As of the July, 2022, release via CMS

COMMUNITY MEDICAL CENTER

CMS id: 270023
2827 FORT MISSOULA ROAD, MISSOULA MT 59801. County: MISSOULA
System: LIFEPOINT
CBSA: Missoula, MT

The 151-bed, acute-care hospital had $26,019,503 in net service to patients*, with a total profit margin of 12.72027% in fiscal year 2021, the latest year available.
It spent 0.80% 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	365
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	109 118	109 118	109 119.5	109 118	109 119
Total beds Median	151 162	151 162	151 162	151 162	151 163.5
FTEs Median	797.63 788.06	768.27 793.42	764.17 806.03	834.57 787.61	808.24 804.34

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	172,215,818 150,932,746	161,666,701 158,950,878	186,879,921 168,696,998	213,345,732 163,454,693	250,635,807 186,589,412
Operating expenses Median	153,577,164 149,311,209	152,128,653 156,110,414	169,229,850 164,890,568	199,086,873 166,516,854	224,616,304 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,638,654 -964,173	9,538,048 -643,601.5	17,650,071 -116,254	14,258,859 -5,025,862	26,019,503 -1,284,564
NS2P margin ? Median	10.82% -0.62	5.90% -0.29	9.44% 0.18	6.68% -5.07	10.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COMMUNITY MEDICAL CENTER 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	46,207,727 5,089,215	44,650,095 4,572,541	61,173,316 5,268,134	5,907,006 13,092,619	6,716,382 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	12,994 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,645,289 299,524	1,793,006 188,688.5	2,807,492 370,813	2,657,931 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	27,--31	29,87--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	19,187	0	0	160	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	688,000	725,540	734,626	394,851	577,994
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	806	187	3,307	1,042	1,159
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	38,953	28,211
⊳ Line 18: Revenue from sale of medical records and abstracts	94	636	951	1,648	1,900
⊳ 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	70,426	3,657,881
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	45,424	53,568	44,356	790,254	721,741
⊳ 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	43,795,933	42,077,158	57,582,584	1,873,197	1,654,823
Total income ? Median	64,846,381 6,586,430	54,188,143 6,767,106	78,823,387 8,419,950	20,165,865 8,094,175	32,735,885 15,162,888
Non-operating expenses Median	31,452,593 146,289.5	27,916,666 164,857	33,423,376 89,880.5	0 106,761	0 31,473.5
Net income Median	33,393,788 6,043,842	26,271,477 5,845,112	45,400,011 7,606,259	20,165,865 7,283,041	32,735,885 14,957,241
Net margin Median	15.28855% 4.62%	12.73356% 4.42%	18.30253% 5.16%	9.19754% 5.2%	12.72027% 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 MEDICAL CENTER 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	20,553,669 23,241,334	19,993,098 23,709,545	20,009,112 24,248,380	19,352,507 22,858,541	16,517,941 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	18,241,569 21,577,146	16,938,437 22,041,594	17,026,499 22,722,063	16,357,040 21,570,441	13,135,707 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	2,312,100 3,535,627	3,054,661 3,746,588	2,982,613 3,782,288	2,995,467 3,865,578	3,382,234 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	14,468,525 11,160,864	17,515,892 11,987,345	19,973,759 12,926,866	22,008,661 11,884,480	27,604,689 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	14,468,525 10,918,923	17,515,892 11,706,976	19,973,759 12,615,917	22,008,661 11,458,116	27,604,689 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	419,033 3,284,314	389,169 3,250,551	385,217 3,386,837	370,420 3,360,806	342,067 3,508,953
Disproportionate-share hospital (DSH) Median	1,027,657 594,888	929,534 595,761	905,413 577,894	899,854 542,168	624,338 549,667
Outlier Median	1,756,601 582,572	1,296,998 538,116	866,980 212,434	1,270,638 126,559	1,819,120 139,139

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	0 4,389,147
Charity care Median	894,655 2,654,636	927,065 2,940,659	1,017,235 3,380,215	1,026,117 3,488,738	960,865 3,233,405
Uncompensated care (UCC) Median	2,657,220 5,147,790	2,472,923 5,337,617	1,130,513 5,711,082	1,433,987 5,923,418	1,801,232 5,508,107
UCC as a % of operating expenses Median	1.73% 3.24	1.63% 3.12	0.67% 3.21	0.72% 3.3	0.80% 2.86
Total shortfall/UCC Median	2,657,220 9,489,989	2,472,923 9,424,297	1,130,513 10,120,158	1,433,987 11,171,337	1,801,232 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	56,815,871 52,142,039	54,046,156 54,485,252	55,495,969 57,395,589	65,781,574 58,830,919	67,426,936 61,722,907
Salaries as a % of operating expenses Median	36.99 36.68	35.53 36.56	32.79 36.37	34.89 35.93	31.89 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	367,822 1,251,927	600,631 1,186,494	715,385 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,698,156 1,449,244	2,677,134 1,475,986	2,324,796 1,563,078	2,195,858 1,721,954	2,790,272 2,991,828
Contract hours, direct-care Median	29,759.42 22,725	36,432.03 23,018.5	35,967.79 24,503.48	31,879.12 25,026.5	26,839.00 33,786
Contract wages, direct-care Median	57.06 64.67	73.48 64.53	64.64 65.06	68.88 68.97	103.96 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.