As of the July, 2022, release via CMS

BAYLOR UNIVERSITY MEDICAL CTR

CMS id: 450021
3500 GASTON AVENUE, DALLAS TX 75246. County: DALLAS
System: BAYLOR SCOTT & WHITE HEALTH
CBSA: Dallas-Fort Worth-Arlington, TX

The 844-bed, acute-care hospital had $-3,388,086 in net service to patients*, with a total profit margin of 37.25108% in fiscal year 2021, the latest year available.
It spent 10.23% of its operating expenses on uncompensated care and reported $0 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	663 118	626 118	619 119.5	568 118	588 119
Total beds Median	854 162	844 162	824 162	824 162	844 163.5
FTEs Median	4,412.05 788.06	4,225.28 793.42	4,125.88 806.03	3,927.96 787.61	4,028.75 804.34

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	1,132,497,606 150,932,746	1,026,077,872 158,950,878	1,025,042,921 168,696,998	968,807,017 163,454,693	1,058,377,664 186,589,412
Operating expenses Median	1,137,806,235 149,311,209	988,954,754 156,110,414	995,294,991 164,890,568	1,005,735,637 166,516,854	1,061,765,750 180,120,888
Net income from service 2 patients (NS2P) ? Median	-5,308,629 -964,173	37,123,118 -643,601.5	29,747,930 -116,254	-36,928,620 -5,025,862	-3,388,086 -1,284,564
NS2P margin ? Median	-0.47% -0.62	3.62% -0.29	2.90% 0.18	-3.81% -5.07	-0.32% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAYLOR UNIVERSITY 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	192,102,162 5,089,215	294,979,809 4,572,541	287,952,359 5,268,134	299,021,336 13,092,619	633,708,440 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	15,606,046 224,999	12,482,401 199,009	14,491,816 206,870.5	13,690,984 194,343	26,353,128 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	49,284,814 188,688.5	42,843,092 370,813	33,869,983 309,361.5	52,676,323 375,329
⊳ 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	1,768,408	1,791,636	1,911,805	2,078,671	1,110,857
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	7,032,796	6,837,001	7,037,513	6,407,903	4,549,320
⊳ 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	5,756	5,601	10,216	3,432	2,704
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	534,979	512,393	855,199	541,735	249,273
⊳ Line 21: Rental of vending machines	26,379	32,593	35,189	26,534	20,291
⊳ Line 22: Rental of hospital space	414,590	568,234	675,963	364,832	158,442
⊳ 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	166,713,208	223,465,136	220,091,566	242,037,262	548,588,102
Total income ? Median	186,793,533 6,586,430	332,102,927 6,767,106	317,700,289 8,419,950	262,092,716 8,094,175	630,320,354 15,162,888
Non-operating expenses Median	-56,836,739 146,289.5	55,576 164,857	62,467,128 89,880.5	0 106,761	0 31,473.5
Net income Median	243,630,272 6,043,842	332,047,351 5,845,112	255,233,161 7,606,259	262,092,716 7,283,041	630,320,354 14,957,241
Net margin Median	18.39275% 4.62%	25.13496% 4.42%	19.43900% 5.16%	20.67257% 5.2%	37.25108% 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 BAYLOR UNIVERSITY 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	219,157,163 23,241,334	209,298,220 23,709,545	219,961,985 24,248,380	207,148,222 22,858,541	215,130,122 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	219,157,163 21,577,146	209,298,220 22,041,594	219,961,985 22,722,063	207,148,222 21,570,441	215,130,122 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	33,973,737 11,160,864	36,149,856 11,987,345	38,871,254 12,926,866	31,944,849 11,884,480	31,079,640 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	33,973,737 10,918,923	36,149,856 11,706,976	38,871,254 12,615,917	31,944,849 11,458,116	31,079,640 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	16,525,113 3,284,314	16,399,259 3,250,551	17,088,430 3,386,837	15,743,185 3,360,806	16,061,088 3,508,953
Disproportionate-share hospital (DSH) Median	3,344,792 594,888	3,070,430 595,761	3,020,458 577,894	2,363,128 542,168	2,430,448 549,667
Outlier Median	18,510,566 582,572	10,104,429 538,116	15,065,552 212,434	488,325 126,559	629,452 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	164,271 3,662,910	170,354 3,730,911	127,163 4,081,319	51,983 4,643,908	0 4,389,147
Charity care Median	54,392,187 2,654,636	68,595,898 2,940,659	69,049,130 3,380,215	75,590,463 3,488,738	78,776,279 3,233,405
Uncompensated care (UCC) Median	73,619,711 5,147,790	90,750,733 5,337,617	94,398,194 5,711,082	112,782,267 5,923,418	108,580,407 5,508,107
UCC as a % of operating expenses Median	6.47% 3.24	9.18% 3.12	9.48% 3.21	11.21% 3.3	10.23% 2.86
Total shortfall/UCC Median	73,783,982 9,489,989	90,921,087 9,424,297	94,525,357 10,120,158	112,834,250 11,171,337	108,580,407 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	302,327,080 52,142,039	294,534,160 54,485,252	293,242,732 57,395,589	295,170,822 58,830,919	322,373,747 61,722,907
Salaries as a % of operating expenses Median	29.28 36.68	29.12 36.56	29.46 36.37	29.35 35.93	30.36 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	33,099 1,449,244	812,800 1,475,986	9,535,490 1,563,078	10,364,133 1,721,954	13,953,876 2,991,828
Contract hours, direct-care Median	667.05 22,725	25,275.92 23,018.5	227,165.00 24,503.48	213,152.00 25,026.5	130,974.15 33,786
Contract wages, direct-care Median	49.62 64.67	32.16 64.53	41.98 65.06	48.62 68.97	106.54 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.