As of the July, 2022, release via CMS

UT HEALTH CENTER AT TYLER

CMS id: 450690
11937 US HIGHWAY 271, TYLER TX 75710. County: SMITH
System: --
CBSA: Tyler, TX

The 130-bed, acute-care hospital had $-197,332,835 in net service to patients*, with a total profit margin of 7.22872% in fiscal year 2021, the latest year available.
It spent 2.14% of its operating expenses on uncompensated care and reported $268,247 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	90 118	90 118	104 119.5	102 118	102 119
Total beds Median	130 162	130 162	130 162	130 162	130 163.5
FTEs Median	1,451.02 788.06	1,375.17 793.42	1,159.15 806.03	1,264.40 787.61	1,426.33 804.34

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	85,712,241 150,932,746	91,002,622 158,950,878	71,015,874 168,696,998	133,627,608 163,454,693	151,172,434 186,589,412
Operating expenses Median	225,888,674 149,311,209	247,498,834 156,110,414	217,840,398 164,890,568	308,921,381 166,516,854	348,505,269 180,120,888
Net income from service 2 patients (NS2P) ? Median	-140,176,433 -964,173	-156,496,212 -643,601.5	-146,824,524 -116,254	-175,293,773 -5,025,862	-197,332,835 -1,284,564
NS2P margin ? Median	-163.54% -0.62	-171.97% -0.29	-206.75% 0.18	-131.18% -5.07	-130.53% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UT HEALTH CENTER AT 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	146,274,115 5,089,215	155,036,275 4,572,541	141,740,879 5,268,134	194,230,154 13,092,619	224,488,281 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	14,393,294 224,999	11,157,902 199,009	21,883,465 206,870.5	34,486,319 194,343	52,811,532 249,496
⊳ Line 7: Investments ? ⊳ Median	4,095,224 299,524	4,396,774 188,688.5	3,755,693 370,813	3,579,605 309,361.5	3,813,199 375,329
⊳ 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	57,436	50,042	51,806	41,473	30,235
⊳ 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	4,640,029	5,805,912	5,561,078	15,105,908	17,278,340
⊳ 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	141,207	113,594	108,373	117,110	160,463
⊳ 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	53,705,726 1,017,693	51,387,510 983,261.5	52,557,483 1,173,286	58,440,682 1,987,202	57,878,946 1,597,664
⊳ Sum Line 24	69,241,199	82,124,541	57,822,981	82,459,057	92,515,566
Total income ? Median	6,097,682 6,586,430	-1,459,937 6,767,106	-5,083,645 8,419,950	18,936,381 8,094,175	27,155,446 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	6,097,682 6,043,842	-1,459,937 5,845,112	-5,083,645 7,606,259	18,936,381 7,283,041	27,155,446 14,957,241
Net margin Median	2.62847% 4.62%	-0.59338% 4.42%	-2.38942% 5.16%	5.77579% 5.2%	7.22872% 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 CENTER AT 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	8,837,352 23,241,334	8,417,763 23,709,545	6,152,882 24,248,380	6,981,008 22,858,541	9,764,453 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	6,189,976 21,577,146	5,879,418 22,041,594	4,152,702 22,722,063	4,514,787 21,570,441	8,195,874 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	2,647,376 1,845,420	2,538,345 1,757,392	2,000,180 1,738,842	2,466,221 1,510,463	1,568,579 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	16,883,001 11,160,864	16,927,537 11,987,345	14,111,214 12,926,866	11,256,504 11,884,480	12,226,921 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	16,883,001 10,918,923	16,927,537 11,706,976	14,111,214 12,615,917	11,256,504 11,458,116	12,226,921 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	2,143,869 3,284,314	2,761,367 3,250,551	3,100,141 3,386,837	2,227,065 3,360,806	2,267,103 3,508,953
Disproportionate-share hospital (DSH) Median	350,678 594,888	282,538 595,761	159,941 577,894	150,239 542,168	327,861 549,667
Outlier Median	1,765,373 582,572	1,684,683 538,116	1,047,003 212,434	682,243 126,559	484,976 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	222,428 3,662,910	331,782 3,730,911	86,949 4,081,319	20,968 4,643,908	268,247 4,389,147
Charity care Median	1,018,918 2,654,636	1,462,697 2,940,659	324,287 3,380,215	3,347,213 3,488,738	4,496,487 3,233,405
Uncompensated care (UCC) Median	7,829,583 5,147,790	8,960,963 5,337,617	7,136,171 5,711,082	6,402,643 5,923,418	7,465,346 5,508,107
UCC as a % of operating expenses Median	3.47% 3.24	3.62% 3.12	3.28% 3.21	2.07% 3.3	2.14% 2.86
Total shortfall/UCC Median	8,052,011 9,489,989	9,292,745 9,424,297	7,223,120 10,120,158	6,423,611 11,171,337	7,733,593 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	100,063,540 52,142,039	105,501,614 54,485,252	94,118,059 57,395,589	118,892,064 58,830,919	154,321,962 61,722,907
Salaries as a % of operating expenses Median	47.72 36.68	46.71 36.56	47.12 36.37	41.94 35.93	45.94 35.24
Intern, resident salaries* Median	3,561,476 2,598,592	3,324,036 2,686,824	2,962,051 2,753,773	2,460,479 2,937,156	1,957,077 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,300,719 1,449,244	901,917 1,475,986	720,702 1,563,078	1,456,140 1,721,954	10,311,843 2,991,828
Contract hours, direct-care Median	37,656.00 22,725	22,805.78 23,018.5	14,073.57 24,503.48	18,886.75 25,026.5	91,041.33 33,786
Contract wages, direct-care Median	34.54 64.67	39.55 64.53	51.21 65.06	77.10 68.97	113.27 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.