As of the July, 2022, release via CMS

BAPTIST HEALTH PADUCAH

CMS id: 180104
2501 KENTUCKY AVENUE, PADUCAH KY 42003. County: MCCRACKEN
System: BAPTIST HEALTH
CBSA: Paducah, KY-IL

The 227-bed, acute-care hospital had $13,639,540 in net service to patients*, with a total profit margin of 8.68168% in fiscal year 2021, the latest year available.
It spent 0.80% 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	239 118	239 118	256 119.5	195 118	195 119
Total beds Median	295 162	271 162	288 162	227 162	227 163.5
FTEs Median	1,339.38 788.06	1,246.35 793.42	1,236.21 806.03	1,163.66 787.61	1,163.56 804.34

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	252,657,292 150,932,746	262,354,851 158,950,878	285,948,008 168,696,998	294,937,594 163,454,693	342,678,145 186,589,412
Operating expenses Median	256,151,615 149,311,209	244,223,123 156,110,414	259,049,031 164,890,568	298,667,312 166,516,854	329,038,605 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,494,323 -964,173	18,131,728 -643,601.5	26,898,977 -116,254	-3,729,718 -5,025,862	13,639,540 -1,284,564
NS2P margin ? Median	-1.38% -0.62	6.91% -0.29	9.41% 0.18	-1.26% -5.07	3.98% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAPTIST HEALTH PADUCAH 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	9,581,287 5,089,215	10,868,891 4,572,541	12,255,978 5,268,134	12,534,388 13,092,619	17,642,312 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	801,311 224,999	606,064 199,009	434,812 206,870.5	277,849 194,343	175,169 249,496
⊳ Line 7: Investments ? ⊳ Median	461,469 299,524	630,175 188,688.5	160,016 370,813	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	1,163,718	1,030,154	1,138,149	1,082,618	1,023,307
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	504	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	1,619,635	4,347,115	5,702,604	10,313,582
⊳ 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	7,942	7,370	66,548	28,319
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	344,063	333,721	345,623	450,302	393,226
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	2,064,953	2,173,310	2,146,891	2,094,194	2,165,733
⊳ 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	4,745,269	4,467,890	3,676,002	2,860,273	3,542,976
Total income ? Median	6,086,964 6,586,430	29,000,619 6,767,106	39,154,955 8,419,950	8,804,670 8,094,175	31,281,852 15,162,888
Non-operating expenses Median	0 146,289.5	14,501,986 164,857	22,488,675 89,880.5	-45,443 106,761	0 31,473.5
Net income Median	6,086,964 6,043,842	14,498,633 5,845,112	16,666,280 7,606,259	8,850,113 7,283,041	31,281,852 14,957,241
Net margin Median	2.32116% 4.62%	5.30651% 4.42%	5.58889% 5.16%	2.87835% 5.2%	8.68168% 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 PADUCAH 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	42,040,613 23,241,334	42,564,055 23,709,545	46,228,429 24,248,380	38,458,470 22,858,541	39,736,017 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	41,404,761 21,577,146	42,564,055 22,041,594	46,228,429 22,722,063	38,458,470 21,570,441	39,736,017 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	635,852 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	27,299,489 11,160,864	27,691,836 11,987,345	32,674,099 12,926,866	31,858,255 11,884,480	35,852,674 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	27,299,489 10,918,923	27,691,836 11,706,976	32,674,099 12,615,917	31,858,255 11,458,116	35,852,674 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	1,196,734 594,888	1,234,655 595,761	1,358,078 577,894	1,173,315 542,168	1,154,424 549,667
Outlier Median	2,724,289 582,572	2,707,376 538,116	3,299,121 212,434	300,640 126,559	379,760 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,311,073 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	2,076,140 2,654,636	1,827,001 2,940,659	3,122,123 3,380,215	2,458,068 3,488,738	1,339,673 3,233,405
Uncompensated care (UCC) Median	4,468,109 5,147,790	3,659,709 5,337,617	4,867,314 5,711,082	4,283,865 5,923,418	2,646,807 5,508,107
UCC as a % of operating expenses Median	1.74% 3.24	1.50% 3.12	1.88% 3.21	1.43% 3.3	0.80% 2.86
Total shortfall/UCC Median	8,779,182 9,489,989	3,659,709 9,424,297	4,867,314 10,120,158	4,283,865 11,171,337	2,646,807 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	76,693,730 52,142,039	71,420,128 54,485,252	73,301,781 57,395,589	72,005,114 58,830,919	74,383,535 61,722,907
Salaries as a % of operating expenses Median	29.94 36.68	29.24 36.56	28.30 36.37	26.78 35.93	24.74 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	2,769,473 1,449,244	1,512,670 1,475,986	2,650,426 1,563,078	2,609,891 1,721,954	6,042,771 2,991,828
Contract hours, direct-care Median	44,155.00 22,725	25,919.00 23,018.5	38,726.54 24,503.48	38,881.70 25,026.5	82,849.14 33,786
Contract wages, direct-care Median	62.72 64.67	58.36 64.53	68.44 65.06	67.12 68.97	72.94 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.