As of the July, 2022, release via CMS

KNOX COMMUNITY HOSPITAL

CMS id: 360040
1330 COSHOCTON ROAD, MT. VERNON OH 43050. County: KNOX
System: --
CBSA: Mount Vernon, OH

The 75-bed, acute-care hospital had $-14,775,385 in net service to patients*, with a total profit margin of 9.02563% in fiscal year 2021, the latest year available.
It spent 2.28% of its operating expenses on uncompensated care and reported $3,249,148 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	53 118	53 118	53 119.5	61 118	63 119
Total beds Median	65 162	65 162	65 162	73 162	75 163.5
FTEs Median	890.95 788.06	959.34 793.42	1,019.71 806.03	1,057.56 787.61	1,061.85 804.34

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	154,504,987 150,932,746	165,660,171 158,950,878	174,714,293 168,696,998	167,377,896 163,454,693	202,576,819 186,589,412
Operating expenses Median	148,280,908 149,311,209	163,500,410 156,110,414	173,884,322 164,890,568	187,887,790 166,516,854	217,352,204 180,120,888
Net income from service 2 patients (NS2P) ? Median	6,224,079 -964,173	2,159,761 -643,601.5	829,971 -116,254	-20,509,894 -5,025,862	-14,775,385 -1,284,564
NS2P margin ? Median	4.03% -0.62	1.30% -0.29	0.48% 0.18	-12.25% -5.07	-7.29% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for KNOX COMMUNITY 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	23,001,188 5,089,215	4,098,792 4,572,541	21,239,281 5,268,134	34,221,205 13,092,619	36,507,142 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	559,332 224,999	2,133,030 199,009	3,069,256 206,870.5	2,758,371 194,343	3,374,943 249,496
⊳ Line 7: Investments ? ⊳ Median	7,721,225 299,524	-2,338,837 188,688.5	12,963,031 370,813	10,215,417 309,361.5	15,131,541 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	61,396	53,063	42,151	60,318	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	54,054
⊳ 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	428,892	444,283	482,006	642,411	767,745
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	22,956	17,817	13,722	10,413	10,774
⊳ Line 17: Revenue from sale of drugs to other than patients	52,221	38,506	13,312	18,161	364,174
⊳ Line 18: Revenue from sale of medical records and abstracts	43,697	50,242	38,126	36,141	28,742
⊳ 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	40,396	38,296	43,853	26,088	30,843
⊳ 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	14,071,073	3,662,392	4,573,824	20,453,885	16,744,326
Total income ? Median	29,225,267 6,586,430	6,258,553 6,767,106	22,069,252 8,419,950	13,711,311 8,094,175	21,731,757 15,162,888
Non-operating expenses Median	211,242 146,289.5	80,646 164,857	150,950 89,880.5	61,752 106,761	152,931 31,473.5
Net income Median	29,014,025 6,043,842	6,177,907 5,845,112	21,918,302 7,606,259	13,649,559 7,283,041	21,578,826 14,957,241
Net margin Median	16.34536% 4.62%	3.63922% 4.42%	11.18546% 5.16%	6.77064% 5.2%	9.02563% 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 KNOX COMMUNITY 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	15,799,622 23,241,334	16,116,761 23,709,545	14,281,154 24,248,380	13,915,943 22,858,541	14,270,001 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	15,799,622 21,577,146	16,116,761 22,041,594	14,281,154 22,722,063	13,915,943 21,570,441	14,270,001 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	20,659,071 11,160,864	22,290,167 11,987,345	23,281,131 12,926,866	20,697,107 11,884,480	22,216,160 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	20,659,071 10,918,923	21,644,407 11,706,976	22,514,477 12,615,917	20,037,630 11,458,116	21,380,288 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	645,760 1,407,728	766,654 1,341,512	659,477 1,407,046	835,872 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	336,629 594,888	344,412 595,761	285,797 577,894	283,493 542,168	288,437 549,667
Outlier Median	423,891 582,572	490,120 538,116	175,102 212,434	193,257 126,559	233,157 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,326,702 3,662,910	7,305,617 3,730,911	11,457,877 4,081,319	7,577,328 4,643,908	3,249,148 4,389,147
Charity care Median	1,067,457 2,654,636	2,166,030 2,940,659	1,559,369 3,380,215	1,352,961 3,488,738	1,147,419 3,233,405
Uncompensated care (UCC) Median	3,271,877 5,147,790	5,376,977 5,337,617	5,141,577 5,711,082	5,210,252 5,923,418	4,946,516 5,508,107
UCC as a % of operating expenses Median	2.21% 3.24	3.29% 3.12	2.96% 3.21	2.77% 3.3	2.28% 2.86
Total shortfall/UCC Median	5,598,579 9,489,989	12,682,594 9,424,297	16,599,454 10,120,158	12,787,580 11,171,337	8,195,664 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,298,851 52,142,039	70,886,618 54,485,252	79,364,435 57,395,589	83,714,547 58,830,919	92,500,932 61,722,907
Salaries as a % of operating expenses Median	43.36 36.68	43.36 36.56	45.64 36.37	44.56 35.93	42.56 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	2,467,309 1,449,244	2,588,012 1,475,986	2,591,837 1,563,078	2,689,703 1,721,954	6,882,623 2,991,828
Contract hours, direct-care Median	49,351.00 22,725	49,875.56 23,018.5	45,495.00 24,503.48	49,236.51 25,026.5	84,054.83 33,786
Contract wages, direct-care Median	50.00 64.67	51.89 64.53	56.97 65.06	54.63 68.97	81.88 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.