As of the July, 2022, release via CMS

COMMUNITY HOSPITAL OF INDIANA INC.

CMS id: 150169
7150 CLEARVISTA DRIVE, INDIANAPOLIS IN 46256. County: MARION
System: COMMUNITY HEALTH NETWORK
CBSA: Indianapolis-Carmel-Anderson, IN

The 328-bed, acute-care hospital had $115,059,160 in net service to patients*, with a total profit margin of 21.63874% in fiscal year 2021, the latest year available.
It spent 1.99% of its operating expenses on uncompensated care and reported $21,679,098 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	238 118	214 118	238 119.5	238 118	238 119
Total beds Median	322 162	298 162	328 162	328 162	328 163.5
FTEs Median	1,423.96 788.06	1,486.65 793.42	1,566.02 806.03	1,530.55 787.61	1,521.31 804.34

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	438,713,183 150,932,746	467,030,448 158,950,878	520,923,058 168,696,998	466,410,099 163,454,693	546,974,959 186,589,412
Operating expenses Median	323,764,342 149,311,209	347,777,026 156,110,414	413,824,594 164,890,568	438,299,177 166,516,854	431,915,799 180,120,888
Net income from service 2 patients (NS2P) ? Median	114,948,841 -964,173	119,253,422 -643,601.5	107,098,464 -116,254	28,110,922 -5,025,862	115,059,160 -1,284,564
NS2P margin ? Median	26.20% -0.62	25.53% -0.29	20.56% 0.18	6.03% -5.07	21.04% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COMMUNITY HOSPITAL OF INDIANA 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	2,554,030 5,089,215	4,713,750 4,572,541	5,002,240 5,268,134	100,573,983 13,092,619	4,210,381 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	186,376 199,009	1,275,878 206,870.5	265,399 194,343	769,776 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	13,110,559 309,361.5	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	26,173	16,705	4,009	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	2,372,374	2,652,289	1,851,209	2,088,419
⊳ 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	26,250	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	79,419	59,105,051	24,000
⊳ 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	2,527,780	2,128,827	977,949	26,237,756	1,328,186
Total income ? Median	117,502,871 6,586,430	123,967,172 6,767,106	112,100,704 8,419,950	128,684,905 8,094,175	119,269,541 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	1 89,880.5	0 106,761	0 31,473.5
Net income Median	117,502,871 6,043,842	123,967,172 5,845,112	112,100,703 7,606,259	128,684,905 7,283,041	119,269,541 14,957,241
Net margin Median	26.62851% 4.62%	26.27847% 4.42%	21.31495% 5.16%	22.69639% 5.2%	21.63874% 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 HOSPITAL OF INDIANA 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	52,315,304 23,241,334	55,110,722 23,709,545	52,471,828 24,248,380	44,403,976 22,858,541	45,522,891 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	49,963,435 21,577,146	52,604,040 22,041,594	49,819,206 22,722,063	42,327,873 21,570,441	43,660,545 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	2,351,869 1,845,420	2,506,682 1,757,392	2,652,622 1,738,842	2,076,103 1,510,463	1,862,346 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	14,385,923 11,160,864	15,372,060 11,987,345	18,734,588 12,926,866	16,398,920 11,884,480	16,598,879 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	14,385,923 10,918,923	15,372,060 11,706,976	18,734,588 12,615,917	16,398,920 11,458,116	16,598,879 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	446,240 3,284,314	611,083 3,250,551	639,811 3,386,837	632,014 3,360,806	702,185 3,508,953
Disproportionate-share hospital (DSH) Median	1,632,593 594,888	1,828,172 595,761	1,880,701 577,894	1,755,731 542,168	2,005,581 549,667
Outlier Median	1,536,798 582,572	1,655,976 538,116	164,443 212,434	422,804 126,559	369,013 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,891,061 3,662,910	21,358,636 3,730,911	0 4,081,319	30,933,171 4,643,908	21,679,098 4,389,147
Charity care Median	3,945,665 2,654,636	8,888,974 2,940,659	9,985,906 3,380,215	8,131,518 3,488,738	5,084,693 3,233,405
Uncompensated care (UCC) Median	4,702,496 5,147,790	9,366,949 5,337,617	15,785,389 5,711,082	14,125,802 5,923,418	8,605,420 5,508,107
UCC as a % of operating expenses Median	1.45% 3.24	2.69% 3.12	3.81% 3.21	3.22% 3.3	1.99% 2.86
Total shortfall/UCC Median	26,593,557 9,489,989	30,725,585 9,424,297	15,785,389 10,120,158	45,058,973 11,171,337	30,284,518 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	93,274,749 52,142,039	100,308,509 54,485,252	107,915,223 57,395,589	113,946,024 58,830,919	119,527,809 61,722,907
Salaries as a % of operating expenses Median	28.81 36.68	28.84 36.56	26.08 36.37	26.00 35.93	27.67 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	1,267,399 1,449,244	2,522,315 1,475,986	2,180,294 1,563,078	947,185 1,721,954	10,615,920 2,991,828
Contract hours, direct-care Median	11,912.00 22,725	31,593.00 23,018.5	20,825.00 24,503.48	15,151.00 25,026.5	167,594.00 33,786
Contract wages, direct-care Median	106.40 64.67	79.84 64.53	104.70 65.06	62.52 68.97	63.34 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.