As of the July, 2022, release via CMS

BAPTIST MEM HOSPITAL UNION CITY

CMS id: 440130
1201 BISHOP STREET, UNION CITY TN 38261. County: OBION
System: BAPTIST MEM HEALTH CARE CORP
CBSA: Union City, TN

The 43-bed, acute-care hospital had $4,315,377 in net service to patients*, with a total profit margin of 7.14151% in fiscal year 2021, the latest year available.
It spent 4.61% of its operating expenses on uncompensated care and reported $926,920 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	56 118	56 118	56 119.5	56 118	36 119
Total beds Median	63 162	63 162	63 162	63 162	43 163.5
FTEs Median	280.69 788.06	257.48 793.42	258.00 806.03	260.28 787.61	270.55 804.34

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	50,091,833 150,932,746	42,736,737 158,950,878	43,146,198 168,696,998	44,464,709 163,454,693	50,205,270 186,589,412
Operating expenses Median	41,102,607 149,311,209	42,220,824 156,110,414	39,659,455 164,890,568	42,357,819 166,516,854	45,889,893 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,989,226 -964,173	515,913 -643,601.5	3,486,743 -116,254	2,106,890 -5,025,862	4,315,377 -1,284,564
NS2P margin ? Median	17.95% -0.62	1.21% -0.29	8.08% 0.18	4.74% -5.07	8.60% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAPTIST MEM HOSPITAL UNION CITY 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	1,967,449 5,089,215	1,281,972 4,572,541	-3,173,932 5,268,134	-1,154,364 13,092,619	-794,469 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	26,300 224,999	5,980 199,009	12,187 206,870.5	-15,600 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	34,854 370,813	25,455 309,361.5	12,947 375,329
⊳ 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	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	194,644	208,690	212,851	222,972	233,908
⊳ 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	573	8,628	920	879	21,164
⊳ Line 18: Revenue from sale of medical records and abstracts	2,155	2,305	2,991	7,950	4,143
⊳ 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	605,116	363,609	318,126	520,238	550,438
⊳ 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	1,138,661	692,760	-3,755,861	-1,916,258	-1,617,069
Total income ? Median	10,956,675 6,586,430	1,797,885 6,767,106	312,811 8,419,950	952,526 8,094,175	3,520,908 15,162,888
Non-operating expenses Median	5,759,921 146,289.5	6,421,521 164,857	1,591,384 89,880.5	-1,100 106,761	-7,771 31,473.5
Net income Median	5,196,754 6,043,842	-4,623,636 5,845,112	-1,278,573 7,606,259	953,626 7,283,041	3,528,679 14,957,241
Net margin Median	9.98238% 4.62%	-10.50380% 4.42%	-3.19865% 5.16%	2.20184% 5.2%	7.14151% 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 BAPTIST MEM HOSPITAL UNION CITY 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	7,178,290 23,241,334	6,998,017 23,709,545	7,434,604 24,248,380	7,640,600 22,858,541	7,617,105 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	7,178,290 21,577,146	6,998,017 22,041,594	7,434,604 22,722,063	7,640,600 21,570,441	7,617,105 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	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	5,665,678 11,160,864	5,913,791 11,987,345	5,953,545 12,926,866	5,427,816 11,884,480	5,661,102 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	5,665,678 10,918,923	5,913,791 11,706,976	5,953,545 12,615,917	5,427,816 11,458,116	5,661,102 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	183,805 594,888	198,686 595,761	190,638 577,894	189,619 542,168	180,942 549,667
Outlier Median	13,579 582,572	7,318 538,116	94 212,434	928 126,559	1,539 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,773,521 3,662,910	3,452,857 3,730,911	3,358,125 4,081,319	816,388 4,643,908	926,920 4,389,147
Charity care Median	1,502,709 2,654,636	1,404,300 2,940,659	1,427,442 3,380,215	1,457,686 3,488,738	1,409,113 3,233,405
Uncompensated care (UCC) Median	2,630,745 5,147,790	2,483,754 5,337,617	2,404,983 5,711,082	2,459,202 5,923,418	2,115,510 5,508,107
UCC as a % of operating expenses Median	6.40% 3.24	5.88% 3.12	6.06% 3.21	5.81% 3.3	4.61% 2.86
Total shortfall/UCC Median	5,404,266 9,489,989	5,936,611 9,424,297	5,763,108 10,120,158	3,275,590 11,171,337	3,042,430 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	13,953,828 52,142,039	13,337,637 54,485,252	13,803,723 57,395,589	14,508,411 58,830,919	15,650,679 61,722,907
Salaries as a % of operating expenses Median	33.95 36.68	31.59 36.56	34.81 36.37	34.25 35.93	34.10 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	89,904 1,449,244	96,740 1,475,986	0 1,563,078	0 1,721,954	256,052 2,991,828
Contract hours, direct-care Median	985.83 22,725	1,122.00 23,018.5	0.00 24,503.48	0.00 25,026.5	6,870.00 33,786
Contract wages, direct-care Median	91.20 64.67	86.22 64.53	0.00 65.06	0.00 68.97	37.27 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.