As of the July, 2022, release via CMS

OTTAWA REGIONAL HOSPITAL & HEALTHCAR

CMS id: 140110
1100 EAST NORRIS DRIVE, OTTAWA IL 61350. County: LASALLE
System: OSF HEALTHCARE SYSTEM
CBSA: Ottawa, IL

The 97-bed, acute-care hospital had $22,531,845 in net service to patients*, with a total profit margin of 23.55366% in fiscal year 2021, the latest year available.
It spent 3.06% of its operating expenses on uncompensated care and reported $4,746,670 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	82 118	85 118	83 119.5	83 118	83 119
Total beds Median	95 162	97 162	97 162	97 162	97 163.5
FTEs Median	608.66 788.06	614.10 793.42	488.19 806.03	464.39 787.61	546.76 804.34

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	103,985,985 150,932,746	109,048,031 158,950,878	110,924,935 168,696,998	106,934,543 163,454,693	133,447,769 186,589,412
Operating expenses Median	98,921,502 149,311,209	104,746,834 156,110,414	105,012,749 164,890,568	107,830,898 166,516,854	110,915,924 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,064,483 -964,173	4,301,197 -643,601.5	5,912,186 -116,254	-896,355 -5,025,862	22,531,845 -1,284,564
NS2P margin ? Median	4.87% -0.62	3.94% -0.29	5.33% 0.18	-0.84% -5.07	16.88% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OTTAWA REGIONAL HOSPITAL & HEALTHCAR 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	1,273,891 5,089,215	2,178,622 4,572,541	3,089,386 5,268,134	12,160,764 13,092,619	11,642,135 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	19,343 224,999	26,599 199,009	511,088 206,870.5	98,977 194,343	2,208,706 249,496
⊳ Line 7: Investments ? ⊳ Median	15,807 299,524	7,586 188,688.5	189,879 370,813	1,327,543 309,361.5	2,592,029 375,329
⊳ 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	418,493	341,580	334,185	299,830	277,635
⊳ Line 15: Revenue from rental of living quarters	0	0	324,819	320,591	285,309
⊳ 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	993	2,618	1,849	2,959
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	25,813	0	0	0
⊳ Line 21: Rental of vending machines	0	0	5,218	0	0
⊳ Line 22: Rental of hospital space	369,717	348,862	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	450,531	1,427,189	1,721,579	10,111,974	6,275,497
Total income ? Median	6,338,374 6,586,430	6,479,819 6,767,106	9,001,572 8,419,950	11,264,409 8,094,175	34,173,980 15,162,888
Non-operating expenses Median	12,847,808 146,289.5	14,914,385 164,857	5,159 89,880.5	0 106,761	0 31,473.5
Net income Median	-6,509,434 6,043,842	-8,434,566 5,845,112	8,996,413 7,606,259	11,264,409 7,283,041	34,173,980 14,957,241
Net margin Median	-6.18416% 4.62%	-7.58322% 4.42%	7.89060% 5.16%	9.45831% 5.2%	23.55366% 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 OTTAWA REGIONAL HOSPITAL & HEALTHCAR 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	11,973,475 23,241,334	13,558,880 23,709,545	12,898,871 24,248,380	13,237,703 22,858,541	13,835,182 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	10,905,605 21,577,146	12,762,515 22,041,594	12,207,334 22,722,063	12,702,719 21,570,441	13,680,904 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	1,067,870 1,845,420	796,365 1,757,392	691,537 1,738,842	534,984 1,510,463	154,278 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	11,664,317 11,160,864	12,522,281 11,987,345	13,050,794 12,926,866	11,917,478 11,884,480	12,643,866 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	11,664,317 10,918,923	12,522,281 11,706,976	13,050,794 12,615,917	11,917,478 11,458,116	12,643,866 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	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	618,917 594,888	613,535 595,761	550,060 577,894	545,488 542,168	549,368 549,667
Outlier Median	89,743 582,572	72,985 538,116	88,247 212,434	86,145 126,559	74,744 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,459,389 3,662,910	8,330,721 3,730,911	7,355,933 4,081,319	7,282,865 4,643,908	4,746,670 4,389,147
Charity care Median	2,162,308 2,654,636	2,306,829 2,940,659	2,449,270 3,380,215	3,530,498 3,488,738	2,475,727 3,233,405
Uncompensated care (UCC) Median	3,143,745 5,147,790	3,628,587 5,337,617	4,094,346 5,711,082	4,907,865 5,923,418	3,395,194 5,508,107
UCC as a % of operating expenses Median	3.18% 3.24	3.46% 3.12	3.90% 3.21	4.55% 3.3	3.06% 2.86
Total shortfall/UCC Median	9,603,134 9,489,989	11,959,308 9,424,297	11,450,279 10,120,158	12,190,730 11,171,337	8,141,864 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	38,654,995 52,142,039	41,117,088 54,485,252	42,324,488 57,395,589	39,191,695 58,830,919	39,517,249 61,722,907
Salaries as a % of operating expenses Median	39.08 36.68	39.25 36.56	40.30 36.37	36.35 35.93	35.63 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	1,894,181 1,449,244	2,122,301 1,475,986	941,298 1,563,078	728,536 1,721,954	237,130 2,991,828
Contract hours, direct-care Median	27,851.00 22,725	29,849.00 23,018.5	13,589.00 24,503.48	9,465.00 25,026.5	2,709.00 33,786
Contract wages, direct-care Median	68.01 64.67	71.10 64.53	69.27 65.06	76.97 68.97	87.53 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.