As of the July, 2022, release via CMS

FRANCISCAN HEALTH HAMMOND

CMS id: 150004
5454 HOHMAN AVENUE, HAMMOND IN 46320. County: LAKE
System: FRANCISCAN ALLIANCE INC
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 226-bed, acute-care hospital had $55,261,213 in net service to patients*, with a total profit margin of 27.92434% in fiscal year 2020, the latest year available.
It spent 6.29% 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	171 118	152 118	152 119.5	152 118	-- 119
Total beds Median	237 162	226 162	226 162	226 162	-- 163.5
FTEs Median	890.44 788.06	957.65 793.42	956.67 806.03	923.52 787.61	-- 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	183,883,637 150,932,746	241,924,723 158,950,878	224,116,271 168,696,998	260,096,176 163,454,693	-- 186,589,412
Operating expenses Median	186,400,930 149,311,209	190,960,041 156,110,414	203,684,175 164,890,568	204,834,963 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,517,293 -964,173	50,964,682 -643,601.5	20,432,096 -116,254	55,261,213 -5,025,862	-- -1,284,564
NS2P margin ? Median	-1.37% -0.62	21.07% -0.29	9.12% 0.18	21.25% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FRANCISCAN HEALTH HAMMOND 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	4,554,486 5,089,215	6,238,252 4,572,541	6,555,295 5,268,134	24,098,200 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	275,331 224,999	383,288 199,009	447,351 206,870.5	155,043 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	181,552 299,524	0 188,688.5	0 370,813	0 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	646,086	624,185	654,299	797,491	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	899,667	1,138,466	1,097,869	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	685,137	712,275	716,994	347,909	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	14,258	8,569	5,788	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	76,448	91,166	112,947	59,779	--
⊳ Line 21: Rental of vending machines	18,068	19,141	11,645	13,012	--
⊳ Line 22: Rental of hospital space	1,704,421	1,100,242	1,252,971	42,183	--
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	-- 1,597,664
⊳ Sum Line 24	53,518	2,160,920	2,238,756	22,682,783	--
Total income ? Median	2,037,193 6,586,430	57,202,934 6,767,106	26,987,391 8,419,950	79,359,413 8,094,175	-- 15,162,888
Non-operating expenses Median	73,287 146,289.5	0 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	1,963,906 6,043,842	57,202,934 5,845,112	26,987,391 7,606,259	79,359,413 7,283,041	-- 14,957,241
Net margin Median	1.04220% 4.62%	23.05055% 4.42%	11.69949% 5.16%	27.92434% 5.2%	--% 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 FRANCISCAN HEALTH HAMMOND 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	24,843,335 23,241,334	24,167,630 23,709,545	27,424,049 24,248,380	22,728,166 22,858,541	-- 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	24,014,417 21,577,146	23,253,131 22,041,594	26,512,371 22,722,063	22,118,179 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	828,918 1,845,420	914,499 1,757,392	911,678 1,738,842	609,987 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	28,444,857 11,160,864	28,569,383 11,987,345	26,410,849 12,926,866	24,774,479 11,884,480	-- 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	25,557,075 10,918,923	23,465,544 11,706,976	21,079,126 12,615,917	18,831,024 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,887,782 1,282,808	5,103,839 1,407,728	5,331,723 1,341,512	5,943,455 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	522,765 3,284,314	601,283 3,250,551	746,482 3,386,837	664,507 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	735,130 594,888	677,030 595,761	804,794 577,894	744,665 542,168	-- 549,667
Outlier Median	1,441,167 582,572	1,813,153 538,116	269,198 212,434	364,897 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,048,800 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	-- 4,389,147
Charity care Median	10,177,029 2,654,636	8,250,880 2,940,659	11,062,284 3,380,215	10,559,244 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	11,760,689 5,147,790	11,301,452 5,337,617	13,943,558 5,711,082	12,890,128 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	6.31% 3.24	5.92% 3.12	6.85% 3.21	6.29% 3.3	--% 2.86
Total shortfall/UCC Median	22,809,489 9,489,989	11,301,452 9,424,297	13,943,558 10,120,158	12,890,128 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,940,356 52,142,039	80,478,418 54,485,252	81,942,515 57,395,589	83,220,793 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	34.84 36.68	42.14 36.56	40.23 36.37	40.63 35.93	-- 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	592,112 1,251,927	592,112 1,186,494	816,496 1,204,885	558,026 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	1,550,727 1,449,244	1,403,570 1,475,986	2,921,551 1,563,078	1,315,547 1,721,954	-- 2,991,828
Contract hours, direct-care Median	27,093.00 22,725	23,872.00 23,018.5	51,328.00 24,503.48	19,374.00 25,026.5	-- 33,786
Contract wages, direct-care Median	57.24 64.67	58.80 64.53	56.92 65.06	67.90 68.97	-- 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.