As of the July, 2022, release via CMS

BLOUNT MEMORIAL HOSPITAL

CMS id: 440011
907 E LAMAR ALEXANDER PKWY, MARYVILLE TN 37804. County: BLOUNT
System: --
CBSA: Knoxville, TN

The 285-bed, acute-care hospital had $-15,024,070 in net service to patients*, with a total profit margin of 6.91827% in fiscal year 2021, the latest year available.
It spent 3.02% of its operating expenses on uncompensated care and reported $2,754,071 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	159 118	167 118	177 119.5	177 118	177 119
Total beds Median	275 162	275 162	279 162	279 162	285 163.5
FTEs Median	2,049.89 788.06	1,978.48 793.42	2,141.43 806.03	2,302.62 787.61	2,222.35 804.34

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	244,209,616 150,932,746	260,767,607 158,950,878	288,000,785 168,696,998	286,273,662 163,454,693	303,961,682 186,589,412
Operating expenses Median	266,889,755 149,311,209	276,259,182 156,110,414	307,369,758 164,890,568	308,705,369 166,516,854	318,985,752 180,120,888
Net income from service 2 patients (NS2P) ? Median	-22,680,139 -964,173	-15,491,575 -643,601.5	-19,368,973 -116,254	-22,431,707 -5,025,862	-15,024,070 -1,284,564
NS2P margin ? Median	-9.29% -0.62	-5.94% -0.29	-6.73% 0.18	-7.84% -5.07	-4.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BLOUNT MEMORIAL 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	20,324,040 5,089,215	15,019,101 4,572,541	17,501,370 5,268,134	22,966,067 13,092,619	38,732,603 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	490,870 224,999	443,217 199,009	405,156 206,870.5	486,057 194,343	1,447,920 249,496
⊳ Line 7: Investments ? ⊳ Median	8,257,025 299,524	4,310,232 188,688.5	6,143,566 370,813	2,068,000 309,361.5	23,406,182 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	8,165	13,727	16,096	6,282	5,399
⊳ 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	4,790	5,962	6,104	4,704	4,758
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,177,064	1,251,558	1,371,046	1,211,498	913,935
⊳ 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	66,575	27,819	26,240	34,750	23,914
⊳ 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	782,250	561,081	521,336	489,167	520,319
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	240 1,597,664
⊳ Sum Line 24	9,537,301	8,405,505	9,011,826	18,665,609	12,409,936
Total income ? Median	-2,356,099 6,586,430	-472,474 6,767,106	-1,867,603 8,419,950	534,360 8,094,175	23,708,533 15,162,888
Non-operating expenses Median	0 146,289.5	3 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-2,356,099 6,043,842	-472,477 5,845,112	-1,867,603 7,606,259	534,360 7,283,041	23,708,533 14,957,241
Net margin Median	-0.89066% 4.62%	-0.17132% 4.42%	-0.61132% 5.16%	0.17280% 5.2%	6.91827% 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 BLOUNT MEMORIAL 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	34,981,085 23,241,334	35,526,856 23,709,545	37,982,562 24,248,380	34,452,112 22,858,541	30,732,872 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	28,549,420 21,577,146	29,489,699 22,041,594	32,280,853 22,722,063	29,272,634 21,570,441	26,278,077 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	738,327 1,845,420	853,881 1,757,392	618,394 1,738,842	553,172 1,510,463	369,114 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	5,693,338 1,203,033	5,183,276 1,215,295	5,083,315 1,313,657	4,626,306 1,365,298	4,085,681 1,179,746
All outpatient revenue Median Click here to show/hide details	16,970,594 11,160,864	18,544,589 11,987,345	19,503,374 12,926,866	20,480,835 11,884,480	20,383,987 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	14,871,288 10,918,923	16,810,021 11,706,976	17,996,459 12,615,917	18,802,197 11,458,116	18,577,673 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,099,306 1,282,808	1,734,568 1,407,728	1,506,915 1,341,512	1,678,638 1,407,046	1,806,314 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	299,102 594,888	308,173 595,761	316,937 577,894	271,199 542,168	244,065 549,667
Outlier Median	395,746 582,572	338,664 538,116	429,205 212,434	145,992 126,559	145,543 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,216,472 3,662,910	2,952,262 3,730,911	4,316,733 4,081,319	6,050,810 4,643,908	2,754,071 4,389,147
Charity care Median	6,767,531 2,654,636	7,199,205 2,940,659	7,464,995 3,380,215	9,524,062 3,488,738	6,983,608 3,233,405
Uncompensated care (UCC) Median	10,611,226 5,147,790	10,737,682 5,337,617	10,562,178 5,711,082	12,999,383 5,923,418	9,636,990 5,508,107
UCC as a % of operating expenses Median	3.98% 3.24	3.89% 3.12	3.44% 3.21	4.21% 3.3	3.02% 2.86
Total shortfall/UCC Median	14,827,698 9,489,989	13,689,944 9,424,297	14,878,911 10,120,158	19,050,193 11,171,337	12,391,061 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	129,184,443 52,142,039	135,836,060 54,485,252	151,425,793 57,395,589	153,360,942 58,830,919	162,925,376 61,722,907
Salaries as a % of operating expenses Median	48.40 36.68	49.17 36.56	49.27 36.37	49.68 35.93	51.08 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	398,903 1,449,244	546,562 1,475,986	2,037,365 1,563,078	1,663,726 1,721,954	646,111 2,991,828
Contract hours, direct-care Median	8,957.00 22,725	11,485.25 23,018.5	32,409.00 24,503.48	29,546.00 25,026.5	11,154.00 33,786
Contract wages, direct-care Median	44.54 64.67	47.59 64.53	62.86 65.06	56.31 68.97	57.93 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.