As of the July, 2022, release via CMS

CUERO COMMUNITY HOSPITAL

CMS id: 450597
2550 NORTH ESPLANDE, CUERO TX 77954. County: DEWITT
System: --
CBSA: Rural Texas

The 44-bed, acute-care hospital had $-8,342,688 in net service to patients*, with a total profit margin of 23.39387% in fiscal year 2021, the latest year available.
It spent 9.01% of its operating expenses on uncompensated care and reported $99,046 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	gov	gov	gov	gov	gov
Acute beds Median	49 118	44 118	44 119.5	44 118	44 119
Total beds Median	49 162	44 162	44 162	44 162	44 163.5
FTEs Median	310.32 788.06	302.15 793.42	281.93 806.03	280.65 787.61	284.90 804.34

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	28,598,017 150,932,746	31,585,817 158,950,878	32,766,358 168,696,998	33,247,801 163,454,693	34,767,178 186,589,412
Operating expenses Median	36,295,871 149,311,209	38,752,515 156,110,414	39,936,674 164,890,568	40,404,066 166,516,854	43,109,866 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,697,854 -964,173	-7,166,698 -643,601.5	-7,170,316 -116,254	-7,156,265 -5,025,862	-8,342,688 -1,284,564
NS2P margin ? Median	-26.92% -0.62	-22.69% -0.29	-21.88% 0.18	-21.52% -5.07	-24.00% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CUERO COMMUNITY 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	9,198,295 5,089,215	10,388,017 4,572,541	12,685,354 5,268,134	14,748,972 13,092,619	21,509,993 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	130,100 224,999	206,350 199,009	28,993 206,870.5	93,169 194,343	40,656 249,496
⊳ Line 7: Investments ? ⊳ Median	95,134 299,524	100,789 188,688.5	357,129 370,813	381,668 309,361.5	157,900 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	7,526	4,582	5,271	2,527	6,309
⊳ 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	123,487	114,427	82,588	80,078	82,079
⊳ 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	13,063	11,287	9,148	10,155	13,248
⊳ 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	32,097	36,638	46,070	37,480	40,081
⊳ Line 23: Gov appropriations ? ⊳ Median	4,898,618 1,017,693	4,048,460 983,261.5	4,066,555 1,173,286	3,350,543 1,987,202	4,368,428 1,597,664
⊳ Sum Line 24	3,898,270	5,865,484	8,089,600	10,793,352	16,801,292
Total income ? Median	1,500,441 6,586,430	3,221,319 6,767,106	5,515,038 8,419,950	7,592,707 8,094,175	13,167,305 15,162,888
Non-operating expenses Median	20,276 146,289.5	12,412 164,857	3,065 89,880.5	265 106,761	1,896 31,473.5
Net income Median	1,480,165 6,043,842	3,208,907 5,845,112	5,511,973 7,606,259	7,592,442 7,283,041	13,165,409 14,957,241
Net margin Median	3.91616% 4.62%	7.64502% 4.42%	12.12710% 5.16%	15.81865% 5.2%	23.39387% 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 CUERO COMMUNITY 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	3,361,000 23,241,334	4,148,192 23,709,545	3,702,198 24,248,380	3,272,310 22,858,541	2,921,802 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	3,361,000 21,577,146	4,148,192 22,041,594	3,702,198 22,722,063	3,272,310 21,570,441	2,921,802 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	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	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	5,362,586 11,160,864	6,334,914 11,987,345	5,703,063 12,926,866	4,919,551 11,884,480	4,942,661 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	2,367,739 10,918,923	2,391,489 11,706,976	2,460,494 12,615,917	1,910,407 11,458,116	2,049,885 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	615,176 1,282,808	580,674 1,407,728	574,201 1,341,512	683,432 1,407,046	723,954 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	2,379,671 618,038	3,362,751 697,279	2,668,368 690,232	2,325,712 684,010	2,168,822 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	57,382 594,888	85,195 595,761	72,074 577,894	57,387 542,168	44,783 549,667
Outlier Median	57,588 582,572	30,688 538,116	75,739 212,434	12,249 126,559	28,331 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,450 3,662,910	0 3,730,911	788,727 4,081,319	79,708 4,643,908	99,046 4,389,147
Charity care Median	889,853 2,654,636	514,201 2,940,659	33,646 3,380,215	1,473,537 3,488,738	1,456,747 3,233,405
Uncompensated care (UCC) Median	2,464,842 5,147,790	4,081,187 5,337,617	1,025,917 5,711,082	3,375,489 5,923,418	3,884,833 5,508,107
UCC as a % of operating expenses Median	6.79% 3.24	10.53% 3.12	2.57% 3.21	8.35% 3.3	9.01% 2.86
Total shortfall/UCC Median	2,467,292 9,489,989	4,081,187 9,424,297	1,814,644 10,120,158	3,455,197 11,171,337	3,983,879 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	16,321,702 52,142,039	15,706,576 54,485,252	15,984,245 57,395,589	16,779,796 58,830,919	17,633,381 61,722,907
Salaries as a % of operating expenses Median	44.97 36.68	40.53 36.56	40.02 36.37	41.53 35.93	40.90 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	968,341 1,449,244	948,746 1,475,986	807,061 1,563,078	1,307,998 1,721,954	225,107 2,991,828
Contract hours, direct-care Median	18,151.00 22,725	16,670.00 23,018.5	11,789.00 24,503.48	19,627.00 25,026.5	1,648.00 33,786
Contract wages, direct-care Median	53.35 64.67	56.91 64.53	68.46 65.06	66.64 68.97	136.59 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.