As of the July, 2022, release via CMS

BAPTIST SAINT ANTHONYS HOSPITAL

CMS id: 450231
1600 WALLACE BLVD, AMARILLO TX 79106. County: POTTER
System: AHS MANAGEMENT COMPANY INC
CBSA: Amarillo, TX

The 384-bed, acute-care hospital had $-18,769,978 in net service to patients*, with a total profit margin of 0.09866% in fiscal year 2021, the latest year available.
It spent 6.27% of its operating expenses on uncompensated care and reported $127,522 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	277 118	282 118	282 119.5	293 118	288 119
Total beds Median	373 162	378 162	378 162	389 162	384 163.5
FTEs Median	2,073.81 788.06	2,019.26 793.42	1,959.89 806.03	1,896.86 787.61	1,913.33 804.34

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	436,803,271 150,932,746	477,318,853 158,950,878	536,679,285 168,696,998	531,629,938 163,454,693	496,971,920 186,589,412
Operating expenses Median	403,131,761 149,311,209	428,945,720 156,110,414	538,081,479 164,890,568	520,720,010 166,516,854	515,741,898 180,120,888
Net income from service 2 patients (NS2P) ? Median	33,671,510 -964,173	48,373,133 -643,601.5	-1,402,194 -116,254	10,909,928 -5,025,862	-18,769,978 -1,284,564
NS2P margin ? Median	7.71% -0.62	10.13% -0.29	-0.26% 0.18	2.05% -5.07	-3.78% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAPTIST SAINT ANTHONYS HOSPITAL 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	12,195,450 5,089,215	11,082,342 4,572,541	11,091,983 5,268,134	10,264,771 13,092,619	19,279,298 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	6,341	8,055	4,368	6,239	5,615
⊳ 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	3,163,833	3,051,151	2,935,444	1,995,122	2,204,252
⊳ 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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	493,309	434,275	460,131	235,271	259,516
⊳ Line 21: Rental of vending machines	27,593	18,901	20,582	9,838	26,990
⊳ Line 22: Rental of hospital space	0	0	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	8,504,374	7,569,960	7,671,458	8,018,301	16,782,925
Total income ? Median	45,866,960 6,586,430	59,455,475 6,767,106	9,689,789 8,419,950	21,174,699 8,094,175	509,320 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	45,866,960 6,043,842	59,455,475 5,845,112	9,689,789 7,606,259	21,174,699 7,283,041	509,320 14,957,241
Net margin Median	10.21539% 4.62%	12.17349% 4.42%	1.76895% 5.16%	3.90753% 5.2%	0.09866% 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 SAINT ANTHONYS HOSPITAL 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	73,146,296 23,241,334	76,889,434 23,709,545	84,313,841 24,248,380	86,612,500 22,858,541	80,242,634 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	68,944,384 21,577,146	72,603,275 22,041,594	80,337,785 22,722,063	82,212,958 21,570,441	75,946,896 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	4,201,912 3,535,627	4,286,159 3,746,588	3,976,056 3,782,288	4,399,542 3,865,578	4,295,738 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	31,525,259 11,160,864	35,527,838 11,987,345	39,033,703 12,926,866	35,879,527 11,884,480	37,718,908 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	31,525,259 10,918,923	35,527,838 11,706,976	39,033,703 12,615,917	35,879,527 11,458,116	37,718,908 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	1,217,210 3,284,314	1,338,346 3,250,551	1,472,234 3,386,837	1,443,290 3,360,806	1,402,271 3,508,953
Disproportionate-share hospital (DSH) Median	514,193 594,888	522,591 595,761	435,131 577,894	556,638 542,168	1,665,972 549,667
Outlier Median	3,968,407 582,572	3,853,656 538,116	1,746,012 212,434	1,381,465 126,559	1,656,476 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,257,803 3,662,910	184,940 3,730,911	281,602 4,081,319	144,460 4,643,908	127,522 4,389,147
Charity care Median	18,504,637 2,654,636	20,355,994 2,940,659	23,939,719 3,380,215	20,062,874 3,488,738	21,899,272 3,233,405
Uncompensated care (UCC) Median	25,509,658 5,147,790	34,496,536 5,337,617	37,123,697 5,711,082	30,644,434 5,923,418	32,317,771 5,508,107
UCC as a % of operating expenses Median	6.33% 3.24	8.04% 3.12	6.90% 3.21	5.89% 3.3	6.27% 2.86
Total shortfall/UCC Median	26,767,461 9,489,989	34,681,476 9,424,297	37,405,299 10,120,158	30,788,894 11,171,337	32,445,293 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	114,258,251 52,142,039	110,761,032 54,485,252	119,376,203 57,395,589	112,769,493 58,830,919	122,085,931 61,722,907
Salaries as a % of operating expenses Median	24.06 36.68	22.04 36.56	22.19 36.37	21.66 35.93	23.67 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	811,045 1,251,927	811,045 1,186,494	953,159 1,204,885	841,516 1,279,653	907,942 1,469,317
Contract adjusted salaries, direct-care Median	4,635,831 1,449,244	4,051,741 1,475,986	3,085,458 1,563,078	3,310,078 1,721,954	13,446,610 2,991,828
Contract hours, direct-care Median	79,224.00 22,725	74,112.00 23,018.5	59,142.42 24,503.48	47,319.18 25,026.5	135,424.00 33,786
Contract wages, direct-care Median	58.52 64.67	54.67 64.53	52.17 65.06	69.95 68.97	99.29 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.