As of the July, 2022, release via CMS

SAN JACINTO METHODIST HOSPITAL

CMS id: 450424
4401 GARTH ROAD, BAYTOWN TX 77521. County: HARRIS
System: THE METHODIST HOSPITAL- CORPORATE DI
CBSA: Houston-The Woodlands-Sugar Land, TX

The 211-bed, acute-care hospital had $47,408,304 in net service to patients*, with a total profit margin of 13.21169% in fiscal year 2021, the latest year available.
It spent 12.27% of its operating expenses on uncompensated care and reported $42,480 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	166 118	166 118	184 119.5	176 118	180 119
Total beds Median	248 162	218 162	215 162	207 162	211 163.5
FTEs Median	1,410.91 788.06	1,391.09 793.42	1,512.36 806.03	1,531.34 787.61	1,493.57 804.34

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	235,502,174 150,932,746	261,944,197 158,950,878	303,206,286 168,696,998	304,933,709 163,454,693	373,330,897 186,589,412
Operating expenses Median	233,539,638 149,311,209	246,488,017 156,110,414	275,502,207 164,890,568	293,789,269 166,516,854	325,922,593 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,962,536 -964,173	15,456,180 -643,601.5	27,704,079 -116,254	11,144,440 -5,025,862	47,408,304 -1,284,564
NS2P margin ? Median	0.83% -0.62	5.90% -0.29	9.14% 0.18	3.65% -5.07	12.70% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAN JACINTO 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	2,393,843 5,089,215	2,688,444 4,572,541	2,858,813 5,268,134	2,028,667 13,092,619	2,206,531 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	131,046 188,688.5	257,551 370,813	67,747 309,361.5	149,810 375,329
⊳ 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	1,034,770	1,342,836	1,523,677	1,082,322	1,273,074
⊳ 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	112,073	109,881	134,613	153,037	6,354
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	8,082	8,686	13,988	19,901
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	23,958	35,717	31,252	23,804	19,974
⊳ Line 22: Rental of hospital space	23,294	68,650	57,245	12,866	5,702
⊳ 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	1,199,748	992,232	845,789	674,903	731,716
Total income ? Median	4,356,379 6,586,430	18,144,624 6,767,106	30,562,892 8,419,950	13,173,107 8,094,175	49,614,835 15,162,888
Non-operating expenses Median	736,658 146,289.5	717,779 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	3,619,721 6,043,842	17,426,845 5,845,112	30,562,892 7,606,259	13,173,107 7,283,041	49,614,835 14,957,241
Net margin Median	1.52156% 4.62%	6.58530% 4.42%	9.98575% 5.16%	4.29144% 5.2%	13.21169% 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 SAN JACINTO 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	47,490,493 23,241,334	47,582,289 23,709,545	49,300,282 24,248,380	45,924,340 22,858,541	43,820,696 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	40,255,648 21,577,146	42,149,735 22,041,594	47,147,038 22,722,063	45,924,340 21,570,441	43,820,696 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	237,777 1,845,420	27,421 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,973,524 3,535,627	5,359,683 3,746,588	2,153,244 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	1,023,544 1,203,033	45,450 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	13,457,145 11,160,864	14,797,352 11,987,345	15,405,211 12,926,866	15,359,201 11,884,480	15,576,555 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	13,457,145 10,918,923	14,797,352 11,706,976	15,405,211 12,615,917	15,359,201 11,458,116	15,576,555 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	1,945,947 3,284,314	1,564,729 3,250,551	1,307,702 3,386,837	1,009,567 3,360,806	930,635 3,508,953
Disproportionate-share hospital (DSH) Median	1,629,387 594,888	1,648,667 595,761	1,909,127 577,894	1,333,485 542,168	1,339,088 549,667
Outlier Median	1,972,248 582,572	1,430,366 538,116	269,331 212,434	183,954 126,559	199,936 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	208,960 3,662,910	242,952 3,730,911	0 4,081,319	0 4,643,908	42,480 4,389,147
Charity care Median	26,590,119 2,654,636	26,136,492 2,940,659	33,700,052 3,380,215	40,644,491 3,488,738	37,930,289 3,233,405
Uncompensated care (UCC) Median	30,428,181 5,147,790	32,687,655 5,337,617	38,136,696 5,711,082	42,379,241 5,923,418	39,984,397 5,508,107
UCC as a % of operating expenses Median	13.03% 3.24	13.26% 3.12	13.84% 3.21	14.43% 3.3	12.27% 2.86
Total shortfall/UCC Median	30,637,141 9,489,989	32,930,607 9,424,297	38,136,696 10,120,158	42,379,241 11,171,337	40,026,877 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	97,693,823 52,142,039	100,342,235 54,485,252	111,089,108 57,395,589	114,214,359 58,830,919	115,887,692 61,722,907
Salaries as a % of operating expenses Median	41.83 36.68	40.71 36.56	40.32 36.37	38.88 35.93	35.56 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	964,341 1,251,927	669,392 1,186,494	819,026 1,204,885	811,599 1,279,653	1,116,874 1,469,317
Contract adjusted salaries, direct-care Median	2,287,796 1,449,244	1,861,671 1,475,986	819,026 1,563,078	3,211,596 1,721,954	8,265,020 2,991,828
Contract hours, direct-care Median	38,935.00 22,725	32,076.00 23,018.5	18,443.00 24,503.48	40,404.00 25,026.5	84,091.00 33,786
Contract wages, direct-care Median	58.76 64.67	58.04 64.53	44.41 65.06	79.49 68.97	98.29 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.