As of the July, 2022, release via CMS

GREENEVILLE COMMUNITY HOSPITAL

CMS id: 440050
401 TAKOMA AVENUE, GREENEVILLE TN 37743. County: GREENE
System: BALLAD HEALTH
CBSA: Greeneville, TN

The 187-bed, acute-care hospital had $-17,116,727 in net service to patients*, with a total profit margin of -3.71240% in fiscal year 2021, the latest year available.
It spent 5.68% 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	65 118	67 118	42 119.5	60 118	87 119
Total beds Median	100 162	100 162	97 162	189 162	187 163.5
FTEs Median	253.70 788.06	444.56 793.42	504.63 806.03	694.89 787.61	573.28 804.34

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	62,497,600 150,932,746	56,410,911 158,950,878	52,234,541 168,696,998	82,525,421 163,454,693	94,428,044 186,589,412
Operating expenses Median	68,489,612 149,311,209	64,718,370 156,110,414	75,243,278 164,890,568	113,248,137 166,516,854	111,544,771 180,120,888
Net income from service 2 patients (NS2P) ? Median	-5,992,012 -964,173	-8,307,459 -643,601.5	-23,008,737 -116,254	-30,722,716 -5,025,862	-17,116,727 -1,284,564
NS2P margin ? Median	-9.59% -0.62	-14.73% -0.29	-44.05% 0.18	-37.23% -5.07	-18.13% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GREENEVILLE 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	2,944,286 5,089,215	4,302,151 4,572,541	7,320,434 5,268,134	15,237,418 13,092,619	13,123,963 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,442 224,999	340,796 199,009	15,342 206,870.5	22,041 194,343	9,403 249,496
⊳ Line 7: Investments ? ⊳ Median	6,182 299,524	13 188,688.5	181,131 370,813	76,486 309,361.5	2,478,635 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	490	1,364	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	101,895	148,270	198,434	56,072	2,297
⊳ Line 15: Revenue from rental of living quarters	975	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	914	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	1,513	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	116	444	25	50	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	37,425	22,482	8,067	3,762	0
⊳ Line 21: Rental of vending machines	775	0	4,385	21,311	12,340
⊳ Line 22: Rental of hospital space	0	11,949	301,241	950,041	1,162,471
⊳ Line 23: Gov appropriations ? ⊳ Median	608,730 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	2,184,743	3,775,919	6,611,809	14,107,655	9,458,817
Total income ? Median	-3,047,726 6,586,430	-4,005,308 6,767,106	-15,688,303 8,419,950	-15,485,298 8,094,175	-3,992,764 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	-3,047,726 6,043,842	-4,005,308 5,845,112	-15,688,303 7,606,259	-15,485,298 7,283,041	-3,992,764 14,957,241
Net margin Median	-4.65715% 4.62%	-6.59711% 4.42%	-26.34256% 5.16%	-15.83966% 5.2%	-3.71240% 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 GREENEVILLE 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	7,084,330 23,241,334	6,392,386 23,709,545	6,648,905 24,248,380	12,056,957 22,858,541	11,521,496 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	4,772,395 21,577,146	4,498,905 22,041,594	4,597,961 22,722,063	10,405,112 21,570,441	10,930,971 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	1,246,498 1,845,420	983,887 1,757,392	908,727 1,738,842	531,491 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,065,437 3,535,627	909,594 3,746,588	933,755 3,782,288	203,117 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	208,462 1,313,657	917,237 1,365,298	590,525 1,179,746
All outpatient revenue Median Click here to show/hide details	5,414,214 11,160,864	4,326,665 11,987,345	5,051,340 12,926,866	8,665,839 11,884,480	7,475,965 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	5,414,214 10,918,923	4,326,665 11,706,976	5,051,340 12,615,917	8,665,839 11,458,116	7,475,965 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	193,733 594,888	206,125 595,761	171,738 577,894	281,967 542,168	262,276 549,667
Outlier Median	24,369 582,572	6,579 538,116	6,698 212,434	27,095 126,559	84,907 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,877,077 3,662,910	2,258,031 3,730,911	5,141,190 4,081,319	4,121,000 4,643,908	0 4,389,147
Charity care Median	2,519,182 2,654,636	1,359,760 2,940,659	3,470,784 3,380,215	4,833,725 3,488,738	4,824,895 3,233,405
Uncompensated care (UCC) Median	3,203,637 5,147,790	2,164,939 5,337,617	4,377,578 5,711,082	5,645,296 5,923,418	6,339,805 5,508,107
UCC as a % of operating expenses Median	4.68% 3.24	3.35% 3.12	5.82% 3.21	4.98% 3.3	5.68% 2.86
Total shortfall/UCC Median	11,080,714 9,489,989	4,422,970 9,424,297	9,518,768 10,120,158	9,766,296 11,171,337	6,339,805 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	32,345,466 52,142,039	30,447,894 54,485,252	34,242,849 57,395,589	49,718,852 58,830,919	46,350,981 61,722,907
Salaries as a % of operating expenses Median	47.23 36.68	47.05 36.56	45.51 36.37	43.90 35.93	41.55 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	0 1,449,244	332,809 1,475,986	32,594 1,563,078	255,812 1,721,954	445,990 2,991,828
Contract hours, direct-care Median	0.00 22,725	3,606.00 23,018.5	1,154.12 24,503.48	9,439.10 25,026.5	7,351.96 33,786
Contract wages, direct-care Median	0.00 64.67	92.29 64.53	28.24 65.06	27.10 68.97	60.66 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.