As of the July, 2022, release via CMS

CARLE BROMENN MEDICAL CENTER

CMS id: 140127
1304 VIRGINIA, NORMAL IL 61761. County: MCLEAN
System: CARLE HEALTH SYSTEM
CBSA: Bloomington, IL

The 221-bed, acute-care hospital had $-2,109,122 in net service to patients*, with a total profit margin of 0.91659% in fiscal year 2021, the latest year available.
It spent 2.78% of its operating expenses on uncompensated care and reported $18,045,811 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	184	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	176 118	176 118	158 119.5	158 118	158 119
Total beds Median	221 162	221 162	221 162	221 162	221 163.5
FTEs Median	914.70 788.06	918.77 793.42	931.55 806.03	931.55 787.61	896.51 804.34

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	180,810,536 150,932,746	174,795,753 158,950,878	174,545,813 168,696,998	174,545,813 163,454,693	176,698,391 186,589,412
Operating expenses Median	166,970,865 149,311,209	170,403,346 156,110,414	177,085,455 164,890,568	64,727,932 166,516,854	178,807,513 180,120,888
Net income from service 2 patients (NS2P) ? Median	13,839,671 -964,173	4,392,407 -643,601.5	-2,539,642 -116,254	109,817,881 -5,025,862	-2,109,122 -1,284,564
NS2P margin ? Median	7.65% -0.62	2.51% -0.29	-1.46% 0.18	62.92% -5.07	-1.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CARLE BROMENN 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	4,374,281 5,089,215	4,711,809 4,572,541	5,002,211 5,268,134	5,002,211 13,092,619	3,763,211 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	998,612 224,999	955,114 199,009	1,199,640 206,870.5	1,199,640 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	10,198 299,524	9,659 188,688.5	5,993 370,813	5,993 309,361.5	0 375,329
⊳ 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	205,949	217,602	230,259	230,259	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	225,860	235,678	240,394	240,394	594,957
⊳ 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	1,244,707	1,161,037	1,329,514	1,329,514	1,186,810
⊳ Line 18: Revenue from sale of medical records and abstracts	0	641	682	682	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	158,265	77,004	81,757	81,757	39,267
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,007,864	968,945	990,809	990,809	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	7,792	12,000	12,000	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	522,826	1,078,337	911,163	911,163	1,942,177
Total income ? Median	18,213,952 6,586,430	9,104,216 6,767,106	2,462,569 8,419,950	114,820,092 8,094,175	1,654,089 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	18,213,952 6,043,842	9,104,216 5,845,112	2,462,569 7,606,259	114,820,092 7,283,041	1,654,089 14,957,241
Net margin Median	9.83555% 4.62%	5.07177% 4.42%	1.37154% 5.16%	63.94952% 5.2%	0.91659% 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 BROMENN 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	28,829,515 23,241,334	31,484,807 23,709,545	33,418,935 24,248,380	16,345,341 22,858,541	30,428,760 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	26,454,843 21,577,146	28,876,418 22,041,594	31,231,078 22,722,063	14,884,314 21,570,441	27,500,931 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	2,374,672 3,535,627	2,608,389 3,746,588	2,187,857 3,782,288	1,461,027 3,865,578	2,927,829 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	9,956,040 11,160,864	10,118,323 11,987,345	10,929,580 12,926,866	4,913,512 11,884,480	11,057,867 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	9,956,040 10,918,923	10,118,323 11,706,976	10,929,580 12,615,917	4,913,512 11,458,116	11,057,867 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	1,343,400 3,284,314	1,428,175 3,250,551	1,512,033 3,386,837	737,871 3,360,806	1,365,689 3,508,953
Disproportionate-share hospital (DSH) Median	600,413 594,888	611,558 595,761	577,982 577,894	390,101 542,168	561,940 549,667
Outlier Median	394,484 582,572	772,759 538,116	125,857 212,434	150,047 126,559	494,335 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,281,369 3,662,910	6,177,399 3,730,911	6,522,097 4,081,319	9,616,882 4,643,908	18,045,811 4,389,147
Charity care Median	2,224,150 2,654,636	2,512,486 2,940,659	2,777,184 3,380,215	384,962 3,488,738	2,112,592 3,233,405
Uncompensated care (UCC) Median	2,801,377 5,147,790	4,441,924 5,337,617	5,618,876 5,711,082	420,603 5,923,418	4,973,125 5,508,107
UCC as a % of operating expenses Median	1.68% 3.24	2.61% 3.12	3.17% 3.21	0.65% 3.3	2.78% 2.86
Total shortfall/UCC Median	8,082,746 9,489,989	10,619,323 9,424,297	12,140,973 10,120,158	10,037,485 11,171,337	23,018,936 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	57,646,387 52,142,039	59,666,163 54,485,252	61,802,533 57,395,589	34,671,607 58,830,919	68,411,583 61,722,907
Salaries as a % of operating expenses Median	34.52 36.68	35.01 36.56	34.90 36.37	53.57 35.93	38.26 35.24
Intern, resident salaries* Median	1,551,889 2,598,592	1,563,012 2,686,824	1,645,253 2,753,773	1,038,009 2,937,156	1,788,882 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	1,887,309 1,449,244	1,941,993 1,475,986	410,933 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	46,293.96 22,725	24,733.00 23,018.5	5,242.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	40.77 64.67	78.52 64.53	78.39 65.06	0.00 68.97	0.00 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.