Astrelis
Rural PPS hospital · Beaver Dam, WI

MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD)

CCN 520076DODGE CountyVoluntary non-profit - PrivateRural (USDA RUCC)37 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Beaver Dam, WI. It ran an operating loss of 23.5% in FY24 on $93.8M of operating revenue. It held 305 days of cash on hand (92nd percentile among Rural PPS hospitals on liquidity). Operating margin declined from -0.9% in FY20 to -23.5% in FY24, though it rose 17.0 points in the most recent year.

Operating margin · FY24
-23.5%
vs Rural PPS hospitals9th pctl of 387 (FY24)
Days cash on hand · FY24
305d
all sources
vs Rural PPS hospitals92nd pctl of 376 (FY24)
Total operating revenue · FY24
$93.8M
vs Rural PPS hospitals49th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
-11.2%
vs Rural PPS hospitals12th pctl of 387 (FY24)
One point of operating margin at MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) is about $938K per year (1% of FY24 total operating revenue).

Where MARSHFIELD MEDICAL CENTER sits among Rural PPS hospitals

Operating margin · FY24 pool · n = 387 of 418 filed

Each point is one Rural PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%MARSHFIELD MEDICAL -23.548572074174974%-20%0%+20%Rural PPS hospital median -0.8727424997636124%MARSHFIELD MEDICAL -23.548572074174974%
One rural pps hospitalMARSHFIELD MEDICALRural PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
-23.5% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-11.2% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
305d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
4.68× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
70% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
35d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue86,00696,30595,839
Other operating revenue2,880182(2,017)
Total operating revenue88,88696,48793,821
Total operating expenses126,278135,566115,915
Operating income(37,392)(39,078)(22,094)
Operating margin %-42.1%-40.5%-23.5%
Grants & contributions464103
Investment income3,3333,1216,564
Other non-operating, net(9,053)8,5993,819
Net income(42,648)(27,255)(11,711)
Net income %-51.0%-25.2%-11.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 37-bed hospital at 20% occupancy 85% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
19.6%
Verified fact2024
HCRIS WS S-3
Average daily census
7.28
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
37
Verified fact2024
HCRIS WS S-3
Annual discharges
999
Verified fact2024
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
84.8%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
367.30
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.1%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$11.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.86
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.954886
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-0.9%-11.1%-42.1%-40.5%-23.5%FY20FY21FY22FY23FY24
Days cash on hand
825 days377 days297 days268 days305 daysFY20FY21FY22FY23FY24

The county this hospital serves

DODGE County, WI · nonmetro, urban 20K+, metro-adjacent
Median household income
$74.0K
vs $82.1K US · $59.7K rural median
Poverty rate
7.9%
vs 12.5% US · 14.3% rural median
Uninsured
4.0%
vs 8.6% US · 8.4% rural median
Age 65+
18.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.8% of county personal income is Medicare/Medicaid medical benefits; 20.0% arrives as government transfers (BEA, 2022).

What this hospital means to Dodge County

economic contribution · FY24 cost report
Direct annual spending
$115.9M
total operating expense · reported
Total economic output
$266.6M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
1.0%
of all county jobs
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

Rural PPS Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

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