As of the July, 2022, release via CMS

METHODIST MEDICAL CENTER

CMS id: 440034
990 OAK RIDGE TURNPIKE, OAK RIDGE TN 37830. County: ANDERSON
System: COVENANT HEALTH
CBSA: Knoxville, TN

The 200-bed, acute-care hospital had $-6,059,957 in net service to patients*, with a total profit margin of 0.13017% in fiscal year 2021, the latest year available.
It spent 4.99% of its operating expenses on uncompensated care and reported $1,125,147 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	179 118	179 118	179 119.5	179 118	179 119
Total beds Median	204 162	204 162	204 162	204 162	200 163.5
FTEs Median	879.00 788.06	881.00 793.42	858.00 806.03	809.00 787.61	779.00 804.34

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	147,297,388 150,932,746	152,370,537 158,950,878	156,657,262 168,696,998	147,679,467 163,454,693	154,574,737 186,589,412
Operating expenses Median	155,377,775 149,311,209	154,473,764 156,110,414	158,992,219 164,890,568	159,294,668 166,516,854	160,634,694 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,080,387 -964,173	-2,103,227 -643,601.5	-2,334,957 -116,254	-11,615,201 -5,025,862	-6,059,957 -1,284,564
NS2P margin ? Median	-5.49% -0.62	-1.38% -0.29	-1.49% 0.18	-7.87% -5.07	-3.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for METHODIST MEDICAL CENTER 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	5,271,361 5,089,215	4,563,162 4,572,541	4,335,970 5,268,134	14,115,539 13,092,619	6,269,321 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	98,971 224,999	133,285 199,009	115,814 206,870.5	83,372 194,343	61,777 249,496
⊳ Line 7: Investments ? ⊳ Median	113,373 299,524	48,552 188,688.5	43,914 370,813	132,677 309,361.5	137,900 375,329
⊳ 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	927,314	918,617	934,960	694,429	725,323
⊳ 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	1,371	1,221	677	-543	18
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	203,737	232,273	214,653	158,314	188,318
⊳ Line 21: Rental of vending machines	39,792	44,921	32,649	17,534	0
⊳ Line 22: Rental of hospital space	3,144,190	3,036,444	2,878,823	2,784,843	2,897,570
⊳ 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	742,613	147,849	114,480	10,244,913	2,258,415
Total income ? Median	-2,809,026 6,586,430	2,459,935 6,767,106	2,001,013 8,419,950	2,500,338 8,094,175	209,364 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-2,809,026 6,043,842	2,459,935 5,845,112	2,001,013 7,606,259	2,500,338 7,283,041	209,364 14,957,241
Net margin Median	-1.84115% 4.62%	1.56750% 4.42%	1.24292% 5.16%	1.54537% 5.2%	0.13017% 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 METHODIST MEDICAL CENTER 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	34,137,480 23,241,334	32,601,581 23,709,545	31,965,593 24,248,380	29,147,101 22,858,541	27,120,925 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	34,137,480 21,577,146	32,601,581 22,041,594	31,965,593 22,722,063	29,147,101 21,570,441	27,120,925 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	12,651,625 11,160,864	13,627,360 11,987,345	12,944,894 12,926,866	10,840,520 11,884,480	12,017,129 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	12,651,625 10,918,923	13,627,360 11,706,976	12,944,894 12,615,917	10,840,520 11,458,116	12,017,129 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	380,995 594,888	809,383 595,761	905,611 577,894	330,917 542,168	619,385 549,667
Outlier Median	862,321 582,572	588,909 538,116	31,315 212,434	21,608 126,559	42,026 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,388,938 3,662,910	2,326,072 3,730,911	1,575,153 4,081,319	2,056,712 4,643,908	1,125,147 4,389,147
Charity care Median	6,363,273 2,654,636	6,320,603 2,940,659	6,706,823 3,380,215	6,421,393 3,488,738	6,181,061 3,233,405
Uncompensated care (UCC) Median	10,614,091 5,147,790	9,259,076 5,337,617	9,482,321 5,711,082	8,984,752 5,923,418	8,022,699 5,508,107
UCC as a % of operating expenses Median	6.83% 3.24	5.99% 3.12	5.96% 3.21	5.64% 3.3	4.99% 2.86
Total shortfall/UCC Median	13,003,029 9,489,989	11,585,148 9,424,297	11,057,474 10,120,158	11,041,464 11,171,337	9,147,846 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	55,885,206 52,142,039	57,397,490 54,485,252	57,469,293 57,395,589	57,497,908 58,830,919	57,165,470 61,722,907
Salaries as a % of operating expenses Median	35.97 36.68	37.16 36.56	36.15 36.37	36.10 35.93	35.59 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	3,858,130 1,449,244	3,945,405 1,475,986	4,261,699 1,563,078	3,683,190 1,721,954	5,596,912 2,991,828
Contract hours, direct-care Median	87,195.00 22,725	87,761.00 23,018.5	96,474.00 24,503.48	81,545.00 25,026.5	103,218.19 33,786
Contract wages, direct-care Median	44.25 64.67	44.96 64.53	44.17 65.06	45.17 68.97	54.22 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.