As of the July, 2022, release via CMS

ELKHART GENERAL HOSPITAL

CMS id: 150018
600 EAST BLVD, ELKHART IN 46514. County: ELKHART
System: BEACON HEALTH SYSTEM
CBSA: Elkhart-Goshen, IN

The 270-bed, acute-care hospital had $19,068,247 in net service to patients*, with a total profit margin of 12.62443% in fiscal year 2020, the latest year available.
It spent 3.52% of its operating expenses on uncompensated care and reported $9,628,769 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	174 118	169 118	179 119.5	210 118	-- 119
Total beds Median	235 162	230 162	240 162	270 162	-- 163.5
FTEs Median	1,275.91 788.06	1,275.75 793.42	1,328.62 806.03	1,243.70 787.61	-- 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	264,103,089 150,932,746	280,131,000 158,950,878	290,629,626 168,696,998	282,515,000 163,454,693	-- 186,589,412
Operating expenses Median	255,906,321 149,311,209	258,107,276 156,110,414	265,598,626 164,890,568	263,446,753 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,196,768 -964,173	22,023,724 -643,601.5	25,031,000 -116,254	19,068,247 -5,025,862	-- -1,284,564
NS2P margin ? Median	3.10% -0.62	7.86% -0.29	8.61% 0.18	6.75% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ELKHART GENERAL 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	10,595,041 5,089,215	9,392,000 4,572,541	9,448,000 5,268,134	18,995,753 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	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	140,965	92,551	32,641	0	--
⊳ Line 11: Rebates and refunds of expenses	704,474	961,107	1,022,243	559,569	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	151,637	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	442,442	848,828	900,235	730,494	--
⊳ 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	179,950	184,543	0	206,757	--
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	190,106	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	0	0	0	--
⊳ Line 22: Rental of hospital space	0	0	0	0	--
⊳ 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	8,975,573	7,304,971	7,302,775	17,498,933	--
Total income ? Median	18,791,809 6,586,430	31,415,724 6,767,106	34,479,000 8,419,950	38,064,000 8,094,175	-- 15,162,888
Non-operating expenses Median	370,809 146,289.5	0 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	18,421,000 6,043,842	31,415,724 5,845,112	34,479,000 7,606,259	38,064,000 7,283,041	-- 14,957,241
Net margin Median	6.70591% 4.62%	10.85086% 4.42%	11.49003% 5.16%	12.62443% 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 ELKHART GENERAL 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	41,789,058 23,241,334	41,517,172 23,709,545	44,347,153 24,248,380	41,632,462 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	40,515,938 21,577,146	39,805,229 22,041,594	42,736,228 22,722,063	40,042,372 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	371,552 1,845,420	559,555 1,757,392	279,353 1,738,842	183,831 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	901,568 3,535,627	1,152,388 3,746,588	1,331,572 3,782,288	1,406,259 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	21,653,874 11,160,864	21,689,440 11,987,345	22,035,215 12,926,866	19,478,759 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	21,653,874 10,918,923	21,689,440 11,706,976	22,035,215 12,615,917	19,478,759 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	829,157 594,888	716,148 595,761	833,053 577,894	754,203 542,168	-- 549,667
Outlier Median	1,960,484 582,572	1,961,606 538,116	824,107 212,434	874,597 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,657,133 3,662,910	14,923,828 3,730,911	14,678,371 4,081,319	9,628,769 4,643,908	-- 4,389,147
Charity care Median	3,193,419 2,654,636	4,083,957 2,940,659	3,088,697 3,380,215	3,883,560 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	10,818,133 5,147,790	12,468,493 5,337,617	9,717,794 5,711,082	9,263,479 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	4.23% 3.24	4.83% 3.12	3.66% 3.21	3.52% 3.3	--% 2.86
Total shortfall/UCC Median	25,475,266 9,489,989	27,392,321 9,424,297	24,396,165 10,120,158	18,892,248 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	76,376,645 52,142,039	79,029,409 54,485,252	81,449,273 57,395,589	80,600,870 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	29.85 36.68	30.62 36.56	30.67 36.37	30.59 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	3,965,731 1,449,244	6,189,227 1,475,986	8,648,321 1,563,078	8,905,426 1,721,954	-- 2,991,828
Contract hours, direct-care Median	55,165.00 22,725	90,766.00 23,018.5	123,741.00 24,503.48	112,732.00 25,026.5	-- 33,786
Contract wages, direct-care Median	71.89 64.67	68.19 64.53	69.89 65.06	79.00 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.