As of the July, 2022, release via CMS

MEDICAL CITY LAS COLINAS

CMS id: 450822
6800 N. MACARTHUR BLVD, IRVING TX 75039. County: DALLAS
System: HCA
CBSA: Dallas-Fort Worth-Arlington, TX

The 84-bed, acute-care hospital had $22,289,933 in net service to patients*, with a total profit margin of 18.73935% in fiscal year 2021, the latest year available.
It spent 13.77% of its operating expenses on uncompensated care and reported $2,861,779 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	66 118	66 118	66 119.5	70 118	70 119
Total beds Median	80 162	80 162	80 162	84 162	84 163.5
FTEs Median	359.34 788.06	367.75 793.42	381.79 806.03	361.98 787.61	364.14 804.34

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	94,864,124 150,932,746	98,838,188 158,950,878	105,181,448 168,696,998	104,903,587 163,454,693	121,004,940 186,589,412
Operating expenses Median	86,750,402 149,311,209	89,272,270 156,110,414	94,167,686 164,890,568	89,686,830 166,516,854	98,715,007 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,113,722 -964,173	9,565,918 -643,601.5	11,013,762 -116,254	15,216,757 -5,025,862	22,289,933 -1,284,564
NS2P margin ? Median	8.55% -0.62	9.68% -0.29	10.47% 0.18	14.51% -5.07	18.42% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDICAL CITY LAS COLINAS 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	851,778 5,089,215	760,589 4,572,541	551,121 5,268,134	339,507 13,092,619	474,533 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	33,047	1,641	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	382,150	428,046	358,871	175,684	252,821
⊳ Line 15: Revenue from rental of living quarters	900	328	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	26,000	23,350	19,000	8,750	4,750
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	91,334	92,800	103,762
⊳ 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	820	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	8,795	8,201	5,701	6,583	3,810
⊳ Line 22: Rental of hospital space	4,992	1,093	3,662	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	395,894	297,110	72,553	55,690	109,390
Total income ? Median	8,965,500 6,586,430	10,326,507 6,767,106	11,564,883 8,419,950	15,556,264 8,094,175	22,764,466 15,162,888
Non-operating expenses Median	0 146,289.5	-23,502 164,857	-42 89,880.5	-13 106,761	3 31,473.5
Net income Median	8,965,500 6,043,842	10,350,009 5,845,112	11,564,925 7,606,259	15,556,277 7,283,041	22,764,463 14,957,241
Net margin Median	9.36678% 4.62%	10.39170% 4.42%	10.93790% 5.16%	14.78128% 5.2%	18.73935% 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 LAS COLINAS 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	6,470,577 23,241,334	6,427,689 23,709,545	8,214,747 24,248,380	8,984,757 22,858,541	8,325,188 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	6,470,577 21,577,146	6,427,689 22,041,594	8,214,747 22,722,063	8,984,757 21,570,441	8,325,188 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	2,012,072 11,160,864	1,887,756 11,987,345	1,894,344 12,926,866	1,516,160 11,884,480	1,766,837 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	2,012,072 10,918,923	1,887,756 11,706,976	1,894,344 12,615,917	1,516,160 11,458,116	1,766,837 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	151,493 594,888	151,843 595,761	171,949 577,894	174,194 542,168	159,700 549,667
Outlier Median	55,164 582,572	33,973 538,116	11,750 212,434	27,156 126,559	40,225 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	41,781 3,662,910	40,968 3,730,911	1,425,071 4,081,319	58,436 4,643,908	2,861,779 4,389,147
Charity care Median	7,297,024 2,654,636	8,717,892 2,940,659	9,574,996 3,380,215	9,680,812 3,488,738	12,225,255 3,233,405
Uncompensated care (UCC) Median	8,835,432 5,147,790	10,268,122 5,337,617	11,189,193 5,711,082	11,299,516 5,923,418	13,593,374 5,508,107
UCC as a % of operating expenses Median	10.18% 3.24	11.50% 3.12	11.88% 3.21	12.60% 3.3	13.77% 2.86
Total shortfall/UCC Median	8,877,213 9,489,989	10,309,090 9,424,297	12,614,264 10,120,158	11,357,952 11,171,337	16,455,153 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	27,093,207 52,142,039	28,399,143 54,485,252	30,204,027 57,395,589	29,596,059 58,830,919	30,654,271 61,722,907
Salaries as a % of operating expenses Median	31.23 36.68	31.81 36.56	31.98 36.37	32.89 35.93	30.96 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	4,163,498 1,449,244	3,162,183 1,475,986	2,975,781 1,563,078	4,620,182 1,721,954	724,615 2,991,828
Contract hours, direct-care Median	72,140.02 22,725	66,814.65 23,018.5	65,264.00 24,503.48	76,521.00 25,026.5	23,509.00 33,786
Contract wages, direct-care Median	57.71 64.67	47.33 64.53	45.60 65.06	60.38 68.97	30.82 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.