As of the July, 2022, release via CMS

TCHD D/B/A JPS HEALTH NETWORK

CMS id: 450039
1500 SOUTH MAIN STREET, FORT WORTH TX 76104. County: TARRANT
System: --
CBSA: Dallas-Fort Worth-Arlington, TX

The 566-bed, acute-care hospital had $-549,832,126 in net service to patients*, with a total profit margin of 23.97839% in fiscal year 2021, the latest year available.
It spent 38.18% of its operating expenses on uncompensated care and reported $49,917,375 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	gov	gov	gov	gov	gov
Acute beds Median	337 118	359 118	355 119.5	341 118	375 119
Total beds Median	555 162	562 162	555 162	532 162	566 163.5
FTEs Median	5,611.36 788.06	5,712.57 793.42	5,828.67 806.03	5,863.07 787.61	5,965.02 804.34

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	356,833,927 150,932,746	407,757,595 158,950,878	419,397,706 168,696,998	436,454,030 163,454,693	593,781,696 186,589,412
Operating expenses Median	901,901,987 149,311,209	967,901,773 156,110,414	1,002,209,708 164,890,568	1,052,992,309 166,516,854	1,143,613,822 180,120,888
Net income from service 2 patients (NS2P) ? Median	-545,068,060 -964,173	-560,144,178 -643,601.5	-582,812,002 -116,254	-616,538,279 -5,025,862	-549,832,126 -1,284,564
NS2P margin ? Median	-152.75% -0.62	-137.37% -0.29	-138.96% 0.18	-141.26% -5.07	-92.60% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TCHD D/B/A JPS HEALTH NETWORK 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	534,204,248 5,089,215	573,402,057 4,572,541	631,069,085 5,268,134	830,895,109 13,092,619	910,545,569 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	0	0	0	0
⊳ 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	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	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	534,204,248	573,402,057	631,069,085	830,895,109	910,545,569
Total income ? Median	-10,863,812 6,586,430	13,257,879 6,767,106	48,257,083 8,419,950	214,356,830 8,094,175	360,713,443 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	-10,863,812 6,043,842	13,257,879 5,845,112	48,257,083 7,606,259	214,356,830 7,283,041	360,713,443 14,957,241
Net margin Median	-1.21923% 4.62%	1.35125% 4.42%	4.59387% 5.16%	16.91379% 5.2%	23.97839% 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 TCHD D/B/A JPS HEALTH NETWORK 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	53,686,166 23,241,334	68,290,035 23,709,545	81,423,233 24,248,380	79,878,331 22,858,541	122,609,622 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	50,492,768 21,577,146	65,090,441 22,041,594	78,064,155 22,722,063	76,974,189 21,570,441	120,118,017 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	3,159,408 1,845,420	3,199,594 1,757,392	3,359,078 1,738,842	2,904,142 1,510,463	2,491,605 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	33,990 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	25,777,688 11,160,864	26,314,722 11,987,345	21,800,719 12,926,866	14,439,055 11,884,480	13,890,465 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	25,777,688 10,918,923	26,314,722 11,706,976	21,800,719 12,615,917	14,439,055 11,458,116	13,890,465 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	6,532,991 3,284,314	6,458,352 3,250,551	7,123,774 3,386,837	6,697,307 3,360,806	6,909,676 3,508,953
Disproportionate-share hospital (DSH) Median	2,166,578 594,888	4,615,196 595,761	4,894,707 577,894	4,331,682 542,168	3,643,743 549,667
Outlier Median	1,760,622 582,572	1,134,348 538,116	169,646 212,434	108,262 126,559	300,289 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,149,924 3,662,910	496,204 3,730,911	2,038,823 4,081,319	2,647,790 4,643,908	49,917,375 4,389,147
Charity care Median	203,134,180 2,654,636	204,341,607 2,940,659	204,722,885 3,380,215	266,462,350 3,488,738	286,090,242 3,233,405
Uncompensated care (UCC) Median	301,198,733 5,147,790	293,342,238 5,337,617	292,486,336 5,711,082	370,282,954 5,923,418	436,688,522 5,508,107
UCC as a % of operating expenses Median	33.40% 3.24	30.31% 3.12	29.18% 3.21	35.16% 3.3	38.18% 2.86
Total shortfall/UCC Median	310,348,657 9,489,989	293,838,442 9,424,297	294,525,159 10,120,158	372,930,744 11,171,337	486,605,897 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	375,812,635 52,142,039	389,230,753 54,485,252	404,154,809 57,395,589	429,418,511 58,830,919	448,359,519 61,722,907
Salaries as a % of operating expenses Median	41.67 36.68	40.21 36.56	40.33 36.37	40.78 35.93	39.21 35.24
Intern, resident salaries* Median	11,900,939 2,598,592	12,683,391 2,686,824	13,309,915 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	1,574,861 1,251,927	1,607,610 1,186,494	1,464,739 1,204,885	1,718,111 1,279,653	1,324,951 1,469,317
Contract adjusted salaries, direct-care Median	4,970,728 1,449,244	4,652,865 1,475,986	5,349,436 1,563,078	6,479,035 1,721,954	9,808,069 2,991,828
Contract hours, direct-care Median	125,719.00 22,725	107,147.00 23,018.5	117,418.36 24,503.48	97,823.48 25,026.5	121,252.00 33,786
Contract wages, direct-care Median	39.54 64.67	43.43 64.53	45.56 65.06	66.23 68.97	80.89 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.