Texas Health Surgery Center Chisholm Trail

USMD Health System · Fort Worth, TX

5900 Altamesa Boulevard, Fort Worth, TX 76132(817) 433-9100

Beds

121

Inpatient discharges a year

$19.5M

Net patient revenue a year

About this hospital

Texas Health Surgery Center Chisholm Trail is an 8-bed hospital in Fort Worth, TX, affiliated with USMD Health System.

CCN: 670046
NPI: 1568656502
Health system: USMD Health System
Medicare contractor: Jurisdiction H, Novitas Solutions (04011)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Doctors and services
20 services
See doctors and services
Finances
$19.5M net patient revenue
- Operating margin on patient care -13.7%
- $1.1M unreimbursed and uncompensated care
- -$1.8M net income
See finances

Location

5900 Altamesa Boulevard, Fort Worth, TX 76132

(817) 433-9100

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Accreditation and services

20 services at Texas Health Surgery Center Chisholm Trail

Emergency and trauma: Emergency Department
Surgery: AnesthesiaInpatient SurgicalOR (Operating Room)Orthopedic SurgeryOutpatient SurgeryPostoperative Recovery RoomReconstructive Surgery
Imaging: CT ScanDiagnostic Radiology
Women and children: Clinical LaboratoryPediatric Care
Rehabilitation and therapy: PT (Physical Therapy)Respiratory Care
Other services: Dental CareDietary CareESWL (Extracorporeal Shockwave Lithotripter)OutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Texas Health Surgery Center Chisholm Trail reported to Medicare in its latest cost report, covering Jan 1, 2019 to Jan 3, 2020.

121
Inpatient discharges
Medicare 17%, Medicaid n/a
255
Inpatient days
9% of available bed days used
57
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 704915). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Texas Health Surgery Center Chisholm Trail reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	49	0	206	255
Discharges	21	0	100	121
Average length of stay	2.3 days		2.1 days	2.1 days
Average daily census	0.1	0.0	0.6	0.7

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	8	255	49	9%

Source: CMS cost report (HCRIS, Form 2552-10), report 704915, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Income statement

Revenue, expenses and income Texas Health Surgery Center Chisholm Trail reported to Medicare for Jan 1, 2019 to Jan 3, 2020. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$61.3M	314.5%
Inpatient	$13.2M	67.5%
Outpatient	$48.1M	247.0%
Contractual allowances and discounts	-$41.8M	-214.5%
Net patient revenue	$19.5M	100.0%
Operating expenses	-$22.2M	-113.7%
Operating income from patient care	-$2.7M	-13.7%
Other income	$847,393	4.3%
Investment income	$1,477	0.0%
Other	$845,916	4.3%
Other expenses	-$6,252	-0.0%
Net income	-$1.8M	-9.4%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$12.6M	20.5%
Medicaid (including managed care)	$2.7M	4.4%
Other payers and self-pay	$46M	75.1%
Total charges	$61.3M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 704915, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Texas Health Surgery Center Chisholm Trail's latest cost report.

-13.7%
Operating margin
Operating income from patient care / net patient revenue
-9.0%
Total margin
Net income / net patient revenue plus other income
0.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
25% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$36.04
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-10.6%
Return on assets
Net income for a year / total assets
-11.2%
Return on equity
Net income for a year / fund balance
0.00
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
3.68
Current ratio
Current assets / current liabilities
2.18
Quick ratio
Cash, temporary investments and net receivables / current liabilities
23 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
5 days
Days in patient receivables
Net patient receivables / daily net patient revenue
13 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.18
Asset turnover
Total revenue for a year / total assets
11.5 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 704915, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Texas Health Surgery Center Chisholm Trail owned and owed at the end of its reporting period (Jan 2020), across all fund types: $17.1M in total assets and a $16.3M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$1.3M	7.6%
Patient receivables, net	$262,537	1.5%
Inventory	$918,348	5.4%
Total current assets	$2.6M	15.5%
Property and equipment, net of depreciation	$14.4M	84.5%
Total assets	$17.1M	100.0%
Current liabilities	$719,376	4.2%
Long-term debt	$62,751	0.4%
Total liabilities	$782,127	4.6%
Fund balance (net assets)	$16.3M	95.4%

Source: CMS cost report (HCRIS, Form 2552-10), report 704915, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Texas Health Surgery Center Chisholm Trail provided without full payment, as reported on Worksheet S-10 of its cost report.

