As of the July, 2022, release via CMS

COMMUNITY HEALTH NETWORK INC.

CMS id: 150074
1500 NORTH RITTER AVENUE, INDIANAPOLIS IN 46219. County: MARION
System: COMMUNITY HEALTH NETWORK
CBSA: Indianapolis-Carmel-Anderson, IN

The 366-bed, acute-care hospital had $166,625,993 in net service to patients*, with a total profit margin of 23.55337% in fiscal year 2020, the latest year available.
It spent 2.80% 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	254 118	254 118	267 119.5	280 118	-- 119
Total beds Median	305 162	305 162	335 162	366 162	-- 163.5
FTEs Median	2,508.23 788.06	2,753.70 793.42	2,747.44 806.03	2,819.79 787.61	-- 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	754,041,845 150,932,746	833,662,490 158,950,878	923,060,992 168,696,998	927,436,016 163,454,693	-- 186,589,412
Operating expenses Median	593,929,304 149,311,209	647,814,072 156,110,414	750,958,232 164,890,568	760,810,023 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	160,112,541 -964,173	185,848,418 -643,601.5	172,102,760 -116,254	166,625,993 -5,025,862	-- -1,284,564
NS2P margin ? Median	21.23% -0.62	22.29% -0.29	18.64% 0.18	17.97% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COMMUNITY HEALTH NETWORK INC. 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	21,574,810 5,089,215	23,139,204 4,572,541	22,758,053 5,268,134	67,781,174 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	2,379,957 199,009	2,583,303 206,870.5	3,940,324 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	79,822 299,524	205,970 188,688.5	1,094,941 370,813	11,143,975 309,361.5	-- 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	19,685	23,259	0	--
⊳ 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	412,511	1,980,373	2,137,007	1,644,698	--
⊳ 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	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	6,353	--
⊳ Line 21: Rental of vending machines	0	0	948	1,014	--
⊳ Line 22: Rental of hospital space	311,002	0	526,856	510,574	--
⊳ 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	20,771,475	18,553,219	16,391,739	50,534,236	--
Total income ? Median	181,687,351 6,586,430	208,987,622 6,767,106	194,860,813 8,419,950	234,407,167 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	3 106,761	-- 31,473.5
Net income Median	181,687,351 6,043,842	208,987,622 5,845,112	194,860,813 7,606,259	234,407,164 7,283,041	-- 14,957,241
Net margin Median	23.42489% 4.62%	24.39160% 4.42%	20.60234% 5.16%	23.55337% 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 HEALTH NETWORK INC. 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	72,308,296 23,241,334	70,174,078 23,709,545	65,266,582 24,248,380	57,494,099 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	72,308,296 21,577,146	70,174,078 22,041,594	65,266,582 22,722,063	57,494,099 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	80,419,734 11,160,864	81,323,387 11,987,345	87,008,300 12,926,866	80,169,905 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	80,419,734 10,918,923	81,323,387 11,706,976	87,008,300 12,615,917	80,169,905 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	3,661,153 3,284,314	3,380,135 3,250,551	3,477,550 3,386,837	2,821,996 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	3,737,460 594,888	3,754,690 595,761	3,193,172 577,894	3,454,433 542,168	-- 549,667
Outlier Median	7,447,115 582,572	5,788,584 538,116	841,513 212,434	695,467 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	-- 4,389,147
Charity care Median	8,354,582 2,654,636	13,227,464 2,940,659	15,152,089 3,380,215	12,648,756 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	10,366,177 5,147,790	14,637,951 5,337,617	27,100,227 5,711,082	21,302,550 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	1.75% 3.24	2.26% 3.12	3.61% 3.21	2.80% 3.3	--% 2.86
Total shortfall/UCC Median	10,366,177 9,489,989	14,637,951 9,424,297	27,100,227 10,120,158	21,302,550 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	168,462,242 52,142,039	177,514,842 54,485,252	193,232,697 57,395,589	208,114,908 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	28.36 36.68	27.40 36.56	25.73 36.37	27.35 35.93	-- 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	4,103,572 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	3,979,121 1,449,244	5,504,220 1,475,986	5,682,973 1,563,078	4,633,995 1,721,954	-- 2,991,828
Contract hours, direct-care Median	34,667.00 22,725	59,371.00 23,018.5	52,370.00 24,503.48	47,859.00 25,026.5	-- 33,786
Contract wages, direct-care Median	114.78 64.67	92.71 64.53	108.52 65.06	96.83 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.