Nix Health Care System

Prospect Medical Holdings · San Antonio, TX

414 Navarro Street, San Antonio, TX 78205(210) 271-2188

234

Beds

5,787

Inpatient discharges a year

$51M

Net patient revenue a year

In-network payers

About this hospital

Nix Health Care System is a 234-bed hospital in San Antonio, TX, affiliated with Prospect Medical Holdings. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers.

CCN: 450130
NPI: 1801168190
Health system: Prospect Medical Holdings
Medicare contractor: Jurisdiction H, Novitas Solutions (04011)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs

No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Group Health Cooperative of South Central WisconsinKaiser PermanenteSanford Health Plan

More about this hospital

Doctors and services
35 services
See doctors and services
Finances
$51M net patient revenue
- Operating margin on patient care -146.5%
- $216M unreimbursed and uncompensated care
- -$68.8M net income
See finances

Location

414 Navarro Street, San Antonio, TX 78205

(210) 271-2188

Get directions

Accreditation and services

35 services at Nix Health Care System

Emergency and trauma: Designated Trauma CenterEmergency DepartmentEmergency Psychiatric Care
Intensive care: Coronary Care UnitSurgical ICU (Medical Surgical Intensive Care Unit)Surgical ICU (Surgical Intensive Care Unit)
Heart: Cardiac Catheterization LabCardiac Thoracic Surgery
Surgery: AnesthesiaInpatient SurgicalOR (Operating Room)Outpatient SurgeryPostoperative Recovery Room
Imaging: CT ScanDiagnostic RadiologyMRI (Magnetic Resonance Imaging)Nuclear MedicineTherapeutic Radiology
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical Laboratory
Behavioral health: Adult Inpatient Psychiatric CareAlcohol and/or Drug ServiceGeriatric PsychiatricOutpatient Psychiatric CarePsychiatric Care of Children and/or Adolescents
Rehabilitation and therapy: CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation)OT (Occupational Therapy)Outpatient RehabilitationPT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CareGerontological SpecialtyPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Nix Health Care System reported to Medicare in its latest cost report, covering Jan 1, 2019 to Dec 1, 2019.

5,787
Inpatient discharges
Medicare 14%, Medicaid 2%
34,585
Inpatient days
51% of available bed days used
585
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 742807). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Nix Health Care System reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	4,896	1,119	28,570	34,585
Discharges	795	120	4,872	5,787
Average length of stay	6.2 days	9.3 days	5.9 days	6.0 days
Average daily census	14.6	3.3	85.3	103.2

1,774
Medicare Advantage days
328 discharges
9,760
Medicaid managed care days
1,365 discharges
920
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	189	33,615	4,340	53%
Intensive care unit	12	970	556	24%
Subprovider - ipf	33	6,579	2,138	73%

Source: CMS cost report (HCRIS, Form 2552-10), report 742807, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Income statement

Revenue, expenses and income Nix Health Care System reported to Medicare for Jan 1, 2019 to Dec 1, 2019. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$300.9M	590.6%
Inpatient	$216.4M	424.7%
Outpatient	$84.5M	165.9%
Contractual allowances and discounts	-$250M	-490.6%
Net patient revenue	$51M	100.0%
Operating expenses	-$125.6M	-246.5%
Operating income from patient care	-$74.7M	-146.5%
Other income	$5.9M	11.5%
Net income	-$68.8M	-135.0%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$47.8M	15.9%
Medicaid (including managed care)	$556.6M	185.0%
Other payers and self-pay	-$303.5M	-100.9%
Total charges	$300.9M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 742807, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Nix Health Care System's latest cost report.

-146.5%
Operating margin
Operating income from patient care / net patient revenue
-121.1%
Total margin
Net income / net patient revenue plus other income
-108.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
32% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$31.14
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
125.7%
Return on assets
Net income for a year / total assets
-4.95
Current ratio
Current assets / current liabilities
0.30
Quick ratio
Cash, temporary investments and net receivables / current liabilities
5 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
12 days
Days in patient receivables
Net patient receivables / daily net patient revenue
34 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
-1.04
Asset turnover
Total revenue for a year / total assets

Source: CMS cost report (HCRIS, Form 2552-10), report 742807, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Nix Health Care System owned and owed at the end of its reporting period (Dec 2019), across all fund types: -$59.6M in total assets and a -$79.1M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$1.8M
Patient receivables, net	$1.9M
Total current assets	-$60.2M
Property and equipment, net of depreciation	$562,500
Total assets	-$59.6M
Current liabilities	$12.2M
Long-term debt	$6.5M
Total liabilities	$19.4M
Fund balance (net assets)	-$79.1M

Source: CMS cost report (HCRIS, Form 2552-10), report 742807, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Nix Health Care System provided without full payment, as reported on Worksheet S-10 of its cost report.

