As of the July, 2022, release via CMS

PERMIAN REGIONAL MEDICAL CENTER

CMS id: 450144
720 HOSPITAL DRIVE, ANDREWS TX 79714. County: ANDREWS
System: --
CBSA: Andrews, TX

The 31-bed, acute-care hospital had $-26,981,156 in net service to patients*, with a total profit margin of 2.47875% in fiscal year 2021, the latest year available.
It spent 10.59% of its operating expenses on uncompensated care and reported $734,990 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	30 118	30 118	30 119.5	30 118	31 119
Total beds Median	30 162	30 162	30 162	30 162	31 163.5
FTEs Median	397.99 788.06	369.45 793.42	366.54 806.03	373.71 787.61	377.71 804.34

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	29,063,750 150,932,746	26,839,259 158,950,878	28,734,181 168,696,998	27,121,675 163,454,693	31,845,524 186,589,412
Operating expenses Median	50,855,013 149,311,209	52,842,595 156,110,414	54,696,256 164,890,568	56,724,428 166,516,854	58,826,680 180,120,888
Net income from service 2 patients (NS2P) ? Median	-21,791,263 -964,173	-26,003,336 -643,601.5	-25,962,075 -116,254	-29,602,753 -5,025,862	-26,981,156 -1,284,564
NS2P margin ? Median	-74.98% -0.62	-96.89% -0.29	-90.35% 0.18	-109.15% -5.07	-84.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PERMIAN 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	23,381,878 5,089,215	26,607,407 4,572,541	28,956,688 5,268,134	35,779,221 13,092,619	28,740,411 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	70,657 224,999	305,254 199,009	60,560 206,870.5	41,661 194,343	93,054 249,496
⊳ Line 7: Investments ? ⊳ Median	127,842 299,524	293,666 188,688.5	592,152 370,813	344,461 309,361.5	42,116 375,329
⊳ 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	4,422	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	1,005	961	1,061	1,051	988
⊳ Line 14: Revenue from meals sold to emplyees and guests	74,061	12	0	0	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	6,208	11,414	11,769	10,772	9,684
⊳ 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	2,810	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	23,099,295	25,996,100	28,286,724	35,381,276	28,594,569
Total income ? Median	1,590,615 6,586,430	604,071 6,767,106	2,994,613 8,419,950	6,176,468 8,094,175	1,759,255 15,162,888
Non-operating expenses Median	15 146,289.5	0 164,857	224,856 89,880.5	256,925 106,761	257,482 31,473.5
Net income Median	1,590,600 6,043,842	604,071 5,845,112	2,769,757 7,606,259	5,919,543 7,283,041	1,501,773 14,957,241
Net margin Median	3.03286% 4.62%	1.13023% 4.42%	4.80103% 5.16%	9.41090% 5.2%	2.47875% 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 PERMIAN 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	2,172,603 23,241,334	1,699,737 23,709,545	2,120,485 24,248,380	2,190,313 22,858,541	2,927,197 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	2,172,603 21,577,146	1,699,737 22,041,594	2,120,485 22,722,063	2,190,313 21,570,441	2,927,197 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	3,098,051 11,160,864	3,022,429 11,987,345	3,007,153 12,926,866	2,595,168 11,884,480	2,450,573 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	908,407 10,918,923	852,393 11,706,976	887,540 12,615,917	834,215 11,458,116	824,565 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	580,657 1,282,808	560,495 1,407,728	524,157 1,341,512	311,259 1,407,046	186,755 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	1,608,987 618,038	1,609,541 697,279	1,595,456 690,232	1,449,694 684,010	1,439,253 670,558
⊳ 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	26,286 594,888	20,754 595,761	22,071 577,894	10,529 542,168	27,565 549,667
Outlier Median	53,744 582,572	35,662 538,116	12,771 212,434	6,278 126,559	18,166 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,609,031 3,662,910	1,118,973 3,730,911	755,290 4,081,319	1,463,926 4,643,908	734,990 4,389,147
Charity care Median	1,720,809 2,654,636	1,162,791 2,940,659	0 3,380,215	4,539,816 3,488,738	3,886,893 3,233,405
Uncompensated care (UCC) Median	4,925,926 5,147,790	4,726,579 5,337,617	3,146,100 5,711,082	7,087,686 5,923,418	6,228,858 5,508,107
UCC as a % of operating expenses Median	9.69% 3.24	8.94% 3.12	5.75% 3.21	12.49% 3.3	10.59% 2.86
Total shortfall/UCC Median	7,534,957 9,489,989	5,845,552 9,424,297	3,901,390 10,120,158	8,551,612 11,171,337	6,963,848 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	21,251,653 52,142,039	21,158,081 54,485,252	22,092,950 57,395,589	23,628,935 58,830,919	23,715,628 61,722,907
Salaries as a % of operating expenses Median	41.79 36.68	40.04 36.56	40.39 36.37	41.66 35.93	40.31 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	218,340 1,449,244	325,572 1,475,986	0 1,563,078	279,295 1,721,954	429,811 2,991,828
Contract hours, direct-care Median	9,001.00 22,725	9,821.00 23,018.5	0.00 24,503.48	8,784.00 25,026.5	10,415.00 33,786
Contract wages, direct-care Median	24.26 64.67	33.15 64.53	0.00 65.06	31.80 68.97	41.27 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.