As of the July, 2022, release via CMS

NORTH AUSTIN MEDICAL CENTER

CMS id: 450809
12221 NORTH MOPAC EXPRESSWAY, AUSTIN TX 78758. County: TRAVIS
System: HCA INC
CBSA: Austin-Round Rock-Georgetown, TX

The 412-bed, acute-care hospital had $174,012,918 in net service to patients*, with a total profit margin of 31.36987% in fiscal year 2021, the latest year available.
It spent 7.98% of its operating expenses on uncompensated care and reported $28,289,544 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	294 118	295 118	290 119.5	293 118	293 119
Total beds Median	396 162	397 162	393 162	402 162	412 163.5
FTEs Median	1,604.47 788.06	1,617.27 793.42	1,689.08 806.03	1,689.15 787.61	1,683.46 804.34

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	395,638,089 150,932,746	440,149,022 158,950,878	478,893,374 168,696,998	496,597,527 163,454,693	541,474,333 186,589,412
Operating expenses Median	296,200,127 149,311,209	323,193,079 156,110,414	337,083,843 164,890,568	355,612,800 166,516,854	367,461,415 180,120,888
Net income from service 2 patients (NS2P) ? Median	99,437,962 -964,173	116,955,943 -643,601.5	141,809,531 -116,254	140,984,727 -5,025,862	174,012,918 -1,284,564
NS2P margin ? Median	25.13% -0.62	26.57% -0.29	29.61% 0.18	28.39% -5.07	32.14% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH AUSTIN 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	1,664,740 5,089,215	2,243,143 4,572,541	1,896,718 5,268,134	11,103,560 13,092,619	-6,051,423 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	0	1,489,684	1,440,918	1,654,889	1,833,767
⊳ 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	235,405
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	35,312	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	17,825	0	0	0	9,340
⊳ 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	1,611,603	753,459	455,800	9,448,671	-8,129,935
Total income ? Median	101,102,702 6,586,430	119,199,086 6,767,106	143,706,249 8,419,950	152,088,287 8,094,175	167,961,495 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	101,102,702 6,043,842	119,199,086 5,845,112	143,706,249 7,606,259	152,088,287 7,283,041	167,961,495 14,957,241
Net margin Median	25.44726% 4.62%	26.94421% 4.42%	29.88960% 5.16%	29.95627% 5.2%	31.36987% 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 NORTH AUSTIN 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	55,288,541 23,241,334	57,118,062 23,709,545	60,373,362 24,248,380	56,690,601 22,858,541	57,586,537 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	50,527,297 21,577,146	52,882,223 22,041,594	55,473,244 22,722,063	52,432,041 21,570,441	52,520,711 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	4,761,244 3,535,627	4,235,839 3,746,588	4,900,118 3,782,288	4,258,560 3,865,578	5,065,826 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	13,629,295 11,160,864	15,707,899 11,987,345	17,112,976 12,926,866	16,461,502 11,884,480	22,129,501 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	13,629,295 10,918,923	15,707,899 11,706,976	17,112,976 12,615,917	16,461,502 11,458,116	22,129,501 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	10,045 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	1,458,449 594,888	1,412,303 595,761	1,334,392 577,894	1,296,858 542,168	1,288,005 549,667
Outlier Median	1,705,883 582,572	1,794,831 538,116	2,349,521 212,434	497,234 126,559	733,885 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	53,671 3,662,910	153,753 3,730,911	64,846 4,081,319	0 4,643,908	28,289,544 4,389,147
Charity care Median	19,962,344 2,654,636	23,892,839 2,940,659	26,087,461 3,380,215	29,322,405 3,488,738	26,674,033 3,233,405
Uncompensated care (UCC) Median	22,893,288 5,147,790	26,872,753 5,337,617	28,978,561 5,711,082	31,988,594 5,923,418	29,316,138 5,508,107
UCC as a % of operating expenses Median	7.73% 3.24	8.31% 3.12	8.60% 3.21	9.00% 3.3	7.98% 2.86
Total shortfall/UCC Median	22,946,959 9,489,989	27,026,506 9,424,297	29,043,407 10,120,158	31,988,594 11,171,337	57,605,682 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	100,609,585 52,142,039	111,453,660 54,485,252	119,537,437 57,395,589	122,045,580 58,830,919	125,748,390 61,722,907
Salaries as a % of operating expenses Median	34.09 36.68	34.47 36.56	35.45 36.37	34.29 35.93	34.21 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	10,375,265 1,449,244	7,691,549 1,475,986	6,795,595 1,563,078	9,447,647 1,721,954	13,616,052 2,991,828
Contract hours, direct-care Median	189,586.88 22,725	129,520.28 23,018.5	107,702.00 24,503.48	167,828.80 25,026.5	190,965.07 33,786
Contract wages, direct-care Median	54.73 64.67	59.38 64.53	63.10 65.06	56.29 68.97	71.30 88.94

* in an approved program

Return to top

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.