As of the July, 2022, release via CMS

WESLEY MEDICAL CENTER

CMS id: 170123
550 NORTH HILLSIDE STREET, WICHITA KS 67214. County: SEDGWICK
System: HCA
CBSA: Wichita, KS

The 588-bed, acute-care hospital had $142,986,196 in net service to patients*, with a total profit margin of 23.32240% in fiscal year 2020, the latest year available.
It spent 7.23% of its operating expenses on uncompensated care and reported $673,744 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	--
Ownership	forprofit	forprofit	forprofit	forprofit	--
Acute beds Median	408 118	435 118	448 119.5	430 118	-- 119
Total beds Median	552 162	593 162	606 162	588 162	-- 163.5
FTEs Median	2,365.20 788.06	2,297.14 793.42	2,277.12 806.03	0.00 787.61	-- 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	608,392,801 150,932,746	631,299,556 158,950,878	677,709,322 168,696,998	661,289,730 163,454,693	-- 186,589,412
Operating expenses Median	533,494,470 149,311,209	510,057,547 156,110,414	538,736,511 164,890,568	518,303,534 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	74,898,331 -964,173	121,242,009 -643,601.5	138,972,811 -116,254	142,986,196 -5,025,862	-- -1,284,564
NS2P margin ? Median	12.31% -0.62	19.21% -0.29	20.51% 0.18	21.62% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WESLEY MEDICAL CENTER 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	5,785,740 5,089,215	4,348,487 4,572,541	4,046,000 5,268,134	14,661,944 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	-- 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	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,165,577	2,122,672	2,199,520	1,610,024	--
⊳ Line 15: Revenue from rental of living quarters	2,021,930	0	1,446,241	1,462,062	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	2,561	1,069	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,867,011	116,572	78,779	11,122,699	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	22,061	16,118	16,933	0	--
⊳ Line 21: Rental of vending machines	38,264	32,516	37,963	26,892	--
⊳ Line 22: Rental of hospital space	0	1,781,620	0	0	--
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	-- 1,597,664
⊳ Sum Line 24	550,056	153,323	139,490	304,579	--
Total income ? Median	80,684,071 6,586,430	125,590,496 6,767,106	143,018,811 8,419,950	157,648,140 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	-18 164,857	28 89,880.5	-18 106,761	-- 31,473.5
Net income Median	80,684,071 6,043,842	125,590,514 5,845,112	143,018,783 7,606,259	157,648,158 7,283,041	-- 14,957,241
Net margin Median	13.13691% 4.62%	19.75787% 4.42%	20.97802% 5.16%	23.32240% 5.2%	--% 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 WESLEY MEDICAL CENTER 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	118,240,877 23,241,334	123,904,524 23,709,545	124,165,905 24,248,380	125,479,365 22,858,541	-- 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	118,240,877 21,577,146	123,904,524 22,041,594	124,165,905 22,722,063	125,479,365 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	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	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	33,720,805 11,160,864	37,177,679 11,987,345	37,464,342 12,926,866	32,830,667 11,884,480	-- 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	33,720,805 10,918,923	37,177,679 11,706,976	37,464,342 12,615,917	32,830,667 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	12,845,561 3,284,314	13,481,965 3,250,551	13,086,031 3,386,837	13,086,620 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	3,427,261 594,888	4,543,495 595,761	4,742,590 577,894	4,484,110 542,168	-- 549,667
Outlier Median	3,137,080 582,572	2,451,863 538,116	385,953 212,434	476,551 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	686,160 3,662,910	0 3,730,911	55,518 4,081,319	673,744 4,643,908	-- 4,389,147
Charity care Median	25,988,781 2,654,636	27,593,996 2,940,659	31,610,650 3,380,215	34,064,259 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	30,897,110 5,147,790	32,589,116 5,337,617	35,984,876 5,711,082	37,474,703 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	5.79% 3.24	6.39% 3.12	6.68% 3.21	7.23% 3.3	--% 2.86
Total shortfall/UCC Median	31,583,270 9,489,989	32,589,116 9,424,297	36,040,394 10,120,158	38,148,447 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	148,461,344 52,142,039	143,627,274 54,485,252	148,622,919 57,395,589	146,412,600 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	28.00 36.68	28.10 36.56	27.56 36.37	28.20 35.93	-- 35.24
Intern, resident salaries* Median	1,180,980 2,598,592	785,947 2,686,824	339,230 2,753,773	360,105 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	8,580,177 1,449,244	6,708,182 1,475,986	11,669,193 1,563,078	10,069,722 1,721,954	-- 2,991,828
Contract hours, direct-care Median	148,953.00 22,725	147,165.00 23,018.5	229,388.00 24,503.48	142,059.00 25,026.5	-- 33,786
Contract wages, direct-care Median	57.60 64.67	45.58 64.53	50.87 65.06	70.88 68.97	-- 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.