As of the July, 2022, release via CMS

HEREFORD REGIONAL MEDICAL CTR

CMS id: 450155
801 EAST 3RD STREET, HEREFORD TX 79045. County: DEAF SMITH
System: --
CBSA: Hereford, TX

The 32-bed, acute-care hospital had $-12,546,031 in net service to patients*, with a total profit margin of 21.56636% in fiscal year 2021, the latest year available.
It spent 21.49% of its operating expenses on uncompensated care and reported $0 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	30 119
Total beds Median	32 162	30 162	32 162	32 162	32 163.5
FTEs Median	186.69 788.06	207.49 793.42	220.35 806.03	217.80 787.61	217.80 804.34

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	14,578,749 150,932,746	15,518,762 158,950,878	13,578,034 168,696,998	14,738,450 163,454,693	17,204,484 186,589,412
Operating expenses Median	25,968,501 149,311,209	24,765,681 156,110,414	24,958,438 164,890,568	25,250,342 166,516,854	29,750,515 180,120,888
Net income from service 2 patients (NS2P) ? Median	-11,389,752 -964,173	-9,246,919 -643,601.5	-11,380,404 -116,254	-10,511,892 -5,025,862	-12,546,031 -1,284,564
NS2P margin ? Median	-78.13% -0.62	-59.59% -0.29	-83.81% 0.18	-71.32% -5.07	-72.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HEREFORD REGIONAL MEDICAL CTR 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	9,574,578 5,089,215	9,057,196 4,572,541	12,303,815 5,268,134	13,016,734 13,092,619	20,683,323 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	10,480 224,999	112,549 199,009	15,502 206,870.5	37,300 194,343	50,000 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	38,135 188,688.5	79,852 370,813	88,358 309,361.5	63,737 375,329
⊳ 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	44,301	32,094	38,747	47,576	48,546
⊳ 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	7,044	8,251	7,320	6,174	6,879
⊳ 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	8,633	22,301	20,768	19,310
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	4,546,178 983,261.5	4,908,280 1,173,286	5,317,549 1,987,202	5,557,420 1,597,664
⊳ Sum Line 24	9,512,753	4,311,356	7,231,813	7,499,009	14,937,431
Total income ? Median	-1,815,174 6,586,430	-189,723 6,767,106	923,411 8,419,950	2,504,842 8,094,175	8,137,292 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	122,281 106,761	-33,730 31,473.5
Net income Median	-1,815,174 6,043,842	-189,723 5,845,112	923,411 7,606,259	2,382,561 7,283,041	8,171,022 14,957,241
Net margin Median	-7.51521% 4.62%	-0.77199% 4.42%	3.56779% 5.16%	8.58420% 5.2%	21.56636% 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 HEREFORD REGIONAL MEDICAL CTR 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	1,128,460 23,241,334	1,302,542 23,709,545	1,567,335 24,248,380	2,042,214 22,858,541	2,814,107 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	1,128,460 21,577,146	1,302,542 22,041,594	1,567,335 22,722,063	2,042,214 21,570,441	2,814,107 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	1,999,854 11,160,864	1,777,142 11,987,345	1,735,869 12,926,866	1,401,298 11,884,480	1,321,767 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	689,294 10,918,923	703,456 11,706,976	829,885 12,615,917	656,476 11,458,116	595,937 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	519,832 1,282,808	374,696 1,407,728	93,688 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	790,728 618,038	698,990 697,279	812,296 690,232	744,822 684,010	725,830 670,558
⊳ 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	19,063 594,888	16,557 595,761	15,624 577,894	18,537 542,168	33,356 549,667
Outlier Median	17,940 582,572	7,067 538,116	4,842 212,434	0 126,559	95 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,455,903 3,662,910	796,283 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	1,073,510 2,654,636	1,073,701 2,940,659	1,279,249 3,380,215	2,467,190 3,488,738	4,659,724 3,233,405
Uncompensated care (UCC) Median	4,005,203 5,147,790	2,875,367 5,337,617	4,599,088 5,711,082	4,688,655 5,923,418	6,393,477 5,508,107
UCC as a % of operating expenses Median	15.42% 3.24	11.61% 3.12	18.43% 3.21	18.57% 3.3	21.49% 2.86
Total shortfall/UCC Median	5,461,106 9,489,989	3,671,650 9,424,297	4,599,088 10,120,158	4,688,655 11,171,337	6,393,477 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	8,827,284 52,142,039	8,997,080 54,485,252	8,786,891 57,395,589	9,106,034 58,830,919	10,666,143 61,722,907
Salaries as a % of operating expenses Median	33.99 36.68	36.33 36.56	35.21 36.37	36.06 35.93	35.85 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	180,170 1,449,244	282,949 1,475,986	144,262 1,563,078	388,170 1,721,954	604,285 2,991,828
Contract hours, direct-care Median	2,987.00 22,725	4,163.00 23,018.5	2,513.50 24,503.48	4,877.85 25,026.5	8,282.37 33,786
Contract wages, direct-care Median	60.32 64.67	67.97 64.53	57.39 65.06	79.58 68.97	72.96 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.