As of the July, 2022, release via CMS

FRANKLIN WOODS COMMUNITY HOSPITAL

CMS id: 440184
300 MEDTECH PARKWAY, JOHNSON CITY TN 37604. County: WASHINGTON
System: BALLAD HEALTH
CBSA: Johnson City, TN

The 80-bed, acute-care hospital had $7,683,166 in net service to patients*, with a total profit margin of 13.52019% in fiscal year 2021, the latest year available.
It spent 6.38% of its operating expenses on uncompensated care and reported $517,464 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	274	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	60 118	60 118	60 119.5	60 118	60 119
Total beds Median	114 162	114 162	111 162	80 162	80 163.5
FTEs Median	437.96 788.06	472.83 793.42	425.73 806.03	478.95 787.61	321.99 804.34

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	59,440,687 150,932,746	80,743,725 158,950,878	83,264,680 168,696,998	85,303,701 163,454,693	77,157,436 186,589,412
Operating expenses Median	49,833,438 149,311,209	71,132,174 156,110,414	69,230,583 164,890,568	67,821,572 166,516,854	69,474,270 180,120,888
Net income from service 2 patients (NS2P) ? Median	9,607,249 -964,173	9,611,551 -643,601.5	14,034,097 -116,254	17,482,129 -5,025,862	7,683,166 -1,284,564
NS2P margin ? Median	16.16% -0.62	11.90% -0.29	16.85% 0.18	20.49% -5.07	9.96% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FRANKLIN WOODS 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	785,540 5,089,215	873,718 4,572,541	676,421 5,268,134	1,360,218 13,092,619	2,963,922 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-1,915 224,999	-13,944 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	11,744 299,524	47,738 188,688.5	8,508 370,813	765 309,361.5	17,307 375,329
⊳ 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	16,316	20,197	22,958	303,218	283,725
⊳ 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	36	1,612	-167	72	105
⊳ 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	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	22,192 1,017,693	-1,602 983,261.5	8,089 1,173,286	-3,681 1,987,202	139,147 1,597,664
⊳ Sum Line 24	737,167	819,717	637,033	1,059,844	2,523,638
Total income ? Median	10,392,789 6,586,430	10,485,269 6,767,106	14,710,518 8,419,950	18,842,347 8,094,175	10,647,088 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	74,304 89,880.5	-254,708 106,761	-185,471 31,473.5
Net income Median	10,392,789 6,043,842	10,485,269 5,845,112	14,636,214 7,606,259	19,097,055 7,283,041	10,832,559 14,957,241
Net margin Median	17.25625% 4.62%	12.84685% 4.42%	17.43629% 5.16%	22.03576% 5.2%	13.52019% 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 FRANKLIN WOODS 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	7,511,945 23,241,334	10,710,513 23,709,545	9,527,188 24,248,380	8,553,566 22,858,541	7,878,783 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	6,343,280 21,577,146	8,507,536 22,041,594	8,098,084 22,722,063	8,553,566 21,570,441	7,878,783 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	1,168,665 1,203,033	2,202,977 1,215,295	1,429,104 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	3,587,312 11,160,864	4,421,653 11,987,345	4,659,789 12,926,866	5,174,127 11,884,480	4,444,285 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	3,587,312 10,918,923	4,421,653 11,706,976	4,659,789 12,615,917	5,174,127 11,458,116	4,444,285 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	148,733 594,888	208,267 595,761	198,195 577,894	214,022 542,168	196,560 549,667
Outlier Median	84,186 582,572	101,730 538,116	28,512 212,434	12,331 126,559	199 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	894,578 3,662,910	2,297,297 3,730,911	710,674 4,081,319	0 4,643,908	517,464 4,389,147
Charity care Median	287,023 2,654,636	406,943 2,940,659	3,673,035 3,380,215	3,480,094 3,488,738	3,695,952 3,233,405
Uncompensated care (UCC) Median	1,366,075 5,147,790	2,020,891 5,337,617	4,921,041 5,711,082	4,418,335 5,923,418	4,429,156 5,508,107
UCC as a % of operating expenses Median	2.74% 3.24	2.84% 3.12	7.11% 3.21	6.51% 3.3	6.38% 2.86
Total shortfall/UCC Median	2,260,653 9,489,989	4,318,188 9,424,297	5,631,715 10,120,158	4,418,335 11,171,337	4,946,620 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	17,915,224 52,142,039	25,746,549 54,485,252	25,002,599 57,395,589	23,456,377 58,830,919	23,291,862 61,722,907
Salaries as a % of operating expenses Median	35.95 36.68	36.20 36.56	36.11 36.37	34.59 35.93	33.53 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	70,397 1,449,244	260,566 1,475,986	129,353 1,563,078	304,636 1,721,954	330,017 2,991,828
Contract hours, direct-care Median	3,436.88 22,725	8,111.81 23,018.5	4,758.31 24,503.48	7,160.32 25,026.5	4,501.41 33,786
Contract wages, direct-care Median	20.48 64.67	32.12 64.53	27.18 65.06	42.55 68.97	73.31 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.