As of the July, 2022, release via CMS

HILLCREST BAPTIST MEDICAL CENTER

CMS id: 450101
100 HILLCREST MEDICAL BOULEVARD, WACO TX 76712. County: MCLENNAN
System: BAYLOR SCOTT & WHITE HEALTH
CBSA: Waco, TX

The 210-bed, acute-care hospital had $-27,807,813 in net service to patients*, with a total profit margin of 13.73152% in fiscal year 2021, the latest year available.
It spent 7.69% of its operating expenses on uncompensated care and reported $423,611 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	158 118	158 118	158 119.5	160 118	140 119
Total beds Median	234 162	236 162	236 162	236 162	210 163.5
FTEs Median	1,700.46 788.06	1,614.43 793.42	1,629.71 806.03	1,674.11 787.61	1,581.70 804.34

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	306,959,880 150,932,746	327,118,747 158,950,878	340,551,502 168,696,998	180,952,527 163,454,693	382,753,389 186,589,412
Operating expenses Median	313,705,540 149,311,209	330,928,964 156,110,414	346,413,664 164,890,568	386,972,297 166,516,854	410,561,202 180,120,888
Net income from service 2 patients (NS2P) ? Median	-6,745,660 -964,173	-3,810,217 -643,601.5	-5,862,162 -116,254	-206,019,770 -5,025,862	-27,807,813 -1,284,564
NS2P margin ? Median	-2.20% -0.62	-1.16% -0.29	-1.72% 0.18	-113.85% -5.07	-7.27% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HILLCREST BAPTIST MEDICAL CENTER 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	36,881,506 5,089,215	38,097,013 4,572,541	48,871,225 5,268,134	210,512,032 13,092,619	93,157,607 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	794,999 199,009	5,034,223 206,870.5	0 194,343	6,459,748 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	2,583,739 188,688.5	5,924,899 370,813	4,169,507 309,361.5	8,219,098 375,329
⊳ 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	3,900	936	2,601	1,563	2,680
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,160,469	1,000,789	987,234	873,201	857,419
⊳ 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	62,898,060	0
⊳ Line 18: Revenue from sale of medical records and abstracts	20,215	17,452	14,862	12,582	9,685
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	308,405	303,745	265,535	243,118	169,426
⊳ Line 21: Rental of vending machines	38,142	17,759	17,163	18,861	51,675
⊳ Line 22: Rental of hospital space	258,836	213,287	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	35,091,539	33,164,307	36,624,708	142,295,140	77,387,876
Total income ? Median	30,135,846 6,586,430	34,286,796 6,767,106	43,009,063 8,419,950	4,492,262 8,094,175	65,349,794 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	30,135,846 6,043,842	34,286,796 5,845,112	43,009,063 7,606,259	4,492,262 7,283,041	65,349,794 14,957,241
Net margin Median	8.76446% 4.62%	9.38809% 4.42%	11.04431% 5.16%	1.14755% 5.2%	13.73152% 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 HILLCREST BAPTIST MEDICAL CENTER 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	48,359,705 23,241,334	52,712,474 23,709,545	46,710,880 24,248,380	42,025,531 22,858,541	47,029,678 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	43,748,278 21,577,146	47,903,375 22,041,594	42,638,388 22,722,063	39,259,905 21,570,441	44,139,106 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	4,611,427 3,535,627	4,809,099 3,746,588	4,072,492 3,782,288	2,765,626 3,865,578	2,890,572 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	28,509,808 11,160,864	29,354,204 11,987,345	26,453,183 12,926,866	21,521,600 11,884,480	22,465,210 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	28,509,808 10,918,923	29,354,204 11,706,976	26,453,183 12,615,917	21,521,600 11,458,116	22,465,210 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	1,945,683 3,284,314	2,036,940 3,250,551	1,827,713 3,386,837	1,615,834 3,360,806	1,762,418 3,508,953
Disproportionate-share hospital (DSH) Median	1,851,125 594,888	1,789,779 595,761	1,543,210 577,894	1,253,115 542,168	1,075,678 549,667
Outlier Median	814,861 582,572	433,909 538,116	178,262 212,434	132,501 126,559	151,625 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	191,635 3,662,910	163,238 3,730,911	151,945 4,081,319	405,121 4,643,908	423,611 4,389,147
Charity care Median	15,203,760 2,654,636	24,627,924 2,940,659	20,420,261 3,380,215	23,479,339 3,488,738	23,911,554 3,233,405
Uncompensated care (UCC) Median	23,799,173 5,147,790	31,697,208 5,337,617	26,600,510 5,711,082	30,151,409 5,923,418	31,576,899 5,508,107
UCC as a % of operating expenses Median	7.59% 3.24	9.58% 3.12	7.68% 3.21	7.79% 3.3	7.69% 2.86
Total shortfall/UCC Median	23,990,808 9,489,989	31,860,446 9,424,297	26,752,455 10,120,158	30,556,530 11,171,337	32,000,510 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	121,631,805 52,142,039	123,317,534 54,485,252	128,186,107 57,395,589	139,807,840 58,830,919	146,807,831 61,722,907
Salaries as a % of operating expenses Median	38.94 36.68	37.26 36.56	37.00 36.37	36.13 35.93	35.76 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	2,195,844 1,251,927	2,174,767 1,186,494	2,202,028 1,204,885	2,338,731 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,594,757 1,449,244	2,216,203 1,475,986	2,202,028 1,563,078	2,518,002 1,721,954	4,825,481 2,991,828
Contract hours, direct-care Median	40,072.13 22,725	50,515.35 23,018.5	48,414.00 24,503.48	50,012.00 25,026.5	42,879.00 33,786
Contract wages, direct-care Median	64.75 64.67	43.87 64.53	45.48 65.06	50.35 68.97	112.54 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.