As of the July, 2022, release via CMS

BROOKWOOD BAPTIST MEDICAL CENTER

CMS id: 010139
2010 BROOKWOOD MEDICAL CENTER DRIVE, BIRMINGHAM AL 35209. County: JEFFERSON
System: TENET HEALTHCARE CORPORATION
CBSA: Birmingham-Hoover, AL

The 595-bed, acute-care hospital had $-9,054,826 in net service to patients*, with a total profit margin of -3.58808% in fiscal year 2021, the latest year available.
It spent 3.90% 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	337 118	340 118	340 119.5	340 118	346 119
Total beds Median	588 162	595 162	595 162	595 162	595 163.5
FTEs Median	1,488.50 788.06	1,431.20 793.42	1,393.80 806.03	1,226.70 787.61	1,111.60 804.34

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	365,084,327 150,932,746	330,818,448 158,950,878	326,957,880 168,696,998	296,595,571 163,454,693	314,223,552 186,589,412
Operating expenses Median	347,436,493 149,311,209	349,210,000 156,110,414	343,911,525 164,890,568	314,818,852 166,516,854	323,278,378 180,120,888
Net income from service 2 patients (NS2P) ? Median	17,647,834 -964,173	-18,391,552 -643,601.5	-16,953,645 -116,254	-18,223,281 -5,025,862	-9,054,826 -1,284,564
NS2P margin ? Median	4.83% -0.62	-5.56% -0.29	-5.19% 0.18	-6.14% -5.07	-2.88% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BROOKWOOD 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	1,873,605 5,089,215	2,285,729 4,572,541	2,175,054 5,268,134	32,741,903 13,092,619	-2,142,875 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	470 299,524	26,283 188,688.5	40,453 370,813	732 309,361.5	1,931 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	3,--29	5,74--	9,15--	2,73--	17,113
⊳ Line 10: Purchase discounts	-15,304	3,739	21,265	9,665	11,034
⊳ Line 11: Rebates and refunds of expenses	134,085	171,161	215,246	281,136	117,422
⊳ 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	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	24,131	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	24,076	112,534	113,143	137,993	244,046
⊳ 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	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,394,853	1,411,034	1,443,701	1,336,880	1,344,557
⊳ 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	58,260	309,426	120,762	30,781,092	-4,066,952
Total income ? Median	19,521,439 6,586,430	-16,105,823 6,767,106	-14,778,591 8,419,950	14,518,622 8,094,175	-11,197,701 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	19,521,439 6,043,842	-16,105,823 5,845,112	-14,778,591 7,606,259	14,518,622 7,283,041	-11,197,701 14,957,241
Net margin Median	5.31980% 4.62%	-4.83507% 4.42%	-4.49016% 5.16%	4.40843% 5.2%	-3.58808% 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 BROOKWOOD 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	55,469,253 23,241,334	48,606,472 23,709,545	46,260,462 24,248,380	40,346,485 22,858,541	40,318,226 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	41,531,588 21,577,146	35,876,279 22,041,594	32,871,986 22,722,063	28,685,448 21,570,441	28,756,159 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	7,424,635 1,845,420	6,077,428 1,757,392	6,947,925 1,738,842	6,314,665 1,510,463	5,257,299 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	6,513,030 3,535,627	6,652,765 3,746,588	6,440,551 3,782,288	5,346,372 3,865,578	6,304,768 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	22,824,713 11,160,864	20,787,252 11,987,345	16,986,634 12,926,866	15,071,885 11,884,480	14,610,635 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	22,824,713 10,918,923	20,787,252 11,706,976	16,986,634 12,615,917	15,071,885 11,458,116	14,610,635 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	582,319 594,888	717,838 595,761	571,137 577,894	721,877 542,168	646,116 549,667
Outlier Median	2,412,541 582,572	1,361,802 538,116	337,951 212,434	646,733 126,559	721,109 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	15,120,124 2,654,636	14,103,378 2,940,659	14,419,216 3,380,215	13,525,605 3,488,738	11,181,319 3,233,405
Uncompensated care (UCC) Median	17,068,894 5,147,790	16,373,316 5,337,617	16,280,581 5,711,082	15,125,510 5,923,418	12,601,654 5,508,107
UCC as a % of operating expenses Median	4.91% 3.24	4.69% 3.12	4.73% 3.21	4.80% 3.3	3.90% 2.86
Total shortfall/UCC Median	17,068,894 9,489,989	16,373,316 9,424,297	16,280,581 10,120,158	15,125,510 11,171,337	12,601,654 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	106,290,650 52,142,039	106,288,992 54,485,252	107,841,095 57,395,589	94,667,483 58,830,919	96,186,741 61,722,907
Salaries as a % of operating expenses Median	30.59 36.68	30.42 36.56	31.36 36.37	30.07 35.93	29.75 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	6,052,505 1,449,244	2,811,221 1,475,986	3,968,795 1,563,078	4,047,581 1,721,954	12,788,547 2,991,828
Contract hours, direct-care Median	89,877.00 22,725	46,505.25 23,018.5	61,548.00 24,503.48	45,772.00 25,026.5	104,892.00 33,786
Contract wages, direct-care Median	67.34 64.67	60.45 64.53	64.48 65.06	88.43 68.97	121.92 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.