As of the July, 2022, release via CMS

HCA HOUSTON HEALTHCARE KINGWOOD

CMS id: 450775
22999 HIGHWAY 59 NORTH, KINGWOOD TX 77339. County: HARRIS
System: HCA
CBSA: Houston-The Woodlands-Sugar Land, TX

The 573-bed, acute-care hospital had $146,154,338 in net service to patients*, with a total profit margin of 19.59665% in fiscal year 2021, the latest year available.
It spent 9.62% of its operating expenses on uncompensated care and reported $329,018 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	271 118	406 118	404 119.5	404 118	404 119
Total beds Median	354 162	521 162	563 162	573 162	573 163.5
FTEs Median	1,269.31 788.06	1,351.05 793.42	2,345.74 806.03	2,349.04 787.61	2,346.37 804.34

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	277,229,170 150,932,746	306,660,206 158,950,878	600,830,999 168,696,998	629,165,622 163,454,693	734,977,432 186,589,412
Operating expenses Median	269,464,358 149,311,209	297,860,753 156,110,414	559,674,932 164,890,568	571,753,847 166,516,854	588,823,094 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,764,812 -964,173	8,799,453 -643,601.5	41,156,067 -116,254	57,411,775 -5,025,862	146,154,338 -1,284,564
NS2P margin ? Median	2.80% -0.62	2.87% -0.29	6.85% 0.18	9.13% -5.07	19.89% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HCA HOUSTON HEALTHCARE KINGWOOD 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	1,069,278 5,089,215	1,639,356 4,572,541	5,576,880 5,268,134	16,139,142 13,092,619	-2,640,888 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	70,977 370,813	101,205 309,361.5	167,148 375,329
⊳ 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	887,830	965,471	1,498,880	951,480	1,195,033
⊳ Line 15: Revenue from rental of living quarters	0	0	69,141	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	183,212	2,142,035	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	1,670,687	1,520,330
⊳ Line 18: Revenue from sale of medical records and abstracts	4,426	3,455	11,656	14,549	19,988
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	19,644	29,302	523,040	443,903	6,714
⊳ Line 21: Rental of vending machines	19,509	20,883	27,482	26,397	13,724
⊳ 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	137,869	437,033	1,233,669	12,930,921	-5,563,825
Total income ? Median	8,834,090 6,586,430	10,438,809 6,767,106	46,732,947 8,419,950	73,550,917 8,094,175	143,513,450 15,162,888
Non-operating expenses Median	-3 146,289.5	0 164,857	-126 89,880.5	-2,399,973 106,761	16 31,473.5
Net income Median	8,834,093 6,043,842	10,438,809 5,845,112	46,733,073 7,606,259	75,950,890 7,283,041	143,513,434 14,957,241
Net margin Median	3.17432% 4.62%	3.38593% 4.42%	7.70654% 5.16%	11.76977% 5.2%	19.59665% 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 HCA HOUSTON HEALTHCARE KINGWOOD 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	57,435,259 23,241,334	60,013,034 23,709,545	100,973,500 24,248,380	106,763,605 22,858,541	114,092,124 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	48,730,485 21,577,146	51,039,983 22,041,594	90,613,044 22,722,063	95,668,340 21,570,441	103,538,405 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	8,704,774 3,535,627	8,973,051 3,746,588	10,360,456 3,782,288	11,095,265 3,865,578	10,553,719 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	8,976,030 11,160,864	9,123,548 11,987,345	31,512,811 12,926,866	26,772,837 11,884,480	25,481,477 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	8,976,030 10,918,923	9,123,548 11,706,976	31,512,811 12,615,917	26,772,837 11,458,116	25,481,477 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	834,451 3,284,314	811,178 3,250,551	1,767,484 3,386,837	5,592,361 3,360,806	10,814,618 3,508,953
Disproportionate-share hospital (DSH) Median	1,469,375 594,888	1,413,015 595,761	2,122,228 577,894	1,984,837 542,168	1,595,219 549,667
Outlier Median	1,508,240 582,572	1,120,329 538,116	509,548 212,434	598,326 126,559	647,199 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,862,733 3,662,910	27,063 3,730,911	0 4,081,319	18,834 4,643,908	329,018 4,389,147
Charity care Median	22,830,379 2,654,636	28,375,360 2,940,659	42,320,445 3,380,215	47,072,272 3,488,738	51,930,468 3,233,405
Uncompensated care (UCC) Median	27,477,818 5,147,790	32,317,013 5,337,617	46,173,302 5,711,082	51,463,329 5,923,418	56,658,987 5,508,107
UCC as a % of operating expenses Median	10.20% 3.24	10.85% 3.12	8.25% 3.21	9.00% 3.3	9.62% 2.86
Total shortfall/UCC Median	29,340,551 9,489,989	32,344,076 9,424,297	46,173,302 10,120,158	51,482,163 11,171,337	56,988,005 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	95,461,350 52,142,039	101,114,346 54,485,252	174,701,989 57,395,589	174,975,131 58,830,919	187,909,957 61,722,907
Salaries as a % of operating expenses Median	35.42 36.68	33.95 36.56	31.21 36.37	30.60 35.93	31.91 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	2,206,955 2,937,156	4,515,079 2,909,848
Contract intern, resident salaries* Median	786,000 1,251,927	786,000 1,186,494	786,000 1,204,885	1,957,644 1,279,653	786,000 1,469,317
Contract adjusted salaries, direct-care Median	9,697,743 1,449,244	8,602,139 1,475,986	10,572,206 1,563,078	9,240,306 1,721,954	15,392,773 2,991,828
Contract hours, direct-care Median	145,999.85 22,725	118,091.88 23,018.5	175,509.64 24,503.48	137,953.00 25,026.5	162,492.00 33,786
Contract wages, direct-care Median	66.42 64.67	72.84 64.53	60.24 65.06	66.98 68.97	94.73 88.94

* in an approved program

Return to top

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.