Velarion Records

Public registries, as they were filed.

Record report · CMS certification number 450362

HIGHLAND LAKES MEDICAL CENTER

AUSTIN, Texas · short-term acute care hospital

1. Finances, as filed

From this hospital’s Medicare cost report for the year ended 30 June 2005.

FigureAs filedWhere it comes from
Total patient revenue$33,716,747CMS-2552-96 worksheet G300000 line 100 column 100
Contractual allowances$16,103,096CMS-2552-96 worksheet G300000 line 200 column 100
Net patient revenue$17,613,651CMS-2552-96 worksheet G300000 line 300 column 100
Total operating expenses$18,198,694CMS-2552-96 worksheet G300000 line 400 column 100
Income from service to patients−$585,043CMS-2552-96 worksheet G300000 line 500 column 100
Total facility beds30CMS-2552-96 worksheet S300001 line 1200 column 100

Cost report filed under CMS certification number 450362 for 1 July 2004 to 30 June 2005, reopened. The public file it was read from.

2. Five hospitals in Texas of a similar size, for fiscal year 2005

Chosen for having bed counts close to this hospital’s, and listed by name. Not the state’s largest hospitals: a comparison only means something between hospitals of roughly the same size, and only across the same fiscal year. Each figure is that hospital’s own filing; the day each fiscal year ends differs and is shown.

HospitalBedsNet patient revenueTotal operating expensesCharity care, at costUncompensated care, at costPeriod ended
EL PASO SPECIALTY HOSPITAL31$25,009,036$19,554,74831 December 2005
ETMC-MOUNT VERNON30$5,238,497$6,038,41030 November 2005
HIGHLAND LAKES MEDICAL CENTER30$17,613,651$18,198,69430 June 2005
JACKSON COUNTY HOSPITAL31$2,544,877$3,543,51228 February 2005
LLANO MEMORIAL HOSPITAL30$17,406,560$21,938,53731 May 2005
WARD MEMORIAL HOSPITAL30$5,133,866$7,296,71530 December 2005

3. Where this hospital sits

A position, not a score: the hospitals are counted, not ranked. Each line names the hospitals the position was taken over.

  • 66thpercentile of 180 hospitals in TX, same facility class, 25 to 49 bedsNet patient revenue

Net patient revenue across every hospital filing for 2005, with this one marked.

This hospital$5,637,196$242,273,790

Middle half between $11,902,789 and $108,008,022, midpoint $33,562,839, across 5,906 hospitals.

  • 64thpercentile of 180 hospitals in TX, same facility class, 25 to 49 bedsTotal operating expenses

Total operating expenses across every hospital filing for 2005, with this one marked.

This hospital$6,635,214$245,060,462

Middle half between $12,337,162 and $108,794,378, midpoint $34,084,894, across 5,993 hospitals.

  • 42ndpercentile of 180 hospitals in TX, same facility class, 25 to 49 bedsTotal facility beds

Total facility beds across every hospital filing for 2005, with this one marked.

This hospital20313

Middle half between 26 and 173, midpoint 74, across 6,028 hospitals.

4. Executive compensation and community benefit

Not in this report. Executive pay is filed on IRS Form 990 Part VII and community benefit on its Schedule H, under an employer identification number. Neither the 340B register nor the Medicare cost report carries that number, so nothing on either document identifies the same organization.

Every cost report on file

One row per filing, oldest first until you say otherwise. Every column orders both ways. Reporting periods differ between filings and the length of each is shown, because revenue over three months set beside revenue over twelve is a wrong number that looks right.

9 filings, ordered by Fiscal year
Fiscal year Period ended Days Form Status Beds Net patient revenue Total operating expenses Income from service to patients Charity care, at cost Uncompensated care, at cost Bad debt expense Cost-to-charge ratio Stamped by CMS
19971997-06-30364CMS-2552-96settled37$8,151,113$8,559,755−$408,6421999-09-07
19981998-06-30149CMS-2552-96settled37$9,257,944$3,833,409$5,424,5352000-10-31
19991999-06-30364CMS-2552-96reopened37$11,210,377$10,747,654$462,7232005-11-04
20002000-06-30365CMS-2552-96reopened37$11,087,498$10,692,844$394,6542005-11-04
20012001-06-30364CMS-2552-96settled28$11,092,024$11,048,945$43,0792004-09-29
20022002-06-30364CMS-2552-96settled28$14,077,553$12,559,262$1,518,2912004-08-27
20032003-06-30364CMS-2552-96reopened28$14,360,067$14,412,749−$52,6822007-07-25
20042004-06-30365CMS-2552-96settled30$15,511,883$17,231,274−$1,719,3912006-02-07
20052005-06-30364CMS-2552-96reopened30$17,613,651$18,198,694−$585,0432007-10-16

How to read this report

Every figure above is printed as its source document printed it, with the exact place it came from beside it: the worksheet, line and column of the Medicare cost report this hospital filed under CMS certification number 450362. A reader holding the same public file can go to that cell.

Where this hospital is on the 340B covered-entity register, the registration facts come from the HRSA 340B OPAIS Covered Entity Daily Report. The two documents name the same hospital because they carry the same certification number, not because their names resemble each other.

A figure the hospital’s filing does not carry is left out. A figure whose value the filing’s own arithmetic contradicts is also left out. A year filed as submitted whose figures differ from the prior filing by more than the factor stated on the methodology page is marked beside the figure and left out of the distributions and the peer table until a settled version posts. Nothing here is estimated and nothing is carried in from another year.

No percentage or ratio is calculated anywhere in this report. Charity care and revenue sit in adjacent rows and the reader draws the relation.

Financial figures: CMS Healthcare Cost Report Information System, publication year 2004, file HOSPFY2004.ZIP. Corrections: hello@velarionrecords.com. Velarion Records takes no position on the 340B Drug Pricing Program or anyone taking part in it.

Everything above, in a document you can hand to a board or attach to a memo — each figure printed with the worksheet, line and column of the form it was read from, so the first question in the room is already answered.

The full report for HIGHLAND LAKES MEDICAL CENTER

One hospital, both registers, five hospitals of its own size in its own state — as it stands today, in a file that keeps saying what it said on the day you bought it.

How the figures are built

Every value is the one its source document printed, shown with the file it came from and the date its publisher stamped inside it. Nothing is estimated, and nothing is carried in from another year. How each figure is defined.

Who publishes this

Velarion Company Intelligence · Andrew Richardson, founder. The name is on every page, and corrections reach a person: hello@velarionrecords.com. About this publication.

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