As of the July, 2022, release via CMS

GRAHAM HOSPITAL ASSOCIATION

CMS id: 140001
210 WEST WALNUT, CANTON IL 61520. County: FULTON
System: --
CBSA: Peoria, IL

The 81-bed, acute-care hospital had $-12,244,241 in net service to patients*, with a total profit margin of 21.24126% in fiscal year 2021, the latest year available.
It spent 5.18% of its operating expenses on uncompensated care and reported $8,442,540 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	38 118	38 118	38 119.5	38 118	38 119
Total beds Median	81 162	81 162	81 162	81 162	81 163.5
FTEs Median	570.80 788.06	580.47 793.42	580.47 806.03	567.88 787.61	561.04 804.34

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	85,855,088 150,932,746	87,218,585 158,950,878	89,766,886 168,696,998	90,109,274 163,454,693	93,900,275 186,589,412
Operating expenses Median	82,953,877 149,311,209	85,263,400 156,110,414	99,136,061 164,890,568	97,433,532 166,516,854	106,144,516 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,901,211 -964,173	1,955,185 -643,601.5	-9,369,175 -116,254	-7,324,258 -5,025,862	-12,244,241 -1,284,564
NS2P margin ? Median	3.38% -0.62	2.24% -0.29	-10.44% 0.18	-8.13% -5.07	-13.04% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GRAHAM HOSPITAL ASSOCIATION 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	16,487,725 5,089,215	22,890,101 4,572,541	11,750,163 5,268,134	13,724,766 13,092,619	41,046,276 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	47,419 224,999	252,404 199,009	51,461 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	2,789,715 299,524	13,118,466 188,688.5	4,639,899 370,813	4,028,608 309,361.5	1,289,929 375,329
⊳ 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	13,182	26,751	14,569
⊳ 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	13,650,591	9,519,231	7,045,621	9,669,407	39,741,778
Total income ? Median	19,388,936 6,586,430	24,845,286 6,767,106	2,380,988 8,419,950	6,400,508 8,094,175	28,802,035 15,162,888
Non-operating expenses Median	3,872,260 146,289.5	11,709,028 164,857	1,471,595 89,880.5	5,595,733 106,761	137,684 31,473.5
Net income Median	15,516,676 6,043,842	13,136,258 5,845,112	909,393 7,606,259	804,775 7,283,041	28,664,351 14,957,241
Net margin Median	15.16147% 4.62%	11.93026% 4.42%	0.89580% 5.16%	0.77506% 5.2%	21.24126% 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 GRAHAM HOSPITAL ASSOCIATION 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	10,990,863 23,241,334	10,738,768 23,709,545	12,166,171 24,248,380	11,994,498 22,858,541	11,353,712 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	9,757,002 21,577,146	9,331,825 22,041,594	10,708,630 22,722,063	10,343,003 21,570,441	10,797,808 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	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	1,233,861 1,203,033	1,406,943 1,215,295	1,457,541 1,313,657	1,651,495 1,365,298	555,904 1,179,746
All outpatient revenue Median Click here to show/hide details	8,377,434 11,160,864	9,466,384 11,987,345	9,880,885 12,926,866	10,345,976 11,884,480	10,724,997 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	4,797,546 10,918,923	5,711,307 11,706,976	6,071,022 12,615,917	6,213,138 11,458,116	6,390,416 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	155,647 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	3,424,241 618,038	3,755,077 697,279	3,809,863 690,232	4,132,838 684,010	4,334,581 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	143,310 594,888	130,843 595,761	123,995 577,894	121,496 542,168	121,092 549,667
Outlier Median	23,719 582,572	43,053 538,116	26,058 212,434	12,949 126,559	28,159 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,249,492 3,662,910	2,436,695 3,730,911	7,140,871 4,081,319	6,917,188 4,643,908	8,442,540 4,389,147
Charity care Median	1,464,796 2,654,636	1,986,520 2,940,659	2,143,444 3,380,215	2,096,205 3,488,738	2,990,265 3,233,405
Uncompensated care (UCC) Median	2,364,554 5,147,790	3,331,407 5,337,617	3,347,451 5,711,082	3,346,115 5,923,418	5,500,694 5,508,107
UCC as a % of operating expenses Median	2.85% 3.24	3.91% 3.12	3.38% 3.21	3.43% 3.3	5.18% 2.86
Total shortfall/UCC Median	12,614,046 9,489,989	5,768,102 9,424,297	10,488,322 10,120,158	10,263,303 11,171,337	13,943,234 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	29,853,022 52,142,039	31,185,323 54,485,252	33,886,245 57,395,589	32,906,169 58,830,919	37,092,591 61,722,907
Salaries as a % of operating expenses Median	35.99 36.68	36.57 36.56	38.27 36.37	37.18 35.93	38.88 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	2,085,545 1,449,244	1,683,885 1,475,986	1,756,538 1,563,078	1,307,440 1,721,954	498,159 2,991,828
Contract hours, direct-care Median	39,968.22 22,725	27,194.23 23,018.5	28,328.85 24,503.48	22,087.72 25,026.5	6,759.07 33,786
Contract wages, direct-care Median	52.18 64.67	61.92 64.53	62.01 65.06	59.19 68.97	73.70 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.