As of the July, 2022, release via CMS

WILSON N JONES REGIONAL MEDICAL CTR

CMS id: 450469
500 NORTH HIGHLAND AVENUE, SHERMAN TX 75092. County: GRAYSON
System: --
CBSA: Sherman-Denison, TX

The 214-bed, acute-care hospital had $-13,246,586 in net service to patients*, with a total profit margin of 25.42145% in fiscal year 2021, the latest year available.
It spent 23.88% of its operating expenses on uncompensated care and reported $1,941,494 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	204 118	204 118	204 119.5	204 118	204 119
Total beds Median	226 162	226 162	226 162	221 162	214 163.5
FTEs Median	865.88 788.06	0.00 793.42	552.57 806.03	425.85 787.61	336.80 804.34

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	107,410,213 150,932,746	71,787,489 158,950,878	67,498,032 168,696,998	61,987,483 163,454,693	36,780,387 186,589,412
Operating expenses Median	77,975,858 149,311,209	78,681,751 156,110,414	78,770,266 164,890,568	61,695,192 166,516,854	50,026,973 180,120,888
Net income from service 2 patients (NS2P) ? Median	29,434,355 -964,173	-6,894,262 -643,601.5	-11,272,234 -116,254	292,291 -5,025,862	-13,246,586 -1,284,564
NS2P margin ? Median	27.40% -0.62	-9.60% -0.29	-16.70% 0.18	0.47% -5.07	-36.02% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WILSON N JONES 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	1,730,401 5,089,215	838,094 4,572,541	1,382,188 5,268,134	1,255,617 13,092,619	30,299,184 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	5,000 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	15,815 299,524	0 188,688.5	0 370,813	95,587 309,361.5	23,045 375,329
⊳ 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	525,359	0	15,985	5,670	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	168,881	0	160,684	86,471	70,081
⊳ 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	403	0	12,122	14,912	9,871
⊳ 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	23,434	0	18,580	11,228	12,894
⊳ Line 22: Rental of hospital space	898,783	0	961,156	847,817	375,556
⊳ 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	97,726	838,094	208,661	193,932	29,807,737
Total income ? Median	31,164,756 6,586,430	-6,056,168 6,767,106	-9,890,046 8,419,950	1,547,908 8,094,175	17,052,598 15,162,888
Non-operating expenses Median	36,457,741 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-5,292,985 6,043,842	-6,056,168 5,845,112	-9,890,046 7,606,259	1,547,908 7,283,041	17,052,598 14,957,241
Net margin Median	-4.84969% 4.62%	-8.33889% 4.42%	-14.35833% 5.16%	2.44755% 5.2%	25.42145% 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 WILSON N JONES 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	21,540,535 23,241,334	20,476,625 23,709,545	18,094,696 24,248,380	16,323,601 22,858,541	11,989,719 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	20,594,633 21,577,146	19,778,814 22,041,594	17,437,642 22,722,063	16,071,460 21,570,441	11,970,781 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	945,902 1,845,420	697,811 1,757,392	657,054 1,738,842	252,141 1,510,463	18,938 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	5,629,893 11,160,864	5,441,735 11,987,345	4,627,535 12,926,866	3,281,091 11,884,480	2,412,658 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	5,629,893 10,918,923	5,441,735 11,706,976	4,627,535 12,615,917	3,281,091 11,458,116	2,412,658 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	194,601 594,888	339,094 595,761	322,079 577,894	145,674 542,168	214,020 549,667
Outlier Median	1,295,679 582,572	761,037 538,116	98,155 212,434	47,629 126,559	61,219 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,499,126 3,662,910	3,147,771 3,730,911	2,564,902 4,081,319	2,453,395 4,643,908	1,941,494 4,389,147
Charity care Median	739,963 2,654,636	0 2,940,659	352,823 3,380,215	545,140 3,488,738	4,114,741 3,233,405
Uncompensated care (UCC) Median	7,013,019 5,147,790	286,167 5,337,617	7,943,518 5,711,082	9,162,468 5,923,418	11,947,787 5,508,107
UCC as a % of operating expenses Median	8.99% 3.24	0.36% 3.12	10.08% 3.21	14.85% 3.3	23.88% 2.86
Total shortfall/UCC Median	10,512,145 9,489,989	3,433,938 9,424,297	10,508,420 10,120,158	11,615,863 11,171,337	13,889,281 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	27,737,336 52,142,039	30,606,767 54,485,252	29,629,892 57,395,589	21,821,027 58,830,919	19,646,657 61,722,907
Salaries as a % of operating expenses Median	35.57 36.68	38.90 36.56	37.62 36.37	35.37 35.93	39.27 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	570,708 1,449,244	315,149 1,475,986	34,843 1,563,078	70,096 1,721,954	5,741,881 2,991,828
Contract hours, direct-care Median	9,378.00 22,725	4,279.00 23,018.5	436.26 24,503.48	914.20 25,026.5	55,328.00 33,786
Contract wages, direct-care Median	60.86 64.67	73.65 64.53	79.87 65.06	76.67 68.97	103.78 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.