As of the July, 2022, release via CMS

MEDICAL CITY ARLINGTON

CMS id: 450675
3301 MATLOCK ROAD, ARLINGTON TX 76015. County: TARRANT
System: HCA
CBSA: Dallas-Fort Worth-Arlington, TX

The 356-bed, acute-care hospital had $108,654,803 in net service to patients*, with a total profit margin of 25.16766% in fiscal year 2021, the latest year available.
It spent 13.70% of its operating expenses on uncompensated care and reported $412,660 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	226 118	190 118	248 119.5	250 118	254 119
Total beds Median	308 162	285 162	351 162	352 162	356 163.5
FTEs Median	1,064.71 788.06	1,177.05 793.42	1,221.86 806.03	1,318.23 787.61	1,297.71 804.34

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	260,220,445 150,932,746	285,073,811 158,950,878	311,932,147 168,696,998	359,426,453 163,454,693	414,924,741 186,589,412
Operating expenses Median	229,229,967 149,311,209	245,633,195 156,110,414	259,643,111 164,890,568	298,577,620 166,516,854	306,269,938 180,120,888
Net income from service 2 patients (NS2P) ? Median	30,990,478 -964,173	39,440,616 -643,601.5	52,289,036 -116,254	60,848,833 -5,025,862	108,654,803 -1,284,564
NS2P margin ? Median	11.91% -0.62	13.84% -0.29	16.76% 0.18	16.93% -5.07	26.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDICAL CITY ARLINGTON 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	1,523,975 5,089,215	1,107,083 4,572,541	888,039 5,268,134	7,099,377 13,092,619	2,687,031 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	873 370,813	0 309,361.5	2,711 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	51,938	0	0	2,324
⊳ 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	773,203	748,563	742,771	518,535
⊳ Line 15: Revenue from rental of living quarters	0	0	0	30,450	10,313
⊳ 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	9,350	570
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	31,725	31,155	35,800	23,867
⊳ 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	6,238,744 1,987,202	0 1,597,664
⊳ Sum Line 24	1,523,975	250,217	107,448	42,262	2,128,711
Total income ? Median	32,514,453 6,586,430	40,547,699 6,767,106	53,177,075 8,419,950	67,948,210 8,094,175	111,341,834 15,162,888
Non-operating expenses Median	0 146,289.5	5 164,857	0 89,880.5	0 106,761	6,238,743 31,473.5
Net income Median	32,514,453 6,043,842	40,547,694 5,845,112	53,177,075 7,606,259	67,948,210 7,283,041	105,103,091 14,957,241
Net margin Median	12.42221% 4.62%	14.16855% 4.42%	16.99925% 5.16%	18.53845% 5.2%	25.16766% 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 ARLINGTON 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	40,840,914 23,241,334	44,342,348 23,709,545	50,257,375 24,248,380	52,500,223 22,858,541	56,701,829 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	40,840,914 21,577,146	40,570,839 22,041,594	45,932,849 22,722,063	48,333,522 21,570,441	53,710,919 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	0 3,535,627	3,771,509 3,746,588	4,324,526 3,782,288	4,166,701 3,865,578	2,990,910 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	5,026,576 11,160,864	5,072,762 11,987,345	5,224,418 12,926,866	6,071,694 11,884,480	5,342,711 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	5,026,576 10,918,923	5,072,762 11,706,976	5,224,418 12,615,917	6,071,694 11,458,116	5,342,711 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	1,871,659 3,508,953
Disproportionate-share hospital (DSH) Median	1,769,356 594,888	1,779,863 595,761	1,882,738 577,894	1,900,097 542,168	1,620,419 549,667
Outlier Median	1,146,899 582,572	1,764,504 538,116	1,885,650 212,434	415,154 126,559	454,171 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	141,679 3,662,910	2,356,130 3,730,911	162,362 4,081,319	163,893 4,643,908	412,660 4,389,147
Charity care Median	23,732,985 2,654,636	28,547,228 2,940,659	31,463,368 3,380,215	39,347,639 3,488,738	38,551,469 3,233,405
Uncompensated care (UCC) Median	26,987,328 5,147,790	32,100,308 5,337,617	35,314,660 5,711,082	43,444,412 5,923,418	41,945,214 5,508,107
UCC as a % of operating expenses Median	11.77% 3.24	13.07% 3.12	13.60% 3.21	14.55% 3.3	13.70% 2.86
Total shortfall/UCC Median	27,129,007 9,489,989	34,456,438 9,424,297	35,477,022 10,120,158	43,608,305 11,171,337	42,357,874 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	76,887,066 52,142,039	87,738,272 54,485,252	91,984,455 57,395,589	101,929,787 58,830,919	101,655,533 61,722,907
Salaries as a % of operating expenses Median	33.54 36.68	35.71 36.56	35.31 36.37	34.06 35.93	33.19 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	61 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	77,930 1,251,927	50,818 1,186,494	65,179 1,204,885	33,335 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	12,301,329 1,449,244	7,650,504 1,475,986	5,098,421 1,563,078	7,096,466 1,721,954	14,825,017 2,991,828
Contract hours, direct-care Median	206,142.00 22,725	126,616.50 23,018.5	90,183.40 24,503.48	128,269.06 25,026.5	261,794.00 33,786
Contract wages, direct-care Median	59.67 64.67	60.42 64.53	56.53 65.06	55.32 68.97	56.63 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.