As of the July, 2022, release via CMS

BAPTIST MEDICAL CENTER SOUTH

CMS id: 010023
2105 EAST SOUTH BOULEVARD, MONTGOMERY AL 36116. County: MONTGOMERY
System: BAPTIST HEALTH
CBSA: Montgomery, AL

The 387-bed, acute-care hospital had $-30,942,406 in net service to patients*, with a total profit margin of 15.11162% in fiscal year 2021, the latest year available.
It spent 4.66% 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	gov	gov	gov	gov	gov
Acute beds Median	233 118	233 118	222 119.5	222 118	222 119
Total beds Median	389 162	389 162	380 162	386 162	387 163.5
FTEs Median	1,883.92 788.06	1,932.97 793.42	1,933.10 806.03	1,907.65 787.61	1,943.49 804.34

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	407,870,498 150,932,746	432,142,342 158,950,878	448,866,645 168,696,998	477,473,157 163,454,693	561,491,873 186,589,412
Operating expenses Median	431,394,890 149,311,209	445,704,557 156,110,414	465,304,054 164,890,568	500,661,200 166,516,854	592,434,279 180,120,888
Net income from service 2 patients (NS2P) ? Median	-23,524,392 -964,173	-13,562,215 -643,601.5	-16,437,409 -116,254	-23,188,043 -5,025,862	-30,942,406 -1,284,564
NS2P margin ? Median	-5.77% -0.62	-3.14% -0.29	-3.66% 0.18	-4.86% -5.07	-5.51% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAPTIST MEDICAL CENTER SOUTH 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	53,618,506 5,089,215	48,347,561 4,572,541	63,533,092 5,268,134	73,691,031 13,092,619	136,406,073 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	31,019,019 299,524	25,843,286 188,688.5	33,053,646 370,813	24,458,065 309,361.5	70,987,057 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	73,715	67,662	64,896	67,404	36,212
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	4,502,455
⊳ 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	14,371	12,498	8,525	8,904	7,656
⊳ 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	32,183	25,388	11,763	19,461	25,925
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	186,710	261,008	310,011
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	2,096,106	1,838,810	1,724,794	1,617,972	1,590,811
⊳ 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	20,373,882	20,559,917	28,482,758	47,258,217	58,945,946
Total income ? Median	30,094,114 6,586,430	34,785,346 6,767,106	47,095,683 8,419,950	50,502,988 8,094,175	105,463,667 15,162,888
Non-operating expenses Median	1,106 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	30,093,008 6,043,842	34,785,346 5,845,112	47,095,683 7,606,259	50,502,988 7,283,041	105,463,667 14,957,241
Net margin Median	6.52085% 4.62%	7.23956% 4.42%	9.19120% 5.16%	9.16297% 5.2%	15.11162% 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 BAPTIST MEDICAL CENTER SOUTH 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	59,824,396 23,241,334	54,695,679 23,709,545	55,159,089 24,248,380	56,467,708 22,858,541	58,907,916 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	57,491,391 21,577,146	52,418,560 22,041,594	53,122,615 22,722,063	54,426,495 21,570,441	57,396,064 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	2,333,005 1,845,420	2,277,119 1,757,392	2,036,474 1,738,842	2,041,213 1,510,463	1,511,852 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	62,573,846 11,160,864	59,731,486 11,987,345	54,382,128 12,926,866	51,771,444 11,884,480	53,969,443 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	62,573,846 10,918,923	59,731,486 11,706,976	54,382,128 12,615,917	51,771,444 11,458,116	53,969,443 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	3,994,655 3,284,314	3,575,346 3,250,551	3,672,110 3,386,837	3,760,623 3,360,806	4,053,005 3,508,953
Disproportionate-share hospital (DSH) Median	2,471,175 594,888	2,130,011 595,761	2,398,206 577,894	1,892,379 542,168	1,892,569 549,667
Outlier Median	2,343,547 582,572	1,995,331 538,116	1,587,094 212,434	335,076 126,559	263,361 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,379,091 3,662,910	2,168,315 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	7,160,142 2,654,636	7,232,197 2,940,659	11,006,881 3,380,215	16,559,382 3,488,738	7,513,133 3,233,405
Uncompensated care (UCC) Median	23,932,462 5,147,790	24,161,406 5,337,617	28,301,755 5,711,082	36,342,769 5,923,418	27,587,874 5,508,107
UCC as a % of operating expenses Median	5.55% 3.24	5.42% 3.12	6.08% 3.21	7.26% 3.3	4.66% 2.86
Total shortfall/UCC Median	30,311,553 9,489,989	26,329,721 9,424,297	28,301,755 10,120,158	36,342,769 11,171,337	27,587,874 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	106,433,284 52,142,039	116,762,362 54,485,252	117,381,829 57,395,589	130,443,602 58,830,919	115,626,530 61,722,907
Salaries as a % of operating expenses Median	24.67 36.68	26.20 36.56	25.23 36.37	26.05 35.93	19.52 35.24
Intern, resident salaries* Median	59,298 2,598,592	63,724 2,686,824	63,666 2,753,773	63,962 2,937,156	63,046 2,909,848
Contract intern, resident salaries* Median	2,699,185 1,251,927	2,820,688 1,186,494	2,786,624 1,204,885	2,985,910 1,279,653	2,855,541 1,469,317
Contract adjusted salaries, direct-care Median	17,288,753 1,449,244	14,792,821 1,475,986	15,744,182 1,563,078	18,883,457 1,721,954	75,125,458 2,991,828
Contract hours, direct-care Median	304,359.00 22,725	237,892.00 23,018.5	262,077.52 24,503.48	318,201.19 25,026.5	767,201.34 33,786
Contract wages, direct-care Median	56.80 64.67	62.18 64.53	60.07 65.06	59.34 68.97	97.92 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.