As of the July, 2022, release via CMS

METHODIST RICHARDSON MEDICAL CENTER

CMS id: 450537
2831 E. PRESIDENT GEORGE BUSH HWY, RICHARDSON TX 75082. County: COLLIN
System: METHODIST HOSPITALS OF DALLAS
CBSA: Dallas-Fort Worth-Arlington, TX

The 298-bed, acute-care hospital had $68,370,578 in net service to patients*, with a total profit margin of 20.01690% in fiscal year 2021, the latest year available.
It spent 6.31% of its operating expenses on uncompensated care and reported $48,647 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	120 118	120 118	125 119.5	175 118	175 119
Total beds Median	216 162	216 162	223 162	273 162	298 163.5
FTEs Median	1,018.95 788.06	1,091.00 793.42	1,146.00 806.03	1,316.00 787.61	1,272.45 804.34

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	244,636,601 150,932,746	670,138,997 158,950,878	305,787,616 168,696,998	319,076,877 163,454,693	379,389,295 186,589,412
Operating expenses Median	216,953,353 149,311,209	241,049,412 156,110,414	264,000,153 164,890,568	271,062,316 166,516,854	311,018,717 180,120,888
Net income from service 2 patients (NS2P) ? Median	27,683,248 -964,173	429,089,585 -643,601.5	41,787,463 -116,254	48,014,561 -5,025,862	68,370,578 -1,284,564
NS2P margin ? Median	11.32% -0.62	64.03% -0.29	13.67% 0.18	15.05% -5.07	18.02% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for METHODIST RICHARDSON 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	3,259,294 5,089,215	993,607 4,572,541	3,133,020 5,268,134	9,301,586 13,092,619	9,466,240 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	202,957 224,999	21,338 199,009	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	462,509	-410,919	445,806	-369,781
⊳ Line 11: Rebates and refunds of expenses	0	0	527,603	527,603	0
⊳ Line 12: Parking lot receipts	0	0	49,775	45,250	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	781,111	0	1,252,499	1,184,963	939,229
⊳ 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	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	9,945	11,320	5,475	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	32,097	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	450,579	467,718	955,702	726,641	796,835
⊳ 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	1,824,647	--	747,040	6,365,848	8,099,957
Total income ? Median	30,942,542 6,586,430	430,083,192 6,767,106	44,920,483 8,419,950	57,316,147 8,094,175	77,836,818 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	30,942,542 6,043,842	430,083,192 5,845,112	44,920,483 7,606,259	57,316,147 7,283,041	77,836,818 14,957,241
Net margin Median	12.48207% 4.62%	64.08319% 4.42%	14.54111% 5.16%	17.45430% 5.2%	20.01690% 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 RICHARDSON 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	28,536,842 23,241,334	40,510,728 23,709,545	47,830,384 24,248,380	48,683,168 22,858,541	48,639,480 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	23,601,336 21,577,146	36,315,816 22,041,594	43,815,450 22,722,063	45,747,777 21,570,441	45,692,632 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	4,935,506 1,845,420	4,194,912 1,757,392	4,014,934 1,738,842	2,935,391 1,510,463	2,946,848 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	16,532,236 11,160,864	20,308,111 11,987,345	21,650,095 12,926,866	20,511,982 11,884,480	21,017,685 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	16,532,236 10,918,923	20,308,111 11,706,976	21,650,095 12,615,917	20,511,982 11,458,116	21,017,685 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	18,272 3,360,806	138,897 3,508,953
Disproportionate-share hospital (DSH) Median	471,786 594,888	661,328 595,761	709,410 577,894	726,212 542,168	639,019 549,667
Outlier Median	2,307,513 582,572	2,822,672 538,116	2,831,269 212,434	390,024 126,559	176,855 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	3,642,720 3,730,911	996,890 4,081,319	86,342 4,643,908	48,647 4,389,147
Charity care Median	15,274,089 2,654,636	2,547,876 2,940,659	9,047,049 3,380,215	15,973,409 3,488,738	10,304,493 3,233,405
Uncompensated care (UCC) Median	18,960,674 5,147,790	7,873,383 5,337,617	23,375,473 5,711,082	27,811,735 5,923,418	19,630,875 5,508,107
UCC as a % of operating expenses Median	8.74% 3.24	3.27% 3.12	8.85% 3.21	10.26% 3.3	6.31% 2.86
Total shortfall/UCC Median	18,960,674 9,489,989	11,516,103 9,424,297	24,372,363 10,120,158	27,898,077 11,171,337	19,679,522 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	74,610,276 52,142,039	82,119,311 54,485,252	88,967,687 57,395,589	96,142,801 58,830,919	106,731,457 61,722,907
Salaries as a % of operating expenses Median	34.39 36.68	34.07 36.56	33.70 36.37	35.47 35.93	34.32 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	5,896 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	67,653 1,279,653	142,045 1,469,317
Contract adjusted salaries, direct-care Median	1,645,693 1,449,244	2,092,699 1,475,986	2,264,068 1,563,078	2,283,921 1,721,954	2,283,921 2,991,828
Contract hours, direct-care Median	33,833.00 22,725	43,546.00 23,018.5	50,104.83 24,503.48	35,309.00 25,026.5	35,309.00 33,786
Contract wages, direct-care Median	48.64 64.67	48.06 64.53	45.19 65.06	64.68 68.97	64.68 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.