P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalMedical City North Hills Estimated FY2026 net: −$115K×

Hospital record · FY2026CCN 450087

1Hospital

Medical City North Hills

2Location

North Richland Hills, TX (Texas’s hospitals on the map and in the table) 76180

Tarrant County

3Type

Major teaching · 140 beds · For-profit · Urban

4Care Compare stars

2 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

0.1271

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $266K, likely $203⁠–⁠335K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.1271 for Medical City North Hills and a payment reduction decision of No.

A cut would have taken about $266K estimate 1% of about $26.6M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year plus the teaching payments Medicare makes on its Medicare Advantage patients’ stays. Its score was 0.2528 under 0.3799, the lowest score CMS cut.

Likely range $203–335K

Its score was at or below CMS’s line, so this program did not cut its Medicare payments for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.1271 This hospital 0.1271 lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.1271 This hospital 0.1271

Higher than 60% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 3 of 11 years

  1. 15Cut
  2. 16Cut
  3. 17Cut
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  12. 26No

Where the score came from

CMS scored this hospital on all 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing MRSA down to the national median (0.641) would lower the score the most: by 0.3905, to −0.2634. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; MRSA added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Worse than 79% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value1.0866

    Z-score0.6848

    Part of score+0.1141

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Better than 75% of the other 2,181 hospitals

    CMS value0.287

    Z-score−0.7407

    Part of score−0.1235

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Worse than 50% of the other 2,354 hospitals

    CMS value0.501

    Z-score−0.1109

    Part of score−0.0185

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 55% of the other 2,269 hospitals

    CMS value0.875

    Z-score0.0424

    Part of score+0.0071

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Better than 90% of the other 2,766 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0071. How this site estimates

    CMS value0.032

    Z-score−1.3383

    Part of score−0.2231

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    added the most

    MRSA bloodstream infections

    Worse than 95% of the other 2,067 hospitals

    CMS value1.829

    Z-score2.2251

    Part of score+0.3708

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.08660.96230.6848+0.1141Worse than 79% of the other 2,808 hospitals
CLABSI0.2870.559−0.7407−0.1235Better than 75% of the other 2,181 hospitals
CAUTI0.5010.489−0.1109−0.0185Worse than 50% of the other 2,354 hospitals
SSI0.8750.7950.0424+0.0071Worse than 55% of the other 2,269 hospitals
CDI0.0320.346−1.3383−0.2231Better than 90% of the other 2,766 hospitals
MRSA1.8290.6412.2251+0.3708Worse than 95% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(0.6848PSI 90−0.7407CLABSI−0.1109CAUTI+0.0424SSI−1.3383CDI+2.2251MRSA)÷6measures=0.1271Total HAC Score

This hospital’s score is 0.2528 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.1271, below CMS’s line.
1% cut PSI 90: z‑score 0.6848 divided by 6 = +0.1141PSI 90+0.1141 CLABSI: z‑score −0.7407 divided by 6 = −0.1235CLABSI−0.1235 CAUTI: z‑score −0.1109 divided by 6 = −0.0185CAUTI−0.0185 SSI: z‑score 0.0424 divided by 6 = +0.0071SSI+0.0071 CDI: z‑score −1.3383 divided by 6 = −0.2231CDI−0.2231 MRSA: z‑score 2.2251 divided by 6 = +0.3708MRSA+0.3708 Total HAC Score: 0.1271Score0.1271 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.4 1% cut PSI 90: z‑score 0.6848 divided by 6 = +0.1141PSI 90+0.1141 CLABSI: z‑score −0.7407 divided by 6 = −0.1235CLABSI−0.1235 CAUTI: z‑score −0.1109 divided by 6 = −0.0185CAUTI−0.0185 SSI: z‑score 0.0424 divided by 6 = +0.0071SSI+0.0071 CDI: z‑score −1.3383 divided by 6 = −0.2231CDI−0.2231 MRSA: z‑score 2.2251 divided by 6 = +0.3708MRSA+0.3708 Total HAC Score: 0.1271Score0.1271 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.4

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 900.6848+0.11410.1141
CLABSI−0.7407−0.1235−0.0094
CAUTI−0.1109−0.0185−0.0279
SSI0.0424+0.0071−0.0208
CDI−1.3383−0.2231−0.2439
MRSA2.2251+0.37080.1269
Total HAC Score0.1271
CMS’s line0.37920.3799

The money is a cliff

This program’s cut doesn’t grow with the score. Over CMS’s line, CMS cuts 1% of what traditional Medicare pays a hospital for inpatient stays that year, and of the teaching payments Medicare makes on its Medicare Advantage stays; at or under the line, this program cuts nothing.

