As of the July, 2022, release via CMS

TEXAS HEALTH DENTON

CMS id: 450743
207 NORTH BONNIE BRAE, DENTON TX 76201. County: DENTON
System: TEXAS HEALTH RESOURCES
CBSA: Dallas-Fort Worth-Arlington, TX

The 196-bed, acute-care hospital had $5,353,535 in net service to patients*, with a total profit margin of 7.41896% in fiscal year 2021, the latest year available.
It spent 13.10% of its operating expenses on uncompensated care and reported $0 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	178 118	166 118	166 119.5	166 118	166 119
Total beds Median	208 162	196 162	196 162	196 162	196 163.5
FTEs Median	952.41 788.06	941.00 793.42	919.80 806.03	1,425.14 787.61	886.75 804.34

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	206,447,015 150,932,746	209,291,596 158,950,878	221,236,260 168,696,998	211,284,164 163,454,693	219,716,466 186,589,412
Operating expenses Median	194,808,362 149,311,209	195,909,556 156,110,414	203,065,215 164,890,568	204,306,827 166,516,854	214,362,931 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,638,653 -964,173	13,382,040 -643,601.5	18,171,045 -116,254	6,977,337 -5,025,862	5,353,535 -1,284,564
NS2P margin ? Median	5.64% -0.62	6.39% -0.29	8.21% 0.18	3.30% -5.07	2.44% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TEXAS HEALTH DENTON 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	9,871,161 5,089,215	8,858,355 4,572,541	11,634,218 5,268,134	14,173,516 13,092,619	11,824,383 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	30,000 224,999	46,195 199,009	96,433 206,870.5	2,414 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	29,926 299,524	18,861 188,688.5	10,115 370,813	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	68,393	0
⊳ Line 12: Parking lot receipts	15,404	460,081	6,000	0	70,594
⊳ Line 13: Revenue from laundry and linen service	0	0	0	673,311	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	559,918	544,256	519,925	0	364,990
⊳ 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	1,224	0
⊳ Line 17: Revenue from sale of drugs to other than patients	9,956	8,400	9,652	0	5,978
⊳ 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	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	933	85	87	0	71,766
⊳ Line 21: Rental of vending machines	0	33,149	118,997	20,152	0
⊳ Line 22: Rental of hospital space	309,208	308,295	306,757	0	298,534
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	1,079,049 1,987,202	1,538,655 1,597,664
⊳ Sum Line 24	8,915,816	7,439,033	10,566,252	12,328,973	9,473,866
Total income ? Median	21,509,814 6,586,430	22,240,395 6,767,106	29,805,263 8,419,950	21,150,853 8,094,175	17,177,918 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	4 89,880.5	0 106,761	4 31,473.5
Net income Median	21,509,814 6,043,842	22,240,395 5,845,112	29,805,259 7,606,259	21,150,853 7,283,041	17,177,914 14,957,241
Net margin Median	9.94360% 4.62%	10.19500% 4.42%	12.79907% 5.16%	9.38130% 5.2%	7.41896% 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 TEXAS HEALTH DENTON 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	31,447,579 23,241,334	33,276,141 23,709,545	32,263,426 24,248,380	32,774,141 22,858,541	34,190,701 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	31,447,579 21,577,146	33,276,141 22,041,594	32,263,426 22,722,063	32,774,141 21,570,441	34,190,701 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	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	10,286,651 11,160,864	11,121,010 11,987,345	12,784,270 12,926,866	11,917,382 11,884,480	11,133,687 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	10,286,651 10,918,923	11,121,010 11,706,976	12,784,270 12,615,917	11,917,382 11,458,116	11,133,687 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	540,154 594,888	552,118 595,761	537,774 577,894	501,351 542,168	461,953 549,667
Outlier Median	880,492 582,572	668,776 538,116	895,614 212,434	33,088 126,559	64,930 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	134,289 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	18,542,030 2,654,636	8,954,103 2,940,659	17,372,827 3,380,215	21,196,143 3,488,738	22,899,345 3,233,405
Uncompensated care (UCC) Median	21,640,570 5,147,790	12,132,321 5,337,617	21,267,204 5,711,082	27,531,623 5,923,418	28,087,985 5,508,107
UCC as a % of operating expenses Median	11.11% 3.24	6.19% 3.12	10.47% 3.21	13.48% 3.3	13.10% 2.86
Total shortfall/UCC Median	21,640,570 9,489,989	12,266,610 9,424,297	21,267,204 10,120,158	27,531,623 11,171,337	28,087,985 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	68,064,353 52,142,039	70,275,039 54,485,252	71,274,896 57,395,589	73,218,845 58,830,919	77,222,510 61,722,907
Salaries as a % of operating expenses Median	34.94 36.68	35.87 36.56	35.10 36.37	35.84 35.93	36.02 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	3,001,806 1,449,244	2,511,975 1,475,986	2,206,295 1,563,078	1,923,403 1,721,954	950,427 2,991,828
Contract hours, direct-care Median	45,280.59 22,725	36,617.00 23,018.5	29,969.00 24,503.48	26,254.01 25,026.5	12,189.62 33,786
Contract wages, direct-care Median	66.29 64.67	68.60 64.53	73.62 65.06	73.26 68.97	77.97 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.