As of the July, 2022, release via CMS

TEXAS HEALTH SOUTHWEST

CMS id: 450779
6100 HARRIS PARKWAY, FORT WORTH TX 76132. County: TARRANT
System: TEXAS HEALTH RESOURCES
CBSA: Dallas-Fort Worth-Arlington, TX

The 245-bed, acute-care hospital had $27,094,750 in net service to patients*, with a total profit margin of 13.76438% in fiscal year 2021, the latest year available.
It spent 6.10% of its operating expenses on uncompensated care and reported $0 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	222 118	219 118	219 119.5	219 118	219 119
Total beds Median	248 162	245 162	245 162	245 162	245 163.5
FTEs Median	1,168.64 788.06	1,190.63 793.42	1,247.33 806.03	1,132.61 787.61	1,137.97 804.34

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	302,611,847 150,932,746	306,151,281 158,950,878	321,441,987 168,696,998	308,229,165 163,454,693	341,561,882 186,589,412
Operating expenses Median	276,525,633 149,311,209	286,453,344 156,110,414	295,140,690 164,890,568	294,581,991 166,516,854	314,467,132 180,120,888
Net income from service 2 patients (NS2P) ? Median	26,086,214 -964,173	19,697,937 -643,601.5	26,301,297 -116,254	13,647,174 -5,025,862	27,094,750 -1,284,564
NS2P margin ? Median	8.62% -0.62	6.43% -0.29	8.18% 0.18	4.43% -5.07	7.93% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TEXAS HEALTH SOUTHWEST 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	12,527,212 5,089,215	13,213,794 4,572,541	14,134,630 5,268,134	21,048,444 13,092,619	23,098,475 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	654 224,999	75,928 199,009	63,867 206,870.5	64,539 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	8,282 299,524	27,358 188,688.5	35,301 370,813	19,726 309,361.5	75,615 375,329
⊳ 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	15,313	0	0	17,515
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,310,266	1,355,660	1,361,058	1,059,895	1,030,852
⊳ 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	3,600	0
⊳ Line 17: Revenue from sale of drugs to other than patients	11,418	101,158	9,171	0	1,800
⊳ 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	5,875	0	5,718
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	164,030	185,011	0	6,164
⊳ 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	11,196,592	11,474,347	12,474,347	19,900,684	21,960,811
Total income ? Median	38,613,426 6,586,430	32,911,731 6,767,106	40,435,927 8,419,950	34,695,618 8,094,175	50,193,225 15,162,888
Non-operating expenses Median	0 146,289.5	19 164,857	5 89,880.5	0 106,761	2 31,473.5
Net income Median	38,613,426 6,043,842	32,911,712 5,845,112	40,435,922 7,606,259	34,695,618 7,283,041	50,193,223 14,957,241
Net margin Median	12.25282% 4.62%	10.30536% 4.42%	12.04968% 5.16%	10.53689% 5.2%	13.76438% 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 TEXAS HEALTH SOUTHWEST 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	40,033,897 23,241,334	37,630,863 23,709,545	36,481,188 24,248,380	36,920,333 22,858,541	35,311,466 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	40,033,897 21,577,146	37,630,863 22,041,594	36,481,188 22,722,063	36,920,333 21,570,441	35,311,466 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	8,197,554 11,160,864	12,327,439 11,987,345	16,018,867 12,926,866	16,371,522 11,884,480	20,025,179 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	8,197,554 10,918,923	12,327,439 11,706,976	16,018,867 12,615,917	16,371,522 11,458,116	20,025,179 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	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	696,999 594,888	652,655 595,761	766,105 577,894	545,752 542,168	473,743 549,667
Outlier Median	431,801 582,572	462,345 538,116	187,156 212,434	276,471 126,559	227,403 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,948,549 3,662,910	1,574,628 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	14,486,136 2,654,636	18,713,975 2,940,659	15,617,545 3,380,215	15,793,843 3,488,738	17,080,614 3,233,405
Uncompensated care (UCC) Median	18,193,313 5,147,790	22,314,616 5,337,617	20,548,358 5,711,082	21,659,395 5,923,418	19,197,445 5,508,107
UCC as a % of operating expenses Median	6.58% 3.24	7.79% 3.12	6.96% 3.21	7.35% 3.3	6.10% 2.86
Total shortfall/UCC Median	22,141,862 9,489,989	23,889,244 9,424,297	20,548,358 10,120,158	21,659,395 11,171,337	19,197,445 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	84,811,979 52,142,039	88,393,426 54,485,252	88,599,075 57,395,589	93,482,935 58,830,919	101,183,321 61,722,907
Salaries as a % of operating expenses Median	30.67 36.68	30.86 36.56	30.02 36.37	31.73 35.93	32.18 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	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,534,828 1,449,244	1,268,772 1,475,986	728,133 1,563,078	140,791 1,721,954	1,629,607 2,991,828
Contract hours, direct-care Median	39,993.69 22,725	20,211.00 23,018.5	12,146.00 24,503.48	2,316.75 25,026.5	17,116.00 33,786
Contract wages, direct-care Median	63.38 64.67	62.78 64.53	59.95 65.06	60.77 68.97	95.21 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.