Long-Term Care Hospital

Pam Squared At Texarkana

Texarkana, TX

2400 St Michael Drive, Texarkana, TX 755039036147600

Beds

300

Inpatient discharges a year

$14.2M

Net patient revenue a year

About this hospital

Pam Squared At Texarkana is a 30-bed hospital in Texarkana, TX.

CCN: 452061
NPI: 1225439821
Website: pamhealth.com
County: Bowie County
Metro area: Texarkana, TX-AR MSA
Medicare contractor: Jurisdiction H, Novitas Solutions (04011)
In Medicare since: 1999
Last CMS survey: 2018

Negotiated Rates

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

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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.

More about this hospital

Doctors and services
Accredited by The Joint Commission
- 10 services
- 5 affiliated clinicians
See doctors and services
Finances
$14.2M net patient revenue
- Operating margin on patient care 10.0%
- $1.5M net income
See finances
Ownership and leadership
Owned by Pam Squared, LLC
- Private (for profit)
- Anthony F Misitano, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Pam Squared At Texarkana in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
47-1646382Post Acute Medical Specialty Hospital at Texas	49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more	1225439821 Pam Squared At Texarkana LLC1942601547 Pam Squared At Texarkana LLC1629166129 Dubuis Health System Inc.

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2400 St Michael Drive, Texarkana, TX 75503

9036147600

Get directions

Accreditation and services

The Joint Commission (since 2018)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
49
Medicare-certified beds
16
Registered nurses (full-time equivalent)
1999
In Medicare since

10 services at Pam Squared At Texarkana

Imaging: MRI (Magnetic Resonance Imaging)
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical Laboratory
Rehabilitation and therapy: CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation)OT (Occupational Therapy)PT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CarePharmacy

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

Size and patient volume

What Pam Squared At Texarkana reported to Medicare in its latest cost report, covering Sep 1, 2024 to Aug 31, 2025.

300
Inpatient discharges
Medicare 75%, Medicaid n/a
7,306
Inpatient days
67% of available bed days used
66
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 828592). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Pam Squared At Texarkana reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	5,339	0	1,967	7,306
Discharges	225	0	75	300
Average length of stay	23.7 days		26.2 days	24.4 days
Average daily census	14.6	0.0	5.4	20.0

371
Medicare Advantage days
13 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	30	7,306	5,339	67%

Source: CMS cost report (HCRIS, Form 2552-10), report 828592, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Pam Squared At Texarkana in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 123 in 2020 to 65 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
75501	29	45%	626	$3.5M	2%	2%
71854	21	32%	447	$2.7M	1%	2%
75503	15	23%	355	$2.2M	1%	1%

Source: CMS Hospital Service Area file. Shares are of the 65 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Pam Squared At Texarkana reported at its latest Medicare certification survey (2018). Counts are people, not full-time equivalents.

16
Registered nurses
7
Licensed practical nurses
4
Respiratory therapists
1
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists

Source: CMS Provider of Services file.

Doctors and clinicians

5 clinicians who bill Medicare list Pam Squared At Texarkana as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Family Nurse Practitioner 1
General Practice Physician 1
Nephrology Physician 1
Pulmonary Disease Physician 1
Surgery Physician 1

Carlos Perez, MD
Pulmonary Disease Physician
NPI 1598783870
See commercial rates for Carlos Perez, MD
Dewitt Fortenberry, MD
General Practice Physician
NPI 1114960473
See commercial rates for Dewitt Fortenberry, MD
Candace Baird, APRN, FNP-C
Family Nurse Practitioner
NPI 1720670474
See commercial rates for Candace Baird, APRN, FNP-C
Dennis Blankenship, M.D.
Nephrology Physician
NPI 1821086547
See commercial rates for Dennis Blankenship, M.D.
Greggory Angier, MD
Surgery Physician
NPI 1114094273
See commercial rates for Greggory Angier, MD

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Pam Squared At Texarkana reported to Medicare for Sep 1, 2024 to Aug 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$44.4M	311.4%
Inpatient	$44.3M	311.4%
Outpatient	$4,079	0.0%
Contractual allowances and discounts	-$30.1M	-211.4%
Net patient revenue	$14.2M	100.0%
Operating expenses	-$12.8M	-90.0%
Operating income from patient care	$1.4M	10.0%
Other income	$35,335	0.2%
Net income	$1.5M	10.3%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$16.8M	37.9%
Other payers and self-pay	$27.6M	62.1%
Total charges	$44.4M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 828592, as submitted. 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 Pam Squared At Texarkana's latest cost report.

