As of the July, 2022, release via CMS

BAYHEALTH HOSPITAL SUSSEX CAMPUS

CMS id: 080009
100 WELLNESS WAY, MILFORD DE 19963. County: SUSSEX
System: BAYHEALTH MEDICAL CENTER INC.
CBSA: Salisbury, MD-DE

The 128-bed, acute-care hospital had $-1,428,877 in net service to patients*, with a total profit margin of 19.70453% in fiscal year 2021, the latest year available.
It spent 2.21% of its operating expenses on uncompensated care and reported $796,699 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	nfp
Acute beds Median	115 118	115 118	105 119.5	78 118	78 119
Total beds Median	168 162	168 162	156 162	128 162	128 163.5
FTEs Median	764.58 788.06	797.52 793.42	866.49 806.03	940.74 787.61	976.70 804.34

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	146,442,262 150,932,746	167,123,913 158,950,878	181,413,128 168,696,998	199,112,040 163,454,693	230,298,695 186,589,412
Operating expenses Median	149,485,854 149,311,209	161,187,498 156,110,414	187,551,774 164,890,568	214,112,851 166,516,854	231,727,572 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,043,592 -964,173	5,936,415 -643,601.5	-6,138,646 -116,254	-15,000,811 -5,025,862	-1,428,877 -1,284,564
NS2P margin ? Median	-2.08% -0.62	3.55% -0.29	-3.38% 0.18	-7.53% -5.07	-0.62% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAYHEALTH HOSPITAL SUSSEX CAMPUS 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	17,027,183 5,089,215	20,573,334 4,572,541	11,438,828 5,268,134	19,781,436 13,092,619	59,145,924 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	119,104 206,870.5	429,262 194,343	1,192,678 249,496
⊳ Line 7: Investments ? ⊳ Median	1,887,782 299,524	1,960,627 188,688.5	3,097,781 370,813	4,274,048 309,361.5	4,407,087 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	14,085	11,562	12,288	14,008	11,165
⊳ Line 11: Rebates and refunds of expenses	0	0	13,500	0	260,688
⊳ 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	695,377	600,646
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	353,113	355,051	408,581	388,298	324,910
⊳ Line 17: Revenue from sale of drugs to other than patients	1,604,176	1,829,334	0	1,690,835	1,809,109
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	56,958	46,917
⊳ 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	0	0	0	278,473	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	256,757 1,597,664
⊳ Sum Line 24	13,168,027	16,416,760	7,787,574	11,954,177	50,235,967
Total income ? Median	13,983,591 6,586,430	26,509,749 6,767,106	5,300,182 8,419,950	4,780,625 8,094,175	57,717,047 15,162,888
Non-operating expenses Median	2,567 146,289.5	4,778,409 164,857	4,787,545 89,880.5	4,350,418 106,761	683,348 31,473.5
Net income Median	13,981,024 6,043,842	21,731,340 5,845,112	512,637 7,606,259	430,207 7,283,041	57,033,699 14,957,241
Net margin Median	8.55268% 4.62%	11.57787% 4.42%	0.26582% 5.16%	0.19654% 5.2%	19.70453% 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 BAYHEALTH HOSPITAL SUSSEX CAMPUS 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	33,845,832 23,241,334	37,352,949 23,709,545	35,187,341 24,248,380	35,335,832 22,858,541	38,369,776 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	19,072,189 21,577,146	22,650,517 22,041,594	20,670,764 22,722,063	21,689,931 21,570,441	25,823,857 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	14,773,643 3,535,627	14,702,432 3,746,588	14,516,577 3,782,288	13,645,901 3,865,578	12,545,919 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	14,545,568 11,160,864	15,983,451 11,987,345	17,305,977 12,926,866	15,908,974 11,884,480	19,186,058 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	14,545,568 10,918,923	15,983,451 11,706,976	17,305,977 12,615,917	15,908,974 11,458,116	19,186,058 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	651,540 594,888	661,455 595,761	625,720 577,894	455,299 542,168	474,907 549,667
Outlier Median	2,313,713 582,572	1,031,317 538,116	1,006,411 212,434	444,789 126,559	1,172,372 139,139

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	796,699 4,389,147
Charity care Median	1,064,786 2,654,636	2,876,065 2,940,659	2,698,637 3,380,215	2,535,168 3,488,738	3,234,822 3,233,405
Uncompensated care (UCC) Median	4,810,629 5,147,790	6,381,721 5,337,617	6,022,144 5,711,082	5,640,007 5,923,418	5,114,955 5,508,107
UCC as a % of operating expenses Median	3.22% 3.24	3.96% 3.12	3.21% 3.21	2.63% 3.3	2.21% 2.86
Total shortfall/UCC Median	4,810,629 9,489,989	6,381,721 9,424,297	6,022,144 10,120,158	5,640,007 11,171,337	5,911,654 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	55,280,103 52,142,039	56,889,403 54,485,252	61,612,036 57,395,589	67,168,261 58,830,919	73,237,997 61,722,907
Salaries as a % of operating expenses Median	39.72 36.68	40.36 36.56	38.75 36.37	37.57 35.93	37.72 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	15,144 1,449,244	111,963 1,475,986	249,652 1,563,078	574,470 1,721,954	44,499 2,991,828
Contract hours, direct-care Median	220.00 22,725	1,563.00 23,018.5	3,355.20 24,503.48	7,376.13 25,026.5	586.00 33,786
Contract wages, direct-care Median	68.84 64.67	71.63 64.53	74.41 65.06	77.88 68.97	75.94 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.