As of the July, 2022, release via CMS

COLLEGE STATION HOSPITAL

CMS id: 670088
700 SCOTT & WHITE DRIVE, COLLEGE STATION TX 77845. County: BRAZOS
System: BAYLOR SCOTT & WHITE HEALTH CARE SYS
CBSA: College Station-Bryan, TX

The 135-bed, acute-care hospital had $-1,472,365 in net service to patients*, with a total profit margin of 10.80768% in fiscal year 2021, the latest year available.
It spent 3.94% of its operating expenses on uncompensated care and reported $79,077 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	87 118	87 118	87 119.5	103 118	103 119
Total beds Median	119 162	119 162	119 162	135 162	135 163.5
FTEs Median	1,194.09 788.06	1,155.81 793.42	1,178.03 806.03	1,163.91 787.61	1,237.60 804.34

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	260,082,503 150,932,746	254,019,958 158,950,878	277,059,392 168,696,998	280,951,817 163,454,693	339,672,955 186,589,412
Operating expenses Median	235,925,099 149,311,209	265,184,870 156,110,414	283,470,287 164,890,568	302,554,645 166,516,854	341,145,320 180,120,888
Net income from service 2 patients (NS2P) ? Median	24,157,404 -964,173	-11,164,912 -643,601.5	-6,410,895 -116,254	-21,602,828 -5,025,862	-1,472,365 -1,284,564
NS2P margin ? Median	9.29% -0.62	-4.40% -0.29	-2.31% 0.18	-7.69% -5.07	-0.43% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COLLEGE STATION 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	14,374,866 5,089,215	16,569,225 4,572,541	26,452,869 5,268,134	25,810,742 13,092,619	42,809,878 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	470,770 206,870.5	4,442,925 194,343	320,604 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	1,740,542 370,813	2,461,966 309,361.5	2,174,083 375,329
⊳ 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	0	0	461,280	495,092	457,790
⊳ 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	0	0	0	0	0
⊳ 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	-82
⊳ Line 21: Rental of vending machines	0	0	6,005	519	0
⊳ 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	14,374,866	16,569,225	23,774,272	18,410,240	39,857,483
Total income ? Median	38,532,270 6,586,430	5,404,313 6,767,106	20,041,974 8,419,950	4,207,914 8,094,175	41,337,513 15,162,888
Non-operating expenses Median	22,304,093 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	16,228,177 6,043,842	5,404,313 5,845,112	20,041,974 7,606,259	4,207,914 7,283,041	41,337,513 14,957,241
Net margin Median	5.91282% 4.62%	1.99724% 4.42%	6.60335% 5.16%	1.37172% 5.2%	10.80768% 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 COLLEGE STATION 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	22,627,992 23,241,334	27,012,418 23,709,545	26,284,875 24,248,380	25,311,105 22,858,541	32,965,289 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	22,627,992 21,577,146	27,012,418 22,041,594	26,284,875 22,722,063	25,311,105 21,570,441	32,965,289 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	30,896,169 11,160,864	33,380,836 11,987,345	34,516,562 12,926,866	29,067,897 11,884,480	31,854,070 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	30,896,169 10,918,923	33,380,836 11,706,976	34,516,562 12,615,917	29,067,897 11,458,116	31,854,070 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	350,685 594,888	277,108 595,761	343,895 577,894	307,894 542,168	492,344 549,667
Outlier Median	3,143,164 582,572	1,266,347 538,116	1,120,018 212,434	190,622 126,559	151,709 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	156,799 3,662,910	46,381 3,730,911	130,185 4,081,319	109,931 4,643,908	79,077 4,389,147
Charity care Median	5,880,414 2,654,636	12,273,701 2,940,659	10,139,420 3,380,215	11,080,657 3,488,738	10,674,281 3,233,405
Uncompensated care (UCC) Median	10,040,279 5,147,790	14,511,148 5,337,617	12,961,525 5,711,082	14,163,093 5,923,418	13,453,837 5,508,107
UCC as a % of operating expenses Median	4.26% 3.24	5.47% 3.12	4.57% 3.21	4.68% 3.3	3.94% 2.86
Total shortfall/UCC Median	10,197,078 9,489,989	14,557,529 9,424,297	13,091,710 10,120,158	14,273,024 11,171,337	13,532,914 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	100,832,213 52,142,039	106,417,131 54,485,252	112,286,310 57,395,589	118,766,624 58,830,919	129,855,068 61,722,907
Salaries as a % of operating expenses Median	43.66 36.68	40.56 36.56	40.76 36.37	40.72 35.93	39.28 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	4,300 1,449,244	189 1,475,986	177,810 1,563,078	440,884 1,721,954	1,792,242 2,991,828
Contract hours, direct-care Median	32.00 22,725	2.78 23,018.5	2,207.51 24,503.48	6,406.42 25,026.5	15,139.98 33,786
Contract wages, direct-care Median	134.38 64.67	67.99 64.53	80.55 65.06	68.82 68.97	118.38 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.