As of the July, 2022, release via CMS

BAPTIST MEDICAL CENTER

CMS id: 100088
800 PRUDENTIAL DRIVE, JACKSONVILLE FL 32207. County: DUVAL
System: BAPTIST HEATLH SYSTEM INC
CBSA: Jacksonville, FL

The 930-bed, acute-care hospital had $127,587,533 in net service to patients*, with a total profit margin of 22.66493% in fiscal year 2021, the latest year available.
It spent 4.60% 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	nfp
Acute beds Median	665 118	665 118	665 119.5	692 118	692 119
Total beds Median	903 162	903 162	903 162	930 162	930 163.5
FTEs Median	5,646.52 788.06	5,537.59 793.42	5,863.00 806.03	6,210.00 787.61	6,315.00 804.34

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	1,133,378,935 150,932,746	1,208,867,957 158,950,878	1,369,028,662 168,696,998	1,404,620,115 163,454,693	1,688,937,000 186,589,412
Operating expenses Median	1,074,216,294 149,311,209	1,096,083,000 156,110,414	1,200,164,000 164,890,568	1,345,416,227 166,516,854	1,561,349,467 180,120,888
Net income from service 2 patients (NS2P) ? Median	59,162,641 -964,173	112,784,957 -643,601.5	168,864,662 -116,254	59,203,888 -5,025,862	127,587,533 -1,284,564
NS2P margin ? Median	5.22% -0.62	9.33% -0.29	12.33% 0.18	4.21% -5.07	7.55% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for 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	158,174,350 5,089,215	101,176,242 4,572,541	82,317,443 5,268,134	103,123,026 13,092,619	328,104,638 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	134,693,774 299,524	71,117,236 188,688.5	48,068,614 370,813	42,320,587 309,361.5	236,918,492 375,329
⊳ 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	184,032	184,147	184,348	184,377	184,223
⊳ Line 13: Revenue from laundry and linen service	0	0	0	18,104	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,821,173	6,829,360	7,252,250	6,261,718	6,611,790
⊳ 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	902	1,043	1,643	6,295	9,039
⊳ 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	19,062	51,244	140,587	127,753	109,819
⊳ Line 22: Rental of hospital space	2,519,505	2,378,833	2,376,474	2,205,494	1,273,579
⊳ 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	13,935,902	20,614,379	24,293,527	52,140,191	78,269,173
Total income ? Median	217,336,991 6,586,430	213,961,199 6,767,106	251,182,105 8,419,950	162,326,914 8,094,175	455,692,171 15,162,888
Non-operating expenses Median	-362,925 146,289.5	-527,801 164,857	1,652,105 89,880.5	-1,622,086 106,761	-1,468,829 31,473.5
Net income Median	217,699,916 6,043,842	214,489,000 5,845,112	249,530,000 7,606,259	163,949,000 7,283,041	457,161,000 14,957,241
Net margin Median	16.85567% 4.62%	16.37265% 4.42%	17.19300% 5.16%	10.87380% 5.2%	22.66493% 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 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	149,971,735 23,241,334	145,604,548 23,709,545	155,562,990 24,248,380	163,719,599 22,858,541	173,481,223 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	148,453,799 21,577,146	144,170,108 22,041,594	154,187,335 22,722,063	162,914,859 21,570,441	172,952,465 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	1,517,936 1,845,420	1,434,440 1,757,392	1,375,655 1,738,842	804,740 1,510,463	528,758 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	70,831,167 11,160,864	79,917,018 11,987,345	87,639,555 12,926,866	93,548,927 11,884,480	105,377,461 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	64,548,188 10,918,923	73,478,010 11,706,976	80,545,279 12,615,917	85,882,143 11,458,116	102,501,084 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	6,282,979 1,282,808	6,439,008 1,407,728	7,094,276 1,341,512	7,666,784 1,407,046	2,876,377 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	3,297,684 3,284,314	3,214,721 3,250,551	3,386,837 3,386,837	3,760,432 3,360,806	4,245,001 3,508,953
Disproportionate-share hospital (DSH) Median	4,691,806 594,888	4,744,091 595,761	4,352,076 577,894	5,480,253 542,168	3,765,573 549,667
Outlier Median	7,679,094 582,572	6,674,198 538,116	1,180,218 212,434	1,202,528 126,559	1,360,916 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	45,942,417 3,662,910	44,664,988 3,730,911	34,461,966 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	66,237,306 2,654,636	72,626,767 2,940,659	74,399,070 3,380,215	60,479,404 3,488,738	59,443,532 3,233,405
Uncompensated care (UCC) Median	75,225,778 5,147,790	81,212,801 5,337,617	84,801,705 5,711,082	73,221,005 5,923,418	71,771,158 5,508,107
UCC as a % of operating expenses Median	7.00% 3.24	7.41% 3.12	7.07% 3.21	5.44% 3.3	4.60% 2.86
Total shortfall/UCC Median	121,168,195 9,489,989	125,877,789 9,424,297	119,263,671 10,120,158	73,221,005 11,171,337	71,771,158 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	331,167,824 52,142,039	329,252,057 54,485,252	358,444,076 57,395,589	399,840,495 58,830,919	441,728,395 61,722,907
Salaries as a % of operating expenses Median	30.79 36.68	30.00 36.56	29.82 36.37	29.72 35.93	28.29 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	4,448,951 1,251,927	3,927,950 1,186,494	4,224,320 1,204,885	4,836,174 1,279,653	5,141,492 1,469,317
Contract adjusted salaries, direct-care Median	9,184,187 1,449,244	8,507,706 1,475,986	6,775,552 1,563,078	7,729,916 1,721,954	12,931,816 2,991,828
Contract hours, direct-care Median	190,495.00 22,725	180,424.00 23,018.5	139,532.61 24,503.48	135,019.00 25,026.5	177,477.00 33,786
Contract wages, direct-care Median	48.21 64.67	47.15 64.53	48.56 65.06	57.25 68.97	72.86 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.