The chart draws what the cut would be for this hospital at any Total HAC Score, from this site’s estimate of its payments, with its own score marked.

Figure 3. The cut is a cliff, not a slope: this hospital’s score, 0.2528 under the lowest score CMS cut, costs it nothing; 0.2528 higher, the cut would have been about $266K by this site’s estimate, the same as at CMS’s highest score, 2.3133.
CMS’s line $0 at any score up to 0.3792 $266K at any score from 0.3799 $0at any score up to 0.3792 $266K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.1271 This hospital 0.1271 CMS’s line $0 at any score up to 0.3792 $266K at any score from 0.3799 $0at any score up to 0.3792 $266Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.1271 This hospital 0.1271

Under the axis, every Total HAC Score CMS published: 306 of the 2,929 scored within 0.1 of CMS’s line, on one side or the other.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
ScoreTotal HAC ScoreEstimated HAC cut (whole dollars)
Any score up to 0.37920.3792$0
Any score from 0.37990.3799−$266,373
This hospital0.1271$0
CMS’s highest score2.3133−$266,373

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, and the teaching payments Medicare makes on its Medicare Advantage patients’ stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($22,260,801payment+$4,491,075teaching, MA stays−$93,443readmissions−$21,151value-based)×1%the cut=$266,373at stake

$266,373at stake÷1,416traditional Medicare stays=$188per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $266K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$93K and −$21K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays, and for teaching on Medicare Advantage stays
DRG payments at the federal rates the base $15,318,487
Teaching (indirect medical education) $2,258,864
Teaching on Medicare Advantage stays $4,491,075
Many low-income patients (disproportionate share) $206,800
Outliers: unusually costly stays $5,668
Capital: buildings and equipment $1,385,731
Uncompensated care $3,085,251
Total, before the three programs $26,751,876
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9939 − 1) −$93,443
Value-based purchasing (HVBP) base × (0.9986 − 1) −$21,151
After these two $26,637,282
HAC Reduction Program no cut; 1% would have been $266,373 $0
Net of the three programs likely −$135K to −$92K −$114,594

Not paid to this hospital: a Medicare-dependent hospital add-on, a sole community hospital rate difference, and a low-volume adjustment.

Whole dollars, so every line adds up; the estimate is not that precise. Each likely range spans the middle 80% of the misses this site’s estimate made for similar hospitals (or for a wider group, where there were too few) when it was checked against their FY2024 cost reports: one year’s check, not a promise of how often a hospital’s actual figure lands inside.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
LineAmount (whole dollars)
DRG payments at the federal rates (the base)$15,318,487
Teaching (indirect medical education)$2,258,864
Teaching on Medicare Advantage stays$4,491,075
Many low-income patients (disproportionate share)$206,800
Outliers: unusually costly stays$5,668
Capital: buildings and equipment$1,385,731
Uncompensated care$3,085,251
Total, before the three programs$26,751,876
Readmissions (HRRP) (base × (0.9939 − 1))−$93,443
Value-based purchasing (HVBP) (base × (0.9986 − 1))−$21,151
After these two$26,637,282
HAC Reduction Program (no cut; 1% would have been $266,373)$0
Net of the three programs (likely −$135K to −$92K)−$114,594

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score, the payment reduction decision and, by its estimate, the money, starting from CMS’s values. The money doesn’t slide with the score: it drops off a cliff at CMS’s line.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score0.1271same
Payment reduction decisionNosame
Payment cut0%same
Estimated HAC cut estimate$0same

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of 0.1271 and a payment reduction decision of No.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

How much cushion?

Staying at or under CMS’s line keeps about $266K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps No
PSI 90up to 1.3031
CLABSIup to 0.939
CAUTIup to 1.128
SSIup to 1.757
CDIup to 0.422
MRSAany value: every MRSA value past the cap (1.762) scores the same

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 1.0866 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.287 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.501 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.875 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.032 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.829 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. MRSA added the most to this hospital’s Total HAC Score of 0.1271 among its measured results: +0.3708.
  • PSI 90 +0.1141
  • CLABSI −0.1235
  • CAUTI −0.0185
  • SSI +0.0071
  • CDI −0.2231
  • MRSA +0.3708

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 900.6848+0.1141same
CLABSI−0.7407−0.1235same
CAUTI−0.1109−0.0185same
SSI0.0424+0.0071same
CDI−1.3383−0.2231same
MRSA2.2251+0.3708same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/450087/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Its longest run: cut 3 years in a row.

