As of the July, 2022, release via CMS

MARYLAND GENERAL HOSPITAL

CMS id: 210038
827 LINDEN AVENUE, BALTIMORE MD 21201. County: BALTIMORE
System: UNIVERSITY OF MARYLAND
CBSA: Baltimore-Columbia-Towson, MD

The 180-bed, acute-care hospital had $-46,081,977 in net service to patients*, with a total profit margin of -9.85963% in fiscal year 2021, the latest year available.
It spent 0.00% 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	154 118	157 118	165 119.5	168 118	168 119
Total beds Median	167 162	170 162	177 162	180 162	180 163.5
FTEs Median	1,111.01 788.06	1,165.93 793.42	1,214.49 806.03	1,201.82 787.61	1,182.24 804.34

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	205,151,982 150,932,746	210,523,239 158,950,878	203,650,605 168,696,998	185,141,941 163,454,693	198,270,537 186,589,412
Operating expenses Median	204,226,893 149,311,209	222,624,155 156,110,414	228,389,515 164,890,568	232,529,868 166,516,854	244,352,514 180,120,888
Net income from service 2 patients (NS2P) ? Median	925,089 -964,173	-12,100,916 -643,601.5	-24,738,910 -116,254	-47,387,927 -5,025,862	-46,081,977 -1,284,564
NS2P margin ? Median	0.45% -0.62	-5.75% -0.29	-12.15% 0.18	-25.60% -5.07	-23.24% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MARYLAND GENERAL 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	11,486,979 5,089,215	18,682,106 4,572,541	21,127,234 5,268,134	40,920,734 13,092,619	27,340,764 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	9,603 194,343	601 249,496
⊳ Line 7: Investments ? ⊳ Median	102,471 299,524	71,774 188,688.5	1,670,081 370,813	230,097 309,361.5	2,626,886 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	2,111	4,706	3,257	1,845	3,319
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	288,085	314,789	312,315	275,931	285,909
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	617,503	661,146	665,762	539,205	7,539
⊳ 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	8,791,574	17,313,668	17,928,355	20,869,089	23,088,563
⊳ Line 18: Revenue from sale of medical records and abstracts	99,714	93,693	64,724	8,952	1,571
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	37,452	25,166	28,737
⊳ Line 22: Rental of hospital space	238,525	162,036	127,977	122,743	105,757
⊳ 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	1,346,996	60,294	317,311	18,838,103	1,191,882
Total income ? Median	12,412,068 6,586,430	6,581,190 6,767,106	-3,611,676 8,419,950	-6,467,193 8,094,175	-18,741,213 15,162,888
Non-operating expenses Median	1,726,964 146,289.5	4,003,190 164,857	933,506 89,880.5	904,893 106,761	3,503,227 31,473.5
Net income Median	10,685,104 6,043,842	2,578,000 5,845,112	-4,545,182 7,606,259	-7,372,086 7,283,041	-22,244,440 14,957,241
Net margin Median	4.93222% 4.62%	1.12476% 4.42%	-2.02208% 5.16%	-3.26108% 5.2%	-9.85963% 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 MARYLAND GENERAL 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	45,801,436 23,241,334	42,096,710 23,709,545	31,957,896 24,248,380	36,957,853 22,858,541	43,172,598 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	45,801,436 21,577,146	42,096,710 22,041,594	31,957,896 22,722,063	36,957,853 21,570,441	43,172,598 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	29,750,158 11,160,864	28,452,995 11,987,345	29,772,353 12,926,866	25,355,907 11,884,480	23,243,098 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	29,750,158 10,918,923	28,452,995 11,706,976	29,772,353 12,615,917	25,355,907 11,458,116	23,243,098 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	5,902,987 3,284,314	6,728,352 3,250,551	5,269,738 3,386,837	5,781,514 3,360,806	6,617,838 3,508,953
Disproportionate-share hospital (DSH) Median	3,144,304 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	33,619 582,572	14,022 538,116	4,257 212,434	0 126,559	0 139,139

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	1,579,277 2,654,636	309,529 2,940,659	2,090,091 3,380,215	2,528,107 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	14,671,627 5,147,790	9,222,734 5,337,617	6,924,416 5,711,082	6,583,064 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	7.18% 3.24	4.14% 3.12	3.03% 3.21	2.83% 3.3	0.00% 2.86
Total shortfall/UCC Median	14,671,627 9,489,989	9,222,734 9,424,297	6,924,416 10,120,158	6,583,064 11,171,337	0 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	71,487,694 52,142,039	75,224,998 54,485,252	79,257,861 57,395,589	81,203,746 58,830,919	84,129,784 61,722,907
Salaries as a % of operating expenses Median	34.54 36.68	33.79 36.56	34.70 36.37	34.92 35.93	34.43 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	842,119 1,251,927	888,338 1,186,494	991,322 1,204,885	1,149,064 1,279,653	1,232,188 1,469,317
Contract adjusted salaries, direct-care Median	4,285,896 1,449,244	4,281,584 1,475,986	4,104,652 1,563,078	3,873,059 1,721,954	7,107,402 2,991,828
Contract hours, direct-care Median	94,657.00 22,725	74,411.00 23,018.5	69,460.00 24,503.48	88,562.22 25,026.5	95,782.00 33,786
Contract wages, direct-care Median	45.28 64.67	57.54 64.53	59.09 65.06	43.73 68.97	74.20 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.