As of the July, 2022, release via CMS

HIALEAH HOSPITAL

CMS id: 100053
651 EAST 25TH STREET, HIALEAH FL 33013. County: MIAMI-DADE
System: TENET HEALTHCARE CORPORATION
CBSA: Miami-Fort Lauderdale-Pompano Beach, FL

The 341-bed, acute-care hospital had $3,985,922 in net service to patients*, with a total profit margin of 11.37146% in fiscal year 2021, the latest year available.
It spent 7.82% of its operating expenses on uncompensated care and reported $14,573,509 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	317 118	331 118	331 119.5	319 118	312 119
Total beds Median	348 162	362 162	362 162	350 162	341 163.5
FTEs Median	701.90 788.06	693.70 793.42	680.50 806.03	528.60 787.61	552.00 804.34

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	145,881,917 150,932,746	136,985,141 158,950,878	136,113,139 168,696,998	129,689,608 163,454,693	138,818,878 186,589,412
Operating expenses Median	132,981,714 149,311,209	134,645,211 156,110,414	145,462,268 164,890,568	136,941,312 166,516,854	134,832,956 180,120,888
Net income from service 2 patients (NS2P) ? Median	12,900,203 -964,173	2,339,930 -643,601.5	-9,349,129 -116,254	-7,251,704 -5,025,862	3,985,922 -1,284,564
NS2P margin ? Median	8.84% -0.62	1.71% -0.29	-6.87% 0.18	-5.59% -5.07	2.87% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HIALEAH 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	1,531,670 5,089,215	1,681,568 4,572,541	1,811,549 5,268,134	2,441,082 13,092,619	13,313,784 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	206 299,524	40 188,688.5	1,002 370,813	3,739 309,361.5	49 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	1,445	453	14,947	776	965
⊳ Line 11: Rebates and refunds of expenses	53,291	39,404	50,597	57,105	186,283
⊳ 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	0	0	0
⊳ 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	418
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,160	3,100	3,540	375	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	64,412	52,120	58,096	13,835	5,604
⊳ Line 21: Rental of vending machines	0	3,851	0	9,965	16,170
⊳ Line 22: Rental of hospital space	1,370,193	1,399,972	1,537,313	2,241,132	2,570,601
⊳ 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	40,963	182,628	146,054	114,155	10,533,694
Total income ? Median	14,431,873 6,586,430	4,021,498 6,767,106	-7,537,580 8,419,950	-4,810,622 8,094,175	17,299,706 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	14,431,873 6,043,842	4,021,498 5,845,112	-7,537,580 7,606,259	-4,810,622 7,283,041	17,299,706 14,957,241
Net margin Median	9.79006% 4.62%	2.90012% 4.42%	-5.46500% 5.16%	-3.64081% 5.2%	11.37146% 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 HIALEAH 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	25,803,738 23,241,334	23,906,154 23,709,545	21,050,627 24,248,380	19,993,139 22,858,541	18,837,123 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	25,803,738 21,577,146	23,906,154 22,041,594	21,050,627 22,722,063	19,993,139 21,570,441	18,837,123 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	2,595,754 11,160,864	2,177,011 11,987,345	2,208,089 12,926,866	1,895,811 11,884,480	1,127,308 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	2,595,754 10,918,923	2,177,011 11,706,976	2,208,089 12,615,917	1,895,811 11,458,116	1,127,308 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	2,239,767 594,888	1,941,849 595,761	1,605,235 577,894	1,695,572 542,168	1,304,415 549,667
Outlier Median	192,093 582,572	174,972 538,116	74,703 212,434	8,601 126,559	1,825 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,638,737 3,662,910	11,887,355 3,730,911	12,405,302 4,081,319	13,481,221 4,643,908	14,573,509 4,389,147
Charity care Median	5,515,079 2,654,636	12,490,636 2,940,659	11,089,555 3,380,215	11,574,055 3,488,738	7,369,810 3,233,405
Uncompensated care (UCC) Median	8,663,869 5,147,790	15,920,489 5,337,617	15,047,194 5,711,082	14,786,439 5,923,418	10,544,060 5,508,107
UCC as a % of operating expenses Median	6.52% 3.24	11.82% 3.12	10.34% 3.21	10.80% 3.3	7.82% 2.86
Total shortfall/UCC Median	14,302,606 9,489,989	27,807,844 9,424,297	27,452,496 10,120,158	28,267,660 11,171,337	25,117,569 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	51,423,812 52,142,039	52,104,831 54,485,252	52,312,021 57,395,589	48,461,876 58,830,919	48,006,419 61,722,907
Salaries as a % of operating expenses Median	38.67 36.68	38.70 36.56	35.96 36.37	35.40 35.93	35.61 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	145,821 1,449,244	0 1,475,986	133,417 1,563,078	337,054 1,721,954	688,256 2,991,828
Contract hours, direct-care Median	2,477.00 22,725	0.00 23,018.5	2,209.00 24,503.48	7,244.00 25,026.5	9,047.00 33,786
Contract wages, direct-care Median	58.87 64.67	0.00 64.53	60.40 65.06	46.53 68.97	76.08 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.