As of the July, 2022, release via CMS

HUNT REGIONAL MEDICAL CENTER

CMS id: 450352
4215 JOE RAMSEY BLVD, GREENVILLE TX 75401. County: HUNT
System: --
CBSA: Dallas-Fort Worth-Arlington, TX

The 177-bed, acute-care hospital had $-12,747,063 in net service to patients*, with a total profit margin of 1.22801% in fiscal year 2021, the latest year available.
It spent 8.02% of its operating expenses on uncompensated care and reported $57,896 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	99 118	99 118	102 119.5	129 118	129 119
Total beds Median	161 162	161 162	148 162	177 162	177 163.5
FTEs Median	931.88 788.06	965.90 793.42	991.28 806.03	1,012.16 787.61	1,051.96 804.34

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	110,334,414 150,932,746	116,711,424 158,950,878	126,229,198 168,696,998	141,392,691 163,454,693	168,953,695 186,589,412
Operating expenses Median	135,950,774 149,311,209	139,834,731 156,110,414	149,951,926 164,890,568	154,378,211 166,516,854	181,700,758 180,120,888
Net income from service 2 patients (NS2P) ? Median	-25,616,360 -964,173	-23,123,307 -643,601.5	-23,722,728 -116,254	-12,985,520 -5,025,862	-12,747,063 -1,284,564
NS2P margin ? Median	-23.22% -0.62	-19.81% -0.29	-18.79% 0.18	-9.18% -5.07	-7.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HUNT 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	14,109,675 5,089,215	13,302,306 4,572,541	12,702,920 5,268,134	13,126,363 13,092,619	15,006,116 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	281,666 224,999	228,356 199,009	0 206,870.5	138,520 194,343	663,185 249,496
⊳ Line 7: Investments ? ⊳ Median	240,439 299,524	281,725 188,688.5	0 370,813	264,681 309,361.5	186,685 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	8,736	4,786	0	7,775	2,834
⊳ Line 11: Rebates and refunds of expenses	291,200	203,473	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	768,014	740,557	0	667,051	596,355
⊳ 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	209	31,679	0	34,674	49,557
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	12,415	12,252	0	11,205	5,050
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	8,079	4,578	0	91,914	97,328
⊳ Line 22: Rental of hospital space	96,744	86,186	0	1,293,047	779,514
⊳ 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	12,402,173	11,708,714	12,702,920	10,697,390	12,698,010
Total income ? Median	-11,506,685 6,586,430	-9,821,001 6,767,106	-11,019,808 8,419,950	140,843 8,094,175	2,259,053 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-1,791,299 89,880.5	0 106,761	0 31,473.5
Net income Median	-11,506,685 6,043,842	-9,821,001 5,845,112	-9,228,509 7,606,259	140,843 7,283,041	2,259,053 14,957,241
Net margin Median	-9.24647% 4.62%	-7.55382% 4.42%	-6.64246% 5.16%	0.09115% 5.2%	1.22801% 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 HUNT 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	32,108,048 23,241,334	30,668,106 23,709,545	32,947,944 24,248,380	32,021,647 22,858,541	35,014,204 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	23,353,041 21,577,146	23,606,788 22,041,594	27,245,261 22,722,063	26,681,932 21,570,441	29,488,346 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	2,336,146 1,845,420	509,751 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	6,418,861 3,535,627	6,551,567 3,746,588	5,702,683 3,782,288	5,339,715 3,865,578	5,525,858 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	16,637,162 11,160,864	16,452,339 11,987,345	16,436,904 12,926,866	14,741,252 11,884,480	14,660,101 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	15,407,515 10,918,923	15,415,436 11,706,976	15,511,609 12,615,917	13,957,193 11,458,116	13,789,915 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,229,647 1,282,808	1,036,903 1,407,728	925,295 1,341,512	784,059 1,407,046	870,186 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	819,417 3,284,314	816,220 3,250,551	821,008 3,386,837	647,385 3,360,806	671,214 3,508,953
Disproportionate-share hospital (DSH) Median	840,124 594,888	790,199 595,761	881,168 577,894	859,328 542,168	950,643 549,667
Outlier Median	147,101 582,572	160,358 538,116	40,682 212,434	52,838 126,559	91,438 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	219,154 3,662,910	93,177 3,730,911	142,969 4,081,319	80,676 4,643,908	57,896 4,389,147
Charity care Median	5,422,901 2,654,636	8,607,056 2,940,659	8,668,299 3,380,215	8,269,484 3,488,738	6,183,729 3,233,405
Uncompensated care (UCC) Median	15,725,804 5,147,790	18,507,949 5,337,617	18,503,862 5,711,082	20,627,003 5,923,418	14,577,072 5,508,107
UCC as a % of operating expenses Median	11.57% 3.24	13.24% 3.12	12.34% 3.21	13.36% 3.3	8.02% 2.86
Total shortfall/UCC Median	15,944,958 9,489,989	18,601,126 9,424,297	18,646,831 10,120,158	20,707,679 11,171,337	14,634,968 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	55,180,503 52,142,039	56,872,801 54,485,252	62,318,922 57,395,589	63,246,442 58,830,919	73,991,089 61,722,907
Salaries as a % of operating expenses Median	40.59 36.68	40.67 36.56	41.56 36.37	40.97 35.93	40.72 35.24
Intern, resident salaries* Median	277,590 2,598,592	284,344 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	2,880,811 1,449,244	2,649,109 1,475,986	2,750,945 1,563,078	2,569,713 1,721,954	6,874,815 2,991,828
Contract hours, direct-care Median	60,079.86 22,725	59,192.39 23,018.5	62,703.53 24,503.48	58,085.48 25,026.5	93,836.94 33,786
Contract wages, direct-care Median	47.95 64.67	44.75 64.53	43.87 65.06	44.24 68.97	73.26 88.94

* in an approved program

Return to top

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.