Figure 6. CMS cut this hospital in 3 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 8.3250, higher than 91% of scores; cutFY2016: score 8.2500, higher than 92% of scores; cutFY2017: score 6.7600, higher than 79% of scores; cutFY2018: score −0.0077, higher than 51% of scores; not cutFY2019: score 0.0286, higher than 54% of scores; not cutFY2020: score −0.3936, higher than 25% of scores; not cutFY2021: score −0.4887, higher than 20% of scores; not cutFY2022: score −0.4809, higher than 20% of scores; not cutFY2024: score −0.2917, higher than 32% of scores; not cutFY2025: score −0.4738, higher than 21% of scores; not cutFY2026: score 0.1271, higher than 60% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 8.3250, higher than 91% of scores; cutFY2016: score 8.2500, higher than 92% of scores; cutFY2017: score 6.7600, higher than 79% of scores; cutFY2018: score −0.0077, higher than 51% of scores; not cutFY2019: score 0.0286, higher than 54% of scores; not cutFY2020: score −0.3936, higher than 25% of scores; not cutFY2021: score −0.4887, higher than 20% of scores; not cutFY2022: score −0.4809, higher than 20% of scores; not cutFY2024: score −0.2917, higher than 32% of scores; not cutFY2025: score −0.4738, higher than 21% of scores; not cutFY2026: score 0.1271, higher than 60% of scores; not cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20158.325091.9%cut
FY20168.250092.1%cut
FY20176.760079.0%cut
FY2018−0.007751.2%not cut
FY20190.028654.3%not cut
FY2020−0.393625.1%not cut
FY2021−0.488720.2%not cut
FY2022−0.480920.7%not cut
FY2023no decision
FY2024−0.291732.3%not cut
FY2025−0.473821.3%not cut
FY20260.127160.5%not cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 7. 3 of its 5 infection measures ended lower than they started.
CLABSI 2.00 → 0.28 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 2.000CLABSI, 2018: 0.767CLABSI, 2019: 0.295CLABSI, 2021: 0.665CLABSI, 2022: 0.258CLABSI, 2023: 0.298CLABSI, 2024: 0.276 CAUTI 0.30 → 1.04 1 0 ’18’21’24 CAUTI, 2017: 0.296CAUTI, 2018: 1.099CAUTI, 2019: 0.352CAUTI, 2021: 0.493CAUTI, 2022: 0.278CAUTI, 2023: 0.000CAUTI, 2024: 1.043 SSI, colon 0.33 → 0.00 1 0 ’18’21’24 SSI, colon, 2017: 0.332SSI, colon, 2018: 1.168SSI, colon, 2019: 0.436SSI, colon, 2021: 1.316SSI, colon, 2023: 0.000 MRSA 0.00 → 2.46 1 0 ’18’21’24 MRSA, 2017: 0.000MRSA, 2018: 0.000MRSA, 2019: 0.715MRSA, 2021: 2.022MRSA, 2022: 0.564MRSA, 2023: 0.905MRSA, 2024: 2.455 C. diff 0.55 → 0.00 1 0 ’18’21’24 C. diff, 2017: 0.546C. diff, 2018: 0.351C. diff, 2019: 0.196C. diff, 2021: 0.300C. diff, 2022: 0.532C. diff, 2023: 0.058C. diff, 2024: 0.000 CLABSI 2.00 → 0.28 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 2.000CLABSI, 2018: 0.767CLABSI, 2019: 0.295CLABSI, 2021: 0.665CLABSI, 2022: 0.258CLABSI, 2023: 0.298CLABSI, 2024: 0.276 CAUTI 0.30 → 1.04 1 0 ’18’20’22’24 CAUTI, 2017: 0.296CAUTI, 2018: 1.099CAUTI, 2019: 0.352CAUTI, 2021: 0.493CAUTI, 2022: 0.278CAUTI, 2023: 0.000CAUTI, 2024: 1.043 SSI, colon 0.33 → 0.00 1 0 ’18’20’22’24 SSI, colon, 2017: 0.332SSI, colon, 2018: 1.168SSI, colon, 2019: 0.436SSI, colon, 2021: 1.316SSI, colon, 2023: 0.000 MRSA 0.00 → 2.46 1 0 ’18’20’22’24 MRSA, 2017: 0.000MRSA, 2018: 0.000MRSA, 2019: 0.715MRSA, 2021: 2.022MRSA, 2022: 0.564MRSA, 2023: 0.905MRSA, 2024: 2.455 C. diff 0.55 → 0.00 1 0 ’18’20’22’24 C. diff, 2017: 0.546C. diff, 2018: 0.351C. diff, 2019: 0.196C. diff, 2021: 0.300C. diff, 2022: 0.532C. diff, 2023: 0.058C. diff, 2024: 0.000

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearCLABSICAUTISSI, colonMRSAC. diff
20172.0000.2960.3320.0000.546
20180.7671.0991.1680.0000.351
20190.2950.3520.4360.7150.196
20210.6650.4931.3162.0220.300
20220.2580.2780.5640.532
20230.2980.0000.0000.9050.058
20240.2761.0432.4550.000

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

In Texas, its score is higher than 77% of the other 254 scored there.

