As of the July, 2022, release via CMS

ASCENSION SAINT MARYS HOSPITAL

CMS id: 520019
2251 NORTH SHORE DRIVE, RHINELANDER WI 54501. County: ONEIDA
System: ASCENSION WISCONSIN
CBSA: Rural Wisconsin

The 52-bed, acute-care hospital had $1,934,185 in net service to patients*, with a total profit margin of 2.37853% in fiscal year 2021, the latest year available.
It spent 2.01% of its operating expenses on uncompensated care and reported $1,502,705 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	40 118	35 118	32 119.5	43 118	32 119
Total beds Median	70 162	66 162	63 162	63 162	52 163.5
FTEs Median	495.94 788.06	469.31 793.42	425.85 806.03	416.03 787.61	409.60 804.34

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	119,650,899 150,932,746	116,408,343 158,950,878	112,337,399 168,696,998	105,890,889 163,454,693	119,664,589 186,589,412
Operating expenses Median	103,877,606 149,311,209	120,171,258 156,110,414	108,737,055 164,890,568	111,899,287 166,516,854	117,730,404 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,773,293 -964,173	-3,762,915 -643,601.5	3,600,344 -116,254	-6,008,398 -5,025,862	1,934,185 -1,284,564
NS2P margin ? Median	13.18% -0.62	-3.23% -0.29	3.20% 0.18	-5.67% -5.07	1.62% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION SAINT MARYS 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	8,541,080 5,089,215	6,441,540 4,572,541	6,949,782 5,268,134	6,194,414 13,092,619	728,200 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	250 199,009	3,674 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	807 188,688.5	1,271 370,813	1,135 309,361.5	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	12,091	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	84,938	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	162,053	205,361	207,333	209,791	220,849
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	14,480	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	59,731	0	-2,436	-3,290	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	107,239	100,140	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	8,292,725	6,150,184	6,632,701	5,886,638	507,351
Total income ? Median	24,314,373 6,586,430	2,678,625 6,767,106	10,550,126 8,419,950	186,016 8,094,175	2,662,385 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-201,194 31,473.5
Net income Median	24,314,373 6,043,842	2,678,625 5,845,112	10,550,126 7,606,259	186,016 7,283,041	2,863,579 14,957,241
Net margin Median	18.96716% 4.62%	2.18041% 4.42%	8.84431% 5.16%	0.16596% 5.2%	2.37853% 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 SAINT MARYS 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	11,323,291 23,241,334	11,565,453 23,709,545	11,268,657 24,248,380	8,439,308 22,858,541	9,657,961 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	10,808,669 21,577,146	10,914,568 22,041,594	10,761,167 22,722,063	8,439,308 21,570,441	9,657,961 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	514,622 1,845,420	650,885 1,757,392	507,490 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	13,695,290 11,160,864	14,073,656 11,987,345	13,920,474 12,926,866	12,923,357 11,884,480	14,442,220 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	13,063,650 10,918,923	13,429,876 11,706,976	13,627,340 12,615,917	12,715,256 11,458,116	14,442,220 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	631,640 618,038	643,780 697,279	293,134 690,232	208,101 684,010	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	0 3,284,314	63,009 3,250,551	96,569 3,386,837	180,580 3,360,806	60,476 3,508,953
Disproportionate-share hospital (DSH) Median	161,974 594,888	114,892 595,761	195,800 577,894	201,429 542,168	145,120 549,667
Outlier Median	561,816 582,572	466,189 538,116	281,950 212,434	85,909 126,559	70,090 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,840,076 3,662,910	6,542,444 3,730,911	6,517,688 4,081,319	4,805,804 4,643,908	1,502,705 4,389,147
Charity care Median	1,277,872 2,654,636	2,490,889 2,940,659	1,855,236 3,380,215	1,633,228 3,488,738	1,324,094 3,233,405
Uncompensated care (UCC) Median	2,554,426 5,147,790	4,179,707 5,337,617	3,237,718 5,711,082	3,222,159 5,923,418	2,371,593 5,508,107
UCC as a % of operating expenses Median	2.46% 3.24	3.48% 3.12	2.98% 3.21	2.88% 3.3	2.01% 2.86
Total shortfall/UCC Median	10,394,502 9,489,989	10,722,151 9,424,297	9,755,406 10,120,158	8,027,963 11,171,337	3,874,298 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	44,727,765 52,142,039	40,970,710 54,485,252	36,558,154 57,395,589	37,682,522 58,830,919	38,620,768 61,722,907
Salaries as a % of operating expenses Median	48.97 36.68	42.22 36.56	40.50 36.37	40.52 35.93	39.51 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	557,026 1,449,244	614,559 1,475,986	93,378 1,563,078	69,686 1,721,954	538,350 2,991,828
Contract hours, direct-care Median	7,620.00 22,725	7,353.00 23,018.5	1,502.00 24,503.48	1,096.00 25,026.5	5,498.00 33,786
Contract wages, direct-care Median	73.10 64.67	83.58 64.53	62.17 65.06	63.58 68.97	97.92 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.