As of the July, 2022, release via CMS

BAYLOR S&W MEDICAL CENTER - PLANO

CMS id: 450890
4700 ALLIANCE BLVD, PLANO TX 75093. County: COLLIN
System: BAYLOR SCOTT & WHITE HEALTH
CBSA: Dallas-Fort Worth-Arlington, TX

The 160-bed, acute-care hospital had $459,869 in net service to patients*, with a total profit margin of 40.74526% in fiscal year 2021, the latest year available.
It spent 5.83% of its operating expenses on uncompensated care and reported $2,294 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	106 118	102 118	102 119.5	128 118	128 119
Total beds Median	120 162	118 162	118 162	160 162	160 163.5
FTEs Median	696.96 788.06	677.50 793.42	672.66 806.03	622.45 787.61	709.29 804.34

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	205,137,569 150,932,746	196,324,841 158,950,878	194,952,508 168,696,998	187,256,158 163,454,693	222,894,118 186,589,412
Operating expenses Median	196,700,619 149,311,209	182,968,590 156,110,414	181,152,661 164,890,568	192,327,299 166,516,854	222,434,249 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,436,950 -964,173	13,356,251 -643,601.5	13,799,847 -116,254	-5,071,141 -5,025,862	459,869 -1,284,564
NS2P margin ? Median	4.11% -0.62	6.80% -0.29	7.08% 0.18	-2.71% -5.07	0.21% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAYLOR S&W MEDICAL CENTER - PLANO 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	54,318,244 5,089,215	44,594,754 4,572,541	86,722,618 5,268,134	79,708,953 13,092,619	152,492,317 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	641,955 224,999	42,324 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	7,508,189 188,688.5	11,724,311 370,813	8,985,556 309,361.5	39,265,853 375,329
⊳ 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	585	135	80	0	30
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	795,034	804,554	736,194	424,917	492,309
⊳ 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	41,766	40,481	33,436	1,887	828
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	129,334	95,011	92,652	27,510	49,190
⊳ Line 21: Rental of vending machines	3,287	11,410	11,146	7,890	9,567
⊳ 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	52,706,283	36,092,650	74,124,799	70,261,193	112,674,540
Total income ? Median	62,755,194 6,586,430	57,951,005 6,767,106	100,522,465 8,419,950	74,637,812 8,094,175	152,952,186 15,162,888
Non-operating expenses Median	-10,054,650 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	72,809,844 6,043,842	57,951,005 5,845,112	100,522,465 7,606,259	74,637,812 7,283,041	152,952,186 14,957,241
Net margin Median	28.06252% 4.62%	24.05409% 4.42%	35.68738% 5.16%	27.95789% 5.2%	40.74526% 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 - PLANO 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	34,914,172 23,241,334	37,935,436 23,709,545	32,570,890 24,248,380	31,920,384 22,858,541	34,206,169 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	34,914,172 21,577,146	37,935,436 22,041,594	32,570,890 22,722,063	31,920,384 21,570,441	34,206,169 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	9,065,611 11,160,864	12,387,559 11,987,345	12,458,705 12,926,866	10,735,910 11,884,480	15,367,918 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	9,065,611 10,918,923	12,387,559 11,706,976	12,458,705 12,615,917	10,735,910 11,458,116	15,367,918 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	2,478,327 582,572	2,482,410 538,116	143,946 212,434	200,244 126,559	368,235 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,069 3,662,910	17,592 3,730,911	7,699 4,081,319	2,871 4,643,908	2,294 4,389,147
Charity care Median	5,325,373 2,654,636	5,288,515 2,940,659	5,921,780 3,380,215	5,580,433 3,488,738	8,640,121 3,233,405
Uncompensated care (UCC) Median	8,230,421 5,147,790	8,353,027 5,337,617	9,241,406 5,711,082	9,159,625 5,923,418	12,969,672 5,508,107
UCC as a % of operating expenses Median	4.18% 3.24	4.57% 3.12	5.10% 3.21	4.76% 3.3	5.83% 2.86
Total shortfall/UCC Median	8,239,490 9,489,989	8,370,619 9,424,297	9,249,105 10,120,158	9,162,496 11,171,337	12,971,966 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	53,069,626 52,142,039	54,124,228 54,485,252	54,611,071 57,395,589	56,496,453 58,830,919	66,963,085 61,722,907
Salaries as a % of operating expenses Median	28.74 36.68	29.58 36.56	30.15 36.37	29.38 35.93	30.10 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	2,534,186 1,449,244	2,118,283 1,475,986	2,117,601 1,563,078	686,473 1,721,954	3,307,305 2,991,828
Contract hours, direct-care Median	58,864.00 22,725	39,652.00 23,018.5	39,468.00 24,503.48	7,825.51 25,026.5	29,519.00 33,786
Contract wages, direct-care Median	43.05 64.67	53.42 64.53	53.65 65.06	87.72 68.97	112.04 88.94

* in an approved program

Return to top

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.