As of the July, 2022, release via CMS

ASCENSION PROVIDENCE HOSPITAL

CMS id: 230019
16001 WEST NINE MILE ROAD, SOUTHFIELD MI 48075. County: OAKLAND
System: ASCENSION MICHIGAN
CBSA: Detroit-Warren-Dearborn, MI

The 576-bed, acute-care hospital had $34,599,209 in net service to patients*, with a total profit margin of 4.36100% in fiscal year 2021, the latest year available.
It spent 1.70% of its operating expenses on uncompensated care and reported $14,636,917 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	492 118	499 118	459 119.5	447 118	461 119
Total beds Median	616 162	623 162	583 162	563 162	576 163.5
FTEs Median	3,460.73 788.06	3,385.01 793.42	3,256.93 806.03	3,406.64 787.61	3,435.56 804.34

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	704,575,414 150,932,746	572,753,485 158,950,878	763,759,049 168,696,998	744,774,929 163,454,693	848,013,315 186,589,412
Operating expenses Median	678,820,321 149,311,209	725,113,572 156,110,414	713,389,285 164,890,568	746,597,812 166,516,854	813,414,106 180,120,888
Net income from service 2 patients (NS2P) ? Median	25,755,093 -964,173	-152,360,087 -643,601.5	50,369,764 -116,254	-1,822,883 -5,025,862	34,599,209 -1,284,564
NS2P margin ? Median	3.66% -0.62	-26.60% -0.29	6.59% 0.18	-0.24% -5.07	4.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION PROVIDENCE HOSPITAL 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	19,176,193 5,089,215	29,138,875 4,572,541	17,184,500 5,268,134	76,493,964 13,092,619	6,821,616 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	631,361 206,870.5	612,648 194,343	2,947,375 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	2,549,816 370,813	2,382,606 309,361.5	4,913,182 375,329
⊳ 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	0	0	2,260,164	1,869,473	1,438,713
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	3,589,996	3,574,369	3,644,387
⊳ 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	19,176,193	29,138,875	8,153,163	68,054,868	-6,122,041
Total income ? Median	44,931,286 6,586,430	-123,221,212 6,767,106	67,554,264 8,419,950	74,671,081 8,094,175	41,420,825 15,162,888
Non-operating expenses Median	5,037,445 146,289.5	6,739,818 164,857	4,447,087 89,880.5	5,429,321 106,761	4,141,495 31,473.5
Net income Median	39,893,841 6,043,842	-129,961,030 5,845,112	63,107,177 7,606,259	69,241,760 7,283,041	37,279,330 14,957,241
Net margin Median	5.51209% 4.62%	-21.59207% 4.42%	8.08089% 5.16%	8.43107% 5.2%	4.36100% 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 ASCENSION PROVIDENCE HOSPITAL 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	156,822,979 23,241,334	156,517,350 23,709,545	160,692,180 24,248,380	158,704,676 22,858,541	148,616,026 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	152,270,149 21,577,146	151,796,795 22,041,594	156,099,119 22,722,063	155,288,829 21,570,441	145,419,993 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	2,368,151 1,845,420	2,596,353 1,757,392	2,406,271 1,738,842	1,623,255 1,510,463	1,327,264 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,184,679 3,535,627	2,124,202 3,746,588	2,186,790 3,782,288	1,792,592 3,865,578	1,868,769 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	54,076,829 11,160,864	55,094,373 11,987,345	58,110,741 12,926,866	47,060,102 11,884,480	54,298,846 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	54,076,829 10,918,923	55,094,373 11,706,976	58,110,741 12,615,917	47,060,102 11,458,116	54,298,846 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	22,964,505 3,284,314	23,145,550 3,250,551	25,667,342 3,386,837	26,680,662 3,360,806	24,342,334 3,508,953
Disproportionate-share hospital (DSH) Median	2,440,160 594,888	2,505,974 595,761	2,279,702 577,894	2,089,460 542,168	2,315,649 549,667
Outlier Median	1,365,787 582,572	1,824,396 538,116	1,324,071 212,434	597,522 126,559	700,274 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	18,541,834 3,662,910	17,004,946 3,730,911	15,219,479 4,081,319	18,982,969 4,643,908	14,636,917 4,389,147
Charity care Median	685,062 2,654,636	4,715,229 2,940,659	3,922,823 3,380,215	4,424,692 3,488,738	4,982,871 3,233,405
Uncompensated care (UCC) Median	10,997,504 5,147,790	16,137,323 5,337,617	14,794,016 5,711,082	16,490,252 5,923,418	13,819,829 5,508,107
UCC as a % of operating expenses Median	1.62% 3.24	2.23% 3.12	2.07% 3.21	2.21% 3.3	1.70% 2.86
Total shortfall/UCC Median	29,539,338 9,489,989	33,142,269 9,424,297	30,013,495 10,120,158	35,473,221 11,171,337	28,456,746 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	239,845,614 52,142,039	240,658,153 54,485,252	240,167,092 57,395,589	258,038,565 58,830,919	272,468,717 61,722,907
Salaries as a % of operating expenses Median	35.36 36.68	33.22 36.56	33.96 36.37	34.56 35.93	33.50 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	2,238,192 1,449,244	870,633 1,475,986	39,186 1,563,078	400,303 1,721,954	4,486,555 2,991,828
Contract hours, direct-care Median	27,869.00 22,725	13,394.28 23,018.5	575.75 24,503.48	5,897.00 25,026.5	37,903.00 33,786
Contract wages, direct-care Median	80.31 64.67	65.00 64.53	68.06 65.06	67.88 68.97	118.37 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.