	16,520,600 12,615,917	15,228,866 11,458,116	15,201,419 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	1,198,075 3,284,314	1,022,012 3,250,551	1,037,433 3,386,837	933,869 3,360,806	673,252 3,508,953
Disproportionate-share hospital (DSH) Median	577,548 594,888	562,628 595,761	507,073 577,894	542,506 542,168	1,323,066 549,667
Outlier Median	2,119,642 582,572	1,601,200 538,116	402,616 212,434	239,328 126,559	398,168 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,513,106 3,662,910	688,074 3,730,911	2,226,354 4,081,319	0 4,643,908	3,282,108 4,389,147
Charity care Median	12,842,439 2,654,636	18,714,387 2,940,659	19,548,065 3,380,215	21,494,209 3,488,738	36,292,628 3,233,405
Uncompensated care (UCC) Median	26,194,588 5,147,790	27,010,398 5,337,617	26,164,552 5,711,082	33,967,585 5,923,418	44,897,656 5,508,107
UCC as a % of operating expenses Median	10.63% 3.24	10.65% 3.12	8.99% 3.21	11.30% 3.3	13.61% 2.86
Total shortfall/UCC Median	28,707,694 9,489,989	27,698,472 9,424,297	28,390,906 10,120,158	33,967,585 11,171,337	48,179,764 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	102,621,783 52,142,039	105,542,234 54,485,252	108,771,345 57,395,589	117,229,660 58,830,919	119,867,054 61,722,907
Salaries as a % of operating expenses Median	41.64 36.68	41.63 36.56	41.81 36.37	43.47 35.93	38.69 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	1,741,499 1,449,244	2,847,795 1,475,986	6,814,054 1,563,078	3,600,836 1,721,954	2,374,273 2,991,828
Contract hours, direct-care Median	23,537.00 22,725	40,222.97 23,018.5	103,196.00 24,503.48	52,102.00 25,026.5	24,373.38 33,786
Contract wages, direct-care Median	73.99 64.67	70.80 64.53	66.03 65.06	69.11 68.97	97.41 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.