As of the July, 2022, release via CMS

HENDRICK MEDICAL CENTER

CMS id: 450229
1900 PINE STREET, ABILENE TX 79601. County: TAYLOR
System: --
CBSA: Abilene, TX

The 606-bed, acute-care hospital had $5,340,073 in net service to patients*, with a total profit margin of 19.61911% in fiscal year 2021, the latest year available.
It spent 7.66% of its operating expenses on uncompensated care and reported $1,950,723 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	214 118	220 118	220 119.5	268 118	428 119
Total beds Median	369 162	386 162	386 162	410 162	606 163.5
FTEs Median	1,859.00 788.06	2,400.13 793.42	2,708.00 806.03	2,569.00 787.61	0.00 804.34

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	370,188,424 150,932,746	78,465,628 158,950,878	63,505,002 168,696,998	416,957,275 163,454,693	567,752,915 186,589,412
Operating expenses Median	347,479,448 149,311,209	359,548,985 156,110,414	385,697,252 164,890,568	421,957,103 166,516,854	562,412,842 180,120,888
Net income from service 2 patients (NS2P) ? Median	22,708,976 -964,173	-281,083,357 -643,601.5	-322,192,250 -116,254	-4,999,828 -5,025,862	5,340,073 -1,284,564
NS2P margin ? Median	6.13% -0.62	-358.22% -0.29	-507.35% 0.18	-1.20% -5.07	0.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HENDRICK 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	52,297,128 5,089,215	61,601,004 4,572,541	37,336,445 5,268,134	100,436,047 13,092,619	131,931,837 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	12,885,988 224,999	2,166,701 199,009	1,021,903 206,870.5	40,039 194,343	10,092,044 249,496
⊳ Line 7: Investments ? ⊳ Median	836,529 299,524	24,087,278 188,688.5	-10,649,092 370,813	17,453,691 309,361.5	37,591,535 375,329
⊳ 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	2,698,702	2,750,956	2,967,763	1,841,382	2,270,360
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	2,106,363	1,888,802	4,016,906	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	39,344	848	4,841	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	46,017	89,428	84,973	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	994,103	1,059,165	1,101,338	14,239	18,549
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	2,171,658	2,200,512	2,208,101	2,704,655	2,749,701
⊳ Line 23: Gov appropriations ? ⊳ Median	16,781,918 1,017,693	13,624,839 983,261.5	19,086,265 1,173,286	17,566,761 1,987,202	50,346,407 1,597,664
⊳ Sum Line 24	13,465,907	13,471,962	17,279,263	52,905,664	28,863,241
Total income ? Median	75,006,104 6,586,430	-219,482,353 6,767,106	-284,855,805 8,419,950	95,436,219 8,094,175	137,271,910 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	75,006,104 6,043,842	-219,482,353 5,845,112	-284,855,805 7,606,259	95,436,219 7,283,041	137,271,910 14,957,241
Net margin Median	17.75353% 4.62%	-156.69853% 4.42%	-282.47889% 5.16%	18.44558% 5.2%	19.61911% 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 HENDRICK 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	74,658,037 23,241,334	72,698,846 23,709,545	79,167,054 24,248,380	80,243,972 22,858,541	107,922,153 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	68,688,982 21,577,146	65,825,919 22,041,594	69,911,097 22,722,063	71,559,760 21,570,441	98,654,644 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	5,195,550 3,535,627	6,052,857 3,746,588	8,417,609 3,782,288	7,829,924 3,865,578	9,258,407 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	773,505 1,203,033	820,070 1,215,295	838,348 1,313,657	854,288 1,365,298	9,102 1,179,746
All outpatient revenue Median Click here to show/hide details	40,219,186 11,160,864	41,504,134 11,987,345	40,521,710 12,926,866	36,204,946 11,884,480	44,654,584 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	39,361,046 10,918,923	40,382,214 11,706,976	40,521,710 12,615,917	36,204,946 11,458,116	44,654,584 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	858,140 1,282,808	1,121,920 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	1,295,317 594,888	1,404,579 595,761	1,204,901 577,894	2,139,709 542,168	2,684,992 549,667
Outlier Median	6,135,874 582,572	4,382,457 538,116	5,194,857 212,434	1,306,128 126,559	2,672,769 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,102,455 3,662,910	1,412,008 3,730,911	1,334,556 4,081,319	2,212,895 4,643,908	1,950,723 4,389,147
Charity care Median	14,343,871 2,654,636	13,377,996 2,940,659	26,663,694 3,380,215	20,189,619 3,488,738	26,433,722 3,233,405
Uncompensated care (UCC) Median	26,486,578 5,147,790	25,198,253 5,337,617	43,848,811 5,711,082	34,444,043 5,923,418	43,066,163 5,508,107
UCC as a % of operating expenses Median	7.62% 3.24	7.01% 3.12	11.37% 3.21	8.16% 3.3	7.66% 2.86
Total shortfall/UCC Median	27,589,033 9,489,989	26,610,261 9,424,297	45,183,367 10,120,158	36,656,938 11,171,337	45,016,886 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	127,268,710 52,142,039	141,240,804 54,485,252	149,270,425 57,395,589	152,556,164 58,830,919	193,392,941 61,722,907
Salaries as a % of operating expenses Median	36.63 36.68	39.28 36.56	38.70 36.37	36.15 35.93	34.39 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	10,396,430 1,449,244	7,509,712 1,475,986	8,853,537 1,563,078	12,639,142 1,721,954	26,784,883 2,991,828
Contract hours, direct-care Median	146,315.00 22,725	112,273.00 23,018.5	139,599.52 24,503.48	197,588.00 25,026.5	334,834.13 33,786
Contract wages, direct-care Median	71.06 64.67	66.89 64.53	63.42 65.06	63.97 68.97	79.99 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.