As of the July, 2022, release via CMS

WALKER BAPTIST MEDICAL CENTER

CMS id: 010089
3400 HIGHWAY 78 EAST, JASPER AL 35502. County: WALKER
System: TENET HEALTHCARE CORPORATION
CBSA: Jasper, AL

The 259-bed, acute-care hospital had $17,638,873 in net service to patients*, with a total profit margin of 18.77767% in fiscal year 2021, the latest year available.
It spent 8.55% 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	forprofit
Acute beds Median	207 118	195 118	195 119.5	195 118	195 119
Total beds Median	259 162	259 162	259 162	259 162	259 163.5
FTEs Median	497.00 788.06	484.10 793.42	499.10 806.03	445.80 787.61	423.30 804.34

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	89,233,467 150,932,746	92,340,648 158,950,878	96,965,068 168,696,998	100,929,428 163,454,693	110,560,370 186,589,412
Operating expenses Median	87,389,052 149,311,209	90,024,406 156,110,414	91,817,208 164,890,568	89,409,115 166,516,854	92,921,497 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,844,415 -964,173	2,316,242 -643,601.5	5,147,860 -116,254	11,520,313 -5,025,862	17,638,873 -1,284,564
NS2P margin ? Median	2.07% -0.62	2.51% -0.29	5.31% 0.18	11.41% -5.07	15.95% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WALKER BAPTIST MEDICAL CENTER 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	794,818 5,089,215	883,362 4,572,541	939,910 5,268,134	3,501,809 13,092,619	3,843,515 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	30,309 299,524	23,674 188,688.5	22,470 370,813	10,793 309,361.5	1,900 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	306	1,296	532	1,179	1,455
⊳ Line 11: Rebates and refunds of expenses	61,939	65,412	130,608	157,381	145,695
⊳ 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	331,617	299,487	333,439	29,997	0
⊳ 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	10,687	10,904	8,915	10,640	22,124
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	170,104	145,301	124,405	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	56,113	38,281	107,893	39,716	60,180
⊳ 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	133,743	299,007	211,648	3,252,103	3,612,161
Total income ? Median	2,639,233 6,586,430	3,199,604 6,767,106	6,087,770 8,419,950	15,022,122 8,094,175	21,482,388 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	2,639,233 6,043,842	3,199,604 5,845,112	6,087,770 7,606,259	15,022,122 7,283,041	21,482,388 14,957,241
Net margin Median	2.93156% 4.62%	3.43217% 4.42%	6.21804% 5.16%	14.38470% 5.2%	18.77767% 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 WALKER BAPTIST MEDICAL CENTER 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	19,525,554 23,241,334	17,772,365 23,709,545	17,411,679 24,248,380	18,325,303 22,858,541	17,601,760 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	15,678,836 21,577,146	14,413,867 22,041,594	14,591,304 22,722,063	15,629,352 21,570,441	15,304,241 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	3,846,718 1,845,420	3,358,498 1,757,392	2,820,375 1,738,842	2,695,951 1,510,463	2,297,519 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	7,723,737 11,160,864	7,559,973 11,987,345	7,495,613 12,926,866	6,294,146 11,884,480	6,786,380 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	7,723,737 10,918,923	7,559,973 11,706,976	7,495,613 12,615,917	6,294,146 11,458,116	6,786,380 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	467,548 594,888	510,437 595,761	475,822 577,894	459,500 542,168	400,752 549,667
Outlier Median	495,562 582,572	402,660 538,116	8,420 212,434	23,453 126,559	7,554 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	153,981 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	6,216,555 2,654,636	7,711,254 2,940,659	9,602,594 3,380,215	6,049,081 3,488,738	7,206,905 3,233,405
Uncompensated care (UCC) Median	7,347,402 5,147,790	8,796,688 5,337,617	10,745,893 5,711,082	6,892,912 5,923,418	7,948,886 5,508,107
UCC as a % of operating expenses Median	8.41% 3.24	9.77% 3.12	11.70% 3.21	7.71% 3.3	8.55% 2.86
Total shortfall/UCC Median	7,347,402 9,489,989	8,950,669 9,424,297	10,745,893 10,120,158	6,892,912 11,171,337	7,948,886 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	30,806,867 52,142,039	31,852,787 54,485,252	32,874,163 57,395,589	30,076,329 58,830,919	31,264,068 61,722,907
Salaries as a % of operating expenses Median	35.25 36.68	35.39 36.56	35.80 36.37	33.64 35.93	33.65 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	0 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	667,601 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	5,728.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	0.00 68.97	116.55 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.