As of the July, 2022, release via CMS

PALO PINTO GENERAL HOSPITAL

CMS id: 450565
400 SW 25TH AVENUE, MINERAL WELLS TX 76067. County: PALO PINTO
System: --
CBSA: Mineral Wells, TX

The 48-bed, acute-care hospital had $-22,665,502 in net service to patients*, with a total profit margin of 13.73868% in fiscal year 2021, the latest year available.
It spent 9.37% of its operating expenses on uncompensated care and reported $6,587 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	40 118	40 118	40 119.5	40 118	40 119
Total beds Median	48 162	48 162	48 162	48 162	48 163.5
FTEs Median	304.21 788.06	305.39 793.42	311.09 806.03	382.25 787.61	333.62 804.34

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	26,105,492 150,932,746	37,194,609 158,950,878	26,354,644 168,696,998	25,449,389 163,454,693	37,892,969 186,589,412
Operating expenses Median	40,787,267 149,311,209	53,496,965 156,110,414	45,809,029 164,890,568	48,759,660 166,516,854	60,558,471 180,120,888
Net income from service 2 patients (NS2P) ? Median	-14,681,775 -964,173	-16,302,356 -643,601.5	-19,454,385 -116,254	-23,310,271 -5,025,862	-22,665,502 -1,284,564
NS2P margin ? Median	-56.24% -0.62	-43.83% -0.29	-73.82% 0.18	-91.59% -5.07	-59.81% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PALO PINTO GENERAL 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	16,763,456 5,089,215	75,827,678 4,572,541	73,580,850 5,268,134	28,452,833 13,092,619	106,188,943 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	500 199,009	0 206,870.5	500 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	10,600 299,524	7,345,699 188,688.5	7,444,445 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	63,123	63,256	57,705	58,062	61,071
⊳ 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	450,630	342,409	393,144	338,590	365,260
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	26,881	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	15,592	0	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	3,399	1,803	1,369	0	0
⊳ Line 22: Rental of hospital space	302,024	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	15,891,207	68,074,011	65,684,187	28,055,681	105,762,612
Total income ? Median	2,081,681 6,586,430	59,525,322 6,767,106	54,126,465 8,419,950	5,142,562 8,094,175	83,523,441 15,162,888
Non-operating expenses Median	0 146,289.5	53,990,242 164,857	53,415,080 89,880.5	1,406,668 106,761	63,728,490 31,473.5
Net income Median	2,081,681 6,043,842	5,535,080 5,845,112	711,385 7,606,259	3,735,894 7,283,041	19,794,951 14,957,241
Net margin Median	4.85592% 4.62%	4.89733% 4.42%	0.71184% 5.16%	6.93087% 5.2%	13.73868% 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 PALO PINTO GENERAL 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	4,796,312 23,241,334	4,802,753 23,709,545	5,540,030 24,248,380	4,522,420 22,858,541	8,799,779 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	4,796,312 21,577,146	4,802,753 22,041,594	5,540,030 22,722,063	4,522,420 21,570,441	8,799,779 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	5,108,073 11,160,864	5,111,882 11,987,345	4,689,223 12,926,866	3,420,681 11,884,480	3,767,666 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	4,369,560 10,918,923	4,317,473 11,706,976	3,944,748 12,615,917	2,757,193 11,458,116	2,979,295 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	738,513 618,038	794,409 697,279	744,475 690,232	663,488 684,010	788,371 670,558
⊳ 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	168,087 594,888	165,252 595,761	160,122 577,894	89,123 542,168	151,875 549,667
Outlier Median	426,322 582,572	681,530 538,116	52,896 212,434	16,831 126,559	40,951 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,798,987 3,662,910	100,616 3,730,911	86,843 4,081,319	107,524 4,643,908	6,587 4,389,147
Charity care Median	1,974,945 2,654,636	2,649,326 2,940,659	7,111,686 3,380,215	6,768,575 3,488,738	4,178,117 3,233,405
Uncompensated care (UCC) Median	5,922,290 5,147,790	2,871,131 5,337,617	8,676,196 5,711,082	14,426,232 5,923,418	5,672,181 5,508,107
UCC as a % of operating expenses Median	14.52% 3.24	5.37% 3.12	18.94% 3.21	29.59% 3.3	9.37% 2.86
Total shortfall/UCC Median	7,721,277 9,489,989	2,971,747 9,424,297	8,763,039 10,120,158	14,533,756 11,171,337	5,678,768 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	17,599,771 52,142,039	18,394,235 54,485,252	19,159,594 57,395,589	20,417,941 58,830,919	23,253,797 61,722,907
Salaries as a % of operating expenses Median	43.15 36.68	34.38 36.56	41.82 36.37	41.87 35.93	38.40 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	0 1,449,244	0 1,475,986	205,567 1,563,078	315,287 1,721,954	18,433 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	1,601.65 24,503.48	1,899.00 25,026.5	403.75 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	128.35 65.06	166.03 68.97	45.65 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.