As of the July, 2022, release via CMS

BAYSTATE MEDICAL CENTER

CMS id: 220077
759 CHESTNUT STREET, SPRINGFIELD MA 1199. County: HAMPDEN
System: BAYSTATE ADMINISTRATIVE SERVICES
CBSA: Springfield, MA

The 734-bed, acute-care hospital had $-69,420,037 in net service to patients*, with a total profit margin of 11.53770% in fiscal year 2021, the latest year available.
It spent 0.76% of its operating expenses on uncompensated care and reported $19,362,864 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	575 118	579 118	588 119.5	590 118	589 119
Total beds Median	720 162	724 162	733 162	735 162	734 163.5
FTEs Median	6,123.92 788.06	6,199.02 793.42	6,428.16 806.03	6,446.26 787.61	6,580.63 804.34

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	1,133,003,771 150,932,746	2,545,278,066 158,950,878	1,277,003,896 168,696,998	1,257,952,243 163,454,693	1,431,361,237 186,589,412
Operating expenses Median	1,148,497,829 149,311,209	1,197,914,233 156,110,414	1,270,728,526 164,890,568	1,374,507,083 166,516,854	1,500,781,274 180,120,888
Net income from service 2 patients (NS2P) ? Median	-15,494,058 -964,173	1,347,363,833 -643,601.5	6,275,370 -116,254	-116,554,840 -5,025,862	-69,420,037 -1,284,564
NS2P margin ? Median	-1.37% -0.62	52.94% -0.29	0.49% 0.18	-9.27% -5.07	-4.85% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAYSTATE 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	124,491,897 5,089,215	103,574,885 4,572,541	120,101,304 5,268,134	211,738,406 13,092,619	265,159,510 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	796,700 224,999	846,161 199,009	845,574 206,870.5	953,582 194,343	966,061 249,496
⊳ Line 7: Investments ? ⊳ Median	1,955,925 299,524	1,743,867 188,688.5	2,299,516 370,813	4,885,725 309,361.5	2,593,028 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	123,459	99,981	133,131	108,206	54,300
⊳ Line 11: Rebates and refunds of expenses	2,295,430	0	54,713	-32,209	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	5,018,986	6,093,256	6,593,694	5,028,446	4,750,000
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	144,735	40,825	5,783	71,473	65,472
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	41,196,897	41,948,789
⊳ Line 18: Revenue from sale of medical records and abstracts	435,069	547,097	656,724	778,443	567,948
⊳ 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	2,062,175	1,702,910	1,597,039	1,696,641	1,598,664
⊳ 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	111,659,418	92,500,788	107,915,130	157,051,202	212,615,248
Total income ? Median	108,997,839 6,586,430	1,450,938,718 6,767,106	126,376,674 8,419,950	95,183,566 8,094,175	195,739,473 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	108,997,839 6,043,842	1,450,938,718 5,845,112	126,376,674 7,606,259	95,183,566 7,283,041	195,739,473 14,957,241
Net margin Median	8.66785% 4.62%	54.77611% 4.42%	9.04561% 5.16%	6.47644% 5.2%	11.53770% 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 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	235,623,887 23,241,334	249,486,408 23,709,545	275,029,666 24,248,380	246,569,633 22,858,541	278,229,321 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	233,268,166 21,577,146	246,973,398 22,041,594	272,629,123 22,722,063	244,096,512 21,570,441	276,002,295 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	2,355,721 1,845,420	2,513,010 1,757,392	2,400,543 1,738,842	2,473,121 1,510,463	2,227,026 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	97,732,055 11,160,864	104,781,751 11,987,345	110,462,608 12,926,866	102,816,509 11,884,480	111,321,011 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	97,732,055 10,918,923	104,781,751 11,706,976	110,462,608 12,615,917	102,816,509 11,458,116	111,321,011 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	45,499,497 3,284,314	50,655,252 3,250,551	55,928,910 3,386,837	51,498,477 3,360,806	56,659,225 3,508,953
Disproportionate-share hospital (DSH) Median	9,046,805 594,888	8,477,921 595,761	9,381,898 577,894	8,617,410 542,168	9,410,172 549,667
Outlier Median	3,599,526 582,572	3,588,855 538,116	895,301 212,434	859,074 126,559	885,021 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	14,287,991 3,730,911	0 4,081,319	0 4,643,908	19,362,864 4,389,147
Charity care Median	10,202,981 2,654,636	0 2,940,659	0 3,380,215	4,948,331 3,488,738	4,234,253 3,233,405
Uncompensated care (UCC) Median	17,961,521 5,147,790	2,585,709 5,337,617	2,259,924 5,711,082	13,191,048 5,923,418	11,334,007 5,508,107
UCC as a % of operating expenses Median	1.56% 3.24	0.22% 3.12	0.18% 3.21	0.96% 3.3	0.76% 2.86
Total shortfall/UCC Median	17,961,521 9,489,989	16,873,700 9,424,297	2,259,924 10,120,158	13,191,048 11,171,337	30,696,871 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	414,245,118 52,142,039	435,647,081 54,485,252	457,736,522 57,395,589	478,384,976 58,830,919	508,919,264 61,722,907
Salaries as a % of operating expenses Median	36.07 36.68	36.37 36.56	36.02 36.37	34.80 35.93	33.93 35.24
Intern, resident salaries* Median	22,965,942 2,598,592	23,484,491 2,686,824	24,036,655 2,753,773	26,121,969 2,937,156	26,086,876 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	6,010,444 1,449,244	0 1,475,986	0 1,563,078	12,064,901 1,721,954	30,195,997 2,991,828
Contract hours, direct-care Median	91,741.00 22,725	0.00 23,018.5	0.00 24,503.48	160,639.00 25,026.5	326,636.00 33,786
Contract wages, direct-care Median	65.52 64.67	0.00 64.53	0.00 65.06	75.11 68.97	92.45 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.