As of the July, 2022, release via CMS

MEDICAL CITY FORT WORTH

CMS id: 450672
900 EIGHTH, FORT WORTH TX 76104. County: TARRANT
System: HCA INC
CBSA: Dallas-Fort Worth-Arlington, TX

The 227-bed, acute-care hospital had $45,523,403 in net service to patients*, with a total profit margin of 14.94765% in fiscal year 2021, the latest year available.
It spent 5.53% of its operating expenses on uncompensated care and reported $3,918,998 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	366	365	365	365	366
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	161 118	162 118	156 119.5	157 118	157 119
Total beds Median	220 162	221 162	218 162	227 162	227 163.5
FTEs Median	901.79 788.06	903.38 793.42	986.46 806.03	1,110.83 787.61	1,030.02 804.34

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	227,016,399 150,932,746	221,881,352 158,950,878	260,204,837 168,696,998	302,032,717 163,454,693	309,248,558 186,589,412
Operating expenses Median	225,395,036 149,311,209	231,717,997 156,110,414	247,205,504 164,890,568	277,970,176 166,516,854	263,725,155 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,621,363 -964,173	-9,836,645 -643,601.5	12,999,333 -116,254	24,062,541 -5,025,862	45,523,403 -1,284,564
NS2P margin ? Median	0.71% -0.62	-4.43% -0.29	5.00% 0.18	7.97% -5.07	14.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDICAL CITY FORT WORTH 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	1,204,722 5,089,215	863,611 4,572,541	966,333 5,268,134	998,662 13,092,619	825,368 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	575,198	615,810	665,936	645,495	352,858
⊳ 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	28,959	26,643	24,016	22,700	3,000
⊳ Line 21: Rental of vending machines	16,410	11,980	9,434	3,790	25,301
⊳ Line 22: Rental of hospital space	0	0	0	0	13,383
⊳ 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	584,155	209,178	266,947	326,677	430,826
Total income ? Median	2,826,085 6,586,430	-8,973,034 6,767,106	13,965,666 8,419,950	25,061,203 8,094,175	46,348,771 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	-5 106,761	10 31,473.5
Net income Median	2,826,085 6,043,842	-8,973,034 5,845,112	13,965,666 7,606,259	25,061,208 7,283,041	46,348,761 14,957,241
Net margin Median	1.23831% 4.62%	-4.02839% 4.42%	5.34732% 5.16%	8.27017% 5.2%	14.94765% 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 FORT WORTH 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	69,481,322 23,241,334	65,666,063 23,709,545	69,091,533 24,248,380	74,045,177 22,858,541	77,219,565 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	66,650,848 21,577,146	61,406,295 22,041,594	64,744,086 22,722,063	69,504,795 21,570,441	72,236,470 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	2,830,474 3,535,627	4,259,768 3,746,588	4,347,447 3,782,288	4,540,382 3,865,578	4,983,095 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	10,982,677 11,160,864	12,359,353 11,987,345	12,387,548 12,926,866	12,731,479 11,884,480	10,829,716 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	10,982,677 10,918,923	12,359,353 11,706,976	12,387,548 12,615,917	12,731,479 11,458,116	10,829,716 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	7,715,882 3,284,314	7,316,967 3,250,551	7,694,658 3,386,837	8,426,155 3,360,806	8,598,298 3,508,953
Disproportionate-share hospital (DSH) Median	558,107 594,888	526,524 595,761	569,542 577,894	577,709 542,168	470,343 549,667
Outlier Median	4,148,043 582,572	2,758,012 538,116	3,314,822 212,434	933,235 126,559	896,882 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	250,957 3,662,910	2,726,371 3,730,911	1,307,891 4,081,319	2,734,764 4,643,908	3,918,998 4,389,147
Charity care Median	10,668,728 2,654,636	10,238,852 2,940,659	10,417,027 3,380,215	12,878,065 3,488,738	12,988,270 3,233,405
Uncompensated care (UCC) Median	12,250,434 5,147,790	12,047,300 5,337,617	11,986,633 5,711,082	14,399,444 5,923,418	14,589,316 5,508,107
UCC as a % of operating expenses Median	5.44% 3.24	5.20% 3.12	4.85% 3.21	5.18% 3.3	5.53% 2.86
Total shortfall/UCC Median	12,501,391 9,489,989	14,773,671 9,424,297	13,294,524 10,120,158	17,134,208 11,171,337	18,508,314 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	62,996,585 52,142,039	64,699,688 54,485,252	73,329,436 57,395,589	83,437,891 58,830,919	79,871,428 61,722,907
Salaries as a % of operating expenses Median	27.90 36.68	27.88 36.56	29.66 36.37	30.02 35.93	30.29 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	3,595,673 2,937,156	4,390,624 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	8,997,934 1,449,244	5,195,047 1,475,986	5,325,365 1,563,078	4,429,073 1,721,954	7,543,084 2,991,828
Contract hours, direct-care Median	135,161.00 22,725	72,017.55 23,018.5	75,876.79 24,503.48	69,490.00 25,026.5	125,404.00 33,786
Contract wages, direct-care Median	66.57 64.67	72.14 64.53	70.18 65.06	63.74 68.97	60.15 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.