As of the July, 2022, release via CMS

KELL WEST REGIONAL HOSPITAL

CMS id: 450827
5420 KELL WEST BOULEVARD, WICHITA FALLS TX 76310. County: WICHITA
System: --
CBSA: Wichita Falls, TX

The 41-bed, acute-care hospital had $-544,991 in net service to patients*, with a total profit margin of 10.26515% in fiscal year 2021, the latest year available.
It spent 2.45% of its operating expenses on uncompensated care and reported $514,528 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	41 118	41 118	41 119.5	41 118	41 119
Total beds Median	41 162	41 162	41 162	41 162	41 163.5
FTEs Median	223.00 788.06	216.00 793.42	218.00 806.03	213.00 787.61	212.00 804.34

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	34,572,515 150,932,746	35,560,664 158,950,878	36,292,977 168,696,998	31,032,656 163,454,693	35,064,968 186,589,412
Operating expenses Median	35,961,565 149,311,209	36,118,246 156,110,414	36,471,538 164,890,568	33,960,489 166,516,854	35,609,959 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,389,050 -964,173	-557,582 -643,601.5	-178,561 -116,254	-2,927,833 -5,025,862	-544,991 -1,284,564
NS2P margin ? Median	-4.02% -0.62	-1.57% -0.29	-0.49% 0.18	-9.43% -5.07	-1.55% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for KELL WEST REGIONAL 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	580,462 5,089,215	536,913 4,572,541	356,751 5,268,134	1,583,735 13,092,619	4,618,567 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	39,882 299,524	40,060 188,688.5	47,005 370,813	48,291 309,361.5	46,904 375,329
⊳ 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	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	180,447	176,882	172,546	127,220	112,610
⊳ 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	8,873	9,191	8,596	6,112	8,135
⊳ 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	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	351,260	310,780	128,604	1,402,112	4,450,918
Total income ? Median	-808,588 6,586,430	-20,669 6,767,106	178,190 8,419,950	-1,344,098 8,094,175	4,073,576 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-808,588 6,043,842	-20,669 5,845,112	178,190 7,606,259	-1,344,098 7,283,041	4,073,576 14,957,241
Net margin Median	-2.30020% 4.62%	-0.05726% 4.42%	0.48620% 5.16%	-4.12093% 5.2%	10.26515% 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 KELL WEST REGIONAL 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	8,239,319 23,241,334	8,061,422 23,709,545	8,798,627 24,248,380	6,136,476 22,858,541	6,672,057 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	8,239,319 21,577,146	8,061,422 22,041,594	8,798,627 22,722,063	6,136,476 21,570,441	6,672,057 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	6,389,102 11,160,864	7,074,064 11,987,345	6,425,173 12,926,866	6,238,698 11,884,480	7,296,254 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	6,389,102 10,918,923	7,074,064 11,706,976	6,425,173 12,615,917	6,238,698 11,458,116	7,296,254 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	35,238 582,572	10,196 538,116	10,714 212,434	8,039 126,559	1,350 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,193,469 3,662,910	758,186 3,730,911	687,164 4,081,319	604,939 4,643,908	514,528 4,389,147
Charity care Median	0 2,654,636	0 2,940,659	141,833 3,380,215	228,632 3,488,738	212,866 3,233,405
Uncompensated care (UCC) Median	890,780 5,147,790	830,837 5,337,617	1,065,938 5,711,082	915,851 5,923,418	872,496 5,508,107
UCC as a % of operating expenses Median	2.48% 3.24	2.30% 3.12	2.92% 3.21	2.70% 3.3	2.45% 2.86
Total shortfall/UCC Median	2,084,249 9,489,989	1,589,023 9,424,297	1,753,102 10,120,158	1,520,790 11,171,337	1,387,024 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	10,355,784 52,142,039	10,244,528 54,485,252	10,455,208 57,395,589	10,118,447 58,830,919	10,512,141 61,722,907
Salaries as a % of operating expenses Median	31.04 36.68	30.48 36.56	31.58 36.37	32.37 35.93	31.86 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	487,351 1,449,244	404,664 1,475,986	384,160 1,563,078	183,258 1,721,954	232,198 2,991,828
Contract hours, direct-care Median	10,703.00 22,725	10,487.00 23,018.5	7,276.00 24,503.48	4,797.00 25,026.5	5,753.00 33,786
Contract wages, direct-care Median	45.53 64.67	38.59 64.53	52.80 65.06	38.20 68.97	40.36 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.