As of the July, 2022, release via CMS

METHODIST SUGAR LAND HOSPITAL

CMS id: 450820
16655 SOUTHWEST FREEWAY, SUGAR LAND TX 77479. County: FORT BEND
System: THE METHODIST HOSPITAL CORPORATE DIV
CBSA: Houston-The Woodlands-Sugar Land, TX

The 337-bed, acute-care hospital had $106,997,407 in net service to patients*, with a total profit margin of 17.57163% in fiscal year 2021, the latest year available.
It spent 4.74% of its operating expenses on uncompensated care and reported $1,358 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	299 118	299 118	287 119.5	297 118	297 119
Total beds Median	347 162	347 162	327 162	337 162	337 163.5
FTEs Median	1,975.19 788.06	1,982.08 793.42	2,137.17 806.03	2,116.14 787.61	2,094.57 804.34

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	457,791,395 150,932,746	477,554,050 158,950,878	553,701,716 168,696,998	512,514,409 163,454,693	627,132,628 186,589,412
Operating expenses Median	407,447,615 149,311,209	401,225,619 156,110,414	447,606,080 164,890,568	468,396,036 166,516,854	520,135,221 180,120,888
Net income from service 2 patients (NS2P) ? Median	50,343,780 -964,173	76,328,431 -643,601.5	106,095,636 -116,254	44,118,373 -5,025,862	106,997,407 -1,284,564
NS2P margin ? Median	11.00% -0.62	15.98% -0.29	19.16% 0.18	8.61% -5.07	17.06% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for METHODIST SUGAR LAND 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	3,117,495 5,089,215	3,100,282 4,572,541	3,888,413 5,268,134	3,506,751 13,092,619	3,882,163 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	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	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	3,627	5,388	3,520	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,141,739	2,232,474	2,436,745	1,626,960	1,923,705
⊳ 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	94,897	82,803	103,308	96,065	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	12,607	20,226	24,354	24,118	36,086
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	18,567	0	0	0
⊳ Line 21: Rental of vending machines	18,286	20,287	18,113	10,655	9,355
⊳ Line 22: Rental of hospital space	20,335	0	12,993	10,721	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	826,004	720,537	1,289,380	1,738,232	1,913,017
Total income ? Median	53,461,275 6,586,430	79,428,713 6,767,106	109,984,049 8,419,950	47,625,124 8,094,175	110,879,570 15,162,888
Non-operating expenses Median	15,326 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	53,445,949 6,043,842	79,428,713 5,845,112	109,984,049 7,606,259	47,625,124 7,283,041	110,879,570 14,957,241
Net margin Median	11.59577% 4.62%	16.52512% 4.42%	19.72489% 5.16%	9.22930% 5.2%	17.57163% 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 SUGAR LAND 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	64,773,679 23,241,334	66,291,204 23,709,545	74,526,755 24,248,380	72,881,388 22,858,541	74,452,046 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	64,773,679 21,577,146	66,291,204 22,041,594	74,526,755 22,722,063	72,881,388 21,570,441	74,452,046 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	26,078,880 11,160,864	30,965,687 11,987,345	37,755,504 12,926,866	37,215,345 11,884,480	41,635,151 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	26,078,880 10,918,923	30,965,687 11,706,976	37,755,504 12,615,917	37,215,345 11,458,116	41,635,151 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	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	1,494,227 594,888	1,238,554 595,761	1,361,354 577,894	1,198,000 542,168	983,295 549,667
Outlier Median	3,994,367 582,572	3,057,432 538,116	828,822 212,434	716,459 126,559	627,308 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	30,969 3,662,910	65,620 3,730,911	0 4,081,319	0 4,643,908	1,358 4,389,147
Charity care Median	18,127,397 2,654,636	14,815,424 2,940,659	18,380,429 3,380,215	20,131,657 3,488,738	21,434,686 3,233,405
Uncompensated care (UCC) Median	23,511,535 5,147,790	20,950,796 5,337,617	23,259,699 5,711,082	22,796,759 5,923,418	24,648,354 5,508,107
UCC as a % of operating expenses Median	5.77% 3.24	5.22% 3.12	5.20% 3.21	4.87% 3.3	4.74% 2.86
Total shortfall/UCC Median	23,542,504 9,489,989	21,016,416 9,424,297	23,259,699 10,120,158	22,796,759 11,171,337	24,649,712 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	135,632,110 52,142,039	141,568,280 54,485,252	155,339,677 57,395,589	158,538,189 58,830,919	169,065,555 61,722,907
Salaries as a % of operating expenses Median	35.81 36.68	35.28 36.56	34.70 36.37	33.85 35.93	32.50 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	2,363,689 1,449,244	2,525,081 1,475,986	3,211,723 1,563,078	5,188,581 1,721,954	12,011,745 2,991,828
Contract hours, direct-care Median	23,622.00 22,725	26,464.00 23,018.5	30,691.00 24,503.48	47,732.00 25,026.5	98,229.00 33,786
Contract wages, direct-care Median	100.06 64.67	95.42 64.53	104.65 65.06	108.70 68.97	122.28 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.