As of the July, 2022, release via CMS

BETHESDA HOSPITAL

CMS id: 100002
2815 S. SEACREST BLVD, BOYNTON BEACH FL 33435. County: PALM BEACH
System: BAPTIST HEALTH SOUTH FLORIDA
CBSA: Miami-Fort Lauderdale-Pompano Beach, FL

The 431-bed, acute-care hospital had $-58,844,780 in net service to patients*, with a total profit margin of -14.92374% in fiscal year 2021, the latest year available.
It spent 4.69% of its operating expenses on uncompensated care and reported $67,614,068 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	303 118	339 118	339 119.5	295 118	308 119
Total beds Median	433 162	467 162	467 162	418 162	431 163.5
FTEs Median	2,006.24 788.06	2,006.24 793.42	2,159.44 806.03	2,129.16 787.61	1,972.20 804.34

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	317,395,255 150,932,746	299,867,581 158,950,878	350,360,782 168,696,998	314,528,547 163,454,693	338,186,610 186,589,412
Operating expenses Median	360,210,535 149,311,209	331,443,022 156,110,414	325,284,202 164,890,568	361,976,193 166,516,854	397,031,390 180,120,888
Net income from service 2 patients (NS2P) ? Median	-42,815,280 -964,173	-31,575,441 -643,601.5	25,076,580 -116,254	-47,447,646 -5,025,862	-58,844,780 -1,284,564
NS2P margin ? Median	-13.49% -0.62	-10.53% -0.29	7.16% 0.18	-15.09% -5.07	-17.40% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BETHESDA HOSPITAL 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	8,623,645 5,089,215	10,491,422 4,572,541	8,865,446 5,268,134	53,710,871 13,092,619	10,089,023 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	5,450 224,999	0 199,009	2,800 206,870.5	926,967 194,343	734,156 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	380,205 370,813	154,981 309,361.5	105,159 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ 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	1,806,116	1,658,441	1,786,186	1,561,476	1,305,463
⊳ 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	2,209,744	0	0	0	-165
⊳ Line 18: Revenue from sale of medical records and abstracts	242,996	0	0	0	123,715
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	204,912	397,909	293,577	102,441	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	20,818	18,703	13,145	243,691
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	873,453	96,654	0	0	0
⊳ 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	3,280,974	8,317,600	6,383,975	50,951,861	7,577,004
Total income ? Median	-34,191,635 6,586,430	-21,084,019 6,767,106	33,942,026 8,419,950	6,263,225 8,094,175	-48,755,757 15,162,888
Non-operating expenses Median	-10,089,186 146,289.5	551,719 164,857	154,517 89,880.5	0 106,761	3,220,000 31,473.5
Net income Median	-24,102,449 6,043,842	-21,635,738 5,845,112	33,787,509 7,606,259	6,263,225 7,283,041	-51,975,757 14,957,241
Net margin Median	-7.39296% 4.62%	-6.97120% 4.42%	9.40564% 5.16%	1.70086% 5.2%	-14.92374% 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 BETHESDA HOSPITAL 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	85,469,291 23,241,334	89,090,868 23,709,545	96,032,994 24,248,380	82,966,532 22,858,541	74,921,355 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	74,175,562 21,577,146	80,953,581 22,041,594	83,478,269 22,722,063	72,391,109 21,570,441	65,674,983 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	11,293,729 3,535,627	8,137,287 3,746,588	12,554,725 3,782,288	10,575,423 3,865,578	9,246,372 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	28,706,372 11,160,864	30,765,264 11,987,345	31,766,625 12,926,866	27,515,301 11,884,480	28,597,555 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	28,706,372 10,918,923	30,765,264 11,706,976	31,766,625 12,615,917	27,515,301 11,458,116	28,597,555 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	4,130,082 3,284,314	4,667,087 3,250,551	5,440,503 3,386,837	5,055,806 3,360,806	5,177,861 3,508,953
Disproportionate-share hospital (DSH) Median	1,834,263 594,888	2,145,286 595,761	2,082,036 577,894	2,023,286 542,168	1,530,353 549,667
Outlier Median	1,185,522 582,572	1,211,537 538,116	1,115,379 212,434	697,229 126,559	578,575 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,716,478 3,662,910	23,277,902 3,730,911	39,511,044 4,081,319	63,552,270 4,643,908	67,614,068 4,389,147
Charity care Median	18,526,482 2,654,636	17,662,047 2,940,659	11,556,872 3,380,215	15,848,001 3,488,738	13,836,684 3,233,405
Uncompensated care (UCC) Median	24,086,887 5,147,790	20,849,930 5,337,617	14,341,113 5,711,082	20,594,648 5,923,418	18,602,162 5,508,107
UCC as a % of operating expenses Median	6.69% 3.24	6.29% 3.12	4.41% 3.21	5.69% 3.3	4.69% 2.86
Total shortfall/UCC Median	45,803,365 9,489,989	44,127,832 9,424,297	53,852,157 10,120,158	84,146,918 11,171,337	86,216,230 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	113,981,110 52,142,039	117,503,054 54,485,252	130,362,938 57,395,589	137,382,471 58,830,919	141,588,692 61,722,907
Salaries as a % of operating expenses Median	33.32 36.68	35.45 36.56	40.08 36.37	37.95 35.93	35.66 35.24
Intern, resident salaries* Median	290,016 2,598,592	291,926 2,686,824	321,061 2,753,773	309,810 2,937,156	369,186 2,909,848
Contract intern, resident salaries* Median	1,820,322 1,251,927	0 1,186,494	0 1,204,885	2,924,221 1,279,653	3,022,966 1,469,317
Contract adjusted salaries, direct-care Median	6,129,586 1,449,244	3,493,847 1,475,986	2,852,059 1,563,078	7,663,777 1,721,954	17,304,471 2,991,828
Contract hours, direct-care Median	129,008.59 22,725	67,566.30 23,018.5	38,881.00 24,503.48	153,454.00 25,026.5	222,979.00 33,786
Contract wages, direct-care Median	47.51 64.67	51.71 64.53	73.35 65.06	49.94 68.97	77.61 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.