As of the July, 2022, release via CMS

WILLIAM BEAUMONT HOSPITAL - TROY

CMS id: 230269
44201 DEQUINDRE, TROY MI 48098. County: OAKLAND
System: BEAUMONT HEALTH
CBSA: Detroit-Warren-Dearborn, MI

The 499-bed, acute-care hospital had $30,215,808 in net service to patients*, with a total profit margin of 6.80829% in fiscal year 2021, the latest year available.
It spent 0.91% of its operating expenses on uncompensated care and reported $11,977,892 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	463 118	439 118	439 119.5	434 118	422 119
Total beds Median	520 162	520 162	520 162	530 162	499 163.5
FTEs Median	4,152.92 788.06	4,744.72 793.42	4,279.97 806.03	3,939.49 787.61	3,961.03 804.34

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	716,395,313 150,932,746	767,197,073 158,950,878	744,598,783 168,696,998	681,071,542 163,454,693	753,189,911 186,589,412
Operating expenses Median	668,812,978 149,311,209	706,110,829 156,110,414	680,047,727 164,890,568	667,524,992 166,516,854	722,974,103 180,120,888
Net income from service 2 patients (NS2P) ? Median	47,582,335 -964,173	61,086,244 -643,601.5	64,551,056 -116,254	13,546,550 -5,025,862	30,215,808 -1,284,564
NS2P margin ? Median	6.64% -0.62	7.96% -0.29	8.67% 0.18	1.99% -5.07	4.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WILLIAM BEAUMONT HOSPITAL - TROY 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	14,781,433 5,089,215	11,542,267 4,572,541	9,946,827 5,268,134	57,936,010 13,092,619	24,465,920 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	57,975 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	763,4--5	-12	-2,499	-1,291	--
⊳ Line 10: Purchase discounts	54,953	74,179	61,439	48,697	30,653
⊳ Line 11: Rebates and refunds of expenses	0	7,336	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	4,552,189	4,508,125	4,730,783	3,210,461	3,568,416
⊳ 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	29,810	48,353	95,881	22,785	24,150
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	10,659	5,460	10,760	5,325	935
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	543,543	526,724	523,932	157,968	244,992
⊳ Line 21: Rental of vending machines	53,283	67,248	70,896	43,565	53,612
⊳ Line 22: Rental of hospital space	228,165	245,087	553,191	627,036	615,266
⊳ 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	8,182,574	6,119,834	3,902,444	53,821,464	19,927,896
Total income ? Median	62,363,768 6,586,430	72,628,511 6,767,106	74,497,883 8,419,950	71,482,560 8,094,175	54,681,728 15,162,888
Non-operating expenses Median	-98,805 146,289.5	257,256 164,857	689,390 89,880.5	62,880 106,761	1,736,638 31,473.5
Net income Median	62,462,573 6,043,842	72,371,255 5,845,112	73,808,493 7,606,259	71,419,680 7,283,041	52,945,090 14,957,241
Net margin Median	8.54275% 4.62%	9.29339% 4.42%	9.78185% 5.16%	9.66427% 5.2%	6.80829% 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 WILLIAM BEAUMONT HOSPITAL - TROY 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	138,524,003 23,241,334	136,193,992 23,709,545	143,202,465 24,248,380	133,125,122 22,858,541	130,317,642 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	132,376,732 21,577,146	129,819,786 22,041,594	137,002,713 22,722,063	126,413,188 21,570,441	124,336,600 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	6,147,271 3,535,627	6,374,206 3,746,588	6,199,752 3,782,288	6,711,934 3,865,578	5,981,042 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	66,489,959 11,160,864	65,368,242 11,987,345	49,180,334 12,926,866	42,949,015 11,884,480	51,329,642 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	42,550,700 10,918,923	43,937,223 11,706,976	49,180,334 12,615,917	42,949,015 11,458,116	51,329,642 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	23,939,259 1,282,808	21,431,019 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	5,234,337 3,284,314	5,880,336 3,250,551	6,456,643 3,386,837	6,253,395 3,360,806	6,230,393 3,508,953
Disproportionate-share hospital (DSH) Median	1,434,638 594,888	1,406,625 595,761	1,361,579 577,894	1,285,268 542,168	1,621,396 549,667
Outlier Median	2,718,330 582,572	2,359,473 538,116	672,706 212,434	550,948 126,559	712,963 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,141,307 3,662,910	15,730,541 3,730,911	12,124,889 4,081,319	11,002,239 4,643,908	11,977,892 4,389,147
Charity care Median	3,959,968 2,654,636	3,949,819 2,940,659	9,322,271 3,380,215	4,320,932 3,488,738	3,064,116 3,233,405
Uncompensated care (UCC) Median	5,776,260 5,147,790	9,311,627 5,337,617	13,042,444 5,711,082	9,980,251 5,923,418	6,605,570 5,508,107
UCC as a % of operating expenses Median	0.86% 3.24	1.32% 3.12	1.92% 3.21	1.50% 3.3	0.91% 2.86
Total shortfall/UCC Median	26,917,567 9,489,989	25,042,168 9,424,297	25,167,333 10,120,158	20,982,490 11,171,337	18,583,462 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	290,690,659 52,142,039	298,304,179 54,485,252	268,408,031 57,395,589	253,128,936 58,830,919	264,646,308 61,722,907
Salaries as a % of operating expenses Median	43.46 36.68	42.25 36.56	39.47 36.37	37.92 35.93	36.61 35.24
Intern, resident salaries* Median	1,828,109 2,598,592	1,807,380 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	1,853,651 1,204,885	1,692,501 1,279,653	1,742,808 1,469,317
Contract adjusted salaries, direct-care Median	1,642,211 1,449,244	1,435,188 1,475,986	3,309,805 1,563,078	2,201,171 1,721,954	5,094,852 2,991,828
Contract hours, direct-care Median	24,156.00 22,725	21,040.00 23,018.5	73,813.00 24,503.48	18,126.00 25,026.5	77,785.89 33,786
Contract wages, direct-care Median	67.98 64.67	68.21 64.53	44.84 65.06	121.44 68.97	65.50 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.