As of the July, 2022, release via CMS

BAYLOR S&W MEDICAL CENTER - IRVING

CMS id: 450079
1901 NORTH MACARTHUR BLVD, IRVING TX 75061. County: DALLAS
System: BAYLOR SCOTT & WHITE HEALTH
CBSA: Dallas-Fort Worth-Arlington, TX

The 222-bed, acute-care hospital had $-20,649,595 in net service to patients*, with a total profit margin of 30.48337% in fiscal year 2021, the latest year available.
It spent 14.45% of its operating expenses on uncompensated care and reported $2,497,209 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	139 118	155 118	155 119.5	155 118	155 119
Total beds Median	207 162	222 162	222 162	222 162	222 163.5
FTEs Median	911.33 788.06	903.42 793.42	849.69 806.03	825.21 787.61	817.18 804.34

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	228,182,085 150,932,746	238,706,513 158,950,878	185,254,051 168,696,998	176,760,319 163,454,693	207,931,202 186,589,412
Operating expenses Median	254,404,536 149,311,209	260,507,440 156,110,414	212,758,957 164,890,568	219,374,388 166,516,854	228,580,797 180,120,888
Net income from service 2 patients (NS2P) ? Median	-26,222,451 -964,173	-21,800,927 -643,601.5	-27,504,906 -116,254	-42,614,069 -5,025,862	-20,649,595 -1,284,564
NS2P margin ? Median	-11.49% -0.62	-9.13% -0.29	-14.85% 0.18	-24.11% -5.07	-9.93% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAYLOR S&W MEDICAL CENTER - IRVING 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	30,908,620 5,089,215	29,037,374 4,572,541	41,160,795 5,268,134	44,205,220 13,092,619	120,883,352 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,998,717 224,999	756,706 199,009	1,588,513 206,870.5	1,204,162 194,343	705,513 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	11,517,970 188,688.5	12,062,728 370,813	10,052,916 309,361.5	14,575,892 375,329
⊳ 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	42,062	40,762	40,504	40,802	40,912
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	684,558	672,691	628,015	553,218	481,634
⊳ 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	1,448	68,118	74,951	73,664	53,003
⊳ 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	3,481	824	0
⊳ Line 21: Rental of vending machines	7,909	11,839	10,385	11,307	5,456
⊳ Line 22: Rental of hospital space	0	7,401,849	0	0	0
⊳ 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	27,173,926	8,567,439	26,752,218	32,268,327	105,020,942
Total income ? Median	4,686,169 6,586,430	7,236,447 6,767,106	13,655,889 8,419,950	1,591,151 8,094,175	100,233,757 15,162,888
Non-operating expenses Median	-12,053,920 146,289.5	-4,620,506 164,857	0 89,880.5	0 106,761	2 31,473.5
Net income Median	16,740,089 6,043,842	11,856,953 5,845,112	13,655,889 7,606,259	1,591,151 7,283,041	100,233,755 14,957,241
Net margin Median	6.46109% 4.62%	4.42847% 4.42%	6.03136% 5.16%	0.72009% 5.2%	30.48337% 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 S&W MEDICAL CENTER - IRVING 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	38,590,624 23,241,334	39,371,872 23,709,545	36,631,178 24,248,380	36,717,143 22,858,541	36,744,733 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	35,629,065 21,577,146	36,235,154 22,041,594	33,326,825 22,722,063	33,782,850 21,570,441	34,614,986 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	2,961,559 3,535,627	3,136,718 3,746,588	3,304,353 3,782,288	2,934,293 3,865,578	2,129,747 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	10,687,077 11,160,864	10,618,955 11,987,345	11,450,518 12,926,866	8,895,754 11,884,480	7,869,803 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	10,687,077 10,918,923	10,618,955 11,706,976	11,450,518 12,615,917	8,895,754 11,458,116	7,869,803 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	934,964 594,888	843,648 595,761	773,190 577,894	738,821 542,168	666,276 549,667
Outlier Median	1,358,478 582,572	842,492 538,116	806,900 212,434	158,165 126,559	105,828 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	260,854 3,662,910	226,369 3,730,911	230,890 4,081,319	220,787 4,643,908	2,497,209 4,389,147
Charity care Median	19,361,289 2,654,636	24,372,158 2,940,659	20,974,985 3,380,215	24,913,310 3,488,738	22,400,022 3,233,405
Uncompensated care (UCC) Median	28,131,451 5,147,790	33,605,793 5,337,617	31,652,188 5,711,082	38,485,456 5,923,418	33,020,245 5,508,107
UCC as a % of operating expenses Median	11.06% 3.24	12.90% 3.12	14.88% 3.21	17.54% 3.3	14.45% 2.86
Total shortfall/UCC Median	28,392,305 9,489,989	33,832,162 9,424,297	31,883,078 10,120,158	38,706,243 11,171,337	35,517,454 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,892,821 52,142,039	64,979,177 54,485,252	62,879,832 57,395,589	64,718,231 58,830,919	74,993,317 61,722,907
Salaries as a % of operating expenses Median	29.44 36.68	29.88 36.56	29.55 36.37	29.50 35.93	32.81 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	4,898,294 1,449,244	3,858,829 1,475,986	3,560,922 1,563,078	3,541,086 1,721,954	3,744,834 2,991,828
Contract hours, direct-care Median	99,560.00 22,725	75,844.00 23,018.5	68,269.00 24,503.48	65,690.00 25,026.5	39,447.04 33,786
Contract wages, direct-care Median	49.20 64.67	50.88 64.53	52.16 65.06	53.91 68.97	94.93 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.