As of the July, 2022, release via CMS

CARLE FOUNDATION HOSPITAL

CMS id: 140091
611 W. PARK STREET, URBANA IL 61801. County: CHAMPAIGN
System: THE CARLE FOUNDATION
CBSA: Champaign-Urbana, IL

The 453-bed, acute-care hospital had $202,214,590 in net service to patients*, with a total profit margin of 18.08372% in fiscal year 2021, the latest year available.
It spent 2.82% of its operating expenses on uncompensated care and reported $43,457,756 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	316 118	328 118	338 119.5	344 118	350 119
Total beds Median	399 162	411 162	431 162	447 162	453 163.5
FTEs Median	3,229.42 788.06	3,155.66 793.42	3,426.22 806.03	4,130.10 787.61	3,687.36 804.34

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	900,785,464 150,932,746	937,847,070 158,950,878	1,009,470,941 168,696,998	1,038,760,109 163,454,693	1,197,494,564 186,589,412
Operating expenses Median	665,934,956 149,311,209	735,432,692 156,110,414	849,107,831 164,890,568	898,460,033 166,516,854	995,279,974 180,120,888
Net income from service 2 patients (NS2P) ? Median	234,850,508 -964,173	202,414,378 -643,601.5	160,363,110 -116,254	140,300,076 -5,025,862	202,214,590 -1,284,564
NS2P margin ? Median	26.07% -0.62	21.58% -0.29	15.89% 0.18	13.51% -5.07	16.89% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CARLE FOUNDATION 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	12,761,091 5,089,215	14,112,635 4,572,541	13,369,766 5,268,134	41,694,710 13,092,619	17,501,992 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	5,260,227 194,343	6,637,507 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	2 309,361.5	86 375,329
⊳ 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	22,805	38,821
⊳ 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	169,825	167,299	170,727
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	3,016	1,787	1,733
⊳ Line 22: Rental of hospital space	0	0	0	149,384	130,268
⊳ 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	12,761,091	14,112,635	13,196,925	36,093,206	10,522,850
Total income ? Median	247,611,599 6,586,430	216,527,013 6,767,106	173,732,876 8,419,950	181,994,786 8,094,175	219,716,582 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	247,611,599 6,043,842	216,527,013 5,845,112	173,732,876 7,606,259	181,994,786 7,283,041	219,716,582 14,957,241
Net margin Median	27.10443% 4.62%	22.74540% 4.42%	16.98533% 5.16%	16.84428% 5.2%	18.08372% 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 CARLE FOUNDATION 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	77,910,285 23,241,334	84,379,277 23,709,545	94,039,464 24,248,380	95,622,228 22,858,541	100,763,807 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	75,853,012 21,577,146	81,905,680 22,041,594	91,387,163 22,722,063	92,188,147 21,570,441	97,679,166 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	2,057,273 3,535,627	2,473,597 3,746,588	2,652,301 3,782,288	3,434,081 3,865,578	3,084,641 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	57,890,541 11,160,864	62,591,363 11,987,345	62,632,464 12,926,866	56,239,732 11,884,480	63,465,588 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	55,086,841 10,918,923	60,037,236 11,706,976	59,800,396 12,615,917	51,758,667 11,458,116	57,928,007 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,803,700 1,282,808	2,554,127 1,407,728	2,832,068 1,341,512	4,481,065 1,407,046	5,537,581 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	6,067,160 3,284,314	6,239,589 3,250,551	6,761,764 3,386,837	7,018,188 3,360,806	7,524,532 3,508,953
Disproportionate-share hospital (DSH) Median	2,570,923 594,888	2,772,711 595,761	3,020,949 577,894	2,734,984 542,168	3,548,132 549,667
Outlier Median	1,914,837 582,572	2,527,683 538,116	964,249 212,434	985,747 126,559	861,350 139,139

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	43,457,756 4,389,147
Charity care Median	27,603,517 2,654,636	29,824,870 2,940,659	25,424,898 3,380,215	24,333,660 3,488,738	20,648,395 3,233,405
Uncompensated care (UCC) Median	32,759,243 5,147,790	35,889,621 5,337,617	33,248,679 5,711,082	31,837,728 5,923,418	28,038,122 5,508,107
UCC as a % of operating expenses Median	4.92% 3.24	4.88% 3.12	3.92% 3.21	3.54% 3.3	2.82% 2.86
Total shortfall/UCC Median	32,759,243 9,489,989	35,889,621 9,424,297	33,248,679 10,120,158	31,837,728 11,171,337	71,495,878 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	188,488,146 52,142,039	204,926,547 54,485,252	222,898,660 57,395,589	259,994,380 58,830,919	313,421,971 61,722,907
Salaries as a % of operating expenses Median	28.30 36.68	27.86 36.56	26.25 36.37	28.94 35.93	31.49 35.24
Intern, resident salaries* Median	3,666,922 2,598,592	4,231,643 2,686,824	4,494,666 2,753,773	4,988,274 2,937,156	5,190,276 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	8,230,636 1,449,244	12,577,481 1,475,986	16,822,469 1,563,078	14,020,846 1,721,954	46,357,907 2,991,828
Contract hours, direct-care Median	125,424.17 22,725	193,970.00 23,018.5	250,153.33 24,503.48	189,316.89 25,026.5	344,485.23 33,786
Contract wages, direct-care Median	65.62 64.67	64.84 64.53	67.25 65.06	74.06 68.97	134.57 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.