As of the July, 2022, release via CMS


ASCENSION SETON HIGHLAND LAKES


  • CMS id: 451365
  • 3201 S. WATER ST., BURNET TX 78611. County: BURNET
  • System: ASCENSION TEXAS
  • CBSA: Rural Texas

The 25-bed, CAH hospital had $1,216,880 in net service to patients*, with a total profit margin of 10.83804% in fiscal year 2021, the latest year available.
It spent 11.63% of its operating expenses on uncompensated care and reported $34,699 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.


Note: Medians are from CAH 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
nfp nfp nfp nfp nfp
Acute beds
Median
21
23
21
23
21
23
21
23
21
23
Total beds
Median
25
25
25
25
25
25
25
25
25
25
FTEs
Median
203.10
149.18
179.89
151.6
181.96
151.58
199.55
152.78
198.78
151.99

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

2017 2018 2019 2020 2021
Net patient revenue ?
Median
41,238,196
19,395,819
42,963,577
19,790,685
44,457,996
20,891,573
42,737,914
20,752,910
47,329,236
22,925,976
Operating expenses
Median
41,773,992
21,082,256
42,263,866
21,740,728
42,066,373
22,449,917
44,584,456
23,028,561
46,112,356
24,906,213
Net income from service 2 patients (NS2P) ?
Median
-535,796
-1,166,928
699,711
-1,178,891
2,391,623
-1,189,234
-1,846,542
-1,989,193
1,216,880
-1,175,562
NS2P margin ?
Median
-1.30%
-6.37
1.63%
-6.47
5.38%
-6.58
-4.32%
-10.52
2.57%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION SETON HIGHLAND LAKES compared to all** CAH 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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132

2017 2018 2019 2020 2021
Other income*
Median
Click here to show/hide details
1,085,781
1,517,926
497,193
1,554,100
601,556
1,708,825
6,198,184
3,606,354
4,388,283
4,946,640
Total income ?
Median
549,985
445,049
1,196,904
379,292
2,993,179
655,032
4,351,642
1,453,054
5,605,163
3,734,026
Non-operating expenses
Median
1,799
56,329
0
45,230
0
61,507
0
80,747
0
39,130
Net income
Median
548,186
309,249
1,196,904
305,537
2,993,179
515,321.5
4,351,642
1,282,423
5,605,163
3,678,491
Net margin
Median
1.29521%
1.7%
2.75399%
1.61%
6.64272%
2.36%
8.89250%
5.41%
10.83804%
13.38%

* 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 ASCENSION SETON HIGHLAND LAKES compared to all** CAH hospitals, from CMS cost reports.
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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132


Medicare revenue

Inpatient and outpatient revenue

2017 2018 2019 2020 2021
All inpatient revenue
Median
Click here to show/hide details
3,110,606
1,512,374
3,526,737
1,478,094
2,775,354
1,365,460
3,005,739
1,289,169
2,789,459
1,354,214
All outpatient revenue
Median
Click here to show/hide details
10,062,074
4,108,627
8,919,112
4,367,646
8,968,805
4,566,928
9,193,144
4,517,324
8,512,627
4,554,272

Other payments

Item 2017 2018 2019 2020 2021
Graduate Medical Education (GME)
Median
0
--
0
--
0
--
0
--
0
--
Disproportionate-share hospital (DSH)
Median
0
--
0
--
0
--
0
--
0
--
Outlier
Median
0
4,679
0
5,256
0
5,165.5
0
6,341
0
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
241,220
553,475.5
886,672
567,149
104,005
599,174.5
50,831
641,417
34,699
631,057
Charity care
Median
1,554,674
190,496
1,484,159
225,101
3,641,077
238,624
4,858,084
260,478.5
3,364,988
225,887
Uncompensated care (UCC)
Median
3,815,597
860,218.5
3,943,830
933,428
5,781,518
986,290
5,843,141
998,939
5,362,267
871,713
UCC as a %
of operating expenses
Median
9.13%
3.77
9.33%
3.82
13.74%
3.7
13.11%
3.74
11.63%
3.04
Total shortfall/UCC
Median
4,056,817
1,405,482
4,830,502
1,525,979
5,885,523
1,576,055
5,893,972
1,691,815
5,396,966
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
13,025,200
8,521,101
12,338,988
8,786,419
12,602,304
9,086,354
13,939,496
9,512,636
14,052,352
9,933,360
Salaries as a % of operating expenses
Median
31.18
42.53
29.20
42.58
29.96
42.62
31.27
42.72
30.47
42.27
Intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract adjusted salaries, direct-care
Median
0
--
0
--
0
--
0
--
0
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--

* 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.