As of the July, 2022, release via CMS

METHODIST HOSPITAL

CMS id: 450388
7700 FLOYD CURL DRIVE, SAN ANTONIO TX 78229. County: BEXAR
System: HCA
CBSA: San Antonio-New Braunfels, TX

The 1,764-bed, acute-care hospital had $387,499,477 in net service to patients*, with a total profit margin of 20.48799% in fiscal year 2021, the latest year available.
It spent 8.31% of its operating expenses on uncompensated care and reported $9,699,570 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	1,187 118	1,230 118	1,223 119.5	1,234 118	1266 119
Total beds Median	1,576 162	1,625 162	1,637 162	1,665 162	1,764 163.5
FTEs Median	6,641.78 788.06	6,848.83 793.42	7,027.84 806.03	7,041.89 787.61	6,905.40 804.34

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	1,404,383,129 150,932,746	1,499,642,523 158,950,878	1,629,664,584 168,696,998	1,674,072,291 163,454,693	1,924,940,160 186,589,412
Operating expenses Median	1,216,144,723 149,311,209	1,301,296,869 156,110,414	1,384,393,508 164,890,568	1,374,321,269 166,516,854	1,537,440,683 180,120,888
Net income from service 2 patients (NS2P) ? Median	188,238,406 -964,173	198,345,654 -643,601.5	245,271,076 -116,254	299,751,022 -5,025,862	387,499,477 -1,284,564
NS2P margin ? Median	13.40% -0.62	13.23% -0.29	15.05% 0.18	17.91% -5.07	20.13% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for METHODIST 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	9,040,508 5,089,215	9,645,605 4,572,541	9,147,295 5,268,134	11,031,217 13,092,619	8,655,224 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	7,715 224,999	3,618 199,009	22,754 206,870.5	5,420 194,343	3,658 249,496
⊳ 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	374,536	852,840	672,834	1,224,210	1,244,969
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	5,387,702	5,669,163	5,861,249	5,350,529	4,194,558
⊳ 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	5,698
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	848	4,314	2,235
⊳ Line 18: Revenue from sale of medical records and abstracts	13,234	14,426	0	26,491	10,436
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	32,768	31,961	31,598	18,428	2,505
⊳ Line 21: Rental of vending machines	78,923	79,087	67,837	55,067	33,873
⊳ Line 22: Rental of hospital space	765,541	837,329	856,722	866,401	898,786
⊳ 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	2,379,447	2,156,699	1,633,453	3,480,357	2,258,506
Total income ? Median	197,278,914 6,586,430	207,991,259 6,767,106	254,418,371 8,419,950	310,782,239 8,094,175	396,154,701 15,162,888
Non-operating expenses Median	-38 146,289.5	34 164,857	9 89,880.5	32 106,761	-89 31,473.5
Net income Median	197,278,952 6,043,842	207,991,225 5,845,112	254,418,362 7,606,259	310,782,207 7,283,041	396,154,790 14,957,241
Net margin Median	13.95752% 4.62%	13.78075% 4.42%	15.52456% 5.16%	18.44291% 5.2%	20.48799% 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 METHODIST 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	273,932,439 23,241,334	288,152,306 23,709,545	293,273,652 24,248,380	294,386,240 22,858,541	311,246,623 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	258,029,178 21,577,146	272,533,423 22,041,594	278,015,035 22,722,063	278,984,895 21,570,441	288,505,555 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	1,532,910 1,845,420	1,259,269 1,757,392	1,002,925 1,738,842	979,780 1,510,463	1,302,986 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	14,370,351 3,535,627	14,359,614 3,746,588	14,255,692 3,782,288	14,421,565 3,865,578	21,438,082 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	60,713,157 11,160,864	62,892,999 11,987,345	65,102,170 12,926,866	61,705,731 11,884,480	58,020,461 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	60,713,157 10,918,923	62,892,999 11,706,976	65,102,170 12,615,917	61,705,731 11,458,116	58,020,461 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	894,567 3,284,314	967,750 3,250,551	958,289 3,386,837	938,184 3,360,806	996,571 3,508,953
Disproportionate-share hospital (DSH) Median	8,353,597 594,888	8,574,697 595,761	8,204,949 577,894	8,000,071 542,168	7,087,229 549,667
Outlier Median	12,516,572 582,572	10,732,386 538,116	11,928,194 212,434	1,610,470 126,559	2,215,097 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,017,616 3,662,910	713,366 3,730,911	0 4,081,319	0 4,643,908	9,699,570 4,389,147
Charity care Median	94,617,208 2,654,636	101,782,368 2,940,659	116,370,788 3,380,215	133,398,838 3,488,738	113,794,266 3,233,405
Uncompensated care (UCC) Median	114,445,085 5,147,790	121,438,921 5,337,617	133,970,252 5,711,082	147,613,853 5,923,418	127,817,698 5,508,107
UCC as a % of operating expenses Median	9.41% 3.24	9.33% 3.12	9.68% 3.21	10.74% 3.3	8.31% 2.86
Total shortfall/UCC Median	115,462,701 9,489,989	122,152,287 9,424,297	133,970,252 10,120,158	147,613,853 11,171,337	137,517,268 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	403,204,922 52,142,039	427,972,827 54,485,252	451,339,523 57,395,589	459,212,872 58,830,919	474,757,403 61,722,907
Salaries as a % of operating expenses Median	33.14 36.68	32.87 36.56	32.58 36.37	32.62 35.93	31.53 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	579,845 1,251,927	596,287 1,186,494	653,473 1,204,885	772,953 1,279,653	782,139 1,469,317
Contract adjusted salaries, direct-care Median	29,183,377 1,449,244	27,809,674 1,475,986	23,055,140 1,563,078	23,636,233 1,721,954	56,568,909 2,991,828
Contract hours, direct-care Median	471,417.00 22,725	507,932.45 23,018.5	456,746.00 24,503.48	514,911.63 25,026.5	772,079.86 33,786
Contract wages, direct-care Median	61.91 64.67	54.75 64.53	50.48 65.06	45.90 68.97	73.27 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.