As of the July, 2022, release via CMS

LAKEVIEW MEDICAL CENTER OF RICE LAKE

CMS id: 520011
1700 WEST STOUT STREET, RICE LAKE WI 54868. County: BARRON
System: MARSHFIELD CLINIC HEALTH SYSTEM
CBSA: Rural Wisconsin

The 40-bed, acute-care hospital had $-3,775,860 in net service to patients*, with a total profit margin of 5.93738% in fiscal year 2021, the latest year available.
It spent 2.14% of its operating expenses on uncompensated care and reported $6,150,247 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	35 118	35 118	35 119.5	35 118	35 119
Total beds Median	40 162	40 162	40 162	40 162	40 163.5
FTEs Median	393.79 788.06	380.38 793.42	559.05 806.03	538.99 787.61	545.10 804.34

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	89,089,637 150,932,746	92,895,582 158,950,878	149,270,621 168,696,998	153,972,785 163,454,693	151,030,139 186,589,412
Operating expenses Median	71,159,369 149,311,209	79,955,812 156,110,414	136,874,126 164,890,568	137,754,836 166,516,854	154,805,999 180,120,888
Net income from service 2 patients (NS2P) ? Median	17,930,268 -964,173	12,939,770 -643,601.5	12,396,495 -116,254	16,217,949 -5,025,862	-3,775,860 -1,284,564
NS2P margin ? Median	20.13% -0.62	13.93% -0.29	8.30% 0.18	10.53% -5.07	-2.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LAKEVIEW MEDICAL CENTER OF RICE LAKE 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	2,323,631 5,089,215	2,623,777 4,572,541	4,713,692 5,268,134	6,261,749 13,092,619	15,143,763 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	6,325 224,999	4,193 199,009	34,517 206,870.5	122,342 194,343	284,963 249,496
⊳ Line 7: Investments ? ⊳ Median	161,381 299,524	172,217 188,688.5	137,216 370,813	107,314 309,361.5	17,427 375,329
⊳ 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	435,542	453,897	467,805	337,854	337,476
⊳ 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	0	0	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	1,720,383	1,993,470	4,074,154	5,694,239	14,503,897
Total income ? Median	20,253,899 6,586,430	15,563,547 6,767,106	17,110,187 8,419,950	22,479,698 8,094,175	11,367,903 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	1,004,352 89,880.5	1,341,157 106,761	1,501,527 31,473.5
Net income Median	20,253,899 6,043,842	15,563,547 5,845,112	16,105,835 7,606,259	21,138,541 7,283,041	9,866,376 14,957,241
Net margin Median	22.15641% 4.62%	16.29360% 4.42%	10.45940% 5.16%	13.19225% 5.2%	5.93738% 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 LAKEVIEW MEDICAL CENTER OF RICE LAKE 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	7,366,012 23,241,334	7,473,124 23,709,545	6,966,384 24,248,380	6,681,401 22,858,541	7,051,894 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	7,366,012 21,577,146	7,473,124 22,041,594	6,966,384 22,722,063	6,681,401 21,570,441	7,051,894 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	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	14,154,021 11,160,864	15,900,987 11,987,345	22,709,829 12,926,866	20,751,917 11,884,480	23,438,623 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	13,447,952 10,918,923	15,098,048 11,706,976	21,876,373 12,615,917	19,630,126 11,458,116	18,965,548 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	706,069 1,282,808	802,939 1,407,728	833,456 1,341,512	1,121,791 1,407,046	786,719 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	3,686,356 670,558
⊳ 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	158,705 594,888	179,083 595,761	151,560 577,894	144,815 542,168	143,682 549,667
Outlier Median	33,868 582,572	60,134 538,116	173,034 212,434	260,305 126,559	143,904 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,880,814 3,662,910	1,321,315 3,730,911	709,095 4,081,319	0 4,643,908	6,150,247 4,389,147
Charity care Median	616,491 2,654,636	568,451 2,940,659	485,584 3,380,215	492,676 3,488,738	2,192,307 3,233,405
Uncompensated care (UCC) Median	1,346,810 5,147,790	1,713,323 5,337,617	1,971,525 5,711,082	1,345,942 5,923,418	3,308,919 5,508,107
UCC as a % of operating expenses Median	1.89% 3.24	2.14% 3.12	1.44% 3.21	0.98% 3.3	2.14% 2.86
Total shortfall/UCC Median	4,227,624 9,489,989	3,034,638 9,424,297	2,680,620 10,120,158	1,345,942 11,171,337	9,459,166 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	23,039,281 52,142,039	24,054,930 54,485,252	49,478,670 57,395,589	47,858,639 58,830,919	52,912,509 61,722,907
Salaries as a % of operating expenses Median	32.91 36.68	30.61 36.56	36.75 36.37	36.02 35.93	35.35 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	306,410 1,449,244	946,725 1,475,986	699,955 1,563,078	825,718 1,721,954	2,485,099 2,991,828
Contract hours, direct-care Median	4,400.00 22,725	13,851.90 23,018.5	12,840.00 24,503.48	13,621.00 25,026.5	22,104.00 33,786
Contract wages, direct-care Median	69.64 64.67	68.35 64.53	54.51 65.06	60.62 68.97	112.43 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.