As of the July, 2022, release via CMS

BAPTIST HEALTH LOUISVILLE

CMS id: 180130
4000 KRESGE WAY, LOUISVILLE KY 40207. County: JEFFERSON
System: BAPTIST HEALTH
CBSA: Louisville/Jefferson County, KY-IN

The 499-bed, acute-care hospital had $-32,004,597 in net service to patients*, with a total profit margin of -1.24755% in fiscal year 2021, the latest year available.
It spent 0.58% 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	434 118	430 118	411 119.5	416 118	420 119
Total beds Median	519 162	519 162	494 162	499 162	499 163.5
FTEs Median	2,715.12 788.06	2,668.21 793.42	2,632.56 806.03	2,628.84 787.61	2,696.60 804.34

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	523,312,602 150,932,746	529,581,540 158,950,878	560,295,175 168,696,998	551,970,637 163,454,693	637,122,099 186,589,412
Operating expenses Median	536,954,185 149,311,209	482,599,897 156,110,414	569,870,849 164,890,568	601,958,869 166,516,854	669,126,696 180,120,888
Net income from service 2 patients (NS2P) ? Median	-13,641,583 -964,173	46,981,643 -643,601.5	-9,575,674 -116,254	-49,988,232 -5,025,862	-32,004,597 -1,284,564
NS2P margin ? Median	-2.61% -0.62	8.87% -0.29	-1.71% 0.18	-9.06% -5.07	-5.02% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAPTIST HEALTH LOUISVILLE 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	12,291,369 5,089,215	19,004,444 4,572,541	18,623,066 5,268,134	20,710,474 13,092,619	23,759,790 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	717,130 199,009	383,274 206,870.5	403,276 194,343	210,853 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	5,549,738 188,688.5	106,208 370,813	5,731 309,361.5	301 375,329
⊳ 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	0	2,516,879	2,699,933	2,441,079	2,143,998
⊳ 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	1,393,185	5,806,446	9,322,420	12,544,890
⊳ 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	53,792	36,782	19,665	876
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	1,137,689	1,134,075	643,532	445,222
⊳ Line 21: Rental of vending machines	0	0	37,647	32,138	16,128
⊳ Line 22: Rental of hospital space	0	5,611,972	5,698,116	6,141,305	6,653,884
⊳ 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	12,291,369	2,024,059	2,720,585	1,701,328	1,743,638
Total income ? Median	-1,350,214 6,586,430	65,986,087 6,767,106	9,047,392 8,419,950	-29,277,758 8,094,175	-8,244,807 15,162,888
Non-operating expenses Median	0 146,289.5	47,176,199 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-1,350,214 6,043,842	18,809,888 5,845,112	9,047,392 7,606,259	-29,277,758 7,283,041	-8,244,807 14,957,241
Net margin Median	-0.25209% 4.62%	3.42879% 4.42%	1.56281% 5.16%	-5.11240% 5.2%	-1.24755% 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 LOUISVILLE 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	115,766,744 23,241,334	110,363,061 23,709,545	113,113,933 24,248,380	108,003,231 22,858,541	108,066,944 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	111,394,145 21,577,146	105,761,671 22,041,594	108,444,455 22,722,063	103,774,859 21,570,441	103,566,490 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	1,284,959 1,845,420	1,379,101 1,757,392	1,186,918 1,738,842	1,062,528 1,510,463	800,319 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,087,640 3,535,627	3,222,289 3,746,588	3,482,560 3,782,288	3,165,844 3,865,578	3,700,135 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	46,328,481 11,160,864	48,443,928 11,987,345	51,577,025 12,926,866	47,262,889 11,884,480	56,361,168 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	45,298,937 10,918,923	48,443,928 11,706,976	51,577,025 12,615,917	47,262,889 11,458,116	56,361,168 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,029,544 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	770,561 594,888	763,187 595,761	702,119 577,894	881,023 542,168	980,593 549,667
Outlier Median	6,307,639 582,572	6,745,512 538,116	5,504,921 212,434	885,527 126,559	1,203,095 139,139

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	1,650,613 2,654,636	2,195,728 2,940,659	4,772,586 3,380,215	4,049,298 3,488,738	1,967,377 3,233,405
Uncompensated care (UCC) Median	4,829,259 5,147,790	4,836,594 5,337,617	7,273,208 5,711,082	6,818,685 5,923,418	3,889,015 5,508,107
UCC as a % of operating expenses Median	0.90% 3.24	1.00% 3.12	1.28% 3.21	1.13% 3.3	0.58% 2.86
Total shortfall/UCC Median	4,829,259 9,489,989	4,836,594 9,424,297	7,273,208 10,120,158	6,818,685 11,171,337	3,889,015 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	161,822,004 52,142,039	159,587,525 54,485,252	163,766,647 57,395,589	170,220,500 58,830,919	184,421,692 61,722,907
Salaries as a % of operating expenses Median	33.30 36.68	33.37 36.56	31.68 36.37	31.97 35.93	30.62 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	3,662,532 1,449,244	2,351,823 1,475,986	1,673,499 1,563,078	6,282,532 1,721,954	16,690,431 2,991,828
Contract hours, direct-care Median	56,643.00 22,725	40,528.00 23,018.5	26,769.20 24,503.48	91,470.67 25,026.5	181,248.46 33,786
Contract wages, direct-care Median	64.66 64.67	58.03 64.53	62.52 65.06	68.68 68.97	92.09 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.