MEDICAL CITY DECATUR — financial and operating metrics

CCN 450271, DECATUR, TX · Medicare cost reports, FY2019–FY2024

Short reporting period. FY2024 (182 days) covers less than a full year, usually because the hospital changed its fiscal year end, opened, closed or changed hands. Its totals are not comparable with the full years beside them, and no figure here has been scaled up to disguise that.

Unverified figures. Metrics marked unverified are derived from cost-report coordinates that have not yet been reconciled against audited financial statements. We show you which, rather than hiding it.

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MetricFY2019FY2020FY2021FY2022FY2023FY2024
182d
Total facility beds availableunverified818181818197
Total bed days availableunverified29,56529,64629,56529,56527,05417,751
Total facility dischargesunverified4,1554,2954,7674,4874,0162,224
Total facility inpatient daysunverified19,06115,81719,41517,08315,4829,067
Total patient revenue (gross charges)unverified$1,196,080,021$1,313,279,196$1,386,921,720$1,434,361,411$1,180,026,076$751,581,796
Contractual allowances and discountsunverified$817,316,313$870,971,115$976,628,011$1,073,388,830$914,430,267$685,169,843
Net patient revenueunverified$378,763,708$442,308,081$410,293,709$360,972,581$265,595,809$66,411,953
Total operating expensesunverified$378,245,775$431,511,231$432,725,346$416,995,846$356,715,093$96,273,222
Net income from service to patientsunverified$517,933$10,796,850$-22,431,637$-56,023,265$-91,119,284$-29,861,269
Net incomeunverified$23,341,527$37,622,618$-9,427,327$-45,006,569$-72,010,641$-29,433,032
Cost of uncompensated careunverified$24,416,539$35,106,946$23,869,388$18,361,152$13,362,726$2,104,697
Total facility bad debt expenseunverified$31,752,448$39,689,780$53,099,902$32,192,305$22,660,878$14,237
Charity care charges and uninsured discountsunverified$41,429,381$66,571,692$31,330,517$40,357,412$40,096,792$20,601,834
Cost of charity careunverified$16,294,080$25,364,614$11,928,717$11,637,448$8,923,368$2,103,354
Charges for insured patients' liabilityunverified$346,994
Operating marginunverified0.1%2.4%-5.5%-15.5%-34.3%-45.0%
Overall cost-to-charge ratiounverified31.6%32.9%31.2%29.1%30.2%12.8%
Occupancy rateunverified64.5%53.4%65.7%57.8%57.2%51.1%
Average length of stayunverified4.63.74.13.83.94.1
Uncompensated care as % of operating expenseunverified6.5%8.1%5.5%4.4%3.7%2.2%
Charity care cost-to-charge ratiounverified39.3%38.1%38.1%28.8%22.3%10.2%
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