As of the July, 2022, release via CMS

OWATONNA HOSPITAL

CMS id: 240069
2250 NW 26TH STREET, OWATONNA MN 55060. County: STEELE
System: ALLINA HEALTH SYSTEM
CBSA: Owatonna, MN

The 39-bed, acute-care hospital had $1,183,131 in net service to patients*, with a total profit margin of 6.01829% in fiscal year 2021, the latest year available.
It spent 2.02% of its operating expenses on uncompensated care and reported $559,086 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	30 118	29 118	29 119.5	29 118	29 119
Total beds Median	40 162	39 162	39 162	39 162	39 163.5
FTEs Median	252.92 788.06	258.04 793.42	253.14 806.03	243.32 787.61	242.40 804.34

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	59,030,108 150,932,746	60,051,258 158,950,878	58,847,439 168,696,998	55,823,475 163,454,693	59,579,651 186,589,412
Operating expenses Median	55,188,388 149,311,209	57,173,347 156,110,414	58,022,565 164,890,568	57,244,352 166,516,854	58,396,520 180,120,888
Net income from service 2 patients (NS2P) ? Median	3,841,720 -964,173	2,877,911 -643,601.5	824,874 -116,254	-1,420,877 -5,025,862	1,183,131 -1,284,564
NS2P margin ? Median	6.51% -0.62	4.79% -0.29	1.40% 0.18	-2.55% -5.07	1.99% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OWATONNA 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	2,262,095 5,089,215	2,427,138 4,572,541	2,616,593 5,268,134	5,928,760 13,092,619	2,556,398 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	55,141 224,999	133,094 199,009	56,416 206,870.5	73,700 194,343	45,393 249,496
⊳ Line 7: Investments ? ⊳ Median	205,932 299,524	145,571 188,688.5	148,854 370,813	-98,234 309,361.5	-32,577 375,329
⊳ 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	277,938	305,501	304,768	198,430	204,300
⊳ 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.)	1,200	250	1,567	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	6,530	6,603	989	0	0
⊳ Line 22: Rental of hospital space	505,945	510,862	538,188	563,293	563,611
⊳ Line 23: Gov appropriations ? ⊳ Median	96,042 1,017,693	152,353 983,261.5	135,606 1,173,286	90,360 1,987,202	31,205 1,597,664
⊳ Sum Line 24	1,113,367	1,172,904	1,430,205	5,101,211	1,744,466
Total income ? Median	6,103,815 6,586,430	5,305,049 6,767,106	3,441,467 8,419,950	4,507,883 8,094,175	3,739,529 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	6,103,815 6,043,842	5,305,049 5,845,112	3,441,467 7,606,259	4,507,883 7,283,041	3,739,529 14,957,241
Net margin Median	9.95855% 4.62%	8.49101% 4.42%	5.59916% 5.16%	7.29995% 5.2%	6.01829% 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 OWATONNA 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	8,616,639 23,241,334	8,710,183 23,709,545	6,791,112 24,248,380	6,738,690 22,858,541	6,153,373 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	8,021,774 21,577,146	8,055,439 22,041,594	6,074,701 22,722,063	6,009,832 21,570,441	5,387,158 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	594,865 1,845,420	654,744 1,757,392	716,411 1,738,842	728,858 1,510,463	766,215 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	4,920,352 11,160,864	5,287,088 11,987,345	3,963,817 12,926,866	3,569,967 11,884,480	4,423,577 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	4,920,352 10,918,923	5,287,088 11,706,976	3,963,817 12,615,917	3,569,967 11,458,116	4,423,577 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	188,549 594,888	179,369 595,761	139,033 577,894	133,697 542,168	111,811 549,667
Outlier Median	41,781 582,572	64,540 538,116	71,229 212,434	86,884 126,559	123,283 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	713,719 3,662,910	721,462 3,730,911	736,574 4,081,319	574,397 4,643,908	559,086 4,389,147
Charity care Median	463,270 2,654,636	445,047 2,940,659	628,794 3,380,215	559,701 3,488,738	405,630 3,233,405
Uncompensated care (UCC) Median	1,526,446 5,147,790	1,612,272 5,337,617	1,808,965 5,711,082	1,614,782 5,923,418	1,179,940 5,508,107
UCC as a % of operating expenses Median	2.77% 3.24	2.82% 3.12	3.12% 3.21	2.82% 3.3	2.02% 2.86
Total shortfall/UCC Median	2,240,165 9,489,989	2,333,734 9,424,297	2,545,539 10,120,158	2,189,179 11,171,337	1,739,026 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	18,920,439 52,142,039	19,760,439 54,485,252	20,241,119 57,395,589	20,423,027 58,830,919	20,403,457 61,722,907
Salaries as a % of operating expenses Median	34.28 36.68	34.56 36.56	34.88 36.37	35.68 35.93	34.94 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	105,147 1,449,244	93,534 1,475,986	163,441 1,563,078	142,004 1,721,954	945,983 2,991,828
Contract hours, direct-care Median	2,141.00 22,725	1,458.00 23,018.5	2,203.00 24,503.48	1,810.75 25,026.5	7,415.00 33,786
Contract wages, direct-care Median	49.11 64.67	64.15 64.53	74.19 65.06	78.42 68.97	127.58 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.