As of the July, 2022, release via CMS

SOUTH MIAMI HOSPITAL

CMS id: 100154
6200 SW 73RD STREET, MIAMI FL 33143. County: MIAMI-DADE
System: BAPTIST HEALTH SOUTH FLORIDA
CBSA: Miami-Fort Lauderdale-Pompano Beach, FL

The 383-bed, acute-care hospital had $76,762,635 in net service to patients*, with a total profit margin of 15.82568% in fiscal year 2021, the latest year available.
It spent 4.31% of its operating expenses on uncompensated care and reported $32,711,053 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	346 118	346 118	346 119.5	346 118	297 119
Total beds Median	436 162	436 162	436 162	436 162	383 163.5
FTEs Median	2,221.77 788.06	2,200.55 793.42	2,206.33 806.03	2,181.67 787.61	2,240.21 804.34

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	484,696,318 150,932,746	488,533,653 158,950,878	547,218,246 168,696,998	506,892,342 163,454,693	619,607,044 186,589,412
Operating expenses Median	483,387,296 149,311,209	458,060,172 156,110,414	459,523,183 164,890,568	483,132,642 166,516,854	542,844,409 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,309,022 -964,173	30,473,481 -643,601.5	87,695,063 -116,254	23,759,700 -5,025,862	76,762,635 -1,284,564
NS2P margin ? Median	0.27% -0.62	6.24% -0.29	16.03% 0.18	4.69% -5.07	12.39% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SOUTH MIAMI 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	5,395,115 5,089,215	7,190,357 4,572,541	5,701,061 5,268,134	26,426,855 13,092,619	25,343,668 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	587,728 224,999	667,457 199,009	654,873 206,870.5	2,446,793 194,343	1,030,496 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	3,045,282	2,951,387	2,929,250	2,112,325	1,679,364
⊳ 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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	506,699	567,238	615,740	491,397	468,584
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	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	1,255,406	3,004,275	1,501,198	21,376,340	22,165,224
Total income ? Median	6,704,137 6,586,430	37,663,838 6,767,106	93,396,124 8,419,950	50,186,555 8,094,175	102,106,303 15,162,888
Non-operating expenses Median	9,384 146,289.5	9,378 164,857	35,482 89,880.5	29,274 106,761	38,475 31,473.5
Net income Median	6,694,753 6,043,842	37,654,460 5,845,112	93,360,642 7,606,259	50,157,281 7,283,041	102,067,828 14,957,241
Net margin Median	1.36602% 4.62%	7.59585% 4.42%	16.88504% 5.16%	9.40474% 5.2%	15.82568% 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 SOUTH MIAMI 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	39,456,911 23,241,334	38,776,081 23,709,545	41,017,403 24,248,380	41,236,536 22,858,541	39,168,474 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	39,456,911 21,577,146	38,776,081 22,041,594	41,017,403 22,722,063	41,236,536 21,570,441	39,168,474 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	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	19,547,655 11,160,864	19,831,331 11,987,345	20,200,200 12,926,866	15,251,209 11,884,480	16,468,136 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	19,547,655 10,918,923	19,831,331 11,706,976	20,200,200 12,615,917	15,251,209 11,458,116	16,468,136 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	73,091 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	1,834,333 594,888	1,651,533 595,761	1,483,542 577,894	1,535,186 542,168	1,444,989 549,667
Outlier Median	7,105,111 582,572	4,133,111 538,116	1,336,756 212,434	675,123 126,559	829,674 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	35,174,019 3,662,910	31,924,826 3,730,911	21,918,268 4,081,319	25,528,424 4,643,908	32,711,053 4,389,147
Charity care Median	12,785,828 2,654,636	11,228,227 2,940,659	12,869,079 3,380,215	12,475,613 3,488,738	9,940,407 3,233,405
Uncompensated care (UCC) Median	29,737,870 5,147,790	24,695,758 5,337,617	27,940,702 5,711,082	26,474,403 5,923,418	23,373,056 5,508,107
UCC as a % of operating expenses Median	6.15% 3.24	5.39% 3.12	6.08% 3.21	5.48% 3.3	4.31% 2.86
Total shortfall/UCC Median	64,911,889 9,489,989	56,620,584 9,424,297	49,858,970 10,120,158	52,002,827 11,171,337	56,084,109 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	156,975,025 52,142,039	156,787,734 54,485,252	157,458,288 57,395,589	163,792,498 58,830,919	176,917,646 61,722,907
Salaries as a % of operating expenses Median	32.47 36.68	34.23 36.56	34.27 36.37	33.90 35.93	32.59 35.24
Intern, resident salaries* Median	-1 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	2,561,757 1,449,244	1,044,075 1,475,986	0 1,563,078	5,452,138 1,721,954	10,156,912 2,991,828
Contract hours, direct-care Median	38,119.00 22,725	18,060.00 23,018.5	0.00 24,503.48	47,161.00 25,026.5	64,947.00 33,786
Contract wages, direct-care Median	67.20 64.67	57.81 64.53	0.00 65.06	115.61 68.97	156.39 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.