As of the July, 2022, release via CMS

UT SOUTHWESTERN UNIVERSITY HOSP

CMS id: 450044
6201 HARRY HINES BLVD, DALLAS TX 75235. County: DALLAS
System: --
CBSA: Dallas-Fort Worth-Arlington, TX

The 700-bed, acute-care hospital had $-6,816,192 in net service to patients*, with a total profit margin of 3.98593% in fiscal year 2021, the latest year available.
It spent 2.60% of its operating expenses on uncompensated care and reported $9,244,697 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	gov	gov	gov	gov	gov
Acute beds Median	342 118	341 118	358 119.5	416 118	497 119
Total beds Median	444 162	443 162	459 162	592 162	700 163.5
FTEs Median	3,455.08 788.06	3,354.34 793.42	3,820.04 806.03	5,819.34 787.61	6,504.11 804.34

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	992,755,243 150,932,746	1,104,144,702 158,950,878	1,269,619,939 168,696,998	1,508,851,768 163,454,693	1,866,770,701 186,589,412
Operating expenses Median	915,646,508 149,311,209	1,036,778,460 156,110,414	1,225,661,221 164,890,568	1,627,837,925 166,516,854	1,873,586,893 180,120,888
Net income from service 2 patients (NS2P) ? Median	77,108,735 -964,173	67,366,242 -643,601.5	43,958,718 -116,254	-118,986,157 -5,025,862	-6,816,192 -1,284,564
NS2P margin ? Median	7.77% -0.62	6.10% -0.29	3.46% 0.18	-7.89% -5.07	-0.37% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UT SOUTHWESTERN UNIVERSITY HOSP 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	-275,228 5,089,215	34,520,061 4,572,541	40,486,260 5,268,134	92,120,780 13,092,619	123,822,001 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	34,364 224,999	18,753 199,009	23,758 206,870.5	799,378 194,343	129,983 249,496
⊳ Line 7: Investments ? ⊳ Median	-309,592 299,524	-204,592 188,688.5	82,281 370,813	-158,502 309,361.5	-10,254 375,329
⊳ 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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	21,493	0	0	0
⊳ 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	--	34,684,407	40,380,221	91,479,904	123,702,272
Total income ? Median	76,833,507 6,586,430	101,886,303 6,767,106	84,444,978 8,419,950	-26,865,377 8,094,175	117,005,809 15,162,888
Non-operating expenses Median	32,197,144 146,289.5	0 164,857	0 89,880.5	0 106,761	37,662,079 31,473.5
Net income Median	44,636,363 6,043,842	101,886,303 5,845,112	84,444,978 7,606,259	-26,865,377 7,283,041	79,343,730 14,957,241
Net margin Median	4.49746% 4.62%	8.94788% 4.42%	6.44566% 5.16%	-1.67807% 5.2%	3.98593% 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 UT SOUTHWESTERN UNIVERSITY HOSP 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	113,082,382 23,241,334	125,411,479 23,709,545	142,700,069 24,248,380	190,883,640 22,858,541	215,973,614 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	113,082,382 21,577,146	125,411,479 22,041,594	142,700,069 22,722,063	179,684,343 21,570,441	203,743,949 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	1,450,933 1,510,463	1,237,134 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	9,748,364 3,865,578	10,992,531 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	85,043,084 11,160,864	106,645,764 11,987,345	121,617,192 12,926,866	138,386,616 11,884,480	157,619,800 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	85,043,084 10,918,923	106,645,764 11,706,976	121,617,192 12,615,917	138,386,616 11,458,116	157,619,800 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	5,525,383 3,284,314	6,932,284 3,250,551	7,447,526 3,386,837	10,656,621 3,360,806	11,110,981 3,508,953
Disproportionate-share hospital (DSH) Median	974,120 594,888	979,764 595,761	920,317 577,894	1,257,547 542,168	988,842 549,667
Outlier Median	25,499,272 582,572	21,075,777 538,116	24,054,343 212,434	4,705,405 126,559	6,984,175 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,509,391 3,662,910	0 3,730,911	4,596,052 4,081,319	3,379,789 4,643,908	9,244,697 4,389,147
Charity care Median	13,567,437 2,654,636	41,681,945 2,940,659	34,772,709 3,380,215	35,864,393 3,488,738	41,495,627 3,233,405
Uncompensated care (UCC) Median	20,047,673 5,147,790	48,537,658 5,337,617	41,336,576 5,711,082	42,194,249 5,923,418	48,759,025 5,508,107
UCC as a % of operating expenses Median	2.19% 3.24	4.68% 3.12	3.37% 3.21	2.59% 3.3	2.60% 2.86
Total shortfall/UCC Median	24,557,064 9,489,989	48,537,658 9,424,297	45,932,628 10,120,158	45,574,038 11,171,337	58,003,722 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	236,408,213 52,142,039	251,037,727 54,485,252	280,348,829 57,395,589	456,254,092 58,830,919	505,478,204 61,722,907
Salaries as a % of operating expenses Median	27.92 36.68	27.58 36.56	26.10 36.37	28.03 35.93	26.98 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	17,033,679 1,251,927	18,373,009 1,186,494	19,278,388 1,204,885	19,765,969 1,279,653	21,611,961 1,469,317
Contract adjusted salaries, direct-care Median	21,478,287 1,449,244	23,186,450 1,475,986	29,873,357 1,563,078	29,705,248 1,721,954	30,364,124 2,991,828
Contract hours, direct-care Median	461,901.00 22,725	491,402.95 23,018.5	592,351.41 24,503.48	703,115.00 25,026.5	570,433.04 33,786
Contract wages, direct-care Median	46.50 64.67	47.18 64.53	50.43 65.06	42.25 68.97	53.23 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.