As of the July, 2022, release via CMS

BEAVER DAM COMMUNITY HOSPITALS

CMS id: 520076
707 SOUTH UNIVERSITY AVENUE, BEAVER DAM WI 53916. County: DODGE
System: MARSHFIELD CLINIC HEALTH SYSTEM
CBSA: Beaver Dam, WI

The 163-bed, acute-care hospital had $-17,575,556 in net service to patients*, with a total profit margin of 0.45410% in fiscal year 2021, the latest year available.
It spent 2.65% of its operating expenses on uncompensated care and reported $0 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	119 118	119 118	119 119.5	42 118	42 119
Total beds Median	240 162	240 162	240 162	163 162	163 163.5
FTEs Median	653.49 788.06	657.89 793.42	631.99 806.03	627.48 787.61	568.25 804.34

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	92,226,968 150,932,746	94,312,577 158,950,878	97,431,388 168,696,998	91,099,737 163,454,693	94,914,803 186,589,412
Operating expenses Median	106,969,376 149,311,209	105,504,804 156,110,414	107,923,705 164,890,568	105,886,403 166,516,854	112,490,359 180,120,888
Net income from service 2 patients (NS2P) ? Median	-14,742,408 -964,173	-11,192,227 -643,601.5	-10,492,317 -116,254	-14,786,666 -5,025,862	-17,575,556 -1,284,564
NS2P margin ? Median	-15.98% -0.62	-11.87% -0.29	-10.77% 0.18	-16.23% -5.07	-18.52% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BEAVER DAM COMMUNITY HOSPITALS 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	11,557,788 5,089,215	13,320,791 4,572,541	14,535,941 5,268,134	19,016,266 13,092,619	18,088,710 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	95,403 224,999	120,272 199,009	130,986 206,870.5	72,213 194,343	2,330,374 249,496
⊳ Line 7: Investments ? ⊳ Median	3,688,004 299,524	3,710,777 188,688.5	4,284,831 370,813	3,446,042 309,361.5	4,223,517 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	9,635	6,603	4,851	1,651	7,662
⊳ Line 11: Rebates and refunds of expenses	154,185	199,656	199,516	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	18,470	21,940	16,853	11,917	7,796
⊳ Line 14: Revenue from meals sold to emplyees and guests	671,003	607,408	610,718	546,476	491,320
⊳ Line 15: Revenue from rental of living quarters	99,070	103,179	101,317	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	24,327	28,103	27,602	178	0
⊳ Line 17: Revenue from sale of drugs to other than patients	141,075	10,921	8,074	7,150	0
⊳ Line 18: Revenue from sale of medical records and abstracts	62,655	53,599	30,622	35,465	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	40,151	40,578	41,250	0	0
⊳ Line 21: Rental of vending machines	2,252	769	0	0	0
⊳ Line 22: Rental of hospital space	425,246	377,064	351,563	445,589	46,741
⊳ 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	6,122,658	8,034,791	8,722,999	14,448,745	10,981,300
Total income ? Median	-3,184,620 6,586,430	2,128,564 6,767,106	4,043,624 8,419,950	4,229,600 8,094,175	513,154 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	212,194 106,761	0 31,473.5
Net income Median	-3,184,620 6,043,842	2,128,564 5,845,112	4,043,624 7,606,259	4,017,406 7,283,041	513,154 14,957,241
Net margin Median	-3.06849% 4.62%	1.97761% 4.42%	3.61143% 5.16%	3.64834% 5.2%	0.45410% 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 BEAVER DAM COMMUNITY HOSPITALS 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	7,479,561 23,241,334	6,761,630 23,709,545	7,631,411 24,248,380	6,231,414 22,858,541	6,974,083 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	5,233,159 21,577,146	5,356,638 22,041,594	6,022,394 22,722,063	5,016,813 21,570,441	5,475,051 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	2,246,402 1,203,033	1,404,992 1,215,295	1,609,017 1,313,657	1,214,601 1,365,298	1,499,032 1,179,746
All outpatient revenue Median Click here to show/hide details	8,745,783 11,160,864	9,176,619 11,987,345	9,296,098 12,926,866	8,482,574 11,884,480	8,241,286 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	7,463,365 10,918,923	7,936,813 11,706,976	7,889,554 12,615,917	7,103,582 11,458,116	6,777,916 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,282,418 1,282,808	1,239,806 1,407,728	1,406,544 1,341,512	1,378,992 1,407,046	1,463,370 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	61,218 594,888	67,019 595,761	77,647 577,894	55,569 542,168	61,484 549,667
Outlier Median	176,920 582,572	52,799 538,116	47,387 212,434	71,234 126,559	209,195 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,441,966 3,662,910	4,383,479 3,730,911	5,357,020 4,081,319	2,786,104 4,643,908	0 4,389,147
Charity care Median	1,923,140 2,654,636	978,171 2,940,659	1,915,403 3,380,215	1,227,733 3,488,738	1,007,857 3,233,405
Uncompensated care (UCC) Median	2,765,274 5,147,790	2,548,926 5,337,617	3,342,058 5,711,082	2,788,905 5,923,418	2,979,253 5,508,107
UCC as a % of operating expenses Median	2.59% 3.24	2.42% 3.12	3.10% 3.21	2.63% 3.3	2.65% 2.86
Total shortfall/UCC Median	7,207,240 9,489,989	6,932,405 9,424,297	8,699,078 10,120,158	5,575,009 11,171,337	2,979,253 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	39,165,770 52,142,039	38,963,111 54,485,252	40,452,602 57,395,589	39,727,960 58,830,919	41,245,565 61,722,907
Salaries as a % of operating expenses Median	36.61 36.68	36.93 36.56	37.48 36.37	37.52 35.93	36.67 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	1,163,785 1,449,244	1,008,207 1,475,986	1,028,425 1,563,078	1,407,918 1,721,954	3,263,159 2,991,828
Contract hours, direct-care Median	21,451.00 22,725	16,917.00 23,018.5	18,347.37 24,503.48	28,101.51 25,026.5	31,608.75 33,786
Contract wages, direct-care Median	54.25 64.67	59.60 64.53	56.05 65.06	50.10 68.97	103.24 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.