As of the July, 2022, release via CMS

MEDICAL CITY DALLAS

CMS id: 450647
7777 FOREST LANE, DALLAS TX 75230. County: DALLAS
System: HCA INC
CBSA: Dallas-Fort Worth-Arlington, TX

The 836-bed, acute-care hospital had $404,694,586 in net service to patients*, with a total profit margin of 40.72325% in fiscal year 2020, the latest year available.
It spent 9.14% of its operating expenses on uncompensated care and reported $14,196,865 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	473 118	524 118	576 119.5	601 118	601 119
Total beds Median	689 162	740 162	793 162	836 162	836 163.5
FTEs Median	2,402.44 788.06	2,572.30 793.42	2,735.85 806.03	2,817.52 787.61	2,801.24 804.34

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	800,489,698 150,932,746	891,748,599 158,950,878	970,112,890 168,696,998	999,316,895 163,454,693	0 186,589,412
Operating expenses Median	495,893,553 149,311,209	531,251,133 156,110,414	572,235,593 164,890,568	594,622,309 166,516,854	667,092,617 180,120,888
Net income from service 2 patients (NS2P) ? Median	304,596,145 -964,173	360,497,466 -643,601.5	397,877,297 -116,254	404,694,586 -5,025,862	-667,092,617 -1,284,564
NS2P margin ? Median	38.05% -0.62	40.43% -0.29	41.01% 0.18	40.50% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDICAL CITY DALLAS 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	3,072,529 5,089,215	3,071,115 4,572,541	4,177,304 5,268,134	3,812,232 13,092,619	0 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	75,333 199,009	113,548 206,870.5	34,044 194,343	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	90,126	3,129	-1,100	-8,201	0
⊳ Line 13: Revenue from laundry and linen service	10,862	12,981	16,762	11,956	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,747,349	1,745,808	1,780,541	1,617,744	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	67,630	74,810	64,363	30,271	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	697	42,531	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	101,330	79,500	13,949	36,707	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	69,739	76,314	70,007	80,997	0
⊳ Line 22: Rental of hospital space	200,500	363,050	204,239	204,365	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	784,993	639,493	1,872,464	1,804,349	--
Total income ? Median	307,668,674 6,586,430	363,568,581 6,767,106	402,054,601 8,419,950	408,506,818 8,094,175	-667,092,617 15,162,888
Non-operating expenses Median	0 146,289.5	43 164,857	-31 89,880.5	-6 106,761	0 31,473.5
Net income Median	307,668,674 6,043,842	363,568,538 5,845,112	402,054,632 7,606,259	408,506,824 7,283,041	-667,092,617 14,957,241
Net margin Median	38.28810% 4.62%	40.63037% 4.42%	41.26641% 5.16%	40.72325% 5.2%	--% 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 MEDICAL CITY DALLAS 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	86,878,265 23,241,334	94,887,071 23,709,545	109,272,887 24,248,380	105,589,566 22,858,541	118,970,522 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	83,380,549 21,577,146	88,370,874 22,041,594	102,011,544 22,722,063	98,917,718 21,570,441	110,354,806 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	3,497,716 3,535,627	6,516,197 3,746,588	7,261,343 3,782,288	6,671,848 3,865,578	8,615,716 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	18,296,585 11,160,864	20,659,218 11,987,345	22,504,726 12,926,866	20,425,517 11,884,480	22,195,287 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	18,296,585 10,918,923	20,659,218 11,706,976	22,504,726 12,615,917	20,425,517 11,458,116	22,195,287 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	68,250 3,284,314	62,879 3,250,551	70,122 3,386,837	68,558 3,360,806	63,250 3,508,953
Disproportionate-share hospital (DSH) Median	2,482,195 594,888	2,618,809 595,761	2,896,638 577,894	2,718,291 542,168	2,604,008 549,667
Outlier Median	10,605,651 582,572	10,605,092 538,116	14,807,669 212,434	2,529,338 126,559	3,085,830 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	102,411 3,662,910	419,981 3,730,911	8,517,139 4,081,319	14,196,865 4,643,908	223,939 4,389,147
Charity care Median	34,736,707 2,654,636	31,357,851 2,940,659	37,890,297 3,380,215	48,677,455 3,488,738	40,724,649 3,233,405
Uncompensated care (UCC) Median	40,612,940 5,147,790	36,529,140 5,337,617	43,283,363 5,711,082	54,332,978 5,923,418	45,462,412 5,508,107
UCC as a % of operating expenses Median	8.19% 3.24	6.88% 3.12	7.56% 3.21	9.14% 3.3	6.82% 2.86
Total shortfall/UCC Median	40,715,351 9,489,989	36,949,121 9,424,297	51,800,502 10,120,158	68,529,843 11,171,337	45,686,351 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	175,921,434 52,142,039	192,913,531 54,485,252	208,331,671 57,395,589	216,231,185 58,830,919	223,030,356 61,722,907
Salaries as a % of operating expenses Median	35.37 36.68	36.18 36.56	36.34 36.37	35.09 35.93	33.43 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	64,362 1,251,927	69,141 1,186,494	81,829 1,204,885	72,616 1,279,653	50,119 1,469,317
Contract adjusted salaries, direct-care Median	14,130,013 1,449,244	10,486,278 1,475,986	9,067,190 1,563,078	10,900,968 1,721,954	18,834,400 2,991,828
Contract hours, direct-care Median	212,496.33 22,725	172,787.70 23,018.5	178,930.01 24,503.48	211,631.27 25,026.5	282,702.48 33,786
Contract wages, direct-care Median	66.50 64.67	60.69 64.53	50.67 65.06	51.51 68.97	66.62 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.