As of the July, 2022, release via CMS


BUTLER COUNTY HEALTH CARE CENTER


  • CMS id: 281332
  • 372 SOUTH 9TH STREET, DAVID CITY NE 68632. County: BUTLER
  • System: --
  • CBSA: Rural Nebraska

The 20-bed, CAH hospital had $-824,220 in net service to patients*, with a total profit margin of 18.36107% in fiscal year 2021, the latest year available.
It spent 1.36% of its operating expenses on uncompensated care and reported $255,493 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.


Note: Medians are from CAH 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
gov gov gov gov gov
Acute beds
Median
20
23
20
23
20
23
20
23
20
23
Total beds
Median
20
25
20
25
20
25
20
25
20
25
FTEs
Median
98.30
149.18
97.69
151.6
102.30
151.58
107.70
152.78
110.18
151.99

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

2017 2018 2019 2020 2021
Net patient revenue ?
Median
15,244,828
19,395,819
15,023,906
19,790,685
16,140,308
20,891,573
16,445,147
20,752,910
19,417,316
22,925,976
Operating expenses
Median
16,172,739
21,082,256
15,447,100
21,740,728
15,864,057
22,449,917
17,815,956
23,028,561
20,241,536
24,906,213
Net income from service 2 patients (NS2P) ?
Median
-927,911
-1,166,928
-423,194
-1,178,891
276,251
-1,189,234
-1,370,809
-1,989,193
-824,220
-1,175,562
NS2P margin ?
Median
-6.09%
-6.37
-2.82%
-6.47
1.71%
-6.58
-8.34%
-10.52
-4.24%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BUTLER COUNTY HEALTH CARE CENTER compared to all** CAH 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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132

2017 2018 2019 2020 2021
Other income*
Median
Click here to show/hide details
601,128
1,517,926
828,137
1,554,100
901,993
1,708,825
1,907,997
3,606,354
5,376,658
4,946,640
Total income ?
Median
-326,783
445,049
404,943
379,292
1,178,244
655,032
537,188
1,453,054
4,552,438
3,734,026
Non-operating expenses
Median
0
56,329
0
45,230
0
61,507
0
80,747
0
39,130
Net income
Median
-326,783
309,249
404,943
305,537
1,178,244
515,321.5
537,188
1,282,423
4,552,438
3,678,491
Net margin
Median
-2.06225%
1.7%
2.55452%
1.61%
6.91364%
2.36%
2.92695%
5.41%
18.36107%
13.38%

* 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 BUTLER COUNTY HEALTH CARE CENTER compared to all** CAH hospitals, from CMS cost reports.
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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132


Medicare revenue

Inpatient and outpatient revenue

2017 2018 2019 2020 2021
All inpatient revenue
Median
Click here to show/hide details
2,901,651
1,512,374
2,387,477
1,478,094
2,229,356
1,365,460
2,213,331
1,289,169
2,161,028
1,354,214
All outpatient revenue
Median
Click here to show/hide details
3,425,225
4,108,627
3,096,518
4,367,646
3,640,104
4,566,928
4,243,976
4,517,324
4,672,534
4,554,272

Other payments

Item 2017 2018 2019 2020 2021
Graduate Medical Education (GME)
Median
0
--
0
--
0
--
0
--
0
--
Disproportionate-share hospital (DSH)
Median
0
--
0
--
0
--
0
--
0
--
Outlier
Median
0
4,679
0
5,256
0
5,165.5
0
6,341
0
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
138,789
553,475.5
130,859
567,149
17,507
599,174.5
78,349
641,417
255,493
631,057
Charity care
Median
160,557
190,496
158,428
225,101
95,137
238,624
138,640
260,478.5
110,675
225,887
Uncompensated care (UCC)
Median
281,118
860,218.5
269,592
933,428
253,787
986,290
419,858
998,939
275,164
871,713
UCC as a %
of operating expenses
Median
1.74%
3.77
1.75%
3.82
1.60%
3.7
2.36%
3.74
1.36%
3.04
Total shortfall/UCC
Median
419,907
1,405,482
400,451
1,525,979
271,294
1,576,055
498,207
1,691,815
530,657
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
6,453,598
8,521,101
6,922,197
8,786,419
7,546,580
9,086,354
8,462,741
9,512,636
9,579,191
9,933,360
Salaries as a % of operating expenses
Median
39.90
42.53
44.81
42.58
47.57
42.62
47.50
42.72
47.32
42.27
Intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract adjusted salaries, direct-care
Median
0
--
0
--
0
--
0
--
0
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--

* 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.