As of the July, 2022, release via CMS

BAYLOR SW MEDICAL CENTER- WAXAHACHIE

CMS id: 450372
2400 NORTH I-35E, WAXAHACHIE TX 75165. County: ELLIS
System: BAYLOR SCOTT & WHITE HEALTH
CBSA: Dallas-Fort Worth-Arlington, TX

The 112-bed, acute-care hospital had $32,793,632 in net service to patients*, with a total profit margin of 25.69367% in fiscal year 2021, the latest year available.
It spent 10.33% of its operating expenses on uncompensated care and reported $70,454 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	84 118	109 118	94 119.5	100 118	100 119
Total beds Median	96 162	121 162	106 162	112 162	112 163.5
FTEs Median	631.71 788.06	682.79 793.42	677.37 806.03	659.36 787.61	635.15 804.34

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	172,831,573 150,932,746	203,495,455 158,950,878	189,120,484 168,696,998	196,247,187 163,454,693	227,940,971 186,589,412
Operating expenses Median	160,985,277 149,311,209	188,142,950 156,110,414	165,492,860 164,890,568	185,070,126 166,516,854	195,147,339 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,846,296 -964,173	15,352,505 -643,601.5	23,627,624 -116,254	11,177,061 -5,025,862	32,793,632 -1,284,564
NS2P margin ? Median	6.85% -0.62	7.54% -0.29	12.49% 0.18	5.70% -5.07	14.39% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAYLOR SW MEDICAL CENTER- WAXAHACHIE 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	3,761,691 5,089,215	4,133,879 4,572,541	3,675,918 5,268,134	10,962,467 13,092,619	34,684,496 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	599,098 224,999	290,000 199,009	0 206,870.5	18,274 194,343	5,394,009 249,496
⊳ Line 7: Investments ? ⊳ Median	165 299,524	154 188,688.5	2,873,770 370,813	1,722,935 309,361.5	3,711,330 375,329
⊳ 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	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	375,793	428,880	459,098	447,580	271,530
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	118	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	378	91	154	258
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	212,724	234,020	220,889	172,439	28,875
⊳ Line 21: Rental of vending machines	6,553	7,444	9,388	9,479	3,740
⊳ 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	2,567,240	3,173,003	112,682	8,591,606	25,274,754
Total income ? Median	15,607,987 6,586,430	19,486,384 6,767,106	27,303,542 8,419,950	22,139,528 8,094,175	67,478,128 15,162,888
Non-operating expenses Median	-1,485,293 146,289.5	-768,540 164,857	-4,325,878 89,880.5	0 106,761	0 31,473.5
Net income Median	17,093,280 6,043,842	20,254,924 5,845,112	31,629,420 7,606,259	22,139,528 7,283,041	67,478,128 14,957,241
Net margin Median	9.67946% 4.62%	9.75533% 4.42%	16.40561% 5.16%	10.68460% 5.2%	25.69367% 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 SW MEDICAL CENTER- WAXAHACHIE 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	21,745,242 23,241,334	24,078,992 23,709,545	24,288,416 24,248,380	26,338,438 22,858,541	21,677,886 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	21,745,242 21,577,146	24,078,992 22,041,594	24,288,416 22,722,063	26,338,438 21,570,441	21,677,886 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	12,846,256 11,160,864	14,593,257 11,987,345	16,883,224 12,926,866	17,110,810 11,884,480	15,583,850 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	12,846,256 10,918,923	14,593,257 11,706,976	16,883,224 12,615,917	17,110,810 11,458,116	15,583,850 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	219,291 594,888	209,588 595,761	240,960 577,894	207,911 542,168	0 549,667
Outlier Median	1,009,307 582,572	206,934 538,116	358,123 212,434	64,968 126,559	87,755 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,456,639 3,662,910	136,352 3,730,911	133,549 4,081,319	61,820 4,643,908	70,454 4,389,147
Charity care Median	10,332,139 2,654,636	13,543,259 2,940,659	13,209,885 3,380,215	15,895,285 3,488,738	14,899,328 3,233,405
Uncompensated care (UCC) Median	15,249,707 5,147,790	19,775,885 5,337,617	20,007,090 5,711,082	22,887,763 5,923,418	20,156,293 5,508,107
UCC as a % of operating expenses Median	9.47% 3.24	10.51% 3.12	12.09% 3.21	12.37% 3.3	10.33% 2.86
Total shortfall/UCC Median	16,706,346 9,489,989	19,912,237 9,424,297	20,140,639 10,120,158	22,949,583 11,171,337	20,226,747 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	44,008,260 52,142,039	48,493,153 54,485,252	50,035,050 57,395,589	54,094,049 58,830,919	57,735,964 61,722,907
Salaries as a % of operating expenses Median	32.17 36.68	30.79 36.56	30.23 36.37	29.23 35.93	29.59 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	2,232,847 1,449,244	1,007,149 1,475,986	1,349,791 1,563,078	2,127,727 1,721,954	4,384,838 2,991,828
Contract hours, direct-care Median	40,814.00 22,725	17,028.00 23,018.5	26,238.00 24,503.48	39,027.00 25,026.5	42,385.34 33,786
Contract wages, direct-care Median	54.71 64.67	59.15 64.53	51.44 65.06	54.52 68.97	103.45 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.