As of the July, 2022, release via CMS

DALLAS CO. HOSP. DIST.

CMS id: 450015
5200 HARRY HINES BLVD, DALLAS TX 75235. County: DALLAS
System: --
CBSA: Dallas-Fort Worth-Arlington, TX

The 850-bed, acute-care hospital had $-1,303,206,860 in net service to patients*, with a total profit margin of 10.51274% in fiscal year 2021, the latest year available.
It spent 28.87% of its operating expenses on uncompensated care and reported $89,648,827 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	gov	gov	gov	gov	gov
Acute beds Median	615 118	621 118	621 119.5	606 118	625 119
Total beds Median	800 162	807 162	817 162	836 162	850 163.5
FTEs Median	11,041.98 788.06	11,324.11 793.42	11,732.53 806.03	12,262.64 787.61	11,950.12 804.34

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	866,868,031 150,932,746	803,598,250 158,950,878	887,628,588 168,696,998	885,094,934 163,454,693	1,011,834,326 186,589,412
Operating expenses Median	1,804,888,647 149,311,209	1,872,629,028 156,110,414	1,888,587,882 164,890,568	2,061,622,924 166,516,854	2,315,041,186 180,120,888
Net income from service 2 patients (NS2P) ? Median	-938,020,616 -964,173	-1,069,030,778 -643,601.5	-1,000,959,294 -116,254	-1,176,527,990 -5,025,862	-1,303,206,860 -1,284,564
NS2P margin ? Median	-108.21% -0.62	-133.03% -0.29	-112.77% 0.18	-132.93% -5.07	-128.80% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DALLAS CO. HOSP. DIST. 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	949,423,448 5,089,215	1,058,849,209 4,572,541	1,200,601,016 5,268,134	1,476,601,067 13,092,619	1,575,119,225 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	44,382,696 224,999	31,410,953 199,009	31,569,418 206,870.5	42,001,548 194,343	50,336,734 249,496
⊳ Line 7: Investments ? ⊳ Median	15,436,197 299,524	20,147,591 188,688.5	31,706,408 370,813	21,553,506 309,361.5	7,979,173 375,329
⊳ 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	5,914,209	3,967,988	4,172,358	5,051,742	6,160,224
⊳ Line 12: Parking lot receipts	5,637,063	5,694,274	5,633,061	3,739,571	3,524,365
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,899,951	6,841,918	6,913,354	5,500,383	5,216,166
⊳ 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	607,988	723,648	700,966	1,138,364	1,183,074
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	2,436,721	2,584,486	2,663,120	2,725,051	2,892,304
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	942,131	663,942	739,813	792,831	876,752
⊳ Line 23: Gov appropriations ? ⊳ Median	575,745,088 1,017,693	620,998,308 983,261.5	679,132,967 1,173,286	704,893,479 1,987,202	752,631,621 1,597,664
⊳ Sum Line 24	291,421,404	365,816,101	437,369,551	689,204,592	744,318,812
Total income ? Median	11,402,832 6,586,430	-10,181,569 6,767,106	199,641,722 8,419,950	300,073,077 8,094,175	271,912,365 15,162,888
Non-operating expenses Median	-622 146,289.5	5,229 164,857	15,096 89,880.5	23,304 106,761	-47,403 31,473.5
Net income Median	11,403,454 6,043,842	-10,186,798 5,845,112	199,626,626 7,606,259	300,049,773 7,283,041	271,959,768 14,957,241
Net margin Median	0.62784% 4.62%	-0.54696% 4.42%	9.55961% 5.16%	12.70484% 5.2%	10.51274% 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 DALLAS CO. HOSP. DIST. 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	93,584,105 23,241,334	123,087,753 23,709,545	159,925,412 24,248,380	190,243,225 22,858,541	199,492,101 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	90,172,203 21,577,146	119,572,286 22,041,594	156,853,963 22,722,063	186,893,184 21,570,441	197,003,296 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	2,009,265 1,845,420	2,066,633 1,757,392	1,324,467 1,738,842	1,574,317 1,510,463	1,565,405 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,402,637 3,535,627	1,448,834 3,746,588	1,746,982 3,782,288	1,775,724 3,865,578	923,400 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	42,505,716 11,160,864	43,252,407 11,987,345	42,802,071 12,926,866	34,148,757 11,884,480	33,500,124 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	42,505,716 10,918,923	43,252,407 11,706,976	42,802,071 12,615,917	34,148,757 11,458,116	33,500,124 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	16,677,425 3,284,314	16,227,661 3,250,551	17,387,553 3,386,837	15,336,615 3,360,806	15,964,759 3,508,953
Disproportionate-share hospital (DSH) Median	4,247,304 594,888	4,082,245 595,761	4,372,408 577,894	5,179,045 542,168	4,479,791 549,667
Outlier Median	6,710,507 582,572	4,372,674 538,116	1,210,412 212,434	839,376 126,559	965,166 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	266,950 3,662,910	51,381,468 3,730,911	38,511 4,081,319	69,292,372 4,643,908	89,648,827 4,389,147
Charity care Median	398,745,810 2,654,636	438,017,571 2,940,659	457,251,598 3,380,215	490,858,665 3,488,738	565,952,713 3,233,405
Uncompensated care (UCC) Median	529,781,987 5,147,790	524,078,546 5,337,617	486,600,826 5,711,082	599,219,974 5,923,418	668,307,424 5,508,107
UCC as a % of operating expenses Median	29.35% 3.24	27.99% 3.12	25.77% 3.21	29.07% 3.3	28.87% 2.86
Total shortfall/UCC Median	530,048,937 9,489,989	575,460,014 9,424,297	486,639,337 10,120,158	668,512,346 11,171,337	757,956,251 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	768,990,195 52,142,039	811,349,135 54,485,252	838,508,921 57,395,589	873,632,668 58,830,919	949,240,655 61,722,907
Salaries as a % of operating expenses Median	42.61 36.68	43.31 36.56	44.40 36.37	42.38 35.93	42.34 35.24
Intern, resident salaries* Median	36,439,828 2,598,592	35,949,610 2,686,824	36,239,346 2,753,773	37,561,285 2,937,156	38,639,150 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	5,748,978 1,449,244	5,934,212 1,475,986	4,476,086 1,563,078	11,260,661 1,721,954	0 2,991,828
Contract hours, direct-care Median	75,713.00 22,725	74,267.00 23,018.5	60,994.00 24,503.48	201,838.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	75.93 64.67	79.90 64.53	73.39 65.06	55.79 68.97	0.00 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.