As of the July, 2022, release via CMS

ST. DAVIDS MEDICAL CENTER

CMS id: 450431
919 EAST 32ND STREET, AUSTIN TX 78765. County: TRAVIS
System: HCA
CBSA: Austin-Round Rock-Georgetown, TX

The 606-bed, acute-care hospital had $217,823,334 in net service to patients*, with a total profit margin of 26.05367% in fiscal year 2021, the latest year available.
It spent 5.36% of its operating expenses on uncompensated care and reported $214,054 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	370 118	370 118	369 119.5	369 118	383 119
Total beds Median	588 162	588 162	592 162	592 162	606 163.5
FTEs Median	2,445.72 788.06	2,477.27 793.42	2,520.95 806.03	2,415.95 787.61	2,378.61 804.34

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	681,294,002 150,932,746	727,977,025 158,950,878	746,488,903 168,696,998	748,887,158 163,454,693	845,784,031 186,589,412
Operating expenses Median	520,248,354 149,311,209	535,615,530 156,110,414	567,004,323 164,890,568	567,273,563 166,516,854	627,960,697 180,120,888
Net income from service 2 patients (NS2P) ? Median	161,045,648 -964,173	192,361,495 -643,601.5	179,484,580 -116,254	181,613,595 -5,025,862	217,823,334 -1,284,564
NS2P margin ? Median	23.64% -0.62	26.42% -0.29	24.04% 0.18	24.25% -5.07	25.75% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. DAVIDS 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	6,192,689 5,089,215	6,649,984 4,572,541	6,388,032 5,268,134	5,649,664 13,092,619	3,427,418 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	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	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	759,203	0	545,970	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,993,647	2,654,487	2,095,356	1,305,075	1,264,141
⊳ 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	75	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	23,248	30,777	0
⊳ Line 21: Rental of vending machines	440,925	480,615	474,649	455,163	0
⊳ Line 22: Rental of hospital space	0	0	1,642,285	2,062,402	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	3,758,117	2,755,604	2,152,494	1,250,277	2,163,277
Total income ? Median	167,238,337 6,586,430	199,011,479 6,767,106	185,872,612 8,419,950	187,263,259 8,094,175	221,250,752 15,162,888
Non-operating expenses Median	-8 146,289.5	-9 164,857	420 89,880.5	35 106,761	26 31,473.5
Net income Median	167,238,345 6,043,842	199,011,488 5,845,112	185,872,192 7,606,259	187,263,224 7,283,041	221,250,726 14,957,241
Net margin Median	24.32605% 4.62%	27.09014% 4.42%	24.68826% 5.16%	24.81830% 5.2%	26.05367% 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 ST. DAVIDS 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	143,015,268 23,241,334	149,563,548 23,709,545	152,635,430 24,248,380	141,755,123 22,858,541	147,459,947 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	118,445,824 21,577,146	124,632,638 22,041,594	125,447,539 22,722,063	115,373,007 21,570,441	119,213,498 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	24,569,444 3,535,627	24,930,910 3,746,588	27,187,891 3,782,288	26,382,116 3,865,578	28,246,449 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	53,515,697 11,160,864	51,845,629 11,987,345	52,723,962 12,926,866	50,254,068 11,884,480	56,368,548 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	53,515,697 10,918,923	51,845,629 11,706,976	52,723,962 12,615,917	50,254,068 11,458,116	56,368,548 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	4,751,839 594,888	4,194,108 595,761	4,356,338 577,894	3,891,552 542,168	4,461,221 549,667
Outlier Median	4,418,729 582,572	3,949,230 538,116	1,162,045 212,434	1,176,158 126,559	1,369,985 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	270,573 3,662,910	22,210 3,730,911	270,665 4,081,319	435,505 4,643,908	214,054 4,389,147
Charity care Median	26,750,280 2,654,636	31,364,278 2,940,659	32,775,341 3,380,215	30,484,008 3,488,738	31,340,322 3,233,405
Uncompensated care (UCC) Median	30,492,788 5,147,790	34,916,281 5,337,617	35,601,140 5,711,082	33,054,934 5,923,418	33,642,154 5,508,107
UCC as a % of operating expenses Median	5.86% 3.24	6.52% 3.12	6.28% 3.21	5.83% 3.3	5.36% 2.86
Total shortfall/UCC Median	30,763,361 9,489,989	34,938,491 9,424,297	35,871,805 10,120,158	33,490,439 11,171,337	33,856,208 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	164,509,324 52,142,039	171,140,901 54,485,252	177,777,694 57,395,589	175,610,610 58,830,919	187,579,135 61,722,907
Salaries as a % of operating expenses Median	31.59 36.68	31.92 36.56	31.33 36.37	30.93 35.93	29.84 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	10,827,743 1,449,244	8,843,779 1,475,986	10,046,962 1,563,078	13,986,442 1,721,954	2,761,635 2,991,828
Contract hours, direct-care Median	179,885.00 22,725	150,769.00 23,018.5	177,671.00 24,503.48	188,593.07 25,026.5	33,714.00 33,786
Contract wages, direct-care Median	60.19 64.67	58.66 64.53	56.55 65.06	74.16 68.97	81.91 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.