MADISON COUNTY HEALTH CARE SYSTEM — financial and operating metrics

CCN 161326, WINTERSET, IA · Medicare cost reports, FY2020–FY2025

Unverified figures. Metrics marked unverified are derived from cost-report coordinates that have not yet been reconciled against audited financial statements. We show you which, rather than hiding it.

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MetricFY2020FY2021FY2022FY2023FY2024FY2025
Total facility beds availableunverified252525252525
Total bed days availableunverified9,1509,1259,1259,1259,1509,125
Total facility dischargesunverified154129224195225195
Total facility inpatient daysunverified1,2201,5071,5811,1971,3731,306
Total patient revenue (gross charges)unverified$40,399,502$44,137,049$49,598,637$48,027,044$52,015,658$56,951,835
Contractual allowances and discountsunverified$19,629,098$19,678,586$23,181,721$22,408,186$22,280,506$22,474,833
Net patient revenueunverified$20,770,404$24,458,463$26,416,916$25,618,858$29,735,152$34,477,002
Total operating expensesunverified$24,735,722$27,279,664$26,242,325$27,975,554$31,121,964$34,697,514
Net income from service to patientsunverified$-3,965,318$-2,821,201$174,591$-2,356,696$-1,386,812$-220,512
Net incomeunverified$2,352,758$5,706,320$5,099,329$2,144,703$4,243,258$6,012,696
Cost of uncompensated careunverified$606,945$681,196$672,547$658,787$567,623$627,154
Total facility bad debt expenseunverified$836,800$768,875$472,823$635,576$285,218$460,967
Charity care charges and uninsured discountsunverified$165,791$305,056$466,891$339,179$419,114$382,032
Cost of charity careunverified$129,183$269,660$430,377$307,544$408,670$368,432
Operating marginunverified-19.1%-11.5%0.7%-9.2%-4.7%-0.6%
Overall cost-to-charge ratiounverified61.2%61.8%52.9%58.2%59.8%60.9%
Occupancy rateunverified13.3%16.5%17.3%13.1%15.0%14.3%
Average length of stayunverified7.911.77.16.16.16.7
Uncompensated care as % of operating expenseunverified2.5%2.5%2.6%2.4%1.8%1.8%
Charity care cost-to-charge ratiounverified77.9%88.4%92.2%90.7%97.5%96.4%
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