In Fort Worth-Arlington-Grapevine, TX area, its score is higher than 87% of the other 24 scored there.

Figure 8. Its score is above the middle in 7 of the 8 groups it belongs to; the share cut runs from 8% (Fort Worth-Arlington-Grapevine, TX area) to 32% (Major teaching).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas 255 hospitals13% cut Fort Worth-Arlington-Grapevine, TX area: CMS cut 2 of 25 (8%); middle score −0.2589Fort Worth-Arlington-Grapevine, TX area25 hospitals8% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching 424 hospitals32% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.1271 This hospital 0.1271 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas255 hospitals13% cut Fort Worth-Arlington-Grapevine, TX area: CMS cut 2 of 25 (8%); middle score −0.2589Fort Worth-Arlington-Grapevine, TX area25 hospitals8% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching424 hospitals32% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: 0.1271 This hospital 0.1271

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045360%
South region1,17426322%−0.105663%
Texas2553213%−0.236877%
Fort Worth-Arlington-Grapevine, TX area2528%−0.258987%
Major teaching42413632%0.178046%
100 to 299 beds1,19327523%−0.073261%
For-profit6519815%−0.259072%
Urban2,24151023%−0.057462%
This hospital0.1271
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 9. CMS cut 2 of the 8 nearest hospitals; the closest is 2 miles away.
5 mi8. Texas Health Harris Methodist Hospital Southlake, Southlake: score −0.2589, not cut, 9 miles87. Texas Health Harris Methodist Hospital Alliance, Fort Worth: score −1.1911, not cut, 9 miles76. Texas Health Heart & Vascular Hospital Arlington, Arlington: score 1.0234, cut, 8 miles65. Legent Orthopedic Hospital, Grapevine: score −0.2601, not cut, 8 miles54. Texas Health Arlington Memorial Hospital, Arlington: score −0.1518, not cut, 8 miles43. Medical City Alliance, Fort Worth: score −0.4532, not cut, 8 miles32. Texas Health Harris Methodist Hurst-Euless-Bedford, Bedford: score −0.7750, not cut, 5 miles21. Saint Camillus Medical Center, Hurst: score 2.2433, cut, 2 miles1This hospital: Medical City North Hills

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
HospitalMilesScoreDecision
Saint Camillus Medical Center, Hurst, TX22.2433cut
Texas Health Harris Methodist Hurst-Euless-Bedford, Bedford, TX5−0.7750not cut
Medical City Alliance, Fort Worth, TX8−0.4532not cut
Texas Health Arlington Memorial Hospital, Arlington, TX8−0.1518not cut
Legent Orthopedic Hospital, Grapevine, TX8−0.2601not cut
Texas Health Heart & Vascular Hospital Arlington, Arlington, TX81.0234cut
Texas Health Harris Methodist Hospital Alliance, Fort Worth, TX9−1.1911not cut
Texas Health Harris Methodist Hospital Southlake, Southlake, TX9−0.2589not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Saint Camillus Medical CenterHurst, TX22.24331% cutno estimateAbove the national median on 5 of 5 measures
2Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX5−0.7750No cut$0Above the national median on 0 of 6 measures
3Medical City AllianceFort Worth, TX8−0.4532No cut$0Above the national median on 2 of 6 measures
4Texas Health Arlington Memorial HospitalArlington, TX8−0.1518No cut$0Above the national median on 3 of 6 measures
5Legent Orthopedic HospitalGrapevine, TX8−0.2601No cut$0Above the national median on 0 of 1 measures
6Texas Health Heart & Vascular Hospital ArlingtonArlington, TX81.02341% cut$103KAbove the national median on 3 of 4 measures
7Texas Health Harris Methodist Hospital AllianceFort Worth, TX9−1.1911No cut$0Above the national median on 0 of 6 measures
8Texas Health Harris Methodist Hospital SouthlakeSouthlake, TX9−0.2589No cut$0Above the national median on 0 of 1 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

How the program works, and how to find another hospital

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Medical City North Hills, North Richland Hills, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/450087/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.