As of the July, 2022, release via CMS

CONROE REGIONAL MEDICAL CENTER

CMS id: 450222
504 MEDICAL CENTER BLVD, CONROE TX 77304. County: MONTGOMERY
System: HCA
CBSA: Houston-The Woodlands-Sugar Land, TX

The 295-bed, acute-care hospital had $65,028,208 in net service to patients*, with a total profit margin of 22.54129% in fiscal year 2021, the latest year available.
It spent 14.79% of its operating expenses on uncompensated care and reported $2,748,287 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	222 118	222 118	222 119.5	221 118	221 119
Total beds Median	296 162	296 162	296 162	295 162	295 163.5
FTEs Median	1,037.45 788.06	1,030.90 793.42	1,003.26 806.03	967.10 787.61	913.38 804.34

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	226,785,535 150,932,746	221,277,858 158,950,878	239,836,569 168,696,998	249,071,439 163,454,693	290,814,197 186,589,412
Operating expenses Median	229,852,746 149,311,209	219,731,759 156,110,414	223,902,419 164,890,568	213,745,816 166,516,854	225,785,989 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,067,211 -964,173	1,546,099 -643,601.5	15,934,150 -116,254	35,325,623 -5,025,862	65,028,208 -1,284,564
NS2P margin ? Median	-1.35% -0.62	0.70% -0.29	6.64% 0.18	14.18% -5.07	22.36% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CONROE REGIONAL 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	1,168,209 5,089,215	992,716 4,572,541	902,893 5,268,134	632,618 13,092,619	677,872 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	1,634	1,672	1,646	1,186	1,056
⊳ 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	655,728	576,661	552,467	407,853	470,581
⊳ 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	8,525	3,036	6,054	19,645	12,579
⊳ 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	33,936	33,066	34,647	19,576	17,107
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	468,386	378,281	308,079	184,358	176,549
Total income ? Median	-1,899,002 6,586,430	2,538,815 6,767,106	16,837,043 8,419,950	35,958,241 8,094,175	65,706,080 15,162,888
Non-operating expenses Median	-1 146,289.5	-11 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-1,899,001 6,043,842	2,538,826 5,845,112	16,837,043 7,606,259	35,958,241 7,283,041	65,706,080 14,957,241
Net margin Median	-0.83306% 4.62%	1.14222% 4.42%	6.99389% 5.16%	14.40034% 5.2%	22.54129% 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 CONROE REGIONAL 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	56,226,342 23,241,334	53,938,745 23,709,545	57,928,615 24,248,380	56,760,274 22,858,541	50,718,161 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	51,048,662 21,577,146	47,668,191 22,041,594	50,870,796 22,722,063	50,278,925 21,570,441	44,783,399 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	5,177,680 3,535,627	6,270,554 3,746,588	7,057,819 3,782,288	6,481,349 3,865,578	5,934,762 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	10,513,472 11,160,864	10,661,838 11,987,345	9,880,724 12,926,866	8,244,513 11,884,480	7,895,729 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	10,513,472 10,918,923	10,661,838 11,706,976	9,880,724 12,615,917	8,244,513 11,458,116	7,895,729 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	2,470,612 3,284,314	2,370,786 3,250,551	2,352,949 3,386,837	2,231,155 3,360,806	2,007,915 3,508,953
Disproportionate-share hospital (DSH) Median	1,147,289 594,888	1,080,019 595,761	1,891,755 577,894	941,337 542,168	1,476,726 549,667
Outlier Median	795,209 582,572	497,327 538,116	212,349 212,434	158,807 126,559	119,546 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	287,269 3,662,910	220,694 3,730,911	24,726 4,081,319	2,263,660 4,643,908	2,748,287 4,389,147
Charity care Median	26,351,584 2,654,636	32,094,672 2,940,659	33,902,216 3,380,215	32,559,483 3,488,738	31,040,586 3,233,405
Uncompensated care (UCC) Median	31,069,597 5,147,790	36,061,890 5,337,617	37,402,559 5,711,082	35,416,224 5,923,418	33,392,426 5,508,107
UCC as a % of operating expenses Median	13.52% 3.24	16.41% 3.12	16.70% 3.21	16.57% 3.3	14.79% 2.86
Total shortfall/UCC Median	31,356,866 9,489,989	36,282,584 9,424,297	37,427,285 10,120,158	37,679,884 11,171,337	36,140,713 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	78,654,939 52,142,039	76,926,198 54,485,252	77,015,098 57,395,589	74,668,523 58,830,919	76,245,202 61,722,907
Salaries as a % of operating expenses Median	34.21 36.68	34.99 36.56	34.37 36.37	34.92 35.93	33.71 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	1,836,914 1,251,927	1,836,912 1,186,494	1,836,912 1,204,885	1,836,912 1,279,653	1,836,912 1,469,317
Contract adjusted salaries, direct-care Median	7,310,379 1,449,244	3,994,129 1,475,986	5,604,645 1,563,078	5,490,227 1,721,954	2,681,523 2,991,828
Contract hours, direct-care Median	122,851.19 22,725	74,846.00 23,018.5	115,147.00 24,503.48	94,899.00 25,026.5	56,795.00 33,786
Contract wages, direct-care Median	59.51 64.67	53.36 64.53	48.67 65.06	57.85 68.97	47.21 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.