As of the July, 2022, release via CMS

GREATER BALTIMORE MEDICAL CENTER

CMS id: 210044
6701 NORTH CHARLES STREET, TOWSON MD 21204. County: BALTIMORE
System: GBMC HEALTHCARE
CBSA: Baltimore-Columbia-Towson, MD

The 296-bed, acute-care hospital had $-34,270,923 in net service to patients*, with a total profit margin of 0.20538% in fiscal year 2020, the latest year available.
It spent 1.78% 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	208 118	215 118	215 119.5	215 118	215 119
Total beds Median	287 162	296 162	296 162	296 162	296 163.5
FTEs Median	2,519.70 788.06	3,110.00 793.42	3,046.00 806.03	3,070.00 787.61	3,070.00 804.34

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	404,149,535 150,932,746	129,472,770 158,950,878	499,139,832 168,696,998	479,734,041 163,454,693	0 186,589,412
Operating expenses Median	418,965,255 149,311,209	504,346,598 156,110,414	524,078,831 164,890,568	514,004,964 166,516,854	557,120,216 180,120,888
Net income from service 2 patients (NS2P) ? Median	-14,815,720 -964,173	-374,873,828 -643,601.5	-24,938,999 -116,254	-34,270,923 -5,025,862	-557,120,216 -1,284,564
NS2P margin ? Median	-3.67% -0.62	-289.54% -0.29	-5.00% 0.18	-7.14% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GREATER BALTIMORE MEDICAL CENTER 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	42,797,780 5,089,215	101,470,546 4,572,541	43,568,007 5,268,134	43,921,032 13,092,619	0 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,261,004 224,999	949,209 199,009	1,063,994 206,870.5	1,077,547 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,707,567 299,524	4,002,237 188,688.5	23,178,561 370,813	12,253,524 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	243,594	259,553	57--,607	5--5,908	--
⊳ Line 10: Purchase discounts	28,267	20,848	0	0	0
⊳ Line 11: Rebates and refunds of expenses	619,414	422,404	0	0	0
⊳ Line 12: Parking lot receipts	1,750,956	1,602,772	2,094,535	1,577,321	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	767,754	2,053	0	0	0
⊳ 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	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	839	988	253	80	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	146,729	99,642	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	70,344	73,101	0	0	0
⊳ Line 21: Rental of vending machines	69,512	119,846	31,899	47,613	0
⊳ Line 22: Rental of hospital space	2,748,128	2,838,268	3,310,632	3,194,223	0
⊳ Line 23: Gov appropriations ? ⊳ Median	549,162 1,017,693	531,167 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	30,737,645	90,388,567	13,170,797	25,165,174	--
Total income ? Median	27,982,060 6,586,430	-273,403,282 6,767,106	18,629,008 8,419,950	9,650,109 8,094,175	-557,120,216 15,162,888
Non-operating expenses Median	-3,852,482 146,289.5	-2,610,103 164,857	7,357,731 89,880.5	8,574,625 106,761	0 31,473.5
Net income Median	31,834,542 6,043,842	-270,793,179 5,845,112	11,271,277 7,606,259	1,075,484 7,283,041	-557,120,216 14,957,241
Net margin Median	7.12266% 4.62%	-117.25526% 4.42%	2.07686% 5.16%	0.20538% 5.2%	--% 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 GREATER BALTIMORE MEDICAL CENTER 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	97,174,726 23,241,334	64,104,395 23,709,545	59,113,654 24,248,380	52,882,413 22,858,541	44,561,873 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	93,378,366 21,577,146	60,399,912 22,041,594	55,445,338 22,722,063	48,756,264 21,570,441	41,139,936 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	3,796,360 1,203,033	3,704,483 1,215,295	3,668,316 1,313,657	4,126,149 1,365,298	3,421,937 1,179,746
All outpatient revenue Median Click here to show/hide details	114,534,327 11,160,864	50,929,342 11,987,345	52,611,380 12,926,866	48,523,948 11,884,480	51,132,310 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	114,534,327 10,918,923	50,929,342 11,706,976	52,611,380 12,615,917	48,523,948 11,458,116	51,132,310 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	4,507,748 3,284,314	3,201,023 3,250,551	974,493 3,386,837	2,931,279 3,360,806	2,655,771 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	691,573 595,761	657,886 577,894	402,676 542,168	536,614 549,667
Outlier Median	157,203 582,572	2,713,467 538,116	2,340,571 212,434	183,431 126,559	151,860 139,139

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	1,439,637 2,654,636	0 2,940,659	0 3,380,215	1,448,784 3,488,738	3,145,401 3,233,405
Uncompensated care (UCC) Median	11,201,023 5,147,790	0 5,337,617	0 5,711,082	9,148,543 5,923,418	11,813,064 5,508,107
UCC as a % of operating expenses Median	2.67% 3.24	0.00% 3.12	0.00% 3.21	1.78% 3.3	2.12% 2.86
Total shortfall/UCC Median	11,201,023 9,489,989	0 9,424,297	0 10,120,158	9,148,543 11,171,337	11,813,064 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	185,369,554 52,142,039	242,762,296 54,485,252	257,725,067 57,395,589	256,251,082 58,830,919	271,123,259 61,722,907
Salaries as a % of operating expenses Median	44.24 36.68	48.13 36.56	49.18 36.37	49.85 35.93	48.67 35.24
Intern, resident salaries* Median	6,006,002 2,598,592	5,982,757 2,686,824	5,385,720 2,753,773	3,421,767 2,937,156	3,309,680 2,909,848
Contract intern, resident salaries* Median	1,682,020 1,251,927	1,769,781 1,186,494	0 1,204,885	0 1,279,653	1,883,970 1,469,317
Contract adjusted salaries, direct-care Median	7,882,236 1,449,244	6,369,739 1,475,986	0 1,563,078	0 1,721,954	9,108,832 2,991,828
Contract hours, direct-care Median	124,429.00 22,725	94,471.00 23,018.5	0.00 24,503.48	0.00 25,026.5	93,739.00 33,786
Contract wages, direct-care Median	63.35 64.67	67.43 64.53	0.00 65.06	0.00 68.97	97.17 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.