Southwestern Health Resources

What Southwestern Health Resources does

Southwestern Health Resources (SWHR) is a private, non-profit clinically integrated healthcare network headquartered in Farmers Branch, Texas. It operates as a physician-led joint venture between UT Southwestern Medical Center and Texas Health Resources, blending an academic medical center with one of the largest faith-based community health networks in the United States. The organization coordinates care for Medicare beneficiaries and commercial patients across 7,000+ providers, 31 hospitals, and 650+ outpatient facilities in the North Texas market, with a stated workforce of 251-500 employees.

SWHR's core product is its ACO REACH Model accountable care network (dba Southwestern Health Resources Accountable Care Network), accepted into CMS's Global and Professional Direct Contracting Model in January 2022 and transitioned to ACO REACH in 2023. Supporting technology includes the SWHR Provider Portal for access and membership management, a Provider Performance Dashboard for quality and utilization analytics, and SWHR PHP, a population health management platform built on Arcadia. HIPAA compliance is maintained at the infrastructure level, and the organization manages multi-payor administrative distribution (Aetna, Cigna, BCBSTX, Cook Children's, United Healthcare, Superior Healthplan, TriWest/TRICARE, Carelon, eviCore) on behalf of network providers.

The revenue model is hybrid. Primary economics flow from CMS ACO REACH shared savings — $37,945,187 in Performance Year 2023 and $256,274,260 cumulative across MSSP/NGACO/GPDC/REACH from 2014 to 2023. Secondary streams include annual provider membership dues invoiced through SWHR Member Payments and Bill.com, plus administrative-services revenue from aggregating and distributing payor bulletins. Customer segments are patients seeking accessible North Texas care, independent healthcare providers seeking value-based care infrastructure, and Medicare beneficiaries attributed to the ACO.

Name

Southwestern Health Resources

Legal name

Southwestern Health Resources

Website

https://southwesternhealth.org

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

251–500 employees

Short description

Southwestern Health Resources is a non-profit clinically integrated network formed by UT Southwestern Medical Center and Texas Health Resources, coordinating care across 7,000+ providers, 31 hospitals, and 650+ outpatient facilities in North Texas under the CMS ACO REACH Model.

Ownership category

akta.pro rank

Product category

Healthcare Network Services

NAICS

Health Care and Social Assistance (62), Ambulatory Health Care Services (621), Other Ambulatory Health Care Services (6219)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090), Services-Membership Organizations (8600)

akta.pro primary industry

Healthcare Utilization, Claims & Administrative Data Analytics (HLAJAJAK)

akta.pro secondary industries

Care Management & Care Coordination (Home & Community-Based) (HLAFAEAL), Community & Regional General Hospitals (HLAFAAAB)

Keywords

• Value-based care
• Clinically integrated network
• Population health management
• Accountable care organization
• Care coordination services

Headquarters

HQ city

Dallas

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Medicare Shared Savings / ACO REACH: SWHR operates as an Accountable Care Organization participating in the ACO REACH Model with CMS. The organization generates revenue through shared savings achieved by delivering high-quality, cost-efficient care. Performance data shows consistent savings: $2.9M (2014), $14.2M (2015), $17.5M (2016), $29.9M (2017), $37.1M (2018), $50.6M (2019), $30.9M (2020), $8.1M (2021), $27.1M (2022), and $37.9M (2023).
2. Provider Membership Dues: Independent providers in the SWHR network pay annual membership dues. Invoices are sent in September via email from SWHR Member Payments. Payment can be made via check, ACH, or credit card through Bill.com.
3. Payor News and Administrative Services: SWHR aggregates and distributes payor updates from multiple insurance providers including Aetna, Cigna, BCBSTX, Cook Children's, and others, serving as an administrative intermediary for providers navigating various payer requirements.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

Southwestern Health Resources operates a clinically integrated healthcare network formed as a joint venture between UT Southwestern Medical Center and Texas Health Resources. It organizes 7,000+ providers, 31 hospitals, and 650+ outpatient facilities in North Texas around value-based care delivery, operating an Accountable Care Organization under the ACO REACH Model and supporting members with population health management, care coordination, and quality performance reporting tools.

Product overview

Southwestern Health Resources (SWHR) operates as a clinically integrated healthcare network offering a platform of provider-facing tools and services. The core offering consists of the SWHR Provider Portal for resource access and system management, supplemented by the Provider Performance Dashboard for analytics and SWHR PHP (Arcadia) for population health management. The network facilitates care coordination across 7,000+ providers, 31 hospitals, and 650+ outpatient facilities in North Texas, with participation in the ACO REACH Model for value-based care delivery.

Differentiator

Problem solved

Functional benefit

Products and services

• SWHR Provider Portal Secure web-based portal for participating SWHR network providers to access SWHR resources, tools, and information across the clinically integrated network.
• SWHR PHP (Population Health Platform) Population health management platform (built on Arcadia) used to aggregate clinical and claims data, stratify risk, support care management, and report on quality and utilization for SWHR network providers and ACO REACH participants.
• Provider Performance Dashboard Analytics dashboard branded as the SWHR Performer platform that delivers performance visibility on quality, utilization, and value-based care metrics to participating network providers.
• SWHR System Access Credential and access management system used by network providers to obtain and manage system access, credentials, and onboarding within SWHR.
• SWHR Communications Communications service delivering news, updates, and announcements from SWHR to network participants and stakeholders.
• Clinically Integrated Network (Provider Membership) The core network offering under which independent physicians, group practices, and other providers become members of the SWHR clinically integrated network, gaining access to value-based care infrastructure, analytics, and care coordination.
• ACO REACH Model Participation SWHR's participation in the Centers for Medicare & Medicaid Services (CMS) ACO REACH Model, enabling value-based contracting, shared savings, and care coordination for attributed Medicare beneficiaries across the network.

