As of the July, 2022, release via CMS

MEDSTAR FRANKLIN SQUARE MEDICAL CTR

CMS id: 210015
9000 FRANKLIN SQUARE DR, BALTIMORE MD 21237. County: BALTIMORE
System: MEDSTAR HEALTH INC.
CBSA: Baltimore-Columbia-Towson, MD

The 338-bed, acute-care hospital had $-31,290,617 in net service to patients*, with a total profit margin of 0.89304% in fiscal year 2021, the latest year available.
It spent 1.99% of its operating expenses on uncompensated care and reported $0 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	327 118	322 118	321 119.5	312 118	312 119
Total beds Median	374 162	369 162	347 162	338 162	338 163.5
FTEs Median	2,686.00 788.06	2,714.27 793.42	2,646.00 806.03	2,691.36 787.61	2,921.00 804.34

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	516,285,834 150,932,746	540,510,981 158,950,878	553,783,877 168,696,998	579,044,390 163,454,693	582,638,558 186,589,412
Operating expenses Median	508,534,862 149,311,209	518,897,245 156,110,414	538,102,692 164,890,568	549,791,920 166,516,854	613,929,175 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,750,972 -964,173	21,613,736 -643,601.5	15,681,185 -116,254	29,252,470 -5,025,862	-31,290,617 -1,284,564
NS2P margin ? Median	1.50% -0.62	4.00% -0.29	2.83% 0.18	5.05% -5.07	-5.37% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDSTAR FRANKLIN SQUARE MEDICAL CTR 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	13,866,574 5,089,215	10,783,145 4,572,541	10,340,912 5,268,134	19,749,138 13,092,619	37,147,024 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	408,386 224,999	270,971 199,009	36,853 206,870.5	59,277 194,343	86,930 249,496
⊳ Line 7: Investments ? ⊳ Median	48,613 299,524	93,564 188,688.5	193,879 370,813	175,630 309,361.5	107,759 375,329
⊳ 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	919,850	899,301	864,944	1,071,295	1,258,675
⊳ Line 12: Parking lot receipts	554,690	573,554	589,346	539,648	372,222
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ 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	6,085,524	5,693,478	6,457,117	7,412,171	7,505,851
⊳ Line 18: Revenue from sale of medical records and abstracts	2,822	4,307	4,574	3,549	1,793
⊳ 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	527,215	535,704	570,258	627,372	610,567
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	151,934 1,987,202	0 1,597,664
⊳ Sum Line 24	5,320,111	2,712,883	1,624,553	9,708,874	27,203,839
Total income ? Median	21,617,546 6,586,430	32,396,881 6,767,106	26,022,097 8,419,950	49,001,608 8,094,175	5,856,407 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	907,575 106,761	321,487 31,473.5
Net income Median	21,617,546 6,043,842	32,396,881 5,845,112	26,022,097 7,606,259	48,094,033 7,283,041	5,534,920 14,957,241
Net margin Median	4.07761% 4.62%	5.87651% 4.42%	4.61283% 5.16%	8.03182% 5.2%	0.89304% 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 MEDSTAR FRANKLIN SQUARE MEDICAL CTR 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	89,940,300 23,241,334	88,978,938 23,709,545	90,047,678 24,248,380	81,364,946 22,858,541	85,430,902 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	89,940,300 21,577,146	88,978,938 22,041,594	90,047,678 22,722,063	81,364,946 21,570,441	85,430,902 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	40,143,432 11,160,864	38,853,548 11,987,345	64,167,485 12,926,866	70,494,931 11,884,480	63,894,513 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	40,143,432 10,918,923	38,853,548 11,706,976	64,167,485 12,615,917	70,494,931 11,458,116	63,894,513 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	10,338,290 3,284,314	10,326,588 3,250,551	10,631,090 3,386,837	9,458,227 3,360,806	10,695,714 3,508,953
Disproportionate-share hospital (DSH) Median	3,050,262 594,888	3,227,587 595,761	3,230,649 577,894	3,022,638 542,168	2,973,295 549,667
Outlier Median	3,822,116 582,572	3,725,714 538,116	3,723,656 212,434	168,676 126,559	165,500 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	2,610,130 2,654,636	4,154,223 2,940,659	7,157,313 3,380,215	6,065,954 3,488,738	5,632,682 3,233,405
Uncompensated care (UCC) Median	11,855,459 5,147,790	14,055,975 5,337,617	15,428,722 5,711,082	12,581,638 5,923,418	12,195,544 5,508,107
UCC as a % of operating expenses Median	2.33% 3.24	2.71% 3.12	2.87% 3.21	2.29% 3.3	1.99% 2.86
Total shortfall/UCC Median	11,855,459 9,489,989	14,055,975 9,424,297	15,428,722 10,120,158	12,581,638 11,171,337	12,195,544 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	233,607,742 52,142,039	231,143,482 54,485,252	229,695,315 57,395,589	239,292,304 58,830,919	264,679,066 61,722,907
Salaries as a % of operating expenses Median	45.94 36.68	44.55 36.56	42.69 36.37	43.52 35.93	43.11 35.24
Intern, resident salaries* Median	8,694,132 2,598,592	5,149,229 2,686,824	5,015,794 2,753,773	5,938,285 2,937,156	6,196,218 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	630,865 1,449,244	207,572 1,475,986	1,778,994 1,563,078	2,325,172 1,721,954	14,504,326 2,991,828
Contract hours, direct-care Median	8,569.00 22,725	2,143.00 23,018.5	19,654.00 24,503.48	22,307.00 25,026.5	124,656.00 33,786
Contract wages, direct-care Median	73.62 64.67	96.86 64.53	90.52 65.06	104.24 68.97	116.35 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.