As of the July, 2022, release via CMS

BAYLOR COUNTY HOSPITAL DISTRICT

CMS id: 450586
200 STADIUM DRIVE, SEYMOUR TX 76380. County: BAYLOR
System: --
CBSA: Rural Texas

The 27-bed, acute-care hospital had $-6,591,928 in net service to patients*, with a total profit margin of 12.44036% in fiscal year 2021, the latest year available.
It spent 9.97% of its operating expenses on uncompensated care and reported $956,353 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	gov	gov	gov	gov	gov
Acute beds Median	27 118	0 118	27 119.5	27 118	27 119
Total beds Median	27 162	27 162	27 162	27 162	27 163.5
FTEs Median	125.05 788.06	123.55 793.42	121.40 806.03	114.70 787.61	113.46 804.34

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	7,984,552 150,932,746	9,090,068 158,950,878	9,716,004 168,696,998	8,792,902 163,454,693	8,720,568 186,589,412
Operating expenses Median	12,389,519 149,311,209	13,316,614 156,110,414	13,366,852 164,890,568	13,160,066 166,516,854	15,312,496 180,120,888
Net income from service 2 patients (NS2P) ? Median	-4,404,967 -964,173	-4,226,546 -643,601.5	-3,650,848 -116,254	-4,367,164 -5,025,862	-6,591,928 -1,284,564
NS2P margin ? Median	-55.17% -0.62	-46.50% -0.29	-37.58% 0.18	-49.67% -5.07	-75.59% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAYLOR COUNTY HOSPITAL DISTRICT 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	4,614,883 5,089,215	4,286,811 4,572,541	4,158,967 5,268,134	4,424,990 13,092,619	9,367,454 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	232,274 224,999	6,304 199,009	7,394 206,870.5	45,491 194,343	45,668 249,496
⊳ Line 7: Investments ? ⊳ Median	23,293 299,524	15,805 188,688.5	23,117 370,813	17,310 309,361.5	32,159 375,329
⊳ 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	21,416	21,560	23,351	22,138	20,607
⊳ Line 15: Revenue from rental of living quarters	2,290	2,330	3,450	3,030	2,115
⊳ 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	2,009	3,273	2,398	2,862	2,544
⊳ 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	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ 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	4,333,601	4,237,539	4,099,257	4,334,159	9,264,361
Total income ? Median	209,916 6,586,430	60,265 6,767,106	508,119 8,419,950	57,826 8,094,175	2,775,526 15,162,888
Non-operating expenses Median	880,093 146,289.5	734,076 164,857	689,655 89,880.5	542,178 106,761	525,311 31,473.5
Net income Median	-670,177 6,043,842	-673,811 5,845,112	-181,536 7,606,259	-484,352 7,283,041	2,250,215 14,957,241
Net margin Median	-5.31910% 4.62%	-5.03713% 4.42%	-1.30837% 5.16%	-3.66437% 5.2%	12.44036% 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 COUNTY HOSPITAL DISTRICT 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	1,616,209 23,241,334	1,510,311 23,709,545	1,460,502 24,248,380	1,297,819 22,858,541	1,563,775 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	1,616,209 21,577,146	1,510,311 22,041,594	1,460,502 22,722,063	1,297,819 21,570,441	1,563,775 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	2,586,451 11,160,864	2,526,080 11,987,345	2,547,814 12,926,866	2,346,275 11,884,480	2,391,711 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	948,627 10,918,923	887,619 11,706,976	1,114,637 12,615,917	923,314 11,458,116	884,524 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	701,142 1,282,808	579,668 1,407,728	520,945 1,341,512	543,367 1,407,046	659,925 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	936,682 618,038	1,058,793 697,279	912,232 690,232	879,594 684,010	847,262 670,558
⊳ 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	22,772 594,888	12,899 595,761	21,435 577,894	14,077 542,168	14,759 549,667
Outlier Median	48,571 582,572	30,137 538,116	9,734 212,434	15,904 126,559	15,060 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	279,340 3,662,910	610,896 3,730,911	477,951 4,081,319	1,128,098 4,643,908	956,353 4,389,147
Charity care Median	515,502 2,654,636	1,307,687 2,940,659	592,454 3,380,215	941,996 3,488,738	601,443 3,233,405
Uncompensated care (UCC) Median	1,008,220 5,147,790	1,557,204 5,337,617	784,611 5,711,082	1,008,056 5,923,418	1,526,069 5,508,107
UCC as a % of operating expenses Median	8.14% 3.24	11.69% 3.12	5.87% 3.21	7.66% 3.3	9.97% 2.86
Total shortfall/UCC Median	1,287,560 9,489,989	2,168,100 9,424,297	1,262,562 10,120,158	2,136,154 11,171,337	2,482,422 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	5,430,684 52,142,039	5,689,285 54,485,252	5,739,753 57,395,589	5,686,318 58,830,919	7,365,177 61,722,907
Salaries as a % of operating expenses Median	43.83 36.68	42.72 36.56	42.94 36.37	43.21 35.93	48.10 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	24,900 1,449,244	31,000 1,475,986	89,953 1,563,078	75,808 1,721,954	84,615 2,991,828
Contract hours, direct-care Median	320.00 22,725	334.50 23,018.5	1,206.97 24,503.48	838.19 25,026.5	1,090.50 33,786
Contract wages, direct-care Median	77.81 64.67	92.68 64.53	74.53 65.06	90.44 68.97	77.59 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.