As of the July, 2022, release via CMS

THEDACARE REGIONAL MEDICAL CENTER -

CMS id: 520045
130 SECOND ST, NEENAH WI 54956. County: WINNEBAGO
System: THEDACARE
CBSA: Oshkosh-Neenah, WI

The 151-bed, acute-care hospital had $30,535,641 in net service to patients*, with a total profit margin of 25.60166% in fiscal year 2021, the latest year available.
It spent 1.85% of its operating expenses on uncompensated care and reported $8,404,677 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	125 118	125 118	125 119.5	125 118	125 119
Total beds Median	151 162	151 162	151 162	151 162	151 163.5
FTEs Median	868.66 788.06	793.42 793.42	795.88 806.03	721.07 787.61	738.34 804.34

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	202,922,863 150,932,746	236,919,533 158,950,878	250,470,609 168,696,998	221,719,652 163,454,693	268,036,305 186,589,412
Operating expenses Median	171,488,487 149,311,209	184,277,558 156,110,414	198,593,931 164,890,568	211,213,572 166,516,854	237,500,664 180,120,888
Net income from service 2 patients (NS2P) ? Median	31,434,376 -964,173	52,641,975 -643,601.5	51,876,678 -116,254	10,506,080 -5,025,862	30,535,641 -1,284,564
NS2P margin ? Median	15.49% -0.62	22.22% -0.29	20.71% 0.18	4.74% -5.07	11.39% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THEDACARE REGIONAL 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	3,679,085 5,089,215	3,985,470 4,572,541	4,158,860 5,268,134	17,598,721 13,092,619	54,122,005 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	174,362 224,999	137,749 199,009	463,949 206,870.5	102,151 194,343	40,178,157 249,496
⊳ Line 7: Investments ? ⊳ Median	94,769 299,524	213,957 188,688.5	91,304 370,813	74,692 309,361.5	74,685 375,329
⊳ 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	593,127	583,456	638,370	736,406	601,586
⊳ 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	56	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	12,175	15,554	0	0	0
⊳ Line 22: Rental of hospital space	2,700,358	2,712,172	2,032,400	2,027,958	1,957,880
⊳ 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	104,294	322,582	932,837	14,657,457	11,309,697
Total income ? Median	35,113,461 6,586,430	56,627,445 6,767,106	56,035,538 8,419,950	28,104,801 8,094,175	84,657,646 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	2,179,766 31,473.5
Net income Median	35,113,461 6,043,842	56,627,445 5,845,112	56,035,538 7,606,259	28,104,801 7,283,041	82,477,880 14,957,241
Net margin Median	16.99571% 4.62%	23.50613% 4.42%	22.00670% 5.16%	11.74369% 5.2%	25.60166% 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 THEDACARE REGIONAL 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	17,226,094 23,241,334	17,800,130 23,709,545	19,663,693 24,248,380	16,664,660 22,858,541	17,085,184 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	16,379,910 21,577,146	17,152,194 22,041,594	18,873,177 22,722,063	15,752,742 21,570,441	15,686,913 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	846,184 3,535,627	647,936 3,746,588	790,516 3,782,288	911,918 3,865,578	1,398,271 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	7,274,159 11,160,864	9,100,239 11,987,345	10,067,653 12,926,866	8,745,727 11,884,480	10,509,068 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	7,274,159 10,918,923	9,100,239 11,706,976	10,067,653 12,615,917	8,745,727 11,458,116	10,509,068 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	311,052 594,888	414,825 595,761	400,861 577,894	0 542,168	368,189 549,667
Outlier Median	764,713 582,572	587,431 538,116	107,039 212,434	49,985 126,559	119,139 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,898,409 3,662,910	3,737,643 3,730,911	1,587,476 4,081,319	8,989,080 4,643,908	8,404,677 4,389,147
Charity care Median	1,113,377 2,654,636	1,141,692 2,940,659	2,434,994 3,380,215	2,894,515 3,488,738	2,502,744 3,233,405
Uncompensated care (UCC) Median	5,309,123 5,147,790	2,852,694 5,337,617	5,243,346 5,711,082	6,405,190 5,923,418	4,392,520 5,508,107
UCC as a % of operating expenses Median	3.10% 3.24	1.55% 3.12	2.64% 3.21	3.03% 3.3	1.85% 2.86
Total shortfall/UCC Median	13,207,532 9,489,989	6,590,337 9,424,297	6,830,822 10,120,158	15,394,270 11,171,337	12,797,197 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	62,676,107 52,142,039	55,901,332 54,485,252	66,577,497 57,395,589	69,227,659 58,830,919	57,037,660 61,722,907
Salaries as a % of operating expenses Median	36.55 36.68	31.47 36.56	34.75 36.37	32.78 35.93	25.02 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	2,264,809 1,449,244	1,364,817 1,475,986	1,510,291 1,563,078	1,083,385 1,721,954	922,672 2,991,828
Contract hours, direct-care Median	39,900.00 22,725	20,197.25 23,018.5	19,716.33 24,503.48	14,553.50 25,026.5	8,965.50 33,786
Contract wages, direct-care Median	56.76 64.67	67.57 64.53	76.60 65.06	74.44 68.97	102.91 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.