Astrelis
Urban PPS hospital · Dallas, TX

PARKLAND HEALTH & HOSPITAL SYSTEM

CCN 450015DALLAS CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)613 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Dallas, TX. It reported $1350.1M of operating revenue. It held 223 days of cash on hand (86th percentile of 1,446 Urban PPS hospitals on liquidity, FY25 pool). Only a single comparable reporting year is available, so trend context is limited.

Operating margin
Astrelis calculation unavailable
Days cash on hand · FY25
223d
all sources
Astrelis calculation · as-filed inputs
8 days vs FY24
vs Urban PPS hospitals86th pctl of 1,446 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$1.35B
Astrelis calculation · as-filed inputs
$161.0M vs FY24
vs Urban PPS hospitals91st pctl of 1,503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating
Astrelis calculation unavailable
One point of operating margin at PARKLAND HEALTH & HOSPITAL SYSTEM is about $13.5M per year (1% of FY25 total operating revenue).

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.

Operating margin
Not reported in source
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
Not reported in source
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
223d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
4.68× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
57% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
70d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue1,054,3121,172,5201,327,089
Other operating revenue14,06416,58722,992
Total operating revenue1,068,3761,189,1081,350,081
Total operating expenses2,700,6492,815,2253,041,037
Operating income(1,632,273)(1,626,118)(1,690,955)
Grants & contributions843,749858,960913,899
Investment income70,769106,17284,419
Other non-operating, net820,513792,414938,964
Net income102,758131,428246,327
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states. FY25 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -1,713,948K · Net patient revenue 1,327,089KFY24 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -1,642,705K · Net patient revenue 1,172,520KFY23 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -1,646,337K · Net patient revenue 1,054,312KFY22 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -1,403,046K · Net patient revenue 985,442KFY21 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -1,303,207K · Net patient revenue 938,711KFY20 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -1,176,528K · Net patient revenue 885,095K

How it operates

quality & operational context · CMS public reporting

A 613-bed hospital running at 68% occupancy, where 65% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.

Scale and flow
Occupancy
67.6%
Reported value2025
HCRIS WS S-3
Average daily census
439.01
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
613
Reported value2025
HCRIS WS S-3
Annual discharges
48,407
Reported value2025
HCRIS WS S-3
Average length of stay
3 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$19,030
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$62,822
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
65.4%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
13,339
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.8%
Reported value2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$799.1M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.105
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.86
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.575884
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
Not available
Days cash on hand
183 days168 days172 days179 days215 days223 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

DALLAS County, TX · metro, 1M+ population
Median household income
$74.1K
vs $82.1K US · $59.7K rural median
Poverty rate
14.0%
vs 12.5% US · 14.3% rural median
Uninsured
21.6%
vs 8.6% US · 8.4% rural median
Age 65+
11.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.1% of county personal income is Medicare/Medicaid medical benefits; 11.8% arrives as government transfers (BEA, 2022).

Illustrative advocacy scenario: what this hospital means to Dallas County

Illustrative estimate · FY25 cost report
Direct annual spending
$3.04B
total operating expense · Reported value, not a local-capture estimate
Labor income
$1.54B
$1.29B direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$6.99B
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.7%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating revenue (as filed)FY25Astrelis calculation

$1350.1M operating revenue in FY25.

The Board Briefing

What changed, what matters, and what your board should ask — every figure sourced to the public record.

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