As of the July, 2022, release via CMS

SCOTT AND WHITE MEMORIAL HOSPITAL

CMS id: 450054
2401 SOUTH 31ST STREET, TEMPLE TX 76508. County: BELL
System: BAYLOR SCOTT & WHITE HEALTH
CBSA: Killeen-Temple, TX

The 634-bed, acute-care hospital had $-106,983,490 in net service to patients*, with a total profit margin of 17.68340% in fiscal year 2021, the latest year available.
It spent 3.90% of its operating expenses on uncompensated care and reported $560,159 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	444 118	472 118	471 119.5	472 118	471 119
Total beds Median	633 162	634 162	634 162	635 162	634 163.5
FTEs Median	7,277.84 788.06	6,315.35 793.42	7,024.44 806.03	6,985.89 787.61	6,721.63 804.34

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	1,325,279,959 150,932,746	1,335,881,066 158,950,878	1,369,937,916 168,696,998	1,382,341,565 163,454,693	1,617,487,652 186,589,412
Operating expenses Median	1,409,690,473 149,311,209	1,469,615,473 156,110,414	1,495,572,468 164,890,568	1,595,309,774 166,516,854	1,724,471,142 180,120,888
Net income from service 2 patients (NS2P) ? Median	-84,410,514 -964,173	-133,734,407 -643,601.5	-125,634,552 -116,254	-212,968,209 -5,025,862	-106,983,490 -1,284,564
NS2P margin ? Median	-6.37% -0.62	-10.01% -0.29	-9.17% 0.18	-15.41% -5.07	-6.61% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SCOTT AND WHITE MEMORIAL 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	113,922,621 5,089,215	238,506,876 4,572,541	293,424,660 5,268,134	330,742,551 13,092,619	477,437,521 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	14,481,434 199,009	28,391,712 206,870.5	22,969,875 194,343	14,167,594 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	16,518,272 188,688.5	8,038,176 370,813	5,397,843 309,361.5	11,516,459 375,329
⊳ 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	0	2,738,703	2,672,721	2,247,119	2,061,056
⊳ 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	0	0	0	0	-45
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	475,639	519,566	410,015	408,579
⊳ Line 21: Rental of vending machines	0	77,627	13,288	92,749	153,919
⊳ Line 22: Rental of hospital space	0	237,735	600	600	5,600
⊳ 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	113,922,621	203,977,466	253,788,597	299,624,350	449,124,359
Total income ? Median	29,512,107 6,586,430	104,772,469 6,767,106	167,790,108 8,419,950	117,774,342 8,094,175	370,454,031 15,162,888
Non-operating expenses Median	-249,963,598 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	279,475,705 6,043,842	104,772,469 5,845,112	167,790,108 7,606,259	117,774,342 7,283,041	370,454,031 14,957,241
Net margin Median	19.41879% 4.62%	6.65481% 4.42%	10.08740% 5.16%	6.87499% 5.2%	17.68340% 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 SCOTT AND WHITE MEMORIAL 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	193,793,892 23,241,334	200,114,258 23,709,545	177,775,042 24,248,380	157,741,619 22,858,541	163,955,147 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	192,075,849 21,577,146	199,257,060 22,041,594	176,637,153 22,722,063	156,734,071 21,570,441	163,727,500 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	1,092,241 1,845,420	857,198 1,757,392	1,137,889 1,738,842	1,007,548 1,510,463	227,647 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	625,802 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	168,432,239 11,160,864	167,350,318 11,987,345	129,257,820 12,926,866	106,127,852 11,884,480	104,545,917 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	162,949,920 10,918,923	167,350,318 11,706,976	129,257,820 12,615,917	106,127,852 11,458,116	104,545,917 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,482,319 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	29,440,613 3,284,314	29,206,615 3,250,551	25,201,824 3,386,837	22,036,495 3,360,806	22,819,536 3,508,953
Disproportionate-share hospital (DSH) Median	4,117,456 594,888	4,056,567 595,761	3,335,109 577,894	3,080,344 542,168	2,789,281 549,667
Outlier Median	6,248,717 582,572	3,666,798 538,116	3,721,934 212,434	227,079 126,559	57,992 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,354,762 3,662,910	1,068,569 3,730,911	898,360 4,081,319	910,556 4,643,908	560,159 4,389,147
Charity care Median	51,700,952 2,654,636	68,858,504 2,940,659	58,209,441 3,380,215	63,811,069 3,488,738	54,489,584 3,233,405
Uncompensated care (UCC) Median	69,377,434 5,147,790	84,653,255 5,337,617	72,416,491 5,711,082	76,410,934 5,923,418	67,278,722 5,508,107
UCC as a % of operating expenses Median	4.92% 3.24	5.76% 3.12	4.84% 3.21	4.79% 3.3	3.90% 2.86
Total shortfall/UCC Median	70,732,196 9,489,989	85,721,824 9,424,297	73,314,851 10,120,158	77,321,490 11,171,337	67,838,881 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	610,282,288 52,142,039	618,544,137 54,485,252	644,427,616 57,395,589	674,546,496 58,830,919	709,504,117 61,722,907
Salaries as a % of operating expenses Median	45.11 36.68	44.29 36.56	45.26 36.37	44.36 35.93	42.89 35.24
Intern, resident salaries* Median	23,090,203 2,598,592	24,559,172 2,686,824	25,228,464 2,753,773	25,412,723 2,937,156	25,653,662 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	5,803,766 1,449,244	2,206,225 1,475,986	405,878 1,563,078	1,134,850 1,721,954	8,546,243 2,991,828
Contract hours, direct-care Median	97,047.00 22,725	38,327.00 23,018.5	10,396.00 24,503.48	19,240.00 25,026.5	75,001.95 33,786
Contract wages, direct-care Median	59.80 64.67	57.56 64.53	39.04 65.06	58.98 68.97	113.95 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.