As of the July, 2022, release via CMS

BAPTIST HEALTH SYSTEM

CMS id: 450058
111 DALLAS STREET, SAN ANTONIO TX 78205. County: BEXAR
System: TENET HEALTHCARE CORPORATION
CBSA: San Antonio-New Braunfels, TX

The 1,573-bed, acute-care hospital had $138,387,048 in net service to patients*, with a total profit margin of 15.55748% in fiscal year 2021, the latest year available.
It spent 7.53% of its operating expenses on uncompensated care and reported $491,889 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	973 118	978 118	1,166 119.5	1,167 118	1169 119
Total beds Median	1,487 162	1,490 162	1,567 162	1,564 162	1,573 163.5
FTEs Median	5,018.83 788.06	5,222.73 793.42	4,689.60 806.03	4,209.90 787.61	4,288.10 804.34

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	1,036,596,801 150,932,746	1,034,929,360 158,950,878	1,140,708,731 168,696,998	1,087,595,449 163,454,693	1,159,402,928 186,589,412
Operating expenses Median	975,708,940 149,311,209	961,212,773 156,110,414	1,017,422,194 164,890,568	979,185,358 166,516,854	1,021,015,880 180,120,888
Net income from service 2 patients (NS2P) ? Median	60,887,861 -964,173	73,716,587 -643,601.5	123,286,537 -116,254	108,410,091 -5,025,862	138,387,048 -1,284,564
NS2P margin ? Median	5.87% -0.62	7.12% -0.29	10.81% 0.18	9.97% -5.07	11.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAPTIST HEALTH SYSTEM 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	27,085,952 5,089,215	27,953,172 4,572,541	27,145,087 5,268,134	46,854,942 13,092,619	49,722,345 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	43,548 206,870.5	83,095 194,343	42,983 249,496
⊳ Line 7: Investments ? ⊳ Median	6 299,524	0 188,688.5	316,735 370,813	1,201,590 309,361.5	857,822 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	49,732	65,776	19,561
⊳ Line 11: Rebates and refunds of expenses	0	0	475,080	626,305	1,372,454
⊳ Line 12: Parking lot receipts	330,888	291,361	294,501	306,015	127,640
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,331,900	3,343,292	3,521,304	2,926,340	2,045,107
⊳ 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	22,507	63,805	69,131	53,723	115,631
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	8,082,824	8,212,824	8,780,852	9,611,178	9,708,565
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	2,888,431	2,835,443	-358,580	21,195	18,476
⊳ Line 21: Rental of vending machines	241,803	228,191	305,902	251,487	176,514
⊳ Line 22: Rental of hospital space	8,505,280	9,139,004	7,824,555	7,397,004	7,270,891
⊳ 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	3,682,313	3,839,252	5,822,327	24,311,234	27,966,701
Total income ? Median	87,973,813 6,586,430	101,669,759 6,767,106	150,431,624 8,419,950	155,265,033 8,094,175	188,109,393 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	87,973,813 6,043,842	101,669,759 5,845,112	150,431,624 7,606,259	155,265,033 7,283,041	188,109,393 14,957,241
Net margin Median	8.27068% 4.62%	9.56547% 4.42%	12.88103% 5.16%	13.68637% 5.2%	15.55748% 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 HEALTH SYSTEM 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	164,905,684 23,241,334	157,743,093 23,709,545	158,661,944 24,248,380	151,596,383 22,858,541	149,012,363 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	150,373,726 21,577,146	143,965,889 22,041,594	142,890,812 22,722,063	136,752,956 21,570,441	133,192,780 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	1,231,372 1,845,420	938,307 1,757,392	2,011,892 1,738,842	2,595,722 1,510,463	2,166,283 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	13,300,586 3,535,627	12,838,897 3,746,588	13,759,240 3,782,288	12,247,705 3,865,578	13,653,300 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	33,390,932 11,160,864	34,307,519 11,987,345	35,107,172 12,926,866	33,708,773 11,884,480	37,944,767 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	33,390,932 10,918,923	34,307,519 11,706,976	35,107,172 12,615,917	33,708,773 11,458,116	37,944,767 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	281,972 3,250,551	303,452 3,386,837	114,859 3,360,806	109,994 3,508,953
Disproportionate-share hospital (DSH) Median	6,211,942 594,888	5,694,026 595,761	5,591,181 577,894	5,047,479 542,168	4,025,594 549,667
Outlier Median	2,085,341 582,572	3,016,577 538,116	2,511,604 212,434	819,357 126,559	1,269,782 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	16,152,744 3,662,910	9,040,726 3,730,911	63,674 4,081,319	223,417 4,643,908	491,889 4,389,147
Charity care Median	69,364,205 2,654,636	43,835,628 2,940,659	52,955,114 3,380,215	61,648,349 3,488,738	58,437,755 3,233,405
Uncompensated care (UCC) Median	86,875,850 5,147,790	74,021,061 5,337,617	84,032,909 5,711,082	84,645,054 5,923,418	76,890,891 5,508,107
UCC as a % of operating expenses Median	8.90% 3.24	7.70% 3.12	8.26% 3.21	8.64% 3.3	7.53% 2.86
Total shortfall/UCC Median	103,028,594 9,489,989	83,061,787 9,424,297	84,096,583 10,120,158	84,868,471 11,171,337	77,382,780 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	325,169,285 52,142,039	337,320,268 54,485,252	347,494,914 57,395,589	334,816,671 58,830,919	344,978,417 61,722,907
Salaries as a % of operating expenses Median	33.33 36.68	35.09 36.56	34.15 36.37	34.20 35.93	33.79 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	64,505 2,753,773	62,724 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	3,391,212 1,449,244	1,478,816 1,475,986	3,244,712 1,563,078	2,373,660 1,721,954	11,132,299 2,991,828
Contract hours, direct-care Median	52,725.00 22,725	20,287.00 23,018.5	38,241.00 24,503.48	27,382.00 25,026.5	103,306.00 33,786
Contract wages, direct-care Median	64.32 64.67	72.89 64.53	84.85 65.06	86.69 68.97	107.76 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.