10.0%
Operating margin
Operating income from patient care / net patient revenue
10.2%
Total margin
Net income / net patient revenue plus other income
17.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
17.9%
Return on assets
Net income for a year / total assets
27.5%
Return on equity
Net income for a year / fund balance
3.23
Current ratio
Current assets / current liabilities
1.80
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
49 days
Days in patient receivables
Net patient receivables / daily net patient revenue
31 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.75
Asset turnover
Total revenue for a year / total assets
8.0 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 828592, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Pam Squared At Texarkana owned and owed at the end of its reporting period (Aug 2025), across all fund types: $8.2M in total assets and a $5.3M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$340	0.0%
Patient receivables, net	$1.9M	23.6%
Inventory	$72,793	0.9%
Total current assets	$3.5M	42.4%
Property and equipment, net of depreciation	$398,403	4.9%
Investments and other assets	$4.3M	52.8%
Total assets	$8.2M	100.0%
Current liabilities	$1.1M	13.1%
Total liabilities	$2.9M	34.9%
Fund balance (net assets)	$5.3M	65.1%

Source: CMS cost report (HCRIS, Form 2552-10), report 828592, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Pam Squared At Texarkana's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Aug 2020	Aug 2021	Aug 2022	Aug 2023	Aug 2024	Aug 2025
Net patient revenue	$12.9M	$15.6M	$15.3M	$14.8M	$13.5M	$14.2M
Operating expenses	$12.3M	$13.9M	$13.5M	$12.7M	$12.3M	$12.8M
Operating margin	4.5%	11.0%	11.8%	14.0%	8.6%	10.0%
Net income	$846,068	$2.4M	$1.8M	$2.1M	$1.2M	$1.5M
Total assets	$4.8M	$5.8M	$5.4M	$8.4M	$9.2M	$8.2M
Discharges	372	350	331	348	291	300
Inpatient days	8,027	7,949	7,888	7,821	7,180	7,306
Medicare Advantage days	459	499	559	418	368	371
Beds	30	30	30	30	30	30
Employees (FTE)	79	73	74	74	69	66

Source: CMS cost report (HCRIS, Form 2552-10), report 828592, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Pam Squared At Texarkana reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 20 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients		$1.4M	$5.5M	0.25	618
Respiratory therapy	$598,784	$922,388	$5.4M	0.17	220
Medical supplies charged to patient		$772,705	$2.9M	0.26
Physical therapy	$394,134	$676,423	$2M	0.34	968
Laboratory	$3,060	$581,639	$5.7M	0.10	110
Operating room	$202,448	$433,076	$604,586	0.72
Radiology-diagnostic		$403,099	$1.2M	0.33	118
Renal dialysis	$146,520	$264,144	$402,415	0.66

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$2.7M	$6.3M	$20.6M	0.30	11,585

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$491,023	$2M	2,045
Cap rel costs-bldg & fixt		$854,046	22,403
Employee benefits department	$82,429	$538,626	90
Cap rel costs-mvble equip		$356,715
Social service	$525,636	$267,747	330
Medical records & library	$144,614	$210,188	105
Dietary		$167,765	174
Housekeeping		$147,257	58
Operation of plant	$23,166	$128,881	5,613
Central services & supply	$51,569	$116,758
Laundry & linen service		$66,163	369

Source: CMS cost report (HCRIS, Form 2552-10), report 828592, as submitted. 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 Pam Squared At Texarkana's rates and hospital price transparency.

How many patients does Pam Squared At Texarkana admit?

Pam Squared At Texarkana reported 300 inpatient discharges and 7,306 inpatient days from Sep 1, 2024 to Aug 31, 2025.

How many employees does Pam Squared At Texarkana have?

Pam Squared At Texarkana reported 66 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.

How much revenue does Pam Squared At Texarkana make?

Pam Squared At Texarkana reported $14.2M in net patient revenue on $44.4M of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of 10.0%, and net income of $1.5M.

Who is the CEO of Pam Squared At Texarkana?

Pam Squared At Texarkana's Medicare enrollment lists Anthony F Misitano as President since 2014.

What is Pam Squared At Texarkana's tax ID (EIN)?

Insurers' price transparency files list Pam Squared At Texarkana under employer identification number 47-1646382 (Post Acute Medical Specialty Hospital at Texas). 49 health plans and networks list 47-1646382 for it.

How many doctors are affiliated with Pam Squared At Texarkana?

5 clinicians who bill Medicare list Pam Squared At Texarkana as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (1), general practice physician (1), nephrology physician (1).

Is Pam Squared At Texarkana accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Pam Squared At Texarkana, effective 2018.

Who owns Pam Squared At Texarkana?

In its Medicare enrollment, Pam Squared At Texarkana reports Pam Squared, LLC as 5% or greater direct ownership interest (100%).

What services does Pam Squared At Texarkana offer?

CMS lists 10 services at Pam Squared At Texarkana, including Acute Renal Dialysis, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Dietary Care, MRI (Magnetic Resonance Imaging), OT (Occupational Therapy).

Where do Pam Squared At Texarkana's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Pam Squared At Texarkana came from ZIP codes 75501 (29), 71854 (21), 75503 (15).

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{
  "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
      }
    ]
  }]
}

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Pam Squared At Texarkana

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Accreditation and services

10 services at Pam Squared At Texarkana

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

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

Tax IDs and NPIs insurers list

Location

Accreditation and services

10 services at Pam Squared At Texarkana

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

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