As of the July, 2022, release via CMS

UT HEALTH EAST TEXAS TYLER

CMS id: 450083
1000 SOUTH BECKHAM, TYLER TX 75711. County: SMITH
System: ARDENT HEALTH SERVICES LLC
CBSA: Tyler, TX

The 359-bed, acute-care hospital had $-9,474,622 in net service to patients*, with a total profit margin of 6.89074% in fiscal year 2021, the latest year available.
It spent 8.67% of its operating expenses on uncompensated care and reported $213,759 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	245	365	366	365
Ownership	nfp	forprofit	forprofit	forprofit	forprofit
Acute beds Median	353 118	285 118	375 119.5	324 118	301 119
Total beds Median	412 162	339 162	425 162	382 162	359 163.5
FTEs Median	2,492.28 788.06	2,099.69 793.42	2,054.78 806.03	2,276.11 787.61	2,167.91 804.34

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	339,060,241 150,932,746	241,658,296 158,950,878	515,767,955 168,696,998	501,210,039 163,454,693	434,067,796 186,589,412
Operating expenses Median	356,601,139 149,311,209	239,556,277 156,110,414	492,869,259 164,890,568	475,702,352 166,516,854	443,542,418 180,120,888
Net income from service 2 patients (NS2P) ? Median	-17,540,898 -964,173	2,102,019 -643,601.5	22,898,696 -116,254	25,507,687 -5,025,862	-9,474,622 -1,284,564
NS2P margin ? Median	-5.17% -0.62	0.87% -0.29	4.44% 0.18	5.09% -5.07	-2.18% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UT HEALTH EAST TEXAS TYLER 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	12,985,129 5,089,215	7,485,690 4,572,541	11,590,040 5,268,134	19,606,157 13,092,619	42,299,576 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,364 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,007,083 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	516,993	367,178	510,011	187,398	1,278
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,420,668	1,748,165	3,381,995	3,652,502	4,170,716
⊳ 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	138,637	0	0	0	8,947
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	219,708	393,072	225,847	266,843
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ 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	0 1,987,202	0 1,597,664
⊳ Sum Line 24	8,899,384	5,150,639	7,304,962	15,540,410	37,851,792
Total income ? Median	-4,555,769 6,586,430	9,587,709 6,767,106	34,488,736 8,419,950	45,113,844 8,094,175	32,824,954 15,162,888
Non-operating expenses Median	0 146,289.5	6 164,857	0 89,880.5	0 106,761	-278 31,473.5
Net income Median	-4,555,769 6,043,842	9,587,703 5,845,112	34,488,736 7,606,259	45,113,844 7,283,041	32,825,232 14,957,241
Net margin Median	-1.29409% 4.62%	3.84826% 4.42%	6.53991% 5.16%	8.66214% 5.2%	6.89074% 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 HEALTH EAST TEXAS TYLER 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	86,835,734 23,241,334	56,406,022 23,709,545	92,390,346 24,248,380	89,300,507 22,858,541	86,485,880 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	86,835,734 21,577,146	56,406,022 22,041,594	92,390,346 22,722,063	89,300,507 21,570,441	86,485,880 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	0 3,746,588	0 3,782,288	0 3,865,578	0 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	27,672,763 11,160,864	19,617,451 11,987,345	30,026,960 12,926,866	32,696,811 11,884,480	32,909,766 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	27,672,763 10,918,923	19,617,451 11,706,976	30,026,960 12,615,917	32,696,811 11,458,116	32,909,766 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	43,144 3,250,551	259,714 3,386,837	961,761 3,360,806	2,504,161 3,508,953
Disproportionate-share hospital (DSH) Median	1,203,491 594,888	678,490 595,761	1,292,094 577,894	945,301 542,168	650,536 549,667
Outlier Median	1,619,937 582,572	1,342,275 538,116	254,804 212,434	169,103 126,559	160,180 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,794,123 3,662,910	65,154 3,730,911	322,296 4,081,319	399,302 4,643,908	213,759 4,389,147
Charity care Median	21,031,543 2,654,636	19,990,028 2,940,659	19,562,218 3,380,215	28,758,743 3,488,738	29,976,935 3,233,405
Uncompensated care (UCC) Median	26,712,925 5,147,790	31,667,970 5,337,617	29,931,479 5,711,082	39,888,000 5,923,418	38,435,850 5,508,107
UCC as a % of operating expenses Median	7.49% 3.24	13.22% 3.12	6.07% 3.21	8.39% 3.3	8.67% 2.86
Total shortfall/UCC Median	28,507,048 9,489,989	31,733,124 9,424,297	30,253,775 10,120,158	40,287,302 11,171,337	38,649,609 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	120,401,571 52,142,039	78,392,530 54,485,252	122,914,336 57,395,589	131,960,020 58,830,919	140,972,381 61,722,907
Salaries as a % of operating expenses Median	33.76 36.68	32.72 36.56	24.94 36.37	27.74 35.93	31.78 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	0 1,251,927	0 1,186,494	437,036 1,204,885	1,016,836 1,279,653	863,536 1,469,317
Contract adjusted salaries, direct-care Median	5,573,854 1,449,244	4,590,836 1,475,986	8,059,202 1,563,078	6,980,175 1,721,954	16,920,352 2,991,828
Contract hours, direct-care Median	99,294.74 22,725	74,147.83 23,018.5	134,082.45 24,503.48	109,832.00 25,026.5	216,876.00 33,786
Contract wages, direct-care Median	56.13 64.67	61.91 64.53	60.11 65.06	63.55 68.97	78.02 88.94

* in an approved program

Return to top

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.