As of the July, 2022, release via CMS

STEPHENS MEMORIAL HOSPITAL

CMS id: 450498
200 SOUTH GENEVA STREET, BRECKENRIDGE TX 76424. County: STEPHENS
System: --
CBSA: Rural Texas

The 14-bed, acute-care hospital had $-3,942,277 in net service to patients*, with a total profit margin of 7.54968% in fiscal year 2021, the latest year available.
It spent 19.54% of its operating expenses on uncompensated care and reported $8,508 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	42 118	14 118	14 119.5	14 118	14 119
Total beds Median	42 162	14 162	14 162	14 162	14 163.5
FTEs Median	117.24 788.06	111.39 793.42	114.00 806.03	108.06 787.61	108.44 804.34

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	10,871,455 150,932,746	10,606,481 158,950,878	11,931,213 168,696,998	7,461,787 163,454,693	8,355,019 186,589,412
Operating expenses Median	11,825,318 149,311,209	12,610,878 156,110,414	13,277,869 164,890,568	12,274,290 166,516,854	12,297,296 180,120,888
Net income from service 2 patients (NS2P) ? Median	-953,863 -964,173	-2,004,397 -643,601.5	-1,346,656 -116,254	-4,812,503 -5,025,862	-3,942,277 -1,284,564
NS2P margin ? Median	-8.77% -0.62	-18.90% -0.29	-11.29% 0.18	-64.50% -5.07	-47.18% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STEPHENS MEMORIAL HOSPITAL 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	1,493,432 5,089,215	32,147,040 4,572,541	31,493,128 5,268,134	38,806,829 13,092,619	35,046,985 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	7,266 224,999	0 199,009	0 206,870.5	17,124 194,343	16,378 249,496
⊳ Line 7: Investments ? ⊳ Median	9,125 299,524	270 188,688.5	604 370,813	1,816 309,361.5	20,543 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	-1,904,783	0	326	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	44,551	31,839	18,102	28,262	23,230
⊳ 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	2,574	620	0	0	0
⊳ 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	0	0	4,140	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	3,334,699	32,114,311	31,474,096	38,755,487	34,986,834
Total income ? Median	539,569 6,586,430	30,142,643 6,767,106	30,146,472 8,419,950	33,994,326 8,094,175	31,104,708 15,162,888
Non-operating expenses Median	768,314 146,289.5	30,106,306 164,857	30,197,562 89,880.5	30,842,032 106,761	27,827,996 31,473.5
Net income Median	-228,745 6,043,842	36,337 5,845,112	-51,090 7,606,259	3,152,294 7,283,041	3,276,712 14,957,241
Net margin Median	-1.84996% 4.62%	0.08499% 4.42%	-0.11765% 5.16%	6.81303% 5.2%	7.54968% 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 STEPHENS MEMORIAL HOSPITAL 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	897,750 23,241,334	947,078 23,709,545	893,438 24,248,380	627,886 22,858,541	1,069,441 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	897,750 21,577,146	947,078 22,041,594	893,438 22,722,063	627,886 21,570,441	1,069,441 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	1,721,986 11,160,864	1,681,022 11,987,345	1,836,778 12,926,866	1,467,638 11,884,480	1,271,981 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	1,003,061 10,918,923	987,331 11,706,976	1,095,764 12,615,917	872,317 11,458,116	702,368 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	718,925 618,038	693,691 697,279	741,014 690,232	595,321 684,010	569,613 670,558
⊳ 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	6,278 582,572	16,927 538,116	0 212,434	194 126,559	2,782 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	17,803 3,662,910	16,998 3,730,911	87,339 4,081,319	578,595 4,643,908	8,508 4,389,147
Charity care Median	184,821 2,654,636	768,297 2,940,659	1,133,278 3,380,215	2,572,797 3,488,738	1,776,210 3,233,405
Uncompensated care (UCC) Median	933,172 5,147,790	834,148 5,337,617	1,299,146 5,711,082	2,798,605 5,923,418	2,403,210 5,508,107
UCC as a % of operating expenses Median	7.89% 3.24	6.61% 3.12	9.78% 3.21	22.80% 3.3	19.54% 2.86
Total shortfall/UCC Median	950,975 9,489,989	851,146 9,424,297	1,386,485 10,120,158	3,377,200 11,171,337	2,411,718 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	5,416,670 52,142,039	5,506,881 54,485,252	5,943,334 57,395,589	5,663,958 58,830,919	5,834,509 61,722,907
Salaries as a % of operating expenses Median	45.81 36.68	43.67 36.56	44.76 36.37	46.14 35.93	47.45 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	85,060 1,449,244	161,266 1,475,986	322,930 1,563,078	226,357 1,721,954	315,085 2,991,828
Contract hours, direct-care Median	2,428.00 22,725	2,336.00 23,018.5	4,322.00 24,503.48	2,200.00 25,026.5	2,659.00 33,786
Contract wages, direct-care Median	35.03 64.67	69.04 64.53	74.72 65.06	102.89 68.97	118.50 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.