As of the July, 2022, release via CMS

STARR COUNTY MEMORIAL HOSPITAL

CMS id: 450654
128 NORTH FM 1367, RIO GRANDE CITY TX 78582. County: STARR
System: --
CBSA: Rio Grande City-Roma, TX

The 48-bed, acute-care hospital had $-9,138,955 in net service to patients*, with a total profit margin of 9.78281% in fiscal year 2021, the latest year available.
It spent 12.69% of its operating expenses on uncompensated care and reported $0 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	48 118	48 118	48 119.5	48 118	48 119
Total beds Median	48 162	48 162	48 162	48 162	48 163.5
FTEs Median	296.00 788.06	300.00 793.42	302.00 806.03	312.00 787.61	296.00 804.34

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	28,380,468 150,932,746	26,434,820 158,950,878	28,051,614 168,696,998	30,190,656 163,454,693	33,210,588 186,589,412
Operating expenses Median	35,245,958 149,311,209	34,993,039 156,110,414	38,077,584 164,890,568	41,552,346 166,516,854	42,349,543 180,120,888
Net income from service 2 patients (NS2P) ? Median	-6,865,490 -964,173	-8,558,219 -643,601.5	-10,025,970 -116,254	-11,361,690 -5,025,862	-9,138,955 -1,284,564
NS2P margin ? Median	-24.19% -0.62	-32.37% -0.29	-35.74% 0.18	-37.63% -5.07	-27.52% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STARR COUNTY 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	9,338,024 5,089,215	11,048,145 4,572,541	17,061,419 5,268,134	16,889,689 13,092,619	13,777,320 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	10,000 199,009	0 206,870.5	0 194,343	4,000 249,496
⊳ Line 7: Investments ? ⊳ Median	153,086 299,524	269,136 188,688.5	483,717 370,813	345,591 309,361.5	61,208 375,329
⊳ 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	0	0	0	1,875	3,403
⊳ 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	193,738	221,699	244,292	217,863	232,440
⊳ 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	17,618	14,187	16,429	14,123	11,945
⊳ 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	153,411	150,403	149,874	147,853	157,724
⊳ Line 23: Gov appropriations ? ⊳ Median	4,880,924 1,017,693	5,198,840 983,261.5	5,437,278 1,173,286	5,401,083 1,987,202	5,778,341 1,597,664
⊳ Sum Line 24	3,939,247	5,183,880	10,729,829	10,761,301	7,528,259
Total income ? Median	2,472,534 6,586,430	2,489,926 6,767,106	7,035,449 8,419,950	5,527,999 8,094,175	4,638,365 15,162,888
Non-operating expenses Median	272,292 146,289.5	190,585 164,857	0 89,880.5	54,801 106,761	41,626 31,473.5
Net income Median	2,200,242 6,043,842	2,299,341 5,845,112	7,035,449 7,606,259	5,473,198 7,283,041	4,596,739 14,957,241
Net margin Median	5.83332% 4.62%	6.13436% 4.42%	15.59516% 5.16%	11.62523% 5.2%	9.78281% 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 STARR COUNTY 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	5,527,896 23,241,334	4,742,289 23,709,545	3,890,226 24,248,380	4,054,844 22,858,541	3,733,367 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	5,527,896 21,577,146	4,742,289 22,041,594	3,890,226 22,722,063	4,054,844 21,570,441	3,733,367 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	3,166,073 11,160,864	3,205,168 11,987,345	3,065,048 12,926,866	2,145,786 11,884,480	1,791,878 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	2,189,125 10,918,923	2,168,660 11,706,976	2,228,730 12,615,917	1,568,771 11,458,116	1,352,284 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	976,948 618,038	1,036,508 697,279	836,318 690,232	577,015 684,010	439,594 670,558
⊳ 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	97,622 594,888	81,309 595,761	68,658 577,894	63,102 542,168	51,689 549,667
Outlier Median	103,260 582,572	75,990 538,116	112,491 212,434	112,919 126,559	23,172 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	298,497 2,654,636	1,194,306 2,940,659	0 3,380,215	2,676,858 3,488,738	1,589,094 3,233,405
Uncompensated care (UCC) Median	3,936,674 5,147,790	2,612,664 5,337,617	3,136,808 5,711,082	6,148,974 5,923,418	5,374,688 5,508,107
UCC as a % of operating expenses Median	11.17% 3.24	7.47% 3.12	8.24% 3.21	14.80% 3.3	12.69% 2.86
Total shortfall/UCC Median	3,936,674 9,489,989	2,612,664 9,424,297	3,136,808 10,120,158	6,148,974 11,171,337	5,374,688 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	13,947,106 52,142,039	14,067,885 54,485,252	14,249,188 57,395,589	15,039,513 58,830,919	14,509,889 61,722,907
Salaries as a % of operating expenses Median	48.63 36.68	48.83 36.56	45.15 36.37	43.44 35.93	40.77 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	458,119 1,449,244	643,807 1,475,986	1,805,348 1,563,078	2,332,488 1,721,954	2,588,290 2,991,828
Contract hours, direct-care Median	11,508.00 22,725	12,736.00 23,018.5	22,489.00 24,503.48	26,204.00 25,026.5	27,964.00 33,786
Contract wages, direct-care Median	39.81 64.67	50.55 64.53	80.28 65.06	89.01 68.97	92.56 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.