Quantifiable outcome

• $256,274,260 in cumulative shared savings achieved across all Medicare ACO programs (2014-2023)
• +3 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Ten partnerships are on record, tiered core and major.

• UT Southwestern Medical CentercoreStrategic or Co-development Partner · 1 January 2022UT Southwestern Medical Center is a founding partner in the Southwestern Health Resources Accountable Care Network. The partnership combines academic medical center research, teaching, and healing capabilities with community healthcare delivery. UT Southwestern provides physician leadership including Steven Leach, M.D. as Voting Member and Chairman of the ACO governing body, and Temple Howell-Stampley, M.D. and Mara Cunningham, D.O. as voting members.
• Texas Health Resources / Texas Health Physicians GroupcoreStrategic or Co-development Partner · 1 January 2022Texas Health Resources, through its Texas Health Physicians Group, is a founding partner in the SWHR ACO Network. The partnership combines one of the largest faith-based community health networks with academic medical center capabilities. Texas Health representatives include Donald Fowler, M.D. and Shawn Parsley, D.O. as voting members of the governing body, and Kara Klement as Assistant Secretary.
• Centers for Medicare and Medicaid Services (CMS)coreStrategic or Co-development Partner · 1 January 2022SWHRACN participates in the ACO REACH Model through CMS, originally selected for the Global and Professional Direct Contracting (GPDC) Model in January 2022 as a Direct Contracting Entity (DCE). The model transitioned to ACO REACH for 2023. CMS provides the regulatory framework for value-based care delivery and shared savings arrangements.
• AetnamajorGTM or Marketing PartnerAetna is one of the primary commercial payers integrated with SWHR's provider network. SWHR distributes Aetna provider education bulletins and updates to network providers, including Summer 2026 editions and OfficeLink quarterly newsletters.
• Cigna HealthcaremajorGTM or Marketing PartnerCigna Healthcare partners with SWHR to distribute claim editing updates, eligibility transaction enhancements, interactive voice response system notices, and provider website training information to network providers.
• BlueCross BlueShield of Texas (BCBSTX)majorGTM or Marketing PartnerBCBSTX works with SWHR to distribute Your LifeTimes wellness program updates and provider communications through the SWHR payor news channel.
• Cook Children's Health PlanmajorGTM or Marketing PartnerCook Children's Health Plan is a significant Medicaid managed care partner with SWHR. Updates include TMHP IAMOnline platform transitions, CLIA certification requirements, provider portal access, and behavioral health newsletter distribution.
• United HealthcaremajorGTM or Marketing PartnerUnited Healthcare partners with SWHR for network news distribution including medical policy updates, Medicare Advantage news, and provider communications through SWHR's payor news channel.
• Superior HealthplanmajorGTM or Marketing PartnerSuperior Healthplan works with SWHR on Texas Medicaid provider updates including prior authorization removals, behavioral health residential treatment facility updates, and provider enrollment revalidation notices.
• TriWest Healthcare Alliance / TRICAREmajorGTM or Marketing PartnerTriWest Healthcare Alliance partners with SWHR to deliver TRICARE West Region provider communications including mental health inpatient authorization changes and virtual community groups information.

Scale indicators7 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• CVS Health (Oak Street Health): National value-based primary care provider for Medicare beneficiaries operating under full risk; comparable to SWHR's Medicare-focused ACO REACH operations, but at much larger scale and owned by a major payer.
• VillageMD (Walgreens Boots Alliance): National primary care and value-based care platform owned by Walgreens, managing risk arrangements and care coordination for attributed populations; overlaps with SWHR's physician-led, risk-bearing CIN model.
• Steward Health Care Network: Large physician network and ACO operating under value-based contracts across multiple states; comparable to SWHR in CIN structure, provider recruitment model, and CMS ACO participation.
• Optum Health (UnitedHealth Group): Largest U.S. value-based care and physician enablement platform, operating thousands of risk-bearing providers and ACOs; comparable to SWHR as the dominant scaled incumbent in payer-aligned value-based care delivery.

Direct peers

• ChenMed: Privately held value-based primary care group serving low-income seniors through owned clinics under full-risk contracts; comparable to SWHR's population-health-driven care model for Medicare beneficiaries.
• P3 Health Partners: Public value-based care company operating ACOs and managing Medicare Advantage populations under full risk; comparable to SWHR's ACO REACH-driven care management and shared savings model.
• Privia Health Group: Public physician enablement company that builds clinically integrated networks and partners with payers on value-based care contracts, comparable to SWHR's CIN model with independent providers.
• Agilon Health: Public value-based care platform partnering with independent primary care physicians under global capitation arrangements, directly comparable to SWHR's risk-bearing ACO/care coordination model.

Regional players

• Baylor Scott & White Quality Alliance: Clinically integrated ACO/network affiliated with Baylor Scott & White Health in Texas; directly comparable to SWHR as a competing CIN in the same geography with similar academic-medical-center-backed structure.
• Memorial Hermann ACO: Houston-based accountable care organization run by Memorial Hermann Health System; comparable to SWHR as another Texas-based health-system-affiliated ACO participating in CMS risk programs.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/swhr_health
• Facebookfacebook.com/southwesternhealth
• LinkedInlinkedin.com/company/swhr

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Southwestern Health Resources