As of the July, 2022, release via CMS

THEDACARE REGIONAL MEDICAL CENTER AP

CMS id: 520160
1818 N MEADE ST, APPLETON WI 54911. County: OUTAGAMIE
System: THEDACARE INC
CBSA: Appleton, WI

The 147-bed, acute-care hospital had $42,457,674 in net service to patients*, with a total profit margin of 14.43387% in fiscal year 2021, the latest year available.
It spent 1.62% of its operating expenses on uncompensated care and reported $5,024,319 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	147 162	147 162	147 162	147 162	147 163.5
FTEs Median	1,088.32 788.06	988.32 793.42	813.24 806.03	741.54 787.61	762.47 804.34

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	264,307,567 150,932,746	312,194,479 158,950,878	318,838,295 168,696,998	309,381,782 163,454,693	348,008,687 186,589,412
Operating expenses Median	230,821,382 149,311,209	254,709,983 156,110,414	250,185,094 164,890,568	271,105,308 166,516,854	305,551,013 180,120,888
Net income from service 2 patients (NS2P) ? Median	33,486,185 -964,173	57,484,496 -643,601.5	68,653,201 -116,254	38,276,474 -5,025,862	42,457,674 -1,284,564
NS2P margin ? Median	12.67% -0.62	18.41% -0.29	21.53% 0.18	12.37% -5.07	12.20% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THEDACARE REGIONAL MEDICAL CENTER AP 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	1,182,579 5,089,215	1,171,203 4,572,541	1,270,183 5,268,134	14,784,775 13,092,619	10,037,216 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	216,026 224,999	178,879 199,009	25,830 206,870.5	107,432 194,343	31,550 249,496
⊳ Line 7: Investments ? ⊳ Median	1,323 299,524	454 188,688.5	238 370,813	152 309,361.5	0 375,329
⊳ 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	789,856	796,404	0	0	0
⊳ 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	15,968	20,397	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	159,406	175,069	1,244,115	14,677,191	10,005,666
Total income ? Median	34,668,764 6,586,430	58,655,699 6,767,106	69,923,384 8,419,950	53,061,249 8,094,175	52,494,890 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	815,027 31,473.5
Net income Median	34,668,764 6,043,842	58,655,699 5,845,112	69,923,384 7,606,259	53,061,249 7,283,041	51,679,863 14,957,241
Net margin Median	13.05840% 4.62%	18.71797% 4.42%	21.84365% 5.16%	16.36851% 5.2%	14.43387% 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 AP 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	26,544,101 23,241,334	26,568,380 23,709,545	25,730,820 24,248,380	24,103,808 22,858,541	22,414,734 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	26,544,101 21,577,146	26,568,380 22,041,594	25,730,820 22,722,063	24,103,808 21,570,441	22,414,734 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	18,679,801 11,160,864	25,977,857 11,987,345	27,008,190 12,926,866	25,428,180 11,884,480	26,975,058 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	18,679,801 10,918,923	25,977,857 11,706,976	27,008,190 12,615,917	25,428,180 11,458,116	26,975,058 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	1,563,240 3,284,314	1,545,382 3,250,551	1,449,532 3,386,837	1,290,009 3,360,806	1,332,911 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	1,011,174 582,572	807,185 538,116	125,371 212,434	121,888 126,559	65,390 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,175,481 3,662,910	134,729 3,730,911	4,956,321 4,081,319	3,732,817 4,643,908	5,024,319 4,389,147
Charity care Median	980,110 2,654,636	19,556,751 2,940,659	2,551,306 3,380,215	2,817,731 3,488,738	3,020,183 3,233,405
Uncompensated care (UCC) Median	3,769,183 5,147,790	21,629,282 5,337,617	3,112,577 5,711,082	5,306,499 5,923,418	4,948,416 5,508,107
UCC as a % of operating expenses Median	1.63% 3.24	8.49% 3.12	1.24% 3.21	1.96% 3.3	1.62% 2.86
Total shortfall/UCC Median	10,944,664 9,489,989	21,764,011 9,424,297	8,068,898 10,120,158	9,039,316 11,171,337	9,972,735 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	85,141,045 52,142,039	77,422,839 54,485,252	72,848,947 57,395,589	78,164,038 58,830,919	60,432,828 61,722,907
Salaries as a % of operating expenses Median	36.89 36.68	31.20 36.56	29.71 36.37	29.76 35.93	20.30 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	805,089 1,251,927	3,834,097 1,186,494	3,333,335 1,204,885	3,260,183 1,279,653	3,791,688 1,469,317
Contract adjusted salaries, direct-care Median	3,089,089 1,449,244	5,051,828 1,475,986	5,361,135 1,563,078	4,822,587 1,721,954	5,458,481 2,991,828
Contract hours, direct-care Median	62,872.20 22,725	42,584.00 23,018.5	53,482.03 24,503.48	47,121.45 25,026.5	40,988.30 33,786
Contract wages, direct-care Median	49.13 64.67	118.63 64.53	100.24 65.06	102.34 68.97	133.17 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.