As of the July, 2022, release via CMS

BAPTIST HEALTH LAGRANGE

CMS id: 180138
1025 NEW MOODY LANE, LAGRANGE KY 40031. County: OLDHAM
System: BAPTIST HEALTH
CBSA: Louisville/Jefferson County, KY-IN

The 66-bed, acute-care hospital had $7,527,817 in net service to patients*, with a total profit margin of 13.51209% in fiscal year 2021, the latest year available.
It spent 0.46% 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	82 118	82 118	82 119.5	35 118	35 119
Total beds Median	120 162	120 162	120 162	66 162	66 163.5
FTEs Median	397.39 788.06	460.59 793.42	474.84 806.03	409.02 787.61	404.82 804.34

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	118,742,984 150,932,746	153,119,703 158,950,878	166,998,317 168,696,998	174,369,467 163,454,693	186,950,133 186,589,412
Operating expenses Median	92,217,026 149,311,209	134,932,890 156,110,414	146,004,200 164,890,568	161,345,102 166,516,854	179,422,316 180,120,888
Net income from service 2 patients (NS2P) ? Median	26,525,958 -964,173	18,186,813 -643,601.5	20,994,117 -116,254	13,024,365 -5,025,862	7,527,817 -1,284,564
NS2P margin ? Median	22.34% -0.62	11.88% -0.29	12.57% 0.18	7.47% -5.07	4.03% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAPTIST HEALTH LAGRANGE 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	1,100,421 5,089,215	4,696,551 4,572,541	5,287,062 5,268,134	11,158,713 13,092,619	20,503,512 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	40,405 194,343	41,268 249,496
⊳ Line 7: Investments ? ⊳ Median	18,073 299,524	25,271 188,688.5	16,205 370,813	-41 309,361.5	-35 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	-1,546	-2,091	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	168,290	175,179	202,902	162,319	160,524
⊳ 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	4,270,771	10,221,197	19,512,846
⊳ 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	2,910	150	210
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	12,374	11,543	10,958	4,514	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	638,660	604,139	641,512	660,374	673,080
⊳ 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	263,024	3,880,419	143,350	71,886	115,619
Total income ? Median	27,626,379 6,586,430	22,883,364 6,767,106	26,281,179 8,419,950	24,183,078 8,094,175	28,031,329 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	27,626,379 6,043,842	22,883,364 5,845,112	26,281,179 7,606,259	24,183,078 7,283,041	28,031,329 14,957,241
Net margin Median	23.05206% 4.62%	14.50000% 4.42%	15.25445% 5.16%	13.03472% 5.2%	13.51209% 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 LAGRANGE 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	7,618,555 23,241,334	7,039,404 23,709,545	5,709,566 24,248,380	5,223,608 22,858,541	5,166,480 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	6,958,381 21,577,146	6,489,906 22,041,594	5,297,335 22,722,063	4,424,834 21,570,441	4,585,943 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	660,174 1,203,033	549,498 1,215,295	412,231 1,313,657	798,774 1,365,298	580,537 1,179,746
All outpatient revenue Median Click here to show/hide details	18,787,867 11,160,864	20,296,633 11,987,345	24,956,146 12,926,866	26,651,439 11,884,480	29,491,090 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	18,787,867 10,918,923	20,296,633 11,706,976	24,956,146 12,615,917	26,651,439 11,458,116	29,491,090 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	145,652 594,888	137,904 595,761	114,640 577,894	95,237 542,168	96,877 549,667
Outlier Median	124,986 582,572	76,453 538,116	56,540 212,434	9,452 126,559	5,897 139,139

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	348,431 2,654,636	908,747 2,940,659	917,473 3,380,215	934,221 3,488,738	440,250 3,233,405
Uncompensated care (UCC) Median	956,817 5,147,790	1,447,058 5,337,617	1,384,555 5,711,082	1,463,459 5,923,418	822,040 5,508,107
UCC as a % of operating expenses Median	1.04% 3.24	1.07% 3.12	0.95% 3.21	0.91% 3.3	0.46% 2.86
Total shortfall/UCC Median	956,817 9,489,989	1,447,058 9,424,297	1,384,555 10,120,158	1,463,459 11,171,337	822,040 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	24,135,633 52,142,039	27,404,786 54,485,252	27,872,642 57,395,589	27,029,728 58,830,919	28,182,255 61,722,907
Salaries as a % of operating expenses Median	26.17 36.68	22.27 36.56	20.84 36.37	18.68 35.93	17.48 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	612,644 1,449,244	264,354 1,475,986	334,325 1,563,078	744,469 1,721,954	992,880 2,991,828
Contract hours, direct-care Median	12,162.00 22,725	3,508.75 23,018.5	4,163.00 24,503.48	8,375.00 25,026.5	10,892.00 33,786
Contract wages, direct-care Median	50.37 64.67	75.34 64.53	80.31 65.06	88.89 68.97	91.16 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.