$18.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8.1M
Bad debt
Patient bills written off as uncollectible, at charges
$193.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$153,112
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$189,726
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$216M
Total unreimbursed and uncompensated care
171.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$560,622
Government grants and appropriations
Government grants or transfers supporting hospital operations

Source: CMS cost report (HCRIS, Form 2552-10), report 742807, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Nix Health Care System reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 38 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Operating room	$2.3M	$12.9M	$40.3M	0.32	23,898
Emergency	$1M	$6.3M	$11.1M	0.57	4,027
Impl. dev. charged to patients		$6.1M	$10.5M	0.58
Drugs charged to patients		$6M	$24.5M	0.24
Clinic	$1.1M	$5.4M	$952,934	5.68	38,903
Laboratory	$904,741	$5.4M	$26.9M	0.20	4,317
Radiology-diagnostic	$884,616	$4.1M	$12.6M	0.33	11,052
Physical therapy	$831,648	$3.2M	$4.3M	0.74	22,242
Psych emergency service	$854,691	$3.1M	$13.1M	0.24	12,694
Medical supplies charged to patient		$2.2M	$8.3M	0.26
Cardiac catheterization	$473,037	$1.9M	$5.8M	0.33	1,396
Hyperbaric oxygen therapy		$1M	$3.2M	0.32	7,297
Observation beds (non-distinct part		$969,036	$2,434	398.12
Respiratory therapy	$316,703	$961,723	$7.9M	0.12	388
Psych iop	$199,607	$878,951	$835,191	1.05	5,852
Ct scan	$110,010	$477,702	$12.2M	0.04	1,842
Electroencephalography		$468,698	$3.4M	0.14
Renal dialysis		$443,120	$372,736	1.19
Electrocardiology	$118,448	$365,973	$1.8M	0.20	1,255
Radioisotope	$92,561	$334,208	$2M	0.16	1,494
Whole blood & packed red blood cell		$35,639	$769,708	0.05	460

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$8.4M	$35.3M	$82.6M	0.43	84,064
Subprovider - ipf	$1.5M	$8.3M	$23.7M	0.35	20,067
Intensive care unit	$1.1M	$3.7M	$3.6M	1.00	7,172

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$8.2M	$49.4M	264,824	$28.39	42,029
Cap rel costs-bldg & fixt		$4.8M			362,341
Nursing administration	$2.1M	$2.5M	39,309	$53.41	4,944
Operation of plant	$27,584	$2.5M	1,853	$14.89	28,312
Cap rel costs-mvble equip		$2.2M
Pharmacy	$1.5M	$1.8M	26,628	$54.87	2,475
Medical records & library	$707,733	$1.2M	24,540	$28.84	7,567
Housekeeping		$1M			2,095
Dietary	$617,621	$985,493	34,601	$17.85	15,790
Social service	$833,032	$964,561	27,420	$30.38
Employee benefits department	$450,412	$741,644	12,745	$35.34	2,280
Laundry & linen service	$18,825	$262,767	1,597	$11.79	2,425
Cafeteria	$229,947	$177,365	10,339	$22.24
Central services & supply		$3,524			3,359

Source: CMS cost report (HCRIS, Form 2552-10), report 742807, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Frequently asked questions

About Nix Health Care System's rates and hospital price transparency.

How many patients does Nix Health Care System admit?

Nix Health Care System reported 5,787 inpatient discharges and 34,585 inpatient days from Jan 1, 2019 to Dec 1, 2019.

How many employees does Nix Health Care System have?

Nix Health Care System reported 585 full-time-equivalent employees on payroll from Jan 1, 2019 to Dec 1, 2019.

How much revenue does Nix Health Care System make?

Nix Health Care System reported $51M in net patient revenue on $300.9M of gross charges for Jan 1, 2019 to Dec 1, 2019, an operating margin of -146.5%, and net income of -$68.8M.

How much charity and uncompensated care does Nix Health Care System provide?

Nix Health Care System reported $216M of unreimbursed and uncompensated care for Jan 1, 2019 to Dec 1, 2019, including $18.1M of charity care at cost.

What services does Nix Health Care System offer?

CMS lists 35 services at Nix Health Care System, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery.

How many beds does Nix Health Care System have?

Nix Health Care System has 234 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

Where is Nix Health Care System and what is its phone number?

Nix Health Care System is located at 414 Navarro Street, San Antonio, TX 78205. Its main phone number is (210) 271-2188.

What is Nix Health Care System's CCN (Medicare provider number)?

Nix Health Care System's CMS Certification Number (CCN), also called its Medicare provider number, is 450130.

What is Nix Health Care System's NPI number?

The National Provider Identifier (NPI) on file for Nix Health Care System is 1801168190.

What health system is Nix Health Care System part of?

Nix Health Care System is affiliated with Prospect Medical Holdings.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]

{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

CMS template layout, in JSON or CSV
Gross, discounted cash, payer-specific and de-identified min / max charges
cms-hpt.txt file and homepage footer link
Refreshed when your contracts change

Talk to us about your MRF

Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance

CPT, HCPCS, revenue code and modifier errors flagged line by line
Missing, duplicate and outdated charge lines identified
Charges set below payer allowables caught before lesser-of clauses cut payment
Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
Your negotiated rates benchmarked against peer hospitals for the same payers

Talk to us about your chargemaster

Nix Health Care System

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Accreditation and services

35 services at Nix Health Care System

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Hospital-based units

Hospital-based units with their own Medicare certification

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Accreditation and services

35 services at Nix Health Care System

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Hospital-based units

Hospital-based units with their own Medicare certification

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts