As of the July, 2022, release via CMS

CLEAR LAKE REG MED CTR

CMS id: 450617
500 MEDICAL CENTER BLVD., WEBSTER TX 77598. County: HARRIS
System: HCA
CBSA: Houston-The Woodlands-Sugar Land, TX

The 559-bed, acute-care hospital had $121,430,864 in net service to patients*, with a total profit margin of 21.17292% in fiscal year 2021, the latest year available.
It spent 9.56% of its operating expenses on uncompensated care and reported $223,076 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	470 118	446 118	426 119.5	437 118	432 119
Total beds Median	620 162	578 162	547 162	558 162	559 163.5
FTEs Median	2,270.32 788.06	2,198.41 793.42	2,158.54 806.03	2,051.19 787.61	1,967.56 804.34

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	454,634,642 150,932,746	488,305,908 158,950,878	528,975,146 168,696,998	533,335,944 163,454,693	585,101,251 186,589,412
Operating expenses Median	425,233,537 149,311,209	418,235,433 156,110,414	455,182,128 164,890,568	432,014,481 166,516,854	463,670,387 180,120,888
Net income from service 2 patients (NS2P) ? Median	29,401,105 -964,173	70,070,475 -643,601.5	73,793,018 -116,254	101,321,463 -5,025,862	121,430,864 -1,284,564
NS2P margin ? Median	6.47% -0.62	14.35% -0.29	13.95% 0.18	19.00% -5.07	20.75% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CLEAR LAKE REG MED CTR 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	4,983,378 5,089,215	3,464,072 4,572,541	5,862,373 5,268,134	2,344,627 13,092,619	3,110,814 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	144,532 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	291,198 299,524	244,977 188,688.5	250,033 370,813	0 309,361.5	549,234 375,329
⊳ 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	1,186,498	1,276,886	1,328,331	926,508	896,481
⊳ 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	2,364	7,046	10,367	6,086	5,725
⊳ 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	30,555	30,596	31,813	25,327	17,352
⊳ Line 22: Rental of hospital space	62,713	11,802	93,864	764,999	1,015,437
⊳ 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	3,410,050	1,892,765	4,147,965	477,175	626,585
Total income ? Median	34,384,483 6,586,430	73,534,547 6,767,106	79,655,391 8,419,950	103,666,090 8,094,175	124,541,678 15,162,888
Non-operating expenses Median	0 146,289.5	3,076 164,857	16 89,880.5	20 106,761	18 31,473.5
Net income Median	34,384,483 6,043,842	73,531,471 5,845,112	79,655,375 7,606,259	103,666,070 7,283,041	124,541,660 14,957,241
Net margin Median	7.48110% 4.62%	14.95241% 4.42%	14.89338% 5.16%	19.35222% 5.2%	21.17292% 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 CLEAR LAKE REG MED CTR 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	99,961,924 23,241,334	99,616,654 23,709,545	105,027,876 24,248,380	103,507,645 22,858,541	93,685,083 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	83,148,949 21,577,146	86,178,847 22,041,594	92,527,409 22,722,063	90,064,790 21,570,441	81,813,087 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	4,224,984 1,845,420	847,198 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	12,587,991 3,535,627	12,590,609 3,746,588	12,500,467 3,782,288	13,442,855 3,865,578	11,871,996 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	12,592,688 11,160,864	15,527,504 11,987,345	15,208,750 12,926,866	14,401,023 11,884,480	13,381,891 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	12,592,688 10,918,923	15,527,504 11,706,976	15,208,750 12,615,917	14,401,023 11,458,116	13,381,891 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	0 3,284,314	0 3,250,551	0 3,386,837	8,900 3,360,806	9,998 3,508,953
Disproportionate-share hospital (DSH) Median	1,790,962 594,888	1,703,647 595,761	1,737,496 577,894	1,713,321 542,168	2,417,624 549,667
Outlier Median	3,237,001 582,572	2,838,687 538,116	630,477 212,434	552,231 126,559	564,511 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	615,200 3,662,910	283,240 3,730,911	729,609 4,081,319	420,350 4,643,908	223,076 4,389,147
Charity care Median	34,739,773 2,654,636	39,573,502 2,940,659	46,624,281 3,380,215	42,122,738 3,488,738	40,236,596 3,233,405
Uncompensated care (UCC) Median	42,144,550 5,147,790	45,860,557 5,337,617	52,692,347 5,711,082	47,168,177 5,923,418	44,326,974 5,508,107
UCC as a % of operating expenses Median	9.91% 3.24	10.97% 3.12	11.58% 3.21	10.92% 3.3	9.56% 2.86
Total shortfall/UCC Median	42,759,750 9,489,989	46,143,797 9,424,297	53,421,956 10,120,158	47,588,527 11,171,337	44,550,050 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	163,866,946 52,142,039	161,283,035 54,485,252	161,935,531 57,395,589	156,081,843 58,830,919	161,398,497 61,722,907
Salaries as a % of operating expenses Median	38.54 36.68	38.56 36.56	35.58 36.37	36.13 35.93	34.81 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	7,110,004 1,449,244	10,051,330 1,475,986	12,113,514 1,563,078	12,626,128 1,721,954	1,572,824 2,991,828
Contract hours, direct-care Median	116,485.00 22,725	193,146.80 23,018.5	273,576.58 24,503.48	231,075.21 25,026.5	51,801.11 33,786
Contract wages, direct-care Median	61.04 64.67	52.04 64.53	44.28 65.06	54.64 68.97	30.36 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.