As of the July, 2022, release via CMS

COMMUNITY HOWARD REGIONAL HEALTH

CMS id: 150007
3500 SOUTH LAFOUNTAIN, KOKOMO IN 46902. County: HOWARD
System: COMMUNITY HEALTH NETWORK
CBSA: Kokomo, IN

The 113-bed, acute-care hospital had $5,119,233 in net service to patients*, with a total profit margin of 13.19897% in fiscal year 2020, the latest year available.
It spent 2.47% of its operating expenses on uncompensated care and reported $6,151,484 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	102 118	101 118	104 119.5	105 118	-- 119
Total beds Median	110 162	109 162	112 162	113 162	-- 163.5
FTEs Median	627.31 788.06	624.79 793.42	665.81 806.03	647.15 787.61	-- 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	133,686,819 150,932,746	159,880,081 158,950,878	174,307,020 168,696,998	158,860,589 163,454,693	-- 186,589,412
Operating expenses Median	121,135,447 149,311,209	127,534,703 156,110,414	155,420,346 164,890,568	153,741,356 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	12,551,372 -964,173	32,345,378 -643,601.5	18,886,674 -116,254	5,119,233 -5,025,862	-- -1,284,564
NS2P margin ? Median	9.39% -0.62	20.23% -0.29	10.84% 0.18	3.22% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COMMUNITY HOWARD REGIONAL HEALTH 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	11,770,340 5,089,215	5,330,007 4,572,541	15,225,071 5,268,134	18,255,639 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	171,818 199,009	215,233 206,870.5	147,508 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	20,201 299,524	26,113 188,688.5	0 370,813	5,769,228 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	4,782	4,464	2,032	--
⊳ 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	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	313,173	406,280	372,908	0	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	404,495	--
⊳ 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	0	0	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	0	7,149	6,253	0	--
⊳ Line 22: Rental of hospital space	1,448,645	2,144,901	2,903,079	3,722	--
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	2,435,780 1,987,202	-- 1,597,664
⊳ Sum Line 24	9,988,321	2,568,964	11,723,134	9,492,874	--
Total income ? Median	24,321,712 6,586,430	37,675,385 6,767,106	34,111,745 8,419,950	23,374,872 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	12,750 89,880.5	-2,649 106,761	-- 31,473.5
Net income Median	24,321,712 6,043,842	37,675,385 5,845,112	34,098,995 7,606,259	23,377,521 7,283,041	-- 14,957,241
Net margin Median	16.72088% 4.62%	22.80453% 4.42%	17.99115% 5.16%	13.19897% 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 COMMUNITY HOWARD REGIONAL HEALTH 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	18,611,422 23,241,334	16,761,439 23,709,545	17,480,040 24,248,380	15,904,147 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	18,611,422 21,577,146	16,761,439 22,041,594	17,480,040 22,722,063	15,904,147 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	0 1,845,420	0 1,757,392	0 1,738,842	0 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	16,791,170 11,160,864	17,563,629 11,987,345	17,834,069 12,926,866	14,660,995 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	16,791,170 10,918,923	17,563,629 11,706,976	17,834,069 12,615,917	14,660,995 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	487,884 594,888	509,256 595,761	661,262 577,894	577,923 542,168	-- 549,667
Outlier Median	1,352,520 582,572	853,800 538,116	142,682 212,434	82,056 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,221,423 3,662,910	0 3,730,911	0 4,081,319	6,151,484 4,643,908	-- 4,389,147
Charity care Median	576,598 2,654,636	1,574,772 2,940,659	2,149,380 3,380,215	2,003,339 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	3,798,321 5,147,790	1,704,183 5,337,617	2,354,762 5,711,082	3,804,105 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	3.14% 3.24	1.34% 3.12	1.52% 3.21	2.47% 3.3	--% 2.86
Total shortfall/UCC Median	10,019,744 9,489,989	1,704,183 9,424,297	2,354,762 10,120,158	9,955,589 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	39,832,726 52,142,039	40,620,823 54,485,252	44,647,988 57,395,589	46,018,318 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	32.88 36.68	31.85 36.56	28.73 36.37	29.93 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	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	1,076,486 1,449,244	1,308,914 1,475,986	1,922,866 1,563,078	1,629,977 1,721,954	-- 2,991,828
Contract hours, direct-care Median	15,292.00 22,725	18,444.00 23,018.5	24,556.00 24,503.48	18,537.00 25,026.5	-- 33,786
Contract wages, direct-care Median	70.40 64.67	70.97 64.53	78.31 65.06	87.93 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.