As of the July, 2022, release via CMS

ASPIRUS WAUSAU HOSPITAL

CMS id: 520030
333 PINE RIDGE BOULEVARD, WAUSAU WI 54401. County: MARATHON
System: ASPIRUS INC
CBSA: Wausau-Weston, WI

The 248-bed, acute-care hospital had $39,422,422 in net service to patients*, with a total profit margin of 19.38789% in fiscal year 2021, the latest year available.
It spent 1.30% of its operating expenses on uncompensated care and reported $36,128,188 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	186 118	186 118	181 119.5	186 118	186 119
Total beds Median	239 162	239 162	235 162	248 162	248 163.5
FTEs Median	1,970.77 788.06	1,985.37 793.42	2,096.16 806.03	2,186.88 787.61	2,239.40 804.34

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	460,497,945 150,932,746	477,739,538 158,950,878	522,739,933 168,696,998	537,494,660 163,454,693	605,977,224 186,589,412
Operating expenses Median	458,494,287 149,311,209	453,056,889 156,110,414	481,890,211 164,890,568	499,235,457 166,516,854	566,554,802 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,003,658 -964,173	24,682,649 -643,601.5	40,849,722 -116,254	38,259,203 -5,025,862	39,422,422 -1,284,564
NS2P margin ? Median	0.44% -0.62	5.17% -0.29	7.81% 0.18	7.12% -5.07	6.51% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASPIRUS WAUSAU 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	58,087,755 5,089,215	32,829,469 4,572,541	30,068,298 5,268,134	28,843,944 13,092,619	96,868,219 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	504,720 224,999	484,342 199,009	472,927 206,870.5	632,236 194,343	597,037 249,496
⊳ Line 7: Investments ? ⊳ Median	23,616,816 299,524	14,129,370 188,688.5	10,391,082 370,813	2,199,619 309,361.5	55,765,680 375,329
⊳ 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	1,666,756	1,696,252	1,711,811	1,611,232	1,092,299
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	11,277	347,611	7,070	2,920	-104,153
⊳ Line 17: Revenue from sale of drugs to other than patients	283,474	235,442	302,943	158,569	339,347
⊳ Line 18: Revenue from sale of medical records and abstracts	-8	204	1	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	50	0	0	0	0
⊳ Line 22: Rental of hospital space	90,781	61,188	60,216	9,834	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	31,913,889	15,875,060	17,122,248	24,229,534	39,178,009
Total income ? Median	60,091,413 6,586,430	57,512,118 6,767,106	70,918,020 8,419,950	67,103,147 8,094,175	136,290,641 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	676,153 89,880.5	242,338 106,761	23,744 31,473.5
Net income Median	60,091,413 6,043,842	57,512,118 5,845,112	70,241,867 7,606,259	66,860,809 7,283,041	136,266,897 14,957,241
Net margin Median	11.58756% 4.62%	11.26432% 4.42%	12.70637% 5.16%	11.80580% 5.2%	19.38789% 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 ASPIRUS WAUSAU 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	56,962,857 23,241,334	55,868,782 23,709,545	59,465,168 24,248,380	56,024,640 22,858,541	60,965,946 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	55,082,394 21,577,146	54,409,860 22,041,594	57,568,454 22,722,063	54,510,988 21,570,441	59,050,533 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,880,463 3,535,627	1,458,922 3,746,588	1,896,714 3,782,288	1,513,652 3,865,578	1,915,413 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	27,855,441 11,160,864	29,786,766 11,987,345	31,819,719 12,926,866	33,249,973 11,884,480	36,609,098 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	27,855,441 10,918,923	29,786,766 11,706,976	31,819,719 12,615,917	33,249,973 11,458,116	36,609,098 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	2,322,334 3,284,314	2,129,949 3,250,551	2,395,511 3,386,837	2,570,218 3,360,806	2,517,654 3,508,953
Disproportionate-share hospital (DSH) Median	913,538 594,888	545,679 595,761	827,236 577,894	811,041 542,168	745,234 549,667
Outlier Median	3,156,146 582,572	3,117,455 538,116	2,516,293 212,434	199,934 126,559	282,940 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	18,299,692 3,662,910	14,999,041 3,730,911	31,331,600 4,081,319	16,508,038 4,643,908	36,128,188 4,389,147
Charity care Median	8,984,192 2,654,636	8,905,852 2,940,659	4,724,706 3,380,215	5,196,604 3,488,738	4,958,136 3,233,405
Uncompensated care (UCC) Median	10,694,326 5,147,790	10,529,868 5,337,617	8,071,086 5,711,082	7,648,192 5,923,418	7,357,448 5,508,107
UCC as a % of operating expenses Median	2.33% 3.24	2.32% 3.12	1.67% 3.21	1.53% 3.3	1.30% 2.86
Total shortfall/UCC Median	28,994,018 9,489,989	25,528,909 9,424,297	39,402,686 10,120,158	24,156,230 11,171,337	43,485,636 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	144,601,397 52,142,039	148,725,555 54,485,252	154,817,270 57,395,589	161,143,720 58,830,919	171,583,237 61,722,907
Salaries as a % of operating expenses Median	31.78 36.68	32.83 36.56	32.13 36.37	32.28 35.93	30.29 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	7,422,668 1,449,244	4,145,299 1,475,986	3,325,866 1,563,078	7,078,874 1,721,954	14,621,897 2,991,828
Contract hours, direct-care Median	102,194.00 22,725	54,370.00 23,018.5	49,178.00 24,503.48	105,117.00 25,026.5	126,385.00 33,786
Contract wages, direct-care Median	72.63 64.67	76.24 64.53	67.63 65.06	67.34 68.97	115.69 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.