North Texas Medical Center

Welcome to North Texas Medical Center, a 60-bed acute care hospital serving Gainesville, Cooke County, and neighboring communities for over 40 years. We are a CMS 5-Star Rated hospital offering a wide range of services, including a 24/7 emergency room, intensive care, women's services, therapy, and advanced medical imaging. Located just north of Dallas-Fort Worth, we are committed to providing high-quality healthcare with transparent pricing and have recently added Hospital @ Home services for easier access. As an independent, non-profit healthcare system, we operate the North Texas Medical Center Foundation to support our mission through community partnerships. Visit us at 1900 Hospital Blvd, Gainesville, TX 76240.

Identifiers

Hospital Name North Texas Medical Center
Facility ID 450090

Location

Address 1900 HOSPITAL BLVD
City/Town Gainesville
State TX
ZIP Code 76240
County/Parish COOKE

Health System

Health System Community Hospital Corporation
Health System Website Domain chc.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 5
Health System Total Beds 265
Health System Hospital Locations Louisiana and Texas

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Government - Hospital District or Authority
Ownership Details Gainesville Hospital District
Emergency Services Yes

No leaders were identified on North Texas Medical Center's website

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 60

Staffing & Personnel

FTE Employees on Payroll 217.42
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 2749
Inpatient Days (Title XIX) 172
Total Inpatient Days 6936
Bed Count 35
Available Bed Days 12775
Discharges (Title V) NA
Discharges (Title XVIII) 526
Discharges (Title XIX) 85
Total Discharges 1463

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 2115
Inpatient Days (Title XIX; Adults & Peds) 82
Total Inpatient Days (Adults & Peds) 4905
Bed Count (Adults & Peds) 29
Available Bed Days (Adults & Peds) 10585
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 526
Discharges (Title XIX; Adults & Peds) 85
Total Discharges (Adults & Peds) 1463

Quality Summary

Care Quality Stengths High overall patient satisfaction. Patients report that nurse communication is excellent. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does a good job at treating conditions like heart failure so that patients don't have to come back to the hospital.
Care Quality Concerns Hospital has had some challengs with infection rates being high.

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 72%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 132

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -40.1
Readmission Score Hospital Return Days for Pneumonia Patients 19.2
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.2
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 17.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.1
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.5
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 17.5
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Fewer Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 0.000
CAUTI SIR (Standardized Infection Ratio) 0.994
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) 0.812
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $2,943
Bad Debt Expense $4,691
Uncompensated Care Cost $4,226
Total Uncompensated Care $4,733

Operating Expenses ($ thousands)

Total Salaries $19,002
Overhead Expenses (Non-Salary) $25,072
Depreciation Expense $1,085
Total Operating Costs $38,416

Charges ($ thousands)

Inpatient Charges $50,938
Outpatient Charges $90,509
Total Patient Charges $141,447

Wage-Related Details ($ thousands)

Core Wage Costs $3,393
Wage Costs (RHC/FQHC) $281
Adjusted Salaries $19,002
Contract Labor (Patient Care) $2,370
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $1,024
Short-Term Investments
Notes Receivable
Accounts Receivable $67,603
Allowance for Doubtful Accounts $-59,936
Inventory $743
Prepaid Expenses $339
Other Current Assets
Total Current Assets $9,916

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value $25
Building Value
Leasehold Improvements $374
Fixed Equipment Value
Major Movable Equipment $2,119
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $6,227

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $128
Total Other Assets $128
Total Assets $16,272

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,875
Salaries & Wages Payable $1,579
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $878
Total Current Liabilities $5,332

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $4,387
Total Long-Term Liabilities $4,387
Total Liabilities $9,718

Balance Sheet – Equity ($ thousands)

General Fund Balance $6,553
Total Fund Balances $6,553
Total Liabilities & Equity $16,272

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $3,335
DRG (Post-Oct 1) $1,242
Outlier Payments
DSH Adjustment $62
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $53,084
Outpatient Revenue $92,109
Total Patient Revenue $145,193
Contractual Allowances & Discounts $101,792
Net Patient Revenue $43,401
Total Operating Expenses $44,073
Net Service Income $-672
Other Income $2,239
Total Income $1,567
Other Expenses
Net Income $1,567

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $3,846
Medicaid Charges $16,025
Net CHIP Revenue $2
CHIP Charges $11

EHR Information

EHR Harris MEDHOST Enterprise Clinicals
EHR Version Harris MEDHOST Enterprise Clinicals
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No