As of the July, 2022, release via CMS

BAPTIST HEALTH MADISONVILLE

CMS id: 180093
900 HOSPITAL DRIVE, MADISONVILLE KY 42431. County: HOPKINS
System: BAPTIST HEALTH
CBSA: Madisonville, KY

The 168-bed, acute-care hospital had $-21,561,221 in net service to patients*, with a total profit margin of -28.32748% in fiscal year 2021, the latest year available.
It spent 0.90% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	118 118	118 118	118 119.5	121 118	131 119
Total beds Median	193 162	173 162	172 162	167 162	168 163.5
FTEs Median	1,140.39 788.06	1,160.88 793.42	1,017.28 806.03	945.69 787.61	962.25 804.34

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	164,227,144 150,932,746	167,864,606 158,950,878	172,374,190 168,696,998	177,798,548 163,454,693	203,587,987 186,589,412
Operating expenses Median	190,498,940 149,311,209	176,175,669 156,110,414	204,878,418 164,890,568	207,993,245 166,516,854	225,149,208 180,120,888
Net income from service 2 patients (NS2P) ? Median	-26,271,796 -964,173	-8,311,063 -643,601.5	-32,504,228 -116,254	-30,194,697 -5,025,862	-21,561,221 -1,284,564
NS2P margin ? Median	-16.00% -0.62	-4.95% -0.29	-18.86% 0.18	-16.98% -5.07	-10.59% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAPTIST HEALTH MADISONVILLE 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	20,547,180 5,089,215	24,726,017 4,572,541	20,889,346 5,268,134	26,760,570 13,092,619	29,142,403 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	14,322 199,009	2,001 206,870.5	-1,306 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	1,266,024 370,813	7,394,103 309,361.5	10,587,109 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	4,583	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	1,855,050	1,738,652	1,407,690	1,144,977	940,912
⊳ 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	2,473,645	4,037,755	4,541,480	5,194,658
⊳ 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	927,102	926,551	897,098
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	141,103	112,809	104,740	25,392	0
⊳ Line 21: Rental of vending machines	129,862	79,851	24,457	17,294	5,778
⊳ Line 22: Rental of hospital space	0	0	3,619,388	4,190,252	4,122,807
⊳ 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	18,416,582	20,306,738	9,500,189	8,521,827	7,394,041
Total income ? Median	-5,724,616 6,586,430	16,414,954 6,767,106	-11,614,882 8,419,950	-3,434,127 8,094,175	7,581,182 15,162,888
Non-operating expenses Median	0 146,289.5	4,065,046 164,857	0 89,880.5	0 106,761	73,507,835 31,473.5
Net income Median	-5,724,616 6,043,842	12,349,908 5,845,112	-11,614,882 7,606,259	-3,434,127 7,283,041	-65,926,653 14,957,241
Net margin Median	-3.09817% 4.62%	6.41252% 4.42%	-6.00987% 5.16%	-1.67879% 5.2%	-28.32748% 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 HEALTH MADISONVILLE 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	35,068,967 23,241,334	30,516,984 23,709,545	29,839,863 24,248,380	26,371,485 22,858,541	23,711,775 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	30,546,177 21,577,146	27,278,651 22,041,594	26,111,661 22,722,063	23,548,591 21,570,441	22,798,501 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	1,047,176 1,845,420	1,295,060 1,757,392	1,760,957 1,738,842	1,326,053 1,510,463	911,444 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,799,387 3,535,627	1,943,273 3,746,588	1,967,245 3,782,288	1,496,841 3,865,578	1,830 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	676,227 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	21,199,827 11,160,864	21,612,442 11,987,345	22,859,767 12,926,866	22,320,815 11,884,480	23,285,038 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	18,570,274 10,918,923	19,052,850 11,706,976	22,859,767 12,615,917	22,320,815 11,458,116	23,285,038 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,629,553 1,282,808	2,559,592 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	2,194,487 3,284,314	2,136,455 3,250,551	2,259,074 3,386,837	2,134,737 3,360,806	1,879,443 3,508,953
Disproportionate-share hospital (DSH) Median	935,857 594,888	982,778 595,761	920,880 577,894	1,004,528 542,168	1,002,585 549,667
Outlier Median	1,534,490 582,572	1,374,914 538,116	1,445,681 212,434	131,935 126,559	169,734 139,139

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	341,819 2,654,636	838,647 2,940,659	2,359,222 3,380,215	1,922,046 3,488,738	1,095,866 3,233,405
Uncompensated care (UCC) Median	1,140,745 5,147,790	1,971,856 5,337,617	3,629,127 5,711,082	3,631,144 5,923,418	2,036,067 5,508,107
UCC as a % of operating expenses Median	0.60% 3.24	1.12% 3.12	1.77% 3.21	1.75% 3.3	0.90% 2.86
Total shortfall/UCC Median	1,140,745 9,489,989	1,971,856 9,424,297	3,629,127 10,120,158	3,631,144 11,171,337	2,036,067 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	66,760,377 52,142,039	61,436,569 54,485,252	59,949,959 57,395,589	61,271,964 58,830,919	64,926,204 61,722,907
Salaries as a % of operating expenses Median	35.05 36.68	34.87 36.56	32.22 36.37	33.34 35.93	32.29 35.24
Intern, resident salaries* Median	1,877,283 2,598,592	2,679,217 2,686,824	2,624,311 2,753,773	3,150,958 2,937,156	3,676,868 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	20,223 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,188,787 1,449,244	1,347,340 1,475,986	776,127 1,563,078	1,210,763 1,721,954	4,039,799 2,991,828
Contract hours, direct-care Median	19,238.00 22,725	22,244.40 23,018.5	10,533.33 24,503.48	18,205.89 25,026.5	40,306.24 33,786
Contract wages, direct-care Median	61.79 64.67	60.57 64.53	73.68 65.06	66.50 68.97	100.23 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.