As of the July, 2022, release via CMS

DETAR HEALTHCARE SYSTEMS

CMS id: 450147
506 E. ANTONIO STREET, VICTORIA TX 77901. County: VICTORIA
System: CHS/COMMUNITY HEALTH SYSTEMS INC
CBSA: Victoria, TX

The 193-bed, acute-care hospital had $34,338,703 in net service to patients*, with a total profit margin of 19.93770% in fiscal year 2021, the latest year available.
It spent 5.84% of its operating expenses on uncompensated care and reported $215,044 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	138 118	159 118	165 119.5	156 118	142 119
Total beds Median	192 162	200 162	218 162	207 162	193 163.5
FTEs Median	960.93 788.06	925.37 793.42	926.48 806.03	815.14 787.61	842.79 804.34

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	185,290,230 150,932,746	202,301,848 158,950,878	213,858,535 168,696,998	189,489,200 163,454,693	212,140,278 186,589,412
Operating expenses Median	167,090,693 149,311,209	169,441,261 156,110,414	179,029,169 164,890,568	168,376,621 166,516,854	177,801,575 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,199,537 -964,173	32,860,587 -643,601.5	34,829,366 -116,254	21,112,579 -5,025,862	34,338,703 -1,284,564
NS2P margin ? Median	9.82% -0.62	16.24% -0.29	16.29% 0.18	11.14% -5.07	16.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DETAR HEALTHCARE SYSTEMS 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	2,765,925 5,089,215	3,121,294 4,572,541	2,827,659 5,268,134	6,964,654 13,092,619	9,938,740 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	1,891,825
⊳ 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	2,765,925	3,121,294	2,827,659	6,964,654	8,046,915
Total income ? Median	20,965,462 6,586,430	35,981,881 6,767,106	37,657,025 8,419,950	28,077,233 8,094,175	44,277,443 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	20,965,462 6,043,842	35,981,881 5,845,112	37,657,025 7,606,259	28,077,233 7,283,041	44,277,443 14,957,241
Net margin Median	11.14851% 4.62%	17.51598% 4.42%	17.37860% 5.16%	14.29202% 5.2%	19.93770% 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 DETAR HEALTHCARE SYSTEMS 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	34,574,557 23,241,334	35,757,934 23,709,545	35,978,442 24,248,380	32,869,322 22,858,541	33,158,335 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	30,767,640 21,577,146	31,892,502 22,041,594	31,558,670 22,722,063	29,238,168 21,570,441	28,249,176 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	975,150 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,831,767 3,535,627	3,865,432 3,746,588	4,419,772 3,782,288	3,631,154 3,865,578	4,909,159 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	12,734,436 11,160,864	16,632,337 11,987,345	18,745,449 12,926,866	15,884,810 11,884,480	14,839,833 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	12,734,436 10,918,923	16,632,337 11,706,976	18,745,449 12,615,917	15,884,810 11,458,116	14,839,833 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	764,651 3,284,314	1,861,902 3,250,551	2,550,804 3,386,837	2,647,770 3,360,806	2,568,021 3,508,953
Disproportionate-share hospital (DSH) Median	837,861 594,888	887,376 595,761	854,685 577,894	765,945 542,168	565,354 549,667
Outlier Median	1,647,958 582,572	1,427,712 538,116	295,909 212,434	165,621 126,559	339,446 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	297,224 3,662,910	52,175 3,730,911	209,265 4,081,319	165,661 4,643,908	215,044 4,389,147
Charity care Median	4,336,444 2,654,636	4,434,151 2,940,659	6,601,740 3,380,215	6,472,109 3,488,738	8,142,471 3,233,405
Uncompensated care (UCC) Median	10,278,837 5,147,790	11,121,579 5,337,617	11,812,338 5,711,082	11,575,131 5,923,418	10,381,441 5,508,107
UCC as a % of operating expenses Median	6.15% 3.24	6.56% 3.12	6.60% 3.21	6.87% 3.3	5.84% 2.86
Total shortfall/UCC Median	10,576,061 9,489,989	11,173,754 9,424,297	12,021,603 10,120,158	11,740,792 11,171,337	10,596,485 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	61,891,218 52,142,039	62,341,605 54,485,252	63,624,481 57,395,589	58,140,224 58,830,919	64,278,957 61,722,907
Salaries as a % of operating expenses Median	37.04 36.68	36.79 36.56	35.54 36.37	34.53 35.93	36.15 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 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	740,876 1,449,244	183,653 1,475,986	282,359 1,563,078	599,341 1,721,954	781,974 2,991,828
Contract hours, direct-care Median	9,088.00 22,725	2,824.84 23,018.5	4,728.00 24,503.48	10,287.00 25,026.5	11,074.00 33,786
Contract wages, direct-care Median	81.52 64.67	65.01 64.53	59.72 65.06	58.26 68.97	70.61 88.94

* in an approved program

Return to top

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.