High Risk

Southwest Transplant Alliance

Dallas, TX · CMS 45P003 · EIN 751469319

Forensic Risk Score

43.8

0–100 scale (composite)

Anomaly Severity

21.6

Within normal range

Cost per Organ

$133K

Rank #43 of 55

Donor Yield

3.35

Rank #6 of 55 · organs/donor

TXSA (score: 0.04, cluster: High Risk). $133,302/organ, 3.346 organs/donor, 97.74 organs/million pop.

admin cost pct: high

Financial Health

Cost reports, 990 filings, and wealth indicators

Total Costs

$104.4M

Latest fiscal year

Cost per Donor

$446K

Rank #46/55

Net Assets

$43.7M

1.23x expenses

Admin Cost %

18.5%

Non-program overhead

5-Year Cost Trend

2019 → 2020 → 2021 → 2022 → 2023 → 2024

$70.1M$104.4M

Beneish M-Score

-2.20

2024

-2.47

2023

-2.18

2022

-2.18

2021

-2.30

2020

Values above -1.78 indicate elevated financial manipulation risk

HCRIS vs 990 Cross-Reference

Expense gap: -19.8% between CMS cost report and IRS 990 filing

Clinical Performance

Donors, organs, and procurement efficiency

Deceased Donors

234

Latest year

Organs Transplanted

783

Organs per Million

97.7

Rank #48/55

Referral Conversion

99.6%

Eligible referrals → donors

vs. National Benchmarks

Cost per Organ Transplanted$133K

National median: $79K ▲ above

Cost per Donor$446K

National median: $235K ▲ above

Donor Yield (organs/donor)3.346

National median: $3.5 ▼ below

Admin Cost %18.5%

National median: $18% ▲ above

Regulatory & Oversight

Congressional findings, survey citations, and structural breaks

Network

Vendor relationships, cross-OPO linkages, and lockstep patterns

Top Vendors (990 Part IX)

Vendor	Amount	Services
LIBERTY ANESTHESIA	$1.3M	ANESTHESIA SERVICES
COMPUMED INC	$706K	LAB IMAGING
IMAGINE UNLIMITED LLC	$596K	CATH LAB CONSTRUCTION
TEXAS MEDICAL SPECIALTY INC	$224K	HLA LAB SERVICES
EUROFINS VRL INV	$201K	SEROLOGY LAB SERVICES

Lockstep Cost Correlations

OPO Pair	Correlation	P-Value
TXGF	0.000	—

Cross-OPO Linkage Suspicion

Linked OPO	Suspicion Score	Signal Count
NYRT	—	—
NJTO	—	—
OHLC	—	—

Peer Comparison

OPOs most similar to TXSA (High Risk cluster)

OPO	Cluster	Anomaly Score	FLMP Distance
KYDA	2	0.1193	6.696
NYRT	2	0.0481	7.433
MNOP	2	0.0770	7.961
TXGF	2	0.0552	8.371
PADV	2	0.0517	8.833
MIOP	2	0.0865	9.350
CADN	2	0.0086	9.621
CASD	2	0.0455	9.701
PATF	2	0.0361	9.729
ILIP	2	0.0623	9.934

Data sourced from CMS HCRIS, IRS TEOS, OPTN/SRTR, CDC MCOD, and WHO/GODT. Every number traceable to a SHA-256 hashed federal source document.