As of the July, 2022, release via CMS

BLANCHARD VALLEY REG. HEALTH CENTER

CMS id: 360095
1900 SOUTH MAIN STREET, FINDLAY OH 45840. County: HANCOCK
System: BLANCHARD VALLEY HEALTH SYSTEM
CBSA: Findlay, OH

The 150-bed, acute-care hospital had $94,972,410 in net service to patients*, with a total profit margin of 36.92970% in fiscal year 2021, the latest year available.
It spent 3.02% of its operating expenses on uncompensated care and reported $5,822,849 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	107 118	107 118	107 119.5	107 118	107 119
Total beds Median	150 162	150 162	150 162	150 162	150 163.5
FTEs Median	1,025.28 788.06	1,046.10 793.42	1,065.57 806.03	1,038.10 787.61	1,064.38 804.34

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	233,333,629 150,932,746	248,602,662 158,950,878	263,003,582 168,696,998	267,605,765 163,454,693	312,257,683 186,589,412
Operating expenses Median	172,003,093 149,311,209	177,204,869 156,110,414	189,617,604 164,890,568	192,983,266 166,516,854	217,285,273 180,120,888
Net income from service 2 patients (NS2P) ? Median	61,330,536 -964,173	71,397,793 -643,601.5	73,385,978 -116,254	74,622,499 -5,025,862	94,972,410 -1,284,564
NS2P margin ? Median	26.28% -0.62	28.72% -0.29	27.90% 0.18	27.89% -5.07	30.41% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BLANCHARD VALLEY REG. HEALTH 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	37,438,741 5,089,215	23,092,607 4,572,541	46,779,447 5,268,134	54,074,193 13,092,619	46,500,145 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	15,372,869 299,524	15,561,578 188,688.5	12,180,082 370,813	17,587,513 309,361.5	25,180,215 375,329
⊳ 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	0	0	0
⊳ 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	78,905	69,288	53,660	33,321	29,442
⊳ 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	21,986,967	7,461,741	34,545,705	36,453,359	21,290,488
Total income ? Median	98,769,277 6,586,430	94,490,400 6,767,106	120,165,425 8,419,950	128,696,692 8,094,175	141,472,555 15,162,888
Non-operating expenses Median	28,019,937 146,289.5	48,934,432 164,857	19,051,296 89,880.5	15,772,160 106,761	8,984,371 31,473.5
Net income Median	70,749,340 6,043,842	45,555,968 5,845,112	101,114,129 7,606,259	112,924,532 7,283,041	132,488,184 14,957,241
Net margin Median	26.12871% 4.62%	16.76730% 4.42%	32.64031% 5.16%	35.10462% 5.2%	36.92970% 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 BLANCHARD VALLEY REG. HEALTH 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	27,085,399 23,241,334	27,828,811 23,709,545	27,047,164 24,248,380	28,203,271 22,858,541	26,880,125 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	26,781,445 21,577,146	27,482,000 22,041,594	26,724,740 22,722,063	27,957,648 21,570,441	26,507,179 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	303,954 1,845,420	346,811 1,757,392	322,424 1,738,842	245,623 1,510,463	372,946 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	23,293,552 11,160,864	25,873,190 11,987,345	25,031,481 12,926,866	23,867,091 11,884,480	27,385,872 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	23,293,552 10,918,923	25,873,190 11,706,976	25,031,481 12,615,917	23,867,091 11,458,116	27,385,872 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	535,196 594,888	446,573 595,761	455,198 577,894	346,192 542,168	371,318 549,667
Outlier Median	1,194,348 582,572	1,271,344 538,116	196,691 212,434	251,559 126,559	358,354 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,489,574 3,662,910	7,843,059 3,730,911	10,593,145 4,081,319	6,536,298 4,643,908	5,822,849 4,389,147
Charity care Median	1,500,773 2,654,636	2,249,003 2,940,659	1,364,892 3,380,215	2,044,606 3,488,738	1,855,746 3,233,405
Uncompensated care (UCC) Median	5,644,498 5,147,790	2,579,811 5,337,617	7,274,665 5,711,082	7,597,028 5,923,418	6,551,448 5,508,107
UCC as a % of operating expenses Median	3.28% 3.24	1.46% 3.12	3.84% 3.21	3.94% 3.3	3.02% 2.86
Total shortfall/UCC Median	11,134,072 9,489,989	10,422,870 9,424,297	17,867,810 10,120,158	14,133,326 11,171,337	12,374,297 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	60,970,114 52,142,039	64,379,154 54,485,252	67,775,425 57,395,589	67,197,148 58,830,919	74,034,395 61,722,907
Salaries as a % of operating expenses Median	35.45 36.68	36.33 36.56	35.74 36.37	34.82 35.93	34.07 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	626,968 1,449,244	395,240 1,475,986	189,885 1,563,078	241,061 1,721,954	4,760,397 2,991,828
Contract hours, direct-care Median	9,307.00 22,725	6,205.00 23,018.5	3,359.10 24,503.48	3,531.97 25,026.5	42,778.26 33,786
Contract wages, direct-care Median	67.37 64.67	63.70 64.53	56.53 65.06	68.25 68.97	111.28 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.