As of the July, 2022, release via CMS

METHODIST DALLAS MEDICAL CENTER

CMS id: 450051
1441 N BECKLEY AVE, DALLAS TX 75203. County: DALLAS
System: METHODIST HOSPITALS OF DALLAS
CBSA: Dallas-Fort Worth-Arlington, TX

The 378-bed, acute-care hospital had $-30,113,044 in net service to patients*, with a total profit margin of 1.66228% in fiscal year 2021, the latest year available.
It spent 9.11% of its operating expenses on uncompensated care and reported $205,090 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	256 118	256 118	258 119.5	258 118	258 119
Total beds Median	376 162	376 162	378 162	378 162	378 163.5
FTEs Median	2,041.29 788.06	994.98 793.42	1,781.00 806.03	2,232.00 787.61	1,789.33 804.34

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	368,728,333 150,932,746	528,452,365 158,950,878	434,085,650 168,696,998	443,389,072 163,454,693	488,931,421 186,589,412
Operating expenses Median	453,072,867 149,311,209	454,560,851 156,110,414	467,797,649 164,890,568	468,055,377 166,516,854	519,044,465 180,120,888
Net income from service 2 patients (NS2P) ? Median	-84,344,534 -964,173	73,891,514 -643,601.5	-33,711,999 -116,254	-24,666,305 -5,025,862	-30,113,044 -1,284,564
NS2P margin ? Median	-22.87% -0.62	13.98% -0.29	-7.77% 0.18	-5.56% -5.07	-6.16% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for METHODIST DALLAS MEDICAL CENTER 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	35,018,380 5,089,215	510,438 4,572,541	24,164,555 5,268,134	40,106,372 13,092,619	38,886,884 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	55,190 199,009	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	-527,397	402,240	-365,279
⊳ Line 11: Rebates and refunds of expenses	0	28,014	0	0	0
⊳ Line 12: Parking lot receipts	382,503	0	387,877	296,385	171,359
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,369,249	0	2,751,225	2,318,634	2,154,274
⊳ Line 15: Revenue from rental of living quarters	0	0	163,965	131,734	14,800
⊳ 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	28,345,459	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	2,586	0	1,580	825	1,074
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	1,055	4,804	220	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	80,396	0	66,067	58,083	33,478
⊳ Line 22: Rental of hospital space	0	426,179	518,277	1,067,011	984,338
⊳ 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	3,838,187	--	20,798,157	35,831,240	35,892,840
Total income ? Median	-49,326,154 6,586,430	74,401,952 6,767,106	-9,547,444 8,419,950	15,440,067 8,094,175	8,773,840 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	-49,326,154 6,043,842	74,401,952 5,845,112	-9,547,444 7,606,259	15,440,067 7,283,041	8,773,840 14,957,241
Net margin Median	-12.21710% 4.62%	14.06563% 4.42%	-2.08346% 5.16%	3.19343% 5.2%	1.66228% 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 DALLAS MEDICAL CENTER 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	67,190,728 23,241,334	67,637,249 23,709,545	75,598,893 24,248,380	80,151,418 22,858,541	71,525,562 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	67,190,728 21,577,146	67,637,249 22,041,594	75,598,893 22,722,063	80,151,418 21,570,441	71,525,562 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	20,630,581 11,160,864	19,415,063 11,987,345	19,220,377 12,926,866	18,333,258 11,884,480	17,083,799 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	20,630,581 10,918,923	19,415,063 11,706,976	19,220,377 12,615,917	18,333,258 11,458,116	17,083,799 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	3,751,836 3,284,314	3,734,204 3,250,551	4,034,195 3,386,837	4,092,028 3,360,806	4,020,273 3,508,953
Disproportionate-share hospital (DSH) Median	2,571,920 594,888	2,359,826 595,761	2,361,018 577,894	2,031,172 542,168	1,936,538 549,667
Outlier Median	2,500,475 582,572	2,145,038 538,116	2,792,625 212,434	291,294 126,559	340,564 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	13,702,523 3,730,911	202,195 4,081,319	188,688 4,643,908	205,090 4,389,147
Charity care Median	47,870,040 2,654,636	8,904,547 2,940,659	22,703,451 3,380,215	42,950,237 3,488,738	24,244,315 3,233,405
Uncompensated care (UCC) Median	55,168,333 5,147,790	22,099,131 5,337,617	55,960,722 5,711,082	71,319,712 5,923,418	47,308,173 5,508,107
UCC as a % of operating expenses Median	12.18% 3.24	4.86% 3.12	11.96% 3.21	15.24% 3.3	9.11% 2.86
Total shortfall/UCC Median	55,168,333 9,489,989	35,801,654 9,424,297	56,162,917 10,120,158	71,508,400 11,171,337	47,513,263 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	141,480,639 52,142,039	141,332,181 54,485,252	144,247,342 57,395,589	144,273,675 58,830,919	156,801,460 61,722,907
Salaries as a % of operating expenses Median	31.23 36.68	31.09 36.56	30.84 36.37	30.82 35.93	30.21 35.24
Intern, resident salaries* Median	4,718,502 2,598,592	4,979,924 2,686,824	5,310,386 2,753,773	5,673,839 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	7,560 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	3,035,000 1,449,244	2,255,466 1,475,986	4,237,131 1,563,078	2,369,498 1,721,954	2,369,498 2,991,828
Contract hours, direct-care Median	61,194.00 22,725	46,308.00 23,018.5	49,216.00 24,503.48	32,559.00 25,026.5	32,559.00 33,786
Contract wages, direct-care Median	49.60 64.67	48.71 64.53	86.09 65.06	72.78 68.97	72.78 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.