As of the July, 2022, release via CMS

BAYSTATE WING HOSPITAL & MEDICAL CTR

CMS id: 220030
40 WRIGHT STREET, PALMER MA 1069. County: HAMPDEN
System: BAYSTATE ADMINISTRATIVE SERVICES
CBSA: Springfield, MA

The 68-bed, acute-care hospital had $-10,051,210 in net service to patients*, with a total profit margin of 0.33811% in fiscal year 2021, the latest year available.
It spent 1.89% of its operating expenses on uncompensated care and reported $3,272,731 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	40 118	40 118	40 119.5	40 118	40 119
Total beds Median	74 162	74 162	74 162	68 162	68 163.5
FTEs Median	575.80 788.06	549.80 793.42	553.57 806.03	529.32 787.61	502.54 804.34

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	78,729,234 150,932,746	79,952,347 158,950,878	82,687,752 168,696,998	79,088,717 163,454,693	88,428,641 186,589,412
Operating expenses Median	95,017,994 149,311,209	89,180,884 156,110,414	92,531,026 164,890,568	92,735,709 166,516,854	98,479,851 180,120,888
Net income from service 2 patients (NS2P) ? Median	-16,288,760 -964,173	-9,228,537 -643,601.5	-9,843,274 -116,254	-13,646,992 -5,025,862	-10,051,210 -1,284,564
NS2P margin ? Median	-20.69% -0.62	-11.54% -0.29	-11.90% 0.18	-17.26% -5.07	-11.37% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAYSTATE WING HOSPITAL & MEDICAL CTR 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	6,413,512 5,089,215	4,830,811 4,572,541	3,603,219 5,268,134	6,366,369 13,092,619	10,385,305 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,538 224,999	433,839 199,009	416,803 206,870.5	384,829 194,343	462,439 249,496
⊳ Line 7: Investments ? ⊳ Median	428,636 299,524	569,031 188,688.5	282,117 370,813	276,479 309,361.5	2,880,656 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	672	0	0	0
⊳ Line 11: Rebates and refunds of expenses	3,716	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	419,766	376,892	459,394	351,430	185,571
⊳ 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	19,311	40,994	82,882	90,624	88,000
⊳ 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	0	0	0
⊳ Line 22: Rental of hospital space	978,688	1,056,273	1,008,019	991,867	782,405
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	5,002 1,173,286	20,000 1,987,202	0 1,597,664
⊳ Sum Line 24	4,561,857	2,353,110	1,349,002	4,251,140	5,986,234
Total income ? Median	-9,875,248 6,586,430	-4,397,726 6,767,106	-6,240,055 8,419,950	-7,280,623 8,094,175	334,095 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	-9,875,248 6,043,842	-4,397,726 5,845,112	-6,240,055 7,606,259	-7,280,623 7,283,041	334,095 14,957,241
Net margin Median	-11.59846% 4.62%	-5.18703% 4.42%	-7.23141% 5.16%	-8.51982% 5.2%	0.33811% 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 BAYSTATE WING HOSPITAL & MEDICAL CTR 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	14,898,222 23,241,334	16,372,154 23,709,545	18,097,671 24,248,380	17,250,420 22,858,541	19,308,347 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	10,561,342 21,577,146	12,247,017 22,041,594	13,878,464 22,722,063	13,638,954 21,570,441	15,824,769 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	4,336,880 1,845,420	4,125,137 1,757,392	4,219,207 1,738,842	3,611,466 1,510,463	3,483,578 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	11,555,404 11,160,864	12,250,410 11,987,345	13,088,289 12,926,866	11,160,013 11,884,480	10,737,184 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	11,555,404 10,918,923	12,250,410 11,706,976	13,088,289 12,615,917	11,160,013 11,458,116	10,737,184 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	109,116 594,888	118,301 595,761	127,455 577,894	123,637 542,168	161,405 549,667
Outlier Median	138,981 582,572	59,802 538,116	88,935 212,434	146,093 126,559	257,585 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,764,442 3,662,910	3,730,911 3,730,911	4,026,996 4,081,319	2,229,331 4,643,908	3,272,731 4,389,147
Charity care Median	611,597 2,654,636	0 2,940,659	0 3,380,215	656,755 3,488,738	613,982 3,233,405
Uncompensated care (UCC) Median	922,181 5,147,790	212,610 5,337,617	276,256 5,711,082	2,560,999 5,923,418	1,860,195 5,508,107
UCC as a % of operating expenses Median	0.97% 3.24	0.24% 3.12	0.30% 3.21	2.76% 3.3	1.89% 2.86
Total shortfall/UCC Median	12,686,623 9,489,989	3,943,521 9,424,297	4,303,252 10,120,158	4,790,330 11,171,337	5,132,926 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	37,134,508 52,142,039	36,201,264 54,485,252	37,645,601 57,395,589	36,625,093 58,830,919	35,707,240 61,722,907
Salaries as a % of operating expenses Median	39.08 36.68	40.59 36.56	40.68 36.37	39.49 35.93	36.26 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	264,235 1,449,244	414,195 1,475,986	528,295 1,563,078	766,780 1,721,954	1,307,140 2,991,828
Contract hours, direct-care Median	4,801.00 22,725	6,000.99 23,018.5	7,211.32 24,503.48	9,992.07 25,026.5	17,366.62 33,786
Contract wages, direct-care Median	55.04 64.67	69.02 64.53	73.26 65.06	76.74 68.97	75.27 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.