As of the July, 2022, release via CMS

MEDICAL CITY PLANO

CMS id: 450651
3901 WEST 15TH STREET, PLANO TX 75075. County: COLLIN
System: HCA
CBSA: Dallas-Fort Worth-Arlington, TX

The 577-bed, acute-care hospital had $271,002,383 in net service to patients*, with a total profit margin of 35.94269% in fiscal year 2021, the latest year available.
It spent 9.40% of its operating expenses on uncompensated care and reported $82,921 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	304 118	325 118	324 119.5	338 118	372 119
Total beds Median	437 162	458 162	461 162	479 162	577 163.5
FTEs Median	1,641.81 788.06	1,790.27 793.42	1,955.84 806.03	2,154.57 787.61	2,121.00 804.34

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	475,283,254 150,932,746	544,453,348 158,950,878	636,387,551 168,696,998	691,771,377 163,454,693	757,941,108 186,589,412
Operating expenses Median	376,782,032 149,311,209	397,927,710 156,110,414	438,374,171 164,890,568	489,282,884 166,516,854	486,938,725 180,120,888
Net income from service 2 patients (NS2P) ? Median	98,501,222 -964,173	146,525,638 -643,601.5	198,013,380 -116,254	202,488,493 -5,025,862	271,002,383 -1,284,564
NS2P margin ? Median	20.72% -0.62	26.91% -0.29	31.12% 0.18	29.27% -5.07	35.76% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDICAL CITY PLANO 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	4,069,321 5,089,215	3,006,309 4,572,541	3,101,594 5,268,134	2,887,712 13,092,619	2,219,947 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	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	1,078,518	0	1,267,885	1,249,354	750,964
⊳ 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	1,165	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	1,240	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	500	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	4,200	0	12,410	16,768	5,375
⊳ Line 21: Rental of vending machines	6,152	0	37,938	94,400	30,918
⊳ Line 22: Rental of hospital space	0	0	0	0	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	2,979,211	3,006,309	1,782,196	1,526,690	1,432,690
Total income ? Median	102,570,543 6,586,430	149,531,947 6,767,106	201,114,974 8,419,950	205,376,205 8,094,175	273,222,330 15,162,888
Non-operating expenses Median	0 146,289.5	30 164,857	-71 89,880.5	71,992 106,761	1 31,473.5
Net income Median	102,570,543 6,043,842	149,531,917 5,845,112	201,115,045 7,606,259	205,304,213 7,283,041	273,222,329 14,957,241
Net margin Median	21.39772% 4.62%	27.31378% 4.42%	31.44933% 5.16%	29.55467% 5.2%	35.94269% 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 PLANO 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	70,311,255 23,241,334	77,248,053 23,709,545	97,458,855 24,248,380	109,176,892 22,858,541	115,097,026 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	63,888,727 21,577,146	71,246,127 22,041,594	90,735,788 22,722,063	101,615,258 21,570,441	104,361,714 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	6,422,528 3,535,627	6,001,926 3,746,588	6,723,067 3,782,288	7,561,634 3,865,578	10,735,312 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	12,147,477 11,160,864	13,773,506 11,987,345	17,105,745 12,926,866	17,515,432 11,884,480	14,318,512 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	12,147,477 10,918,923	13,773,506 11,706,976	17,105,745 12,615,917	17,515,432 11,458,116	14,318,512 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	275,555 3,508,953
Disproportionate-share hospital (DSH) Median	752,540 594,888	807,283 595,761	2,405,148 577,894	1,057,584 542,168	984,666 549,667
Outlier Median	5,026,151 582,572	5,155,716 538,116	6,279,704 212,434	1,337,352 126,559	1,421,659 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	314,664 3,662,910	718,438 3,730,911	178,795 4,081,319	469,476 4,643,908	82,921 4,389,147
Charity care Median	42,193,213 2,654,636	39,110,958 2,940,659	39,251,852 3,380,215	44,011,336 3,488,738	41,261,351 3,233,405
Uncompensated care (UCC) Median	45,554,118 5,147,790	43,826,594 5,337,617	43,761,325 5,711,082	48,437,585 5,923,418	45,775,457 5,508,107
UCC as a % of operating expenses Median	12.09% 3.24	11.01% 3.12	9.98% 3.21	9.90% 3.3	9.40% 2.86
Total shortfall/UCC Median	45,868,782 9,489,989	44,545,032 9,424,297	43,940,120 10,120,158	48,907,061 11,171,337	45,858,378 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	118,459,335 52,142,039	134,007,908 54,485,252	148,873,062 57,395,589	167,956,171 58,830,919	168,019,734 61,722,907
Salaries as a % of operating expenses Median	31.44 36.68	33.56 36.56	33.90 36.37	34.22 35.93	34.49 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	11,680 2,937,156	98,915 2,909,848
Contract intern, resident salaries* Median	99,450 1,251,927	107,207 1,186,494	122,300 1,204,885	167,813 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	17,178,490 1,449,244	12,672,671 1,475,986	10,652,187 1,563,078	10,001,010 1,721,954	12,856,704 2,991,828
Contract hours, direct-care Median	283,101.62 22,725	232,720.98 23,018.5	237,880.00 24,503.48	214,341.42 25,026.5	248,063.00 33,786
Contract wages, direct-care Median	60.68 64.67	54.45 64.53	44.78 65.06	46.66 68.97	51.83 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.