As of the July, 2022, release via CMS

BLESSING HOSPITAL

CMS id: 140015
1005 BROADWAY, QUINCY IL 62301. County: ADAMS
System: BLESSING CORPORATE SERVICES
CBSA: Quincy, IL-MO

The 327-bed, acute-care hospital had $-24,142,350 in net service to patients*, with a total profit margin of 10.06312% in fiscal year 2021, the latest year available.
It spent 1.77% of its operating expenses on uncompensated care and reported $18,304,245 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	203 118	223 118	223 119.5	264 118	264 119
Total beds Median	307 162	327 162	327 162	318 162	327 163.5
FTEs Median	2,090.27 788.06	2,220.02 793.42	2,310.56 806.03	2,295.22 787.61	2,402.46 804.34

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	362,719,100 150,932,746	408,275,137 158,950,878	411,512,600 168,696,998	432,754,760 163,454,693	500,770,622 186,589,412
Operating expenses Median	351,584,731 149,311,209	390,359,272 156,110,414	403,015,763 164,890,568	440,848,155 166,516,854	524,912,972 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,134,369 -964,173	17,915,865 -643,601.5	8,496,837 -116,254	-8,093,395 -5,025,862	-24,142,350 -1,284,564
NS2P margin ? Median	3.07% -0.62	4.39% -0.29	2.06% 0.18	-1.87% -5.07	-4.82% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BLESSING 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	35,031,812 5,089,215	32,629,910 4,572,541	34,001,786 5,268,134	51,149,320 13,092,619	82,875,348 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	16,215,609 299,524	10,755,697 188,688.5	9,315,570 370,813	15,006,071 309,361.5	34,112,728 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	706,876	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	1,336,461	1,606,650	1,745,411	1,588,137	1,573,706
⊳ 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	117,824	115,919	84,222	71,976	104,608
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	4,066,356	4,681,272	5,016,003	4,853,260	4,624,098
⊳ 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	774,655	787,943	808,404	1,813,918	2,986,626
⊳ 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	11,814,031	14,682,429	17,032,176	27,815,958	39,473,582
Total income ? Median	46,166,181 6,586,430	50,545,775 6,767,106	42,498,623 8,419,950	43,055,925 8,094,175	58,732,998 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	46,166,181 6,043,842	50,545,775 5,845,112	42,498,623 7,606,259	43,055,925 7,283,041	58,732,998 14,957,241
Net margin Median	11.60681% 4.62%	11.46410% 4.42%	9.53923% 5.16%	8.89762% 5.2%	10.06312% 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 BLESSING 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	75,342,373 23,241,334	81,746,577 23,709,545	78,758,527 24,248,380	78,347,869 22,858,541	86,385,731 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	67,976,787 21,577,146	73,032,734 22,041,594	71,380,144 22,722,063	70,715,093 21,570,441	79,236,776 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	1,279,633 1,845,420	1,570,221 1,757,392	1,551,722 1,738,842	345,714 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,494,781 3,535,627	5,438,790 3,746,588	4,284,046 3,782,288	5,211,765 3,865,578	5,392,897 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	1,591,172 1,203,033	1,704,832 1,215,295	1,542,615 1,313,657	2,075,297 1,365,298	1,756,058 1,179,746
All outpatient revenue Median Click here to show/hide details	33,664,612 11,160,864	37,808,580 11,987,345	39,593,884 12,926,866	39,616,759 11,884,480	41,141,497 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	29,116,789 10,918,923	33,318,380 11,706,976	35,577,486 12,615,917	35,803,745 11,458,116	37,310,568 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,294,952 1,282,808	4,234,803 1,407,728	3,810,712 1,341,512	3,633,774 1,407,046	3,636,407 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	252,871 618,038	255,397 697,279	205,686 690,232	179,240 684,010	194,522 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	2,457,005 3,284,314	2,468,193 3,250,551	2,405,835 3,386,837	2,261,783 3,360,806	2,369,415 3,508,953
Disproportionate-share hospital (DSH) Median	890,672 594,888	1,167,973 595,761	974,526 577,894	1,604,943 542,168	1,933,971 549,667
Outlier Median	2,101,812 582,572	1,983,364 538,116	449,525 212,434	608,046 126,559	1,005,487 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,890,460 3,662,910	4,243,879 3,730,911	16,132,279 4,081,319	0 4,643,908	18,304,245 4,389,147
Charity care Median	11,895,588 2,654,636	9,095,852 2,940,659	10,226,868 3,380,215	14,396,882 3,488,738	6,862,569 3,233,405
Uncompensated care (UCC) Median	15,373,290 5,147,790	13,263,725 5,337,617	14,200,179 5,711,082	18,384,989 5,923,418	9,284,579 5,508,107
UCC as a % of operating expenses Median	4.37% 3.24	3.40% 3.12	3.52% 3.21	4.17% 3.3	1.77% 2.86
Total shortfall/UCC Median	19,263,750 9,489,989	17,507,604 9,424,297	30,332,458 10,120,158	18,384,989 11,171,337	27,588,824 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	115,017,331 52,142,039	130,628,946 54,485,252	139,493,088 57,395,589	146,599,670 58,830,919	161,187,063 61,722,907
Salaries as a % of operating expenses Median	32.71 36.68	33.46 36.56	34.61 36.37	33.25 35.93	30.71 35.24
Intern, resident salaries* Median	1,040,755 2,598,592	1,110,470 2,686,824	1,116,867 2,753,773	1,098,535 2,937,156	1,101,295 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	2,642,346 1,449,244	5,310,336 1,475,986	2,357,011 1,563,078	1,875,666 1,721,954	6,062,253 2,991,828
Contract hours, direct-care Median	36,437.40 22,725	72,583.64 23,018.5	30,904.00 24,503.48	24,394.55 25,026.5	51,321.00 33,786
Contract wages, direct-care Median	72.52 64.67	73.16 64.53	76.27 65.06	76.89 68.97	118.12 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.