$754,501
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$100,678
Bad debt
Patient bills written off as uncollectible, at charges
$123,357
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$151,092
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$1.1M
Total unreimbursed and uncompensated care
4.8% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 704915, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Texas Health Surgery Center Chisholm Trail reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 25 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Operating room	$1.3M	$6M	$22M	0.27	7,236
Impl. dev. charged to patients		$5.5M	$12.4M	0.45
Medical supplies charged to patient		$3.3M	$6.2M	0.54
Recovery room	$468,388	$2.4M	$4.4M	0.55	6,930
Radiology-diagnostic	$100,014	$1.2M	$1.9M	0.62	1,840
Emergency	$380,932	$1M	$333,954	3.03	519
Drugs charged to patients		$965,942	$1.6M	0.61
Laboratory	$166,167	$901,509	$2.5M	0.37	530
Anesthesiology	$48,250	$415,893	$9.2M	0.05
Observation beds (non-distinct part		$361,248	$61,160	5.91
Physical therapy		$61,642	$191,324	0.32

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$705,237	$2.7M	$531,427	5.01	5,880

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$129,786	$7.7M	3,988	$32.55	6,847
Cap rel costs-mvble equip		$1.3M
Cap rel costs-bldg & fixt		$1M			33,894
Operation of plant	$93,395	$822,441	2,479	$37.67	1,824
Medical records & library		$743,945			210
Pharmacy	$254,365	$574,562	4,857	$52.38	340
Central services & supply		$384,976			594
Nursing administration	$234,801	$316,409	4,269	$55.01
Preassessment	$250,388	$292,953	5,990	$41.80	320
Housekeeping	$124,632	$224,715	9,167	$13.60
Dietary	$88,497	$171,631	4,306	$20.55	744
Laundry & linen service		$77,089
Employee benefits department	$59,046	$67,603	2,160	$27.34	80

Source: CMS cost report (HCRIS, Form 2552-10), report 704915, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Frequently asked questions

About Texas Health Surgery Center Chisholm Trail's rates and hospital price transparency.

How many patients does Texas Health Surgery Center Chisholm Trail admit?

Texas Health Surgery Center Chisholm Trail reported 121 inpatient discharges and 255 inpatient days from Jan 1, 2019 to Jan 3, 2020.

How many employees does Texas Health Surgery Center Chisholm Trail have?

Texas Health Surgery Center Chisholm Trail reported 57 full-time-equivalent employees on payroll from Jan 1, 2019 to Jan 3, 2020.

How much revenue does Texas Health Surgery Center Chisholm Trail make?

Texas Health Surgery Center Chisholm Trail reported $19.5M in net patient revenue on $61.3M of gross charges for Jan 1, 2019 to Jan 3, 2020, an operating margin of -13.7%, and net income of -$1.8M.

How much charity and uncompensated care does Texas Health Surgery Center Chisholm Trail provide?

Texas Health Surgery Center Chisholm Trail reported $1.1M of unreimbursed and uncompensated care for Jan 1, 2019 to Jan 3, 2020, including $754,501 of charity care at cost.

What services does Texas Health Surgery Center Chisholm Trail offer?

CMS lists 20 services at Texas Health Surgery Center Chisholm Trail, including Anesthesia, Clinical Laboratory, CT Scan, Dental Care, Diagnostic Radiology, Dietary Care.

How many beds does Texas Health Surgery Center Chisholm Trail have?

Texas Health Surgery Center Chisholm Trail has 8 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

Where is Texas Health Surgery Center Chisholm Trail and what is its phone number?

Texas Health Surgery Center Chisholm Trail is located at 5900 Altamesa Boulevard, Fort Worth, TX 76132. Its main phone number is (817) 433-9100.

What is Texas Health Surgery Center Chisholm Trail's CCN (Medicare provider number)?

Texas Health Surgery Center Chisholm Trail's CMS Certification Number (CCN), also called its Medicare provider number, is 670046.

What is Texas Health Surgery Center Chisholm Trail's NPI number?

The National Provider Identifier (NPI) on file for Texas Health Surgery Center Chisholm Trail is 1568656502.

What health system is Texas Health Surgery Center Chisholm Trail part of?

Texas Health Surgery Center Chisholm Trail is affiliated with USMD Health System.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
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        "standard_charge_dollar": 250
      }
    ]
  }]
}

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About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Accreditation and services

20 services at Texas Health Surgery Center Chisholm Trail

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts