As of the July, 2022, release via CMS

MISSION REGIONAL MEDICAL CENTER

CMS id: 450176
900 S. BRYAN ROAD, MISSION TX 78572. County: HIDALGO
System: PRIME HEALTHCARE MANAGEMENT SERVICES
CBSA: McAllen-Edinburg-Mission, TX

The 297-bed, acute-care hospital had $-575,450 in net service to patients*, with a total profit margin of 1.85508% in fiscal year 2021, the latest year available.
It spent 9.94% of its operating expenses on uncompensated care and reported $2,917,539 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	193 118	234 118	234 119.5	234 118	234 119
Total beds Median	256 162	297 162	297 162	297 162	297 163.5
FTEs Median	808.29 788.06	676.12 793.42	685.75 806.03	664.08 787.61	686.63 804.34

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	90,024,084 150,932,746	122,083,544 158,950,878	119,342,316 168,696,998	106,571,021 163,454,693	119,683,624 186,589,412
Operating expenses Median	106,189,997 149,311,209	102,825,814 156,110,414	104,479,028 164,890,568	105,711,937 166,516,854	120,259,074 180,120,888
Net income from service 2 patients (NS2P) ? Median	-16,165,913 -964,173	19,257,730 -643,601.5	14,863,288 -116,254	859,084 -5,025,862	-575,450 -1,284,564
NS2P margin ? Median	-17.96% -0.62	15.77% -0.29	12.45% 0.18	0.81% -5.07	-0.48% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MISSION 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	7,443,243 5,089,215	697,370 4,572,541	635,154 5,268,134	12,805,678 13,092,619	3,062,411 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	73,000 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	289,182 299,524	0 188,688.5	0 370,813	14,082 309,361.5	58,693 375,329
⊳ 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	21,819	81	687	164	10,367
⊳ 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	590,839	451,579	449,379	288,544	381,998
⊳ 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	471	2,277	1,144	859
⊳ 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	39,846	11,210	14,474	5,292	10,013
⊳ 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	6,428,557	234,029	168,337	12,496,452	2,600,481
Total income ? Median	-8,722,670 6,586,430	19,955,100 6,767,106	15,498,442 8,419,950	13,664,762 8,094,175	2,486,961 15,162,888
Non-operating expenses Median	99,846 146,289.5	32,924 164,857	222,296 89,880.5	161,481 106,761	209,927 31,473.5
Net income Median	-8,822,516 6,043,842	19,922,176 5,845,112	15,276,146 7,606,259	13,503,281 7,283,041	2,277,034 14,957,241
Net margin Median	-9.05177% 4.62%	16.22579% 4.42%	12.73251% 5.16%	11.31149% 5.2%	1.85508% 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 MISSION 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	32,236,578 23,241,334	37,598,263 23,709,545	35,011,471 24,248,380	28,769,529 22,858,541	23,305,467 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	24,316,824 21,577,146	29,420,235 22,041,594	26,594,558 22,722,063	22,452,226 21,570,441	18,699,410 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	7,919,754 3,535,627	8,178,028 3,746,588	8,416,913 3,782,288	6,317,303 3,865,578	4,606,057 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	3,879,430 11,160,864	3,807,072 11,987,345	3,866,951 12,926,866	3,002,877 11,884,480	3,171,278 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	3,879,430 10,918,923	3,807,072 11,706,976	3,866,951 12,615,917	3,002,877 11,458,116	3,171,278 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	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	2,134,822 594,888	2,490,942 595,761	2,140,622 577,894	1,715,451 542,168	1,466,470 549,667
Outlier Median	574,490 582,572	760,497 538,116	574,702 212,434	552,997 126,559	179,248 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,215,342 3,662,910	760,114 3,730,911	902,934 4,081,319	495,203 4,643,908	2,917,539 4,389,147
Charity care Median	2,778,282 2,654,636	6,903,923 2,940,659	7,566,200 3,380,215	8,297,895 3,488,738	11,212,081 3,233,405
Uncompensated care (UCC) Median	7,613,911 5,147,790	7,363,177 5,337,617	14,908,104 5,711,082	9,859,263 5,923,418	11,953,607 5,508,107
UCC as a % of operating expenses Median	7.17% 3.24	7.16% 3.12	14.27% 3.21	9.33% 3.3	9.94% 2.86
Total shortfall/UCC Median	11,829,253 9,489,989	8,123,291 9,424,297	15,811,038 10,120,158	10,354,466 11,171,337	14,871,146 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	45,854,047 52,142,039	42,997,357 54,485,252	43,972,236 57,395,589	44,954,199 58,830,919	48,688,318 61,722,907
Salaries as a % of operating expenses Median	42.82 36.68	41.71 36.56	41.67 36.37	41.63 35.93	39.69 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	946,510 1,449,244	698,514 1,475,986	2,609,830 1,563,078	2,974,975 1,721,954	3,380,055 2,991,828
Contract hours, direct-care Median	13,306.00 22,725	15,307.00 23,018.5	48,679.00 24,503.48	47,411.00 25,026.5	48,984.00 33,786
Contract wages, direct-care Median	71.13 64.67	45.63 64.53	53.61 65.06	62.75 68.97	69.00 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.