As of the July, 2022, release via CMS

LAMB HEALTHCARE CENTER

CMS id: 450698
1500 SOUTH SUNSET, LITTLEFIELD TX 79339. County: LAMB
System: --
CBSA: Rural Texas

The 42-bed, acute-care hospital had $-2,381,927 in net service to patients*, with a total profit margin of 32.98451% in fiscal year 2021, the latest year available.
It spent 10.08% of its operating expenses on uncompensated care and reported $1,343,249 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	42 118	42 119.5	42 118	42 119
Total beds Median	42 162	42 162	42 162	42 162	42 163.5
FTEs Median	119.82 788.06	104.73 793.42	101.35 806.03	107.96 787.61	150.75 804.34

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	6,622,427 150,932,746	6,811,600 158,950,878	7,685,375 168,696,998	10,143,165 163,454,693	12,069,758 186,589,412
Operating expenses Median	10,402,181 149,311,209	9,572,551 156,110,414	11,736,884 164,890,568	13,000,642 166,516,854	14,451,685 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,779,754 -964,173	-2,760,951 -643,601.5	-4,051,509 -116,254	-2,857,477 -5,025,862	-2,381,927 -1,284,564
NS2P margin ? Median	-57.08% -0.62	-40.53% -0.29	-52.72% 0.18	-28.17% -5.07	-19.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LAMB HEALTHCARE 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	4,652,854 5,089,215	4,112,447 4,572,541	5,969,964 5,268,134	4,500,650 13,092,619	11,101,732 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	13,358 224,999	8,629 199,009	11,400 206,870.5	15,370 194,343	10,292 249,496
⊳ Line 7: Investments ? ⊳ Median	4,972 299,524	7,682 188,688.5	13,132 370,813	29,132 309,361.5	66,427 375,329
⊳ 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	12,089	10,012	5,287	564	2,093
⊳ 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	56,899	34,201	44,777	45,124	41,545
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	115	152	1,307	540	268
⊳ 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	4,983	4,643	2,975	2,189	2,730
⊳ 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	275	675	86,613	50
⊳ Line 23: Gov appropriations ? ⊳ Median	997,430 1,017,693	1,018,234 983,261.5	1,128,361 1,173,286	1,128,233 1,987,202	1,128,233 1,597,664
⊳ Sum Line 24	3,563,008	3,028,619	4,762,050	3,192,885	9,850,094
Total income ? Median	873,100 6,586,430	1,351,496 6,767,106	1,918,455 8,419,950	1,643,173 8,094,175	8,719,805 15,162,888
Non-operating expenses Median	1,906,058 146,289.5	1,115,572 164,857	1,355,173 89,880.5	1,347,123 106,761	1,076,803 31,473.5
Net income Median	-1,032,958 6,043,842	235,924 5,845,112	563,282 7,606,259	296,050 7,283,041	7,643,002 14,957,241
Net margin Median	-9.16126% 4.62%	2.15968% 4.42%	4.12499% 5.16%	2.02167% 5.2%	32.98451% 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 LAMB HEALTHCARE 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	1,006,259 23,241,334	927,581 23,709,545	656,631 24,248,380	829,140 22,858,541	1,606,660 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	1,006,259 21,577,146	927,581 22,041,594	656,631 22,722,063	829,140 21,570,441	1,606,660 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	769,945 11,160,864	663,994 11,987,345	685,605 12,926,866	644,302 11,884,480	552,821 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	300,830 10,918,923	258,535 11,706,976	268,709 12,615,917	265,234 11,458,116	257,551 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	469,115 618,038	405,459 697,279	416,896 690,232	379,068 684,010	295,270 670,558
⊳ 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	11,511 594,888	8,155 595,761	6,948 577,894	6,201 542,168	11,221 549,667
Outlier Median	8,488 582,572	0 538,116	0 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	159,428 3,662,910	2,034,783 3,730,911	1,915,526 4,081,319	1,591,408 4,643,908	1,343,249 4,389,147
Charity care Median	225,797 2,654,636	905,735 2,940,659	412,699 3,380,215	1,197,634 3,488,738	1,446,239 3,233,405
Uncompensated care (UCC) Median	996,438 5,147,790	1,321,325 5,337,617	1,321,453 5,711,082	1,208,251 5,923,418	1,457,400 5,508,107
UCC as a % of operating expenses Median	9.58% 3.24	13.80% 3.12	11.26% 3.21	9.29% 3.3	10.08% 2.86
Total shortfall/UCC Median	1,155,866 9,489,989	3,356,108 9,424,297	3,236,979 10,120,158	2,799,659 11,171,337	2,800,649 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	4,674,648 52,142,039	4,264,062 54,485,252	4,078,023 57,395,589	4,447,885 58,830,919	4,645,970 61,722,907
Salaries as a % of operating expenses Median	44.94 36.68	44.54 36.56	34.75 36.37	34.21 35.93	32.15 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	41,651 1,449,244	25,217 1,475,986	452,418 1,563,078	168,576 1,721,954	575,714 2,991,828
Contract hours, direct-care Median	664.00 22,725	326.00 23,018.5	6,769.67 24,503.48	3,192.33 25,026.5	9,352.82 33,786
Contract wages, direct-care Median	62.73 64.67	77.35 64.53	66.83 65.06	52.81 68.97	61.56 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.