As of the July, 2022, release via CMS

HOUSTON MEDICAL CENTER

CMS id: 110069
1601 WATSON BLVD, WARNER ROBINS GA 31093. County: HOUSTON
System: --
CBSA: Warner Robins, GA

The 237-bed, acute-care hospital had $-11,259,445 in net service to patients*, with a total profit margin of 5.92700% in fiscal year 2021, the latest year available.
It spent 9.38% of its operating expenses on uncompensated care and reported $1,628,756 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	205 118	205 118	205 119.5	205 118	201 119
Total beds Median	237 162	237 162	237 162	237 162	237 163.5
FTEs Median	1,729.91 788.06	1,692.64 793.42	1,645.76 806.03	1,557.22 787.61	1,571.93 804.34

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	201,025,234 150,932,746	203,890,463 158,950,878	215,645,186 168,696,998	212,147,346 163,454,693	248,059,904 186,589,412
Operating expenses Median	216,835,520 149,311,209	219,726,054 156,110,414	225,975,987 164,890,568	232,651,497 166,516,854	259,319,349 180,120,888
Net income from service 2 patients (NS2P) ? Median	-15,810,286 -964,173	-15,835,591 -643,601.5	-10,330,801 -116,254	-20,504,151 -5,025,862	-11,259,445 -1,284,564
NS2P margin ? Median	-7.86% -0.62	-7.77% -0.29	-4.79% 0.18	-9.67% -5.07	-4.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOUSTON MEDICAL 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	17,120,695 5,089,215	-7,589,484 4,572,541	33,191,537 5,268,134	54,787,308 13,092,619	27,597,683 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	500 249,496
⊳ Line 7: Investments ? ⊳ Median	14,570,390 299,524	17,387,017 188,688.5	20,352,756 370,813	27,308,988 309,361.5	18,486,815 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	77,422	65,930	60,797	45,707	587
⊳ 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	0	0	0	0	0
⊳ 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	207,764	209,103	202,517	178,707	166,777
⊳ Line 18: Revenue from sale of medical records and abstracts	3,690	8,732	5,805	4,829	6,516
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	180,800	150,250
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	131,011	85,644	176,260	111,756	54,886
⊳ Line 22: Rental of hospital space	111,883	96,983	72,811	106,131	198,507
⊳ Line 23: Gov appropriations ? ⊳ Median	1,806,993 1,017,693	1,095,546 983,261.5	1,552,405 1,173,286	4,907 1,987,202	2,271,353 1,597,664
⊳ Sum Line 24	211,542	-26,538,439	10,768,186	26,845,483	6,261,492
Total income ? Median	1,310,409 6,586,430	-23,425,075 6,767,106	22,860,736 8,419,950	34,283,157 8,094,175	16,338,238 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	1,310,409 6,043,842	-23,425,075 5,845,112	22,860,736 7,606,259	34,283,157 7,283,041	16,338,238 14,957,241
Net margin Median	0.60070% 4.62%	-11.93324% 4.42%	9.18704% 5.16%	12.84328% 5.2%	5.92700% 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 HOUSTON MEDICAL 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	43,284,881 23,241,334	44,663,668 23,709,545	47,150,399 24,248,380	44,684,674 22,858,541	43,369,436 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	43,284,881 21,577,146	44,663,668 22,041,594	47,150,399 22,722,063	44,684,674 21,570,441	43,369,436 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	16,785,950 11,160,864	17,506,614 11,987,345	17,965,620 12,926,866	13,604,711 11,884,480	13,940,104 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	16,785,950 10,918,923	17,506,614 11,706,976	17,965,620 12,615,917	13,604,711 11,458,116	13,940,104 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	2,278,314 3,284,314	2,403,651 3,250,551	2,452,939 3,386,837	2,280,652 3,360,806	2,208,739 3,508,953
Disproportionate-share hospital (DSH) Median	1,190,643 594,888	1,190,880 595,761	1,312,073 577,894	1,103,454 542,168	897,232 549,667
Outlier Median	1,022,980 582,572	1,037,512 538,116	238,106 212,434	167,235 126,559	125,242 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,536,739 3,662,910	1,363,232 3,730,911	128,339 4,081,319	2,776,849 4,643,908	1,628,756 4,389,147
Charity care Median	16,628,088 2,654,636	14,879,894 2,940,659	16,523,048 3,380,215	16,810,376 3,488,738	15,336,424 3,233,405
Uncompensated care (UCC) Median	23,518,837 5,147,790	24,887,004 5,337,617	23,620,569 5,711,082	25,479,744 5,923,418	24,323,360 5,508,107
UCC as a % of operating expenses Median	10.85% 3.24	11.33% 3.12	10.45% 3.21	10.95% 3.3	9.38% 2.86
Total shortfall/UCC Median	26,055,576 9,489,989	26,250,236 9,424,297	23,748,908 10,120,158	28,256,593 11,171,337	25,952,116 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	88,047,571 52,142,039	89,471,608 54,485,252	87,358,298 57,395,589	90,676,159 58,830,919	100,161,359 61,722,907
Salaries as a % of operating expenses Median	40.61 36.68	40.72 36.56	38.66 36.37	38.98 35.93	38.62 35.24
Intern, resident salaries* Median	935,175 2,598,592	1,115,263 2,686,824	1,094,855 2,753,773	1,759,715 2,937,156	1,143,953 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	3,276,532 1,449,244	4,882,185 1,475,986	7,452,390 1,563,078	6,173,593 1,721,954	14,862,224 2,991,828
Contract hours, direct-care Median	51,448.00 22,725	71,980.00 23,018.5	117,305.68 24,503.48	88,849.23 25,026.5	134,313.28 33,786
Contract wages, direct-care Median	63.69 64.67	67.83 64.53	63.53 65.06	69.48 68.97	110.65 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.