As of the July, 2022, release via CMS

NORTH CAROLINA BAPTIST HOSPITAL

CMS id: 340047
MEDICAL CENTER BLVD, WINSTON-SALEM NC 27157. County: FORSYTH
System: --
CBSA: Winston-Salem, NC

The 886-bed, acute-care hospital had $-45,499,969 in net service to patients*, with a total profit margin of 0.18971% in fiscal year 2021, the latest year available.
It spent 5.02% of its operating expenses on uncompensated care and reported $6,750,684 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	573 118	545 118	565 119.5	536 118	541 119
Total beds Median	873 162	870 162	870 162	877 162	886 163.5
FTEs Median	7,980.65 788.06	8,070.10 793.42	8,127.78 806.03	8,283.69 787.61	8,303.76 804.34

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	1,533,332,658 150,932,746	1,579,971,117 158,950,878	1,689,734,011 168,696,998	1,729,589,830 163,454,693	1,986,016,553 186,589,412
Operating expenses Median	1,518,680,218 149,311,209	1,633,450,875 156,110,414	1,761,493,964 164,890,568	1,864,864,370 166,516,854	2,031,516,522 180,120,888
Net income from service 2 patients (NS2P) ? Median	14,652,440 -964,173	-53,479,758 -643,601.5	-71,759,953 -116,254	-135,274,540 -5,025,862	-45,499,969 -1,284,564
NS2P margin ? Median	0.96% -0.62	-3.38% -0.29	-4.25% 0.18	-7.82% -5.07	-2.29% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH CAROLINA BAPTIST 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	31,463,980 5,089,215	36,291,849 4,572,541	49,921,183 5,268,134	191,636,303 13,092,619	49,361,271 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,646,607 224,999	2,087,125 199,009	10,667,609 206,870.5	2,643,220 194,343	1,656,277 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	9,135 309,361.5	50,351 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	3,531,367	3,554,300	3,543,232	3,183,890	2,618,281
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	5,915,381	6,138,637	6,464,163	5,872,230	5,160,218
⊳ 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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,613,545	1,681,584	1,809,631	1,670,455	1,713,810
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	339,909	59,437	54,165	39,493	9,006
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	363,597	892,936	780,346	741,572	530,321
⊳ 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	17,053,574	21,877,830	26,602,037	177,476,308	37,623,007
Total income ? Median	46,116,420 6,586,430	-17,187,909 6,767,106	-21,838,770 8,419,950	56,361,763 8,094,175	3,861,302 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	46,116,420 6,043,842	-17,187,909 5,845,112	-21,838,770 7,606,259	56,361,763 7,283,041	3,861,302 14,957,241
Net margin Median	2.94712% 4.62%	-1.06344% 4.42%	-1.25535% 5.16%	2.93364% 5.2%	0.18971% 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 NORTH CAROLINA BAPTIST 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	224,004,407 23,241,334	229,315,484 23,709,545	236,539,791 24,248,380	234,185,919 22,858,541	237,437,523 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	218,426,059 21,577,146	223,344,306 22,041,594	232,601,061 22,722,063	229,576,170 21,570,441	232,668,552 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	1,745,313 1,845,420	933,220 1,757,392	1,009,295 1,738,842	956,826 1,510,463	843,512 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,833,035 3,535,627	5,037,958 3,746,588	2,929,435 3,782,288	3,652,923 3,865,578	3,925,459 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	115,917,117 11,160,864	111,282,174 11,987,345	112,291,156 12,926,866	108,247,381 11,884,480	108,447,383 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	115,917,117 10,918,923	111,282,174 11,706,976	112,291,156 12,615,917	108,247,381 11,458,116	108,447,383 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	48,205,335 3,284,314	48,349,663 3,250,551	48,706,459 3,386,837	46,709,279 3,360,806	46,246,222 3,508,953
Disproportionate-share hospital (DSH) Median	4,606,968 594,888	4,647,521 595,761	4,220,265 577,894	4,962,242 542,168	5,110,431 549,667
Outlier Median	18,763,584 582,572	16,973,237 538,116	11,710,435 212,434	4,512,883 126,559	4,848,543 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,054,763 3,662,910	3,837,914 3,730,911	4,081,957 4,081,319	4,252,326 4,643,908	6,750,684 4,389,147
Charity care Median	47,128,816 2,654,636	71,459,604 2,940,659	52,916,370 3,380,215	51,772,667 3,488,738	66,753,961 3,233,405
Uncompensated care (UCC) Median	73,688,458 5,147,790	91,224,273 5,337,617	75,782,043 5,711,082	75,615,955 5,923,418	101,889,518 5,508,107
UCC as a % of operating expenses Median	4.85% 3.24	5.58% 3.12	4.30% 3.21	4.05% 3.3	5.02% 2.86
Total shortfall/UCC Median	77,743,221 9,489,989	95,062,187 9,424,297	79,864,000 10,120,158	79,868,281 11,171,337	108,640,202 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	471,444,407 52,142,039	483,227,269 54,485,252	497,870,575 57,395,589	540,947,643 58,830,919	571,641,188 61,722,907
Salaries as a % of operating expenses Median	31.04 36.68	29.58 36.56	28.26 36.37	29.01 35.93	28.14 35.24
Intern, resident salaries* Median	33,956,508 2,598,592	35,866,773 2,686,824	37,273,311 2,753,773	38,189,480 2,937,156	40,528,914 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	7,154,428 1,449,244	7,611,974 1,475,986	6,583,974 1,563,078	21,882,427 1,721,954	44,821,615 2,991,828
Contract hours, direct-care Median	104,152.00 22,725	115,183.00 23,018.5	100,592.00 24,503.48	306,186.00 25,026.5	426,080.00 33,786
Contract wages, direct-care Median	68.69 64.67	66.09 64.53	65.45 65.06	71.47 68.97	105.20 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.