As of the July, 2022, release via CMS

BALL MEMORIAL HOSPITAL

CMS id: 150089
2401 UNIVERSITY AVENUE, MUNCIE IN 47303. County: DELAWARE
System: INDIANA UNIVERISTY HEALTH INC
CBSA: Muncie, IN

The 330-bed, acute-care hospital had $35,126,500 in net service to patients*, with a total profit margin of 13.44384% in fiscal year 2021, the latest year available.
It spent 2.65% of its operating expenses on uncompensated care and reported $819,056 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	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	263 118	261 118	249 119.5	252 118	257 119
Total beds Median	338 162	336 162	324 162	325 162	330 163.5
FTEs Median	1,857.90 788.06	1,844.59 793.42	1,834.97 806.03	1,858.51 787.61	1,850.39 804.34

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	399,627,442 150,932,746	423,834,340 158,950,878	449,773,882 168,696,998	438,995,318 163,454,693	504,611,966 186,589,412
Operating expenses Median	355,573,555 149,311,209	385,434,442 156,110,414	401,015,789 164,890,568	417,393,039 166,516,854	469,485,466 180,120,888
Net income from service 2 patients (NS2P) ? Median	44,053,887 -964,173	38,399,898 -643,601.5	48,758,093 -116,254	21,602,279 -5,025,862	35,126,500 -1,284,564
NS2P margin ? Median	11.02% -0.62	9.06% -0.29	10.84% 0.18	4.92% -5.07	6.96% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BALL MEMORIAL 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	22,195,638 5,089,215	21,760,694 4,572,541	29,214,470 5,268,134	38,034,189 13,092,619	37,793,619 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ 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	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	22,195,638	21,760,694	29,214,470	38,034,189	37,793,619
Total income ? Median	66,249,525 6,586,430	60,160,592 6,767,106	77,972,563 8,419,950	59,636,468 8,094,175	72,920,119 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	66,249,525 6,043,842	60,160,592 5,845,112	77,972,563 7,606,259	59,636,468 7,283,041	72,920,119 14,957,241
Net margin Median	15.70552% 4.62%	13.50118% 4.42%	16.27859% 5.16%	12.50163% 5.2%	13.44384% 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 BALL MEMORIAL 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	91,247,531 23,241,334	93,664,181 23,709,545	92,716,006 24,248,380	82,623,043 22,858,541	84,595,159 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	87,259,641 21,577,146	88,311,798 22,041,594	87,021,954 22,722,063	78,309,854 21,570,441	80,779,406 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	3,987,890 3,535,627	5,352,383 3,746,588	5,694,052 3,782,288	4,313,189 3,865,578	3,815,753 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	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	40,388,859 11,160,864	40,675,552 11,987,345	44,651,059 12,926,866	41,229,938 11,884,480	41,114,004 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	40,388,859 10,918,923	40,675,552 11,706,976	44,651,059 12,615,917	41,229,938 11,458,116	41,114,004 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	10,471,411 3,284,314	10,390,627 3,250,551	10,381,929 3,386,837	10,041,013 3,360,806	10,060,905 3,508,953
Disproportionate-share hospital (DSH) Median	2,263,134 594,888	2,224,560 595,761	2,128,640 577,894	1,939,339 542,168	2,216,183 549,667
Outlier Median	1,153,278 582,572	2,351,088 538,116	1,639,836 212,434	414,382 126,559	450,817 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,488,027 3,662,910	7,384,347 3,730,911	9,058,892 4,081,319	8,582,787 4,643,908	819,056 4,389,147
Charity care Median	7,623,334 2,654,636	7,782,475 2,940,659	7,324,498 3,380,215	5,901,118 3,488,738	9,672,696 3,233,405
Uncompensated care (UCC) Median	11,935,776 5,147,790	12,520,270 5,337,617	11,779,203 5,711,082	10,040,086 5,923,418	12,453,535 5,508,107
UCC as a % of operating expenses Median	3.36% 3.24	3.25% 3.12	2.94% 3.21	2.41% 3.3	2.65% 2.86
Total shortfall/UCC Median	27,423,803 9,489,989	19,904,617 9,424,297	20,838,095 10,120,158	18,622,873 11,171,337	13,272,591 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	105,924,436 52,142,039	110,337,713 54,485,252	111,132,675 57,395,589	121,171,657 58,830,919	141,596,046 61,722,907
Salaries as a % of operating expenses Median	29.79 36.68	28.63 36.56	27.71 36.37	29.03 35.93	30.16 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	6,941,748 1,449,244	3,953,614 1,475,986	984,000 1,563,078	3,953,614 1,721,954	984,000 2,991,828
Contract hours, direct-care Median	90,675.80 22,725	60,955.96 23,018.5	13,779.29 24,503.48	60,955.96 25,026.5	13,779.29 33,786
Contract wages, direct-care Median	76.56 64.67	64.86 64.53	71.41 65.06	64.86 68.97	71.41 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.