As of the July, 2022, release via CMS

FORT ATKINSON MEMORIAL HOSPITAL

CMS id: 520071
611 E SHERMAN AVENUE, FORT ATKINSON WI 53538. County: JEFFERSON
System: --
CBSA: Watertown-Fort Atkinson, WI

The 49-bed, acute-care hospital had $-11,969,238 in net service to patients*, with a total profit margin of 15.99833% in fiscal year 2021, the latest year available.
It spent 0.55% of its operating expenses on uncompensated care and reported $8,396,667 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	56 118	45 118	45 119.5	45 118	45 119
Total beds Median	72 162	49 162	49 162	49 162	49 163.5
FTEs Median	607.58 788.06	620.63 793.42	622.67 806.03	611.14 787.61	652.05 804.34

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	108,498,682 150,932,746	110,414,413 158,950,878	119,368,658 168,696,998	105,431,362 163,454,693	122,131,391 186,589,412
Operating expenses Median	119,147,426 149,311,209	120,897,100 156,110,414	126,161,701 164,890,568	124,514,721 166,516,854	134,100,629 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,648,744 -964,173	-10,482,687 -643,601.5	-6,793,043 -116,254	-19,083,359 -5,025,862	-11,969,238 -1,284,564
NS2P margin ? Median	-9.81% -0.62	-9.49% -0.29	-5.69% 0.18	-18.10% -5.07	-9.80% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FORT ATKINSON MEMORIAL 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	21,953,298 5,089,215	19,515,765 4,572,541	18,196,912 5,268,134	30,143,818 13,092,619	37,509,050 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	202,361 224,999	121,932 199,009	96,269 206,870.5	106,524 194,343	797,343 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	2,290,360 309,361.5	1,873,057 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	144,088	148,733	155,192	141,742	148,637
⊳ 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	384,328	399,052	394,732	342,405	323,485
⊳ 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	11,175	2,850	0	72,592	84,021
⊳ 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	2,111,454	2,221,132	2,318,787	2,378,903	2,071,321
⊳ 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	19,099,892	16,622,066	15,231,932	24,811,292	32,211,186
Total income ? Median	11,304,554 6,586,430	9,033,078 6,767,106	11,403,869 8,419,950	11,060,459 8,094,175	25,539,812 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	11,304,554 6,043,842	9,033,078 5,845,112	11,403,869 7,606,259	11,060,459 7,283,041	25,539,812 14,957,241
Net margin Median	8.66568% 4.62%	6.95226% 4.42%	8.28977% 5.16%	8.15817% 5.2%	15.99833% 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 FORT ATKINSON MEMORIAL 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	8,270,181 23,241,334	8,276,857 23,709,545	7,490,385 24,248,380	6,170,159 22,858,541	7,877,851 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	8,270,181 21,577,146	8,276,857 22,041,594	7,490,385 22,722,063	6,170,159 21,570,441	7,877,851 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	11,106,402 11,160,864	12,186,393 11,987,345	13,453,929 12,926,866	11,799,970 11,884,480	12,842,200 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	11,106,402 10,918,923	12,186,393 11,706,976	11,065,627 12,615,917	9,401,162 11,458,116	10,477,652 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	2,388,302 690,232	2,398,808 684,010	2,364,548 670,558
⊳ 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	111,178 594,888	104,679 595,761	175,980 577,894	69,097 542,168	72,547 549,667
Outlier Median	139,232 582,572	447,844 538,116	514,167 212,434	73,670 126,559	79,572 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,609,820 3,662,910	6,875,370 3,730,911	6,935,385 4,081,319	8,091,511 4,643,908	8,396,667 4,389,147
Charity care Median	4,252,064 2,654,636	229,198 2,940,659	366,365 3,380,215	568,726 3,488,738	467,086 3,233,405
Uncompensated care (UCC) Median	5,259,496 5,147,790	521,832 5,337,617	812,214 5,711,082	1,772,916 5,923,418	738,994 5,508,107
UCC as a % of operating expenses Median	4.41% 3.24	0.43% 3.12	0.64% 3.21	1.42% 3.3	0.55% 2.86
Total shortfall/UCC Median	12,869,316 9,489,989	7,397,202 9,424,297	7,747,599 10,120,158	9,864,427 11,171,337	9,135,661 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	37,384,411 52,142,039	38,564,380 54,485,252	39,898,504 57,395,589	40,301,001 58,830,919	42,365,877 61,722,907
Salaries as a % of operating expenses Median	31.38 36.68	31.90 36.56	31.62 36.37	32.37 35.93	31.59 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	294,965 1,449,244	80,486 1,475,986	62,842 1,563,078	98,755 1,721,954	118,828 2,991,828
Contract hours, direct-care Median	4,255.00 22,725	1,190.00 23,018.5	898.00 24,503.48	1,413.00 25,026.5	1,744.00 33,786
Contract wages, direct-care Median	69.32 64.67	67.64 64.53	69.98 65.06	69.89 68.97